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19-100427City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 �5 Ph: (253) 835-2607 Fax: (253) 8352609 P{} Project Name: PURDOM Project Address: 36838 5TH AVE SW Project Description: REP - Replace existing roofing shingles and plywood. Building - Single Family Permit #:19 -100427 -00 -SF Inspection Request Line: (253) 835-3050 Parcel Number: 218820 0625 Owner Applicant Contractor Lender CHARLES T PURDOM MIGUEL REYNOSORYNO MIGUEL REYNOSORYNO OWNER IS LENDER 2313 S 304TH ST CONSTRUCTION LLC CONSTRUCTION LLC FEDERAL WAY WA 98003-4872 22921 30TH AVE S APT 203 22921 30TH AVE S APT 203 SEATTLE WA 98198 SEATTLE WA 98198 Census Category: 555 - Non-structural roofing permits Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft. Additional Permit Information Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. No Plumbing to be Included? ........................................ No PERMIT EXPIRES Wednesday, 24 July, 2019 Permit Issued on Friday, January 25, 2019 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of j+ Washington and the City of Federal Way. Owner or agent: '(� C n-0 S o Date: �_,' e1AkvA THIS CARD IS TO REMAIN ON-SITE • V& Federal Way Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERIV= #: 1910042700 Address: 36838 5TH AVE SW Project: CHARLES T PURDOM FEDERAL WAY WA 98023-7345 Scheduled inspections may be fair 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 until it 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. 1❑ By 4,Y1Date Roof Sheathing (4220)Z❑ Approved to insall rootmg 1 .200— By Finial - Building (4050) Approved J Date 3 [By Right of Way Approved Date By Rough Electrical Approved Date By Final Electrical Approved Date [By Right of Way Approved Date 44k CITY OF Federal Way PERMIT NUMBER 1 C _ RECEIVED JAN 2 5 2019 PERMITPERMITCENTER + 33325 81h venAPPLIrCATIONS Way, CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcente a ityoffederalway.com COMMUNITY DEVELOPMENT I F— //4 TARGET DATE N SITE ADDRESS SUITEMNIT # / -3b 3 6 O 15 �1 s l t% Tc cl eca� wAj W P, PROJECT VALUATION $1 14 60o ZONING ASSESSOR'S TAR/PARCEL # z 1 g(� I Z o- ()& Z TYPE OF PERMITBUILDING ❑ PLUMBING ElMECHANICAL E] DEMOLITION 1:1 ENGINEERING El FIRE PREVENTION NAME OF PROJECT PROJECT DESCRIPTION cc, 'P t w -o © d 0�,, Cl !r - p t Detailed description of work to be included on this permit only NAME p. /y''�- PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS 6 g i a C E-MAIL CITY 'Fe-Aef ,lwu STATE wt� ZIP ci6O 2 3 NAME l LLC PHOb MAILING ADDRESS 1 1- �^ 6v E-MAIL CONTRACTOR CITY 'DeJ 'n 3 STATE W(4 ZIP 4 fq00 FAX WA STATE CONTRACTOR'S LICENSE # 7N I S - EXPIRATION DATE i I`t i20D FEDERAL WAY BUSINESS LICENSE # NAME nn �1 �! A I n G Y� a r10 50 PRIMARY PHONE MAIL11M ADDRESS z 2\ . Av s A e Zo 3 E-MAIL APPLICANT CITY rJ c r'No \ n s STATE P- ZIP `t 61 R$ FAX PROJECT CONTACT NAME n r,�c O5 PRIMARY PHONE MAILIN ADDRESS V -e5 NQ V 2a 3 E-MAIL (The individual to receive and respond to all correspondence CITY STATE \W (-\ ZIP I ti CL 00 FAX concerning this application) PROJECT FINANCING NAME OWNER -FINANCED When value is $5,000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify 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 responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed 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 a part of this application. / < SIGNATURE ► �1y7/I 1 e `(_n U s b DATE T2 J I PRINT NAME: so Bulletin #100 – January 29, 2016 Page I of 2 k:\Handouts\Permit Application P..