19-103833 ' a
Building - Single Family
City of Federal Way Permit #:19-103833-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)83546650
Mr(253)835-2607 Fax(253)835-2609
Project Name: NGUYEN
Project Address: 30107 17TH AVE SW Parcel Number:005070 0090
Project Description: REP-Remove current shake roofing.Install 1/2" CDX and new composite roofing.
Owner Applicant Contractor Lender
THUAN D NGUYEN SHAMIKA VALENTINE ROOFING INC OWNER IS LENDER
30107 17TH AVE SW BURKHARDTVALENTINE 910 INDUSTRY DR SUITE 120
FEDERAL WAY WA ROOFING TUKWILA WA 98188
98023-3453 910 S INDUSTRY DR SUITE 120
TUKWILA WA 98188
•
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 Included9 No Is this an Online or O.T.C.application9 No
Plumbing to be Included9 No
Total Valuation:38,000.00
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PERMIT EXPIRES Wednesday,5 February,2020
Permit Issued on Friday,August 9,2019
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: b l G' /l�^
+ 6 rte/ Date: 01 O�' 20 /
. THIS CARD IS TO REMAIN ON-SITE
�r"o.eu Construction Inspection Record
rI au Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103833 00 Address: 30107 17TH AVE SW
Project: DEIDRA A NGUYEN FEDERAL WAY WA 98023-3453
Scheduled inspections may be failed if this card isnot 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.
Q Roof Sheathing(4220) 1=1 Final-Building(4050)
Approved to install roofing Approved
By C411 Date v / By Date 0 1
Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date * By Date
RECEIVED
CITY OF AUG4111%......" 0 9 2019
PERMIT APPLICATION
Federal Way PEST CENTER 4-33325 8th Avenue South+Federal Way,WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+nermitcentei(acitvoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ O 3 _ P' TARGET DATE
SITE ADDRESS SUITE/UNIT#
30107 17th Ave Sw Federal Way 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
RS15.0 C Q S U -10 - 00 q Q
38,000.00
TYPE OF PERMIT I BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Nguyen, Deidra Reroof
Remove current shake roofing. Install 1/2"Cdx and new composite roofing.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Deidra Nguyen 206-909-8720
PROPERTY OWNER MAILING ADDRESS E-MAIL
30107 17th Ave Sw
CITY STATE ZIP
Federal Way WA
NAME PHONE
Valentine Roofing 206-575-7807
MAILING ADDRESS E-MAIL
CONTRACTOR 400 Industry Dr#120 scheduling@valentineroof.com
CITY STATE ZIP FAX
Tukwila WA 98188
WA STATE CONTRACTOR'S LICENSE# .EXPIRATION
AIN DA E FEDERAL WAY BUSINESS LICENSE#
b
VALENRI927J8 2Avg 20-13-105035-00-BL
NAME PRIMARY PHONE
Shamika Burkhardt 206-575-7807
APPLICANT MAILING ADDRESS E-MAIL
Same as Contractor
CITY STATE ZIP FAX
Tukwila WA
NAME PRIMARY PHONE
PROJECT CONTACT Shamika Burkhardt 206-575-7807
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 400 Industry Dr#120 Scheduling@valentineroof.com
concerning this application) CITY STATE ZIP FAX
Tukwila WA 98188
NAME
PROJECT FINANCING B 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 envi •nmental laws.
I further agree • .ld harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation • • • Tense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where su h claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli i`• the city as a part of this application. Q
SIGNATURE:'•, �` DATE "/2/jq
-1
PRINT N• „ID. Shamika Burkhardt
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many 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(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many 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/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
•
COVERED ENTRY
GARAGE ❑ CARPORT 0
Area Totals EXISTIFG PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
kf t
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetTyye Stories
TOTS.
TENANT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application