19-102542 Building - Single Family
City ofFederal ay Permit #:19-102542-00-SF
Community 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: BLOOD
Project Address: 33011 17TH CT SW Parcel Number:010457 0460
Project Description: Tear off shake and install plywood.Install composition roofing.
Owner Applicant Contractor Lender
WILLIAM BLOOD LISA JONESCHET'S ROOFING& CHET'S ROOFING& OWNER IS LENDER
33011 17TH CT SW CONSTRUCTION INC CONSTRUCTION INC
FEDERAL WAY WA 98023 26301 79TH AVE S 26301 79TH AVE S
KENT WA 98032 KENT WA 98032
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
Basic Plan9 No Mechanical to be Included? No
Number of Stories 1 Plumbing to be Included? No
Will Certificate of Occupancy be Issued9 No
Total Valuation: 14,400.00
No Fixtures Associated WIhi This
PERMIT EXPIRES Wednesday,20 November,2019
Permit Issued on Friday,May 24,2019
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 be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: t(„ Date:
w t
Cis
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Sect'
R110 of the International Residential Code is certifying that at the time of issuance,this structure was in
compliance with the various ordinances of the City regulating building construction or use.This ce cate is valid
ONLY when endorsed by City staff.
Tenant Name: BLOOD 'ermit# 19-102542-00-SF
Address: 33011 17TH CT SW
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Owner Name: WIL •M BLOOD
Owner Address: i 11 17TH CT SW
FEDERAL WAY WA 98023
Bui mg Official Date
The priority foc in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience s shown most severely affect the health and safety of the general public. Although the City has made as complete
a review d inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees
nor w ants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
o ' ance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
` • hich it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE
��°� Construction Inspection Record
Federal vvay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102542 00 Address: 33011 17TH CT SW
Project: WILLIAM G BLOOD FEDERAL WAY WA 98023-6470
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) 0 Final-Building(4050)
Approved to install roofing Approved
By Date 5 :,, `, By Cw Date 7 2S-/
0 Rough Electrical Ell Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
"!Y OF �'' MAY 2 2019 PERMIT APPLICATION
PERMIT 33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way
253-835-2607+FAX 253-835-2609+permitcentefa it offederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PaRIaT lrilt[EER 1 I - / / - P TARGET DATE PA-
l
STP!ADDRESS Sn1Ta/UNIT#
`J3Ok1 k,1` 1 CA 5(,3
P on=YMI.IIATTON ZOIMIG ASSESSDR'8 TILT/PARCEL # 7 o
$ 1 L1��- 00 °U 0
TYPE OF PERMIT ❑BUILDING ❑PLUMBING El MECHANICAL. ❑DEMOIIPION ❑ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
c� 3 \r Q QM-el. �„5 �,�- ?Li 00
Detailed description of work to CVSkr.l).X C �. (�Y\ 6'C
be included on this permit!oily ` v
__ NAME 'SMEARY PHONE - _..
PROPERTY oWNER Faroe-yam► (313
MAILING ADDn� E MAI
.'.3100‘‘ 11 cv CA- st3
NAME PMNE
n YA) �t4 a�� 71.'1.'7-o Isf
MAILING ADD
CONTRACTOR 04.0 \ 1CS- 6L,3 oC__L e ofte 5b c-c.(i b (,yam
cm
'kn es\A` ZIPcioro FAX
115'Lk1/4 o
WA STATE CONTRACTOR'S LW:NM=# t>QntA17oN DATE PEDNlAL WAY Nous LN.»66
C f-Neat r cci 3- 1 1 ib i 2iJ xdo
NAME
PRIMARY PEONS
APPLICANT MAILING ADN s MAN.
--CITY _- l STATE I ZIP FAX
NAME --- PNIMAer PRONE - -
PROJECT CONTACT
(The individual to receive and MAILING ADDNsas s MAu
respond to all correspondence
concerning this application) CETT STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED:-
When value is$5,000 or more Renato ADOMI S,CITY,STATE,MP PHONE
(RCW 19.27.095)
I certify under penalty of ply that I am the property owner or authorized agent of the property corner.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 sill comply with
all applicable City of Federal Way rsgu1 ns 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, stubs, or federal laws regulating
co*atruction or ensironmentaI laws.
I further agree to hold harmless the City of Federal Wag as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of - claim),which may be made by any person,iwelyd1ng the undersigned,and filed against the city,
but only where such claim -_ of the • oincluding its offillaccuracys and employees, upon the accuracy of the
b{fbrmustion supplied to the -•• •. a part o application.
SIGMA I -+ DATE 314-i I l
19
PRINT N . L-1- �' ,e 3
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
I
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how swag of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(cemvod)
BOILERS FURNACES HOT WATER TANKS(c.,)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how smuts of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS(or Tub/ShowerCmbo( LAVS(Hand Sulks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(IGS/ubjdJ( WATER HEATERS(Ekciris
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? we=PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IXIIIOVEMERTS
SUBTI tG/PREVIOUS USE LOT SS pa Swage Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes El No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) MISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
Area Totals /33611/11P.aoelm TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Constriction #of Additional Information
Square Feet Type Stories
NEw BUILDING
ADDrrIOE
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION at Occupancy Group(s) Coistruction #of
Additional Information
TYPe ries
TOTAL Emma
TENANT AREA ONLY
PNWEOr AREA CELT
Bulletin#100—January 29,2016 Page 2 of 2 k_\Handouts\Permit Application
Building - Single Family
City of Federal way Permit #:19-102542-00-SF
Community 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: BLOOD
Project Address: 33011 17TH CT SW Parcel Number:010457 0460
Description:Project
J p � Tear off shake and install plywood.Install composition roofing.
Owner Applicant Contractor Lender
WILLIAM BLOOD LISA JONESCHET'S ROOFING& CHET'S ROOFING& OWNER IS LENDER
33011 17TH CT SW CONSTRUCTION INC CONSTRUCTION INC
FEDERAL WAY WA 98023 26301 79TH AVE S 26301 79TH AVE S
KENT WA 98032 KENT WA 98032
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
Basic Plan9 No Mechanical to be Included? No
Number of Stories 1 Plumbing to be Included? No
Will Certificate of Occupancy be Issued? No
Total Valuation: 14,400.00
PERMIT EXPIRES Wednesday,20 November,2019
Permit Issued on Friday,May 24,2019
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 be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. �n1 s
Owner or agent: (r Date: �'c `I
w • •
i► a • c
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of.Section 111 of the International Building Code or Section
R110 of the International Residential Code is certifying that at the time of issuance,this structure was in
compliance with the various ordinances of the City regulating building construction or use.This certificate is valid
ONLY when endorsed by City staff.
Tenant Name: BLOOD Permit# 19-102542-00-SF
Address: 33011 17TH CT SW
Includes: #1 #2 #3 #4
Occupancy Class: •
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Owner Name: WILLIAM BLOOD
Owner Address: 33011 17TH CT SW
FEDERAL WAY WA 98023
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete
a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees
nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE
""� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102542 00 Address: 33011 17TH CT SW
Project: WILLIAM G BLOOD FEDERAL WAY WA 98023-6470
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 tobottom). Please schedule inspections as appropriate. Werk must not be covereduntit it Check with i„s
_,-- — approved. your pHAWt 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) 1=1Final-Building(4050)
Approved to install roofing Approved q M
.By k.....\4115 Date 13 b\).�ICA,I.By LV�S Date�'d6'W1q„
•
0 Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date