14-105805 • iilding - Single'Family
City of Federal
Community&Econ.Dev.Services Permit #: 14-105805-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: CHA
Project Address: 214 SW 368TH ST Parcel Number: 570780 0220
Project Description: REP-Remove existing shake roofing and replace with composition shingles.
Owner Applicant Contractor Lender
PETER M CHA MIDA CONSTRUCTION MIDA CONSTRUCTION OWNER IS LENDER
214 SW 368TH ST 220 2ND AVE SE MIDACC*886JZ(5/20/16)
FEDERAL WAY WA PACIFIC WA 98047 220 2ND AVE SE
98023 PACIFIC WA 98047
Census Category: 437-Commercial alt/add/conversion
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 Work Valuation? NNW
Plumbing to be Included? No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Tuesday, May 5, 2015
Permit Issued on Thursday, November 6, 2014
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: Date: 1 I /6 //j4
• THIS CARD IS TO OVIAIN ON-SITE
CITY OF 1111& Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 14-105805-00-SF Address: 214 SW 368TH ST
Project: PETER M CHA FEDERAL WAY, WA 98023-7355
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 roved
By C �� Dated/ (� `B Date�� /,5/ / .
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4.,
44
ii. 411
CITY OF 1110 PERMIT itPPLICATION
Federal Way RECEIVED
NOV 062014
PERMIT NUMBER I. 44- _ ( 0 g ,CITY •
OF FElystatuawty l I 6 //(t
CDS
SITE ADDRESS SUITE/UNIT#
-1I II SA) 3 014' 91- Fede fra Go ufA WIN-3
PROJECT VALUATION ZONING 1 ASSESSOR'S TAX/PARCEL
$ / a— S:salt 0 7 dil 0 - o ..)- .D-- it) oz
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT }} v1 ,(a r-p
Sh
PROJECT DESCRIPTION tC�" �i tl' P
Detailed description of work to c rep 0 cf 1�^- )
be included on this permit only 1f' 020.1
i ' s k IvC P t 5-ker46 p .ii t),0 v 4
YAMS / /I PRIMARY PHONE
PROPERTY OWNER .He(eM A /1 Por (`,{� a-e,6-- 1)-U–S--o ---MAILING --5
�3ajl ADDRESS ( S� SSTATE fob I�e cto. dil �'�'
Re tra-1 c9 w q � &
NAME
/1wA 4 7 t_/v' l� _) 'EMAIL )ONE �/ �� V.
MAILINGIL �ADDRESS Avery�y� , 1 /
CONTRACTOR 1 A - 1 i W IW p Le- . /P yf O'C 1 co,,,4,‘
CITY STATE ZIP FAX
pac_IX - c (jJ t17
WA STATE CONTRACTOR'S L/I•CEN�N� ^�� ��TION DATE� FEDERAL WAY BUSINESS LICENSE#
NAME l /�/' ,/ l/ 9 (� ' V ( PRIMARY PHONE e V /
MAILING ADDRESS LAa�I/ / E-MAIL
((rl�/]' /�
APPLICANT _ J Atte S M4 N /)t „ � a 110.o, C
CITY ��Iv`ff STATE ZIP FAX
f 1���`/Y 0 rye..
NAME i— I i PRIMARY PHONE/�`
PROJECT CONTACT HW M fJ /3 ' crs ?—t?
b---l1 l 9i
(The individual to receive and MAILING ADDRESS E-MAIL l
respond to all correspondence . l--1) I41vQ .IRPA 4 D( z i ya A0d . Cc`1k1
concerning this application) CITY STATE ZIP FAX
pot_ CA/4_ 4
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PROJECT FINANCING NAME U• /e- 01( 0 OWNER-FINANCED
Required value of$5,000 or more 'MAULING ADDRESS,..CITY,STATE,ZIP 1 oo ///yyy��� i ', (�PHONE
(RCW 19.27.095) ,W/I 'L / ft 4 e s. 41 f Je 04 (.�/- k , e� !/ —�J�./0
I certify under penalty of perjury that I am the property owner or authorized agent of the prope 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 Iaws 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 o this application. /
SIGNATURE: t DATE /J 1 /Z/ /
/ 1`
PRINT NAME: 4/0 ,�- J p i L
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application