16-101836'. ... w
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HENDERSON
Project Address: 4268 SW 337TH PL
Building - Single Family
Permit #: 16 -101836 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 921152 0090
Project Description: REP - Remove and replace (21) squares of roofing and (4) squares of 1/2" sheets of
plywood.
Owner
Aunlicant
Contractor
Lender
SONG H HENDERSON
NAIDA KHAN
HOME DEPOT AT HOME
OWNER IS LENDER
4268 SW 337TH PL
NORTHWEST PERMIT INC
SERVICES
FEDERAL WAY WA 98023-3200
9808 31ST AVE SE
HOMED**972RQ (2/3/17)
EVERETT WA 98208
3600 LIND AVE SW
RENTON WA 98057
Census Category: 555 - Non-structural lofngtmits
Includes.
#1 #2 #3 #4
Occupancy Class:
R-3 •
Construction T
Type V - B
Occupancy Load
Floor Areas . ft
-11
0 �� 011 0 0
'p►d 4l Permit to or tion
New / Additional Sq. Feet - 3rd Floor ...... .... ., �le- New / Additional Sq. Feet - Basement ................0
Occupancy # 1- Construction Type.... .ype V - B � Mechanical to be Included?...................................No
Occupancy # 1- Class ...................... .............,�:�.R-3 Plumbing to be Included? ...................................... No
V
• .: Residen �2
Occupancy # 1 -Use........... �►f. ..........
family)
/,/,YNo Fixtures Abciated With This Permit It
PE EXPIRES Sunday, October 16, 2016
Fri ermit Issued on Tuesday, April 19, 2016
I by rtify that the above information is correct and that the construction on the above described property and
the pancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
r ; and the City of Federal Way.
or agent: - Date: 4/10UZOVo
CITY OP
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -101836 -00 -SF Address: 4268 SW 337TH PL
SONG H HENDERSON FEDERAL WAY, WA 98023-3200
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered unfirit is approved Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
By Date I 1By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
To: Permit Department Page 2 of 3 2016-04-13 19:18:28 (GMT) 18884000383 From: Deborah Shields
airy loo 4A
Fedeml Way PERMIT
SF F COME EL PL DE EN FP
14 2016
REVERItu WAY. WA T)
25 •810&.26c'. Fix APPLICATION
tE172%%c"-"d0"L0TVY OF FEDERAL WAY _ / I
The following is required (RONSmation -an incomplete application will not be accepted. Please print legibly (in inkl or type.
SITE ADDRp
,98 4268 SW 337th PL
. ....... SUITE/UNIT
ASSESSOR'S TAX/PARCEL # 9211520090 LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acine Estates.. Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
E DEMOLITION 1:1 ELECTRICAL -0 ENGINEERING :3 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detuiled description of work included on 1h�,errnit �onh
RESIDENTIAL REROOF. REPLACE 21 SQUARES OF ROOFING. REPLACE 4 SQUARES -1/2" PLYWOOD.
NO STRUCTURAL CHANGES
PROJECT NAME (Marne Va.,,, SongHenderson
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Song Henderson 253 ) 208-4420
klAIUNU ADDRESS Cl-ly, suvrE, ZIP E-MAIL ADDRESS
4268 SW 337th PL Federal Way, WA 98023
CONTRACTOR
COMPANY NAME-,
APPIJCANT NAME
OrrICE PHONE
Home Depot At Home Services
(800 ) 381 -5699
AIAILING ADDRESS
C-ITY. STATE, ZIP
CELL PFFONE
3600 Lind Ave SW #150
Renton 98057
CELL PHONE
CITY Or' FEDERAL WAY BUSINESS LICENSE NUMBER
ExpiwvrioN DATE
rAx NUMBER
20-03-101448-00-B
12/31/2016
Architect 7_1 Tenwit V Agent 0 OtIxer
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
F; -,MAIL ADDRES,
HOMED**972RQ
02/0312017
APPLICANT
TfT)5,, �NYINA.�FC
Of I
NAME
OFFICF PHONE
Northwest Permit Inc.
