19-104503 Building - Single Family
City of Federal Way Permit #:19-104503-00-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: NGUYEN
Project Address: 35344 10TH PL SW Parcel Number: 502860 1850
Project Description: REP-Remove current sheathing and install new plywood.Install new weather resistant
barrier and shingles to manufacturer's specifications.
Owner Applicant Contractor Lender
BACH NGUYEN AMBER BROOKERNORTHERN NORTHERN PACIFIC EXTERIORS OWNER IS LENDER
35344 10TH PL SW PACIFIC EXTERIORS 1420 MARVIN RD NE UNIT C311
FEDERAL WAY WA 420 MARVIN RD NE SUITE C3 LACEY WA 98516
98023 LACEY WA 98516
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: 12,505.00
PERMIT EXPIRES Tuesday, 17 March,2020
Permit Issued on Thursday,September 19,2019
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
r Washington and the City of Federal Way.
Owner or agent: V�J�. Date: / -I 6- 1q
t
roe-
THIS CARD IS TO REMAIN ON-SITE
•
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 104503 00 Address: 35344 10TH PL SW
Project: LAN NGUYENFEDERAL WAY WA 98023-6955
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.
4.
0 Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing /
Approved
,By6,03 Date ,,,,j‘.4 ; By`GJ Date /47,1//7
/7
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ttc`131 ' 6 R Q.3313 2
.,„,,„4.116...... SEP 19 2019 PERMIT APPLICATION
CITY OF CITY OF FEDERAL WAY
PERMIT CENTER+33325 80,Avenue South+Federal Way,WA 98003-6325
Federal Way COMMUNITY DEVELOPMENT
253-835-2607+FAX 253-835-2609+permitcentert5icityoffederalway.com
PERMIT NUMBER _ I ® ti 3 0 3 _ p 1/ q TARGET DATE 01/a`� /
SITE ADDRESS SUITE/UNIT#
353'/4/ /oma " div Poo. to�q u>i9- 9g073
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / 505 • oz) �. oa e if 0 _ / 850
TYPE OF PERMIT XBuu.,DING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT A/4 k( / /l./ ,Qe-"/q6Q/ -
PROJECT DESCRIPTION 126rne'V J�/n� _C C�•7 y2�.A�/�7� -Ne-41
,� E fA/ i' /dNJ rig- -i • A/
Detailed description of work to /4L WO?Z J /,VJ7? 17,II Nf 1 rw"l6T�/59 i
be included on this permit only 4� /f�/2- I crmA/J teff 7-e, n,..m �/Gl1 TLli?f esj-
agi=C/r/c�io7s
PRIMARY PHONE
QE/t- /V4 tit AJ yip.54/3•Sy3S
PROPERTY OWNER MAILING ADDRESS '''''
Ztiyr C' TN1720 nfirwzoo a ystn/wthifarorch,d4!5fraof. •co
STATEANT ZIP
PHONE
NAS Northern Pacific Exteriors c?53.7oV .96(0/
MAILING ADDRESS NORn 1420 Marvin Rd NE E-
PA'Ii:F Suite 0311 OFXZen ' )0it'/t7Ii'• '
CONTRACTOR
CITY Lacey,WA 98516 FAX
WA STATE CO RAC9 LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Al &If 07/ 3/i2a 26-/y/o5/7y_ ( t
.
NAME
ORTdiv 'Ragas 61475g/el/ZS0253:750.ve/
APPLICANT MAILING ADDRESS riell E-MAIL
CITY STATE ZIP FAX
-.. _--- . -- --_ - -
PROJECT CONTACT yye/ VD/ en ,- JIv1' / /iL
Pmm'(53 7530 ooze/
(Theindividual receive and MAILINGADDRES/ .
respond to all correspondence uam/' V /V� E-MAIL
/30:E4ey jd .'
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 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 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 re 'e o e ., including its officers and employees, upon the accuracy of the
information supplied to the ci a part of th a•- i ation.
SIGNATURE04 IIiolb- /A DATE gibe//
PRINT NAME: /� r I�Zt'l� / �l- I��f%//�'
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application