11-103642 •uilding - Single Family
City of Federal Way I
Community Development Services Permit #: 11-103642-00-SF
P O.Box 9718
Federal Way,WA 98063-9718 1
Ph:(253)835-2607 Fax:(253)835-2609 lima
Inspection Request Line: (253)835-3050
Project Name: CORPUZ
Project Address: 33400 4TH CT SW Parcel Number: 729805 0420
Project Description: ALT-Tearing off an existing shake roof and replacing with new plywood and shingle.
' Owner Applicant Contractor Lender
BUDDY I CORPUZ BUDDY 1 CORPUZ 33400 4TH CT SW BUDDY I CORPUZ
FELICIDAD CORPUZ 33400 4TH CT SW FEDERAL WAY WA 98023-6194 33400 4TH CT SW
33400 4TH CT SW FEDERAL WAY WA 98023-6194 FEDERAL WAY WA 98023-6194
FEDERAL WAY WA 98023-6194
- — -, - -
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0 '
riiir, >". , - :_ - Additional _-i 11: iyi,•,.,.,,..t7t.7,,.-",° ,<, •' '
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq. Feet-Basement 0 •
Mechanical to be Included? No Plumbing to be Included? No
•
ASSL'1C11ted: y�,,, <_ .
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PERMIT EXPIRES Tuesday, March 6, 2012
Permit Issued on Thursday, September 8, 2011
I hereby certify that the abov- information is correct and that the construction on the above described property and
the occupancy an. he us• I •: in accordance with the laws, rules and regulations of the State of Washington
/ t and the City of Federal Way.
Owner or agent: q�71��1~��i .�.,.. Date: ct I1 1
1
i
` THIS CARD IS TO REMAIN ON-SITE
crerOF Construction I ection Record
Federal WayFil L INSPECTION S: (253) 435 05
P �CTION RE VEST3 _0
PERMIT#: 11-103642-00-SF Address: 33400 4TH CT SW
Project: BUDDY I CORPUZ FEDERAL WAY, WA 98023-6194
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 Fire/Draft Stops(4095) El Final-Building(4050)
Approved to install looting Approved Approved
By v__ .`- Date 1 b- 3)_� •By Date 'By�, , Date _�� �L
ID Rough Electrical ,El Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4 _ __, 03 („ , a
CITY OF A ERMIT F CO ME PL DE EN FP
Federiii,ir. V��
COMMUNITYDEVELO S !i. PLICATION
253-835-2607•FAX 253-835-2609 a
u+nwm ahloffederu!u au cone 8
SEP o ; `.1 a$'
SITS ADD ' OF FEDERAL WAY SUITE/UNIT Il
PROJE VALUATIONVA17 ZONING ASSESSOR'S A7[/PARCEL#
.$ fiC.C6
TYPE OF PERMIT YBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) M 4/1
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
E '( ���� PRIMARY PHONE
PROPERTY OWNER 22G AD 3 c ?J.A 4687
33
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LTc S D DVv (j'y��. /Cz
Rpg ` DTA-DA- Igoa_
3 ,,,,e. PHONE
ESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE II EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I.
NAME PHONE
APPLICANT MAILING ADDRESS EMAIL
CITY STATE ZIP FAX
PROJECT CONTACT ISL4D etlf-PU v PHONE_ti3V-6
(The individual to receive and ("�� �Vt`('-�' 7S
respond to all correspondence MAILING ADD _r cv
concerning this application) 37 -l� ir.l�(A)TE
) �(�aL�Q.
STA
C 1���!+I%v `n"Ol `.^ (/()Tlfr TO�� FAX
ALTERNATE CONTACT PHONE E-MAIL
PROJECT FINANCING NAME
7S--•OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 s h claim arises out of the reli• ce of the city, including its officers and employees, upon the accuracy of the
information sup. ed to t = ,ty!', a part of this ap• {cation.
SIGNATURE: • / w) DATE "l� --II
PRINT NAME: A !
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application