Naida Khan
(360 ) 945-278-7
MAILING ADDRESS
9808 31st St SE
CI -IT. SI -Al E. ZIP
Everett WA 98208
CELL PHONE
RELATIONSIfir TO PROJECT
TAX NUMBER
Architect 7_1 Tenwit V Agent 0 OtIxer
(888 ) 400-0383 I
-----L=
PROJECT
CONTACT
NAME
Naida Khan/ Northwest Permit
PRIMARY PHONE
(360 ) 94,5-2787
C -MAIL ADDRESS
naida@nwpermit.com
LENDER
.... . .... .
Per RCW 19.27.095;
Lender information is required if project value exceeds $5,000
MALUNQ ADDRESS
CITY, S'rAXE, Z!P
PHONE
DETAILED BUILDING
INFORMATION
EXISTING USE —Residential
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE ---....—VALUE
OF PROPOSED WORK $
12026.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? r YES r, NO
WATER SERVICE PROVIDER 0 LAKEHAVEN � HIGHLINE
C1 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER c LAKEHAVEN 0 HIGHLINE
Li PRIVATE ISEPTICI
To: Permit Department Page 3 of 3 2016-04-13 19:18:28 (GMT) 18884000383 From: Deborah Shields
0
AREA DESCRIPTION
EXISTING
SO. FT.
PROPOSED
SQ. FT.
TOTAL j
s . z• r.
BASEMENT
�.
GAB WATER HEATERS 14ISC (Describel
BOILERS
i
FIRST
COMPRESSORS _
FURNACESRANGES
—
I
SECOND
['HERD
GAS LOG SETS
REFRIG. SYSTEMS
1
i
i
ADDITIONAL FLOORS (DESCRIBE.)
❑ YES NO
DEMO PERMIT REQUIRED? o YES
-i NO
DECK (D COVER sD OR rl UNCOVERED?)
i
GARAGE '-_ CARPORT' -
�
i
-
NUMBER OF FLOORS
EXISTING
PROPOSED
TarAL
TOTAL CRfS7LVG SP
I
TOTAL PROPOSEC SP
TOTAL"
*JVELZ'Ht}bi£SOrtiLY" NUMBER OFBEDROOMS ES'1'CIv1.4'1'ED SELLING PRICE
--
Indicate rttanher of each type of fixture to he: installed or relocated as part of Ihispre)iect. .Do not include existirt9 fi.ztures to rernoin.
Value of Wecharcical Work, $ (A COPY (?F L31D OR ES37LYI_AYE r UM' RE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BB(1S
FANS
GAB WATER HEATERS 14ISC (Describel
BOILERS
FIREPLACE INSERTS
— HOODS
COMPRESSORS _
FURNACESRANGES
—
-�
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BA7,141TUBS ',J Tui,; s1,owar C.� W: LAYS it aia_aa sa-, _ ... URINALS _ _._......._. NIISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS SINKSWASHING MACHINES
HOSE BIBLE SUMPS
7 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certijfy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibtiityfor compliance with local, state, orfederal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim lincluding costs, expenses, and attorneys' fees incurred in the
investigation and defense of such claimj, which may be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this application.
C'nic�lry rcJ. il g Fkl a W-ar
Maida Khan DN:tn v 1 iIL.WN\ »ESt Efndrr.,ou,
SIGNATURES' DATE
Property Owner anchor Authorizecl Agent
NEW :i ADDITION
ALTERATION
REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY?
YES I NO
BASIC PLAN? ) YES
NO
ZONING DESIGNATION
CHANGE OF USE? -n YES
❑ NO
NEW ADDRESS REQUIRED?
- r:r YES NO
UPf SEPA/SU? _ YES
, NO
PLATTED LOT?
❑ YES NO
DEMO PERMIT REQUIRED? o YES
-i NO
Bulletins 100 January 1, 2008 Pale 2 of 4 Je4landouts\Permit Aoplication