19-103359 Building - Single Family
City of Federal Way Permit #:19-103359-00-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: CORE BUILDERS LLC
Project Address: 4615 SW 329TH WAY Parcel Number: 802950 0650
Project Description: Remove existing shake roofing and replace with OSB and shingles.
Owner Applicant Contractor Lender
CORE BUILDERS LLC DAN JENKINS OWNER IS CONTRACTOR OWNER IS LENDER
4615 SW 329TH WAY 3040 PACIFIC HIGHWY S SUITE 3(
FEDERAL WAY WA 98023 DES MOINES WA 98198
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.application' No
Plumbing to be Included? No
Total Valuation:25,000.00
,ry
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PERMIT EXPIRES Wednesday,8 January,2020
Permit Issued on Friday,July 12,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy d t us • in accordance with the laws, rules and regulations of the State of
as ngton d the City of Federal Way.
Owner or agent: e_ Date: 7-12-41
Fer
/ta*l
.-4A THIS CARD IS TO REMAIN ON-SITE R
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103359 00 Address: 4615 SW 329TH WAY
Project: CORE BUILDERS LLC FEDERAL WAY WA 98023-3215
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) 0 Final-Building(4050)
Approved to install roofing Approved
By Date? By AIN Date h
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
4„,,,,..4.„CITY OF
JUL 1 2 2019 PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
�� EE WAY 253-835-2607 + FAX 253-835-2609 +permitcentel@cityoffederalway.com
COMMUNrIY DEVELOPMENT
PERMIT NUMBER ( 1 _ ) ( 3 3 s C _ S 1,-111,_
TARGET DATE
SITE ADDRESS SUITE/UNIT#
L-16 o 2 1/ F IoW _ leo23
PROJECT VALUATION ZONING ASSESSOR'S TAX/P EL#\
R'
$
TYPE OF PERMIT 'BUI�LLDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT / ,_ ii Dad /
N $i4#l,'1e 7 0 6L k r e/' I i,e p l(et-4 0 ,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME 2 , / A .3 / PRIMARY/ G
P�HONEj s&
PROPERTY OWNER MAILING ADDRESS
230v eAc Ie- kI✓4g/R $ C3Oo IL /r _6a;L
h5IG
c
CITY.--
c. ZIP
Aestillmtm_ wi 10.11 •. co --
NAM] PHONE
MAILING ADDRESS - E-MAIL
CONTRACTOR -- `
CITY STATE mix,. FAX
WA STATE CONTRACTOR'S LICENS*+r EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAM`C A'L K 4t�5 -- ✓`.PRI Pg? G 656 V
APPLICANT MAILING ADDRESS E-MAIL
2 c/o Vu cq- /4 54h S ip r /6 7 5A...wt.
De� 01,14- I V" Z f e l ! e FAX
(14
NAME PRIMARY PHONE
PROJECT CONTACT app f?(H_.,J
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING pi 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 ense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such la •u• of the r liance of the city, including its officers and employees, upon the accuracy of the
information supplied o t c�' •p• of thi application.
� � '7-12-(6,
SIGNATURE: I� DATE
PRINT NAME: Mt it -S-e4 klk_s
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application