13-104045City of Federal Way •
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
- V., 9 L
Project Name: FRISBY
Project Address: 1136 SW 320TH PL
Project Description: ALT - Reroofing from shake to composition
iuilding - Single Family
Permit #: 13 -104045 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 926493 0930
Owner
gpplican
Contractor
Lender
MAUREEN C FRISBY
MAUREEN C FRISBY
OWNER IS CONTRACTOR
OWNER IS LENDER
1136 SW 320TH PL
1136 SW 320TH PL
FEDERAL WAY WA 98023-5556
FEDERAL WAY WA 98023-5556
Census Category: 555 - Non-structural roofing permits
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . ft. 0 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Mechanical to be Included?...................................No Plumbing to be Included? ...................................... No
No FixturesAssociated With This Permit It
PERMIT EXPIRES Tuesday, March 11, 2014
Permit Issued on Thursday, September 12, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will in accordance with the laws, rules and regulations of the State of Washington
d th City of Federal Way.
Owner or agent: Date:
p1NA►-ED
THIS CARD IS TO MAIN ON-SITE
CITY CW 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
Project:
13 -104045 -00 -SF Address: 1136 SW 320TH PL
MAUREEN C FRISBY FEDERAL WAY, WA 98023-5556
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 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.
Roof Sheathing (4220) ❑ Final - Building (4050)
Approved to install roofing Approved
By j Date 5
I13 f y By Date $ 7.L I •.�
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
0" OF
Federal Way
PERMIT NUMBER L
PERMI*APPUMATION
SEP 12 2013 e)oy°
CITY OF FEDERAL WAY
- _ ✓_ _✓ _ TARGET DATE CDS
SITE ADDRESS
SUITE/UNIT M
I I 5 u� 320 �1
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL i
W
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT'
PROJECT DESCRIPTIONsi
i t / O
1
Detailed description of work to
(Q"
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
A PJ D
2S .3
MAILING
_113� SW $320 P1 .
FMAIL
A F 100 /90L .Can
CITY
EVPq (W
I "ATE I
w A
ZIP
47 ,?a 3
NAME
A (ko E - N ELI Erz t-sb
PHONE
253 6 3S -,T-3-33
MAILING ADDRESS
( 5 ZO 7H P
E -NAIL n
C� r AOL `eawl
CONTRACTOR
CITY''STATE
ZIP
FAX
Wry
Q067
41 Q q -3
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME A(A1� i f ie s
PRIMARY 5`3 655'17_333
.33
MA mG ADDRESS
R 16 SU) 320T14
it -MAIL
19F1607 A ML 10041
APPLICANT
CITY fiiwak
WAB
l O Z 3
FAX
PROJECT CONTACT
NAME
C-rzt
PRIMARY PHONE
53 $ 3 8333
ANAIL
p
F (00 AOL &m
(The individual to receive and
MAILING ADDRESS
SSu)?wm
respond to all correspondence
1
c n , . , A
firWrGK wVv
STATE
zIP Z
Q 3
FAX
concerning this application)
PROJECT FINANCING
,,r �nWA
NAME A `� l CJS t i'� (S D
PA
K OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS CITY, STATE, ZIP
; S j
PHONE
Z 5 3 B 367 9333
1 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. 1 understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal taws 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 ci a part of this application.
'
SIGNATURE: DATE
S
PRINT NAME: qFa .s
Bulletin # 100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application