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19-104232 Building - Single Family City otFederal Way Permit #:19-104232-00-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: LONG Project Address: 33056 16TH PL SW Parcel Number:010457 0270 Project Description: REP-Tear off existing shake roof,install sheathing and composition shingles. Owner Applicant Contractor Lender SUZANNE LONG DALLAS DELAYPLATINUM PLATINUM HOME LLC OWNER IS LENDER 33056 16TH PL SW HOME LLC 11921 SE 212TH PL FEDERAL WAY WA 98023-6461 11921 SE 212TH PL KENT WA 98031 KENT WA 98031 • 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: 14,000.00 x;•_. �€ '�:.' .,� F +:��'�.w';..�,, w.. :�';�d ,''.r. 4:4 ;�. , _ .��, ,..,.,'� .�t•r•m«.♦ •'+^moi•z�;• ii � +5:e» �i•z.',•0" ,04:`.1xW! s rmz C ' +• ' PERMIT EXPIRES Sunday, 1 March,2020 Permit Issued on Tuesday,September 3,2019 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 Ci f Federal Way. I Owner or agent: Date: �13/ ((:14%. THIS CARD IS TO REMAIN ON-SITE ` cnrr of ove Federal Wa Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 104232 00 Address: 33056 16TH PL SW Project: SAMY J LONG FEDERAL WAY WA 98023-6461 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 rootiin Approved By 405 Date r VI ..By f WS Date f ////C , l ©, Rough Electrical ❑ Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF ^...o' SEP 0 3 2019 PERMIT APPLICATION Federal WayPERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325 CITY OF 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com COMMUN1T`'DEVELOPMFEDERALWAYENT PERMIT NUMBER ( 9 _ I O q 2_ 3 2- _ 5 fi TARGET DATE p1� SITE ADDRESS 1 SUITE/UNIT# P�/7aS6TION '6* �! JVv 1 CLM WEl , 'WA � 3 TAX/PARCEL $ N ) C)00 b I o y 5 7 _ (7 Z 7 6 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (2,()l)C Q p attk- PROJECT DESCRIPTION -VQOiY o �" 'n gAti`� fog , 1 v 4rA e)1AD 'VA\V►� IDetailed description of work to CG►-1 O S\ \0►\ 9KWV4Lc be included on this permit only NAME en PRIMARY PHONE DCtYVN UfiVkel TOto- 221- 0173n PROPERTY OWNER MAILING ADDRESS E-MAIL 1) % Vi'' V\ Svc t iu( Cox gIno+vV`a;1.(o CITY STATE ZIP 4.PQ,QY01.1 UJ WA 61,60,2,`� NAME ` V`G�VV\\ YV\ ``\OVU IZi «,CPHONE , HO -let 5 27 w MAILING ADDRESS .,�- �Q E-MAIL CONTRACTOR \\Ct7) G..0 Z�2-'W` 1) 'I Vico WlAtNUW\kvW tl tC•cow' CITY 1 1'_1, . STA ZIP n$crs FAX tuA WA STATE CONTRACTOR'S LICENSE# EXPIRATION TION DATE FEDERAL WAY BUSINESS LICENSE# 9LATINlA2V,C \ ' /_ / NAME "c io 'OA n PRIMARY PHONE APPLICANT MAILING ADDRESS 1J� E-MAIL \LOA �O C\ ,ate y CITY _ _. S�TAF�/'l ZIP 4 FAX .. NAME PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX PROJECT FINANCING NAME )OV \ (Awl la OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY STATE,ZIPf PHONE 7 (RCW 19 27.095) ' 30. 6 l6r`^'N "D\/3 \tet C.-do-A.044i W A coi0223 2'3 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 city as a part o this application. SIGNATURE: 011i - /11° (� DATE PRINT NAME: OrA'\GS /^1 Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application