19-103322 . s
' Building - Single Family
City of Federal Way Permit #:19-103322-00-SF
Can numty Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: TAN/SHAOLING
Project Address: 37415 19TH PL S Parcel Number:721265 0630
Project Description: Remove existing shake roofing and replace with shingles.
Owner Applicant Contractor Lender
QINGMING TAN FOUR SEASON QUALITY FOUR SEASON QUALITY OWNER IS LENDER
37415 19TH PL S ROOFING LLC ROOFING LLC
FEDERAL WAY WA 98003 6516 79TH ST W 6516 79TH ST W
LAKEWOOD WA 98499 LAKEWOOD WA 98499
USA
•
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.application9 No
Plumbing to be Included No
Total Valuation: 15,500.00
vt,f P'.S' ,3..,n.. .` :ilt € e 3• "4;?': s; ;•:=:...:;:i•'.14'4. n :»^t •%-*-,
; , ^,.?.i:''� :'-:4 :.f4 �: +r•. : c ix =• 7 l .;M-'.C. fin .*:d ry 3:ro,"
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PERMIT EXPIRES Monday,6 January,2020
• Permit Issued on Wednesday,July 10,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the 'se will be in accordance with the laws, rules and regulations of the State of
Owner or agent: IP / Washington and the City of Federal Way.
Date: jut - /0-- /G
arilip- --....-
61A"/
THIS CARD IS TO REMAIN ON-SITE
°r 4�, Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103322 00 Address: 37415 19TH PL S
Project: HONG SHAOLING FEDERAL WAY WA 98003-7577
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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
By Date ByCa) Date? /
I
0 Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date .By Date
R] C , PERMIT APPLICATION
CITY OF ^..i RECEIVED
Federal Way PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
JUL
�O'� ' 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
{ - UMW `;r
PERMIT NUMBER ` I CI C �E ELtott'E _ N/A--
___ TARGET DATE fT
SITE ADDRESS SUITE/UNIT#
.k3 3 71-1 !S 14 4-h PLS fed c-rea( o<PROJECT VALUATION ZONING 3ESS�O]R'S TAX/PARCEL#� to 5-- _
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
p 11> � Gr0 Yrr�r/oIfr ) 0\el Sha►,e ✓oof 1n54-c.ii, r
PROJECT DESCRIPTION r �/
Detailed description of work to !i 5 ij /1(y i� r
r ,� cic4 cl s el cy Y\A 1✓.S C c. 1 \\v' � v'\rw rvl t tCL(
be included on this permit only ( I
G1rou,,J 4.t,e. hc�cv'Se- anC ✓1eL S 1rCS
NAME _ _ PRIMARY PHONE _
PROPERTY OWNER MAILING ADDRESS E-MAIL
a L1 I s let 11, P( 5
CITY STATE ZIP
.JJcred .'J w !n-. _`I800 3
NAME PHONE
'Four Sc ASO AA ii4I11Y c'd t i lif (p OCJ 177'" ¢�t(�{
MAILING ADDRESS L E-MAIL
1.-1CONTRACTOR �Co G 411 S 4 i. l t)in hFri 12.9gP Ont,(•(o✓'
CITY STATE ZIP I FAX V
Lolke e°el 4/4 6164f 4't
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
E'oU QSq 8 5oik&F / /
NAME PRIMARY PHONE
t
Gale, Nrr
APPLICANT MAILING ADDRESS E-MAIL
9.7 I( 5 S lc.. Lore- Y
CITY STATE ZIP FAX
__ , b'V cz-Ayr 6( CLAR1 _ A- 98003 .
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 m•y be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the relian.e of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this app I ation.
SIGNATURE:
V DATE JQ(-- I G ' i
PRINT NAME: ?al?(,a E. ikl er L
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application