14-105973 a I t 1
0 •ilding - Single Family
City of FederalWay Permit #: 14-105973-00-SF
Community b Econ.n.D
ev.Services
33325 8th Ave SFLE
I
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: IH4 WASHINGTON LP
Project Address: 1210 SW 346TH ST Parcel Number. 666490 0020
Project Description: REP-Tear off shake roofing& install CDX plywood sheathing and composition shingle
roofing system.
Owner Applicant Contractor Lender
FEDERAL NATIONAL K SINGLE ROOFING K SINGLE ROOFING OWNER IS LENDER
MORTGAGE 10459 4TH AVE SW KSINGSR871J5(4/25/15)
P O BOX 650043 SEATTLE WA 98146 10459 4T11 AVE SW
DALLAS TX 75265 SEATTLE WA 98146
Census Category: 555-Non-structural roofmg permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 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 Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, May 16, 2015
Permit Issued on Monday, November 17, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent oern
g �� Z Date:0/y7/9
THIS CARD IS TO MAIN ON-SITE
CITY OF 11A • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-105973-00-SF Address: 1210 SW 346TH ST
Project: FEDERAL NATIONAL MORTGAGE FEDERAL WAY, WA 98023-7040
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.
0 Roof Sheathing(4220) ❑ Final-Building(4050)
Approved to install roofing Approved
By Date (1 i (g(1 l' .BY PAL- Date l Z—4_ Ica
1 •
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
? ....
n.
��TM"41;0 R E PERMIT *PLICATION
Federal Way NOV 17 2014
CITY OF FEDERAL WAY '4,✓1R1
, ( ----- \-1)
PERMIT NUMBER / q_ / 6 D 7 7 3 _ 0 O TARGET DATE
—
SITE ADDRESS 1 Z 0 c '314'
4,-1,
1 S 4---
� 2 /R''ca/ IC`LY SUITE/UNIT iI
PROJECT VALUATION J ZONING 1ASSESSOR'S/� TAX/PARCEL#
$ 7 c) 69 & C 9 0 - o O 20
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL Q'llEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT / 14 L( ( &C
PROJECT DESCRIPTION, -mac �,[�
b
Detailed description of work to LTJ ( �i��O
be included on this permit only //'
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS I 7-1O
I O S� 3 L)D S�_ E-MAIL
STATE ZIP
fe4 cel wxy _ le
NAMPHONE
E• Ji 5/e iii pre0e UY/ czfp _206) 35 - 4/9I --
MAILING ADDRESS
S� f� E-MAIL
!
CONTRACTOR J `'r'3 7 / N //�� -5( 4-1
CITY STATE ZIP FAX
D,pir e.41 c,--)/a ?o-/C6
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE X
(C-.1SSIN C51 g 69 C C Z /eco /261k-
NAME ,, PRIMARY PHONE
Jose
MAILING ADDRES E-MAIL
APPLICANT
(56'39 t iH /fa- S1A-
CITY STATE ZIP __,. FAR
13u& w g 914.96
NAME PRIMARY PHONE^
PROJECT CONTACT J0>e ?b!moi 356 I/5/h8'
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ElOWNER-FINANCEDRequired value of$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 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.
--7SIGNATURE: 6¢7 0 7d/C12---- DATE /0 I I/,q
PRINT NAME: (7,0 .5e
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Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application