19-104784 Building - Single family
City of Federal
Community De elopmen Dept. Permit #:19-104784-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CUNNINGHAM
Project Address: 30108 21ST AVE SW Parcel Number:012103 9035
Project Description: REP-Replace existing shake rooting with composition shingles.
Owner Applicant Contractor Lender
THOMAS C CUNNINGHAM MICHAEL EADESVALENTINE VALENTINE ROOFING INC OWNER IS LENDER
30108 21ST AVE SW ROOFING 910 INDUSTRY DR SUITE 120
FEDERAL WAY WA 910 S INDUSTRY DR SUITE 120 TUKWILA WA 98188
98023 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 Included? No Is this an Online or O.T.C.application9 No
Plumbing to be Included9 No
Total Valuation: 15,500.00
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PERMIT EXPIRES Tuesday,31 March,2020
Permit Issued on Thursday,October 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 City of Federal Way.
Owner or agent: CDate: 14 z// 7
flfiewl
THIS CARD IS TO REMAIN ON-SITE `
"�� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104784 00Address: 30108 21ST AVE SW
Project: PATTI L CUNNINGHAM FEDERAL WAY WA 98023-2303
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
® Roof Sheathing(4220) Q Final-Building(4050)
Approved to install roofing Approved
.By 114.1 Date /6)/51/1 ..By Ltt.). Date /0 ?//y
•
Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date , By Date
RECEIVED
• 4...... OCT 0 3 2019 PERMIT APPLICATION
CITY OF
Federal WayCITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenterdcityoffederalway.com
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PERMIT NUMBER 1I
- -
- TARGET DATE
SITE ADDRESS SUITE/UNIT#
30k O, Z I s-r- AVE Stiff U NUI 4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 8
$ IS", coc 0 1 'L I v 3 - 7
O
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT a vAiN( I,Q�j
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PROJECT DESCRIPTION �� '1" `�`�`�' W ' Ld�flJlT S �N41.05
Detailed description of work to
be included on this permit only
AME PRIMARY PHONE
PROPERTY OWNER N (9j1'4'c �'V/
cv •c"o- DS(5-1
rer Z-► cf-A-Vg S 12444-
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G ADDRESS E-MAIL W
CONTRACTOR 700 /froorg� 17121 v SUt /2& V l.r rvrf .Gom
CITY
-/ V F'e�r W7�` FAX
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CENSE M I J ° FIDERAL WAY Su�� • I - V -W
-IN-
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N PRIMARY PHONE
1/ I r F drl
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
N P�RIIMM,A�RY PHONE
(NV
PROJECT CONTACT r E 3 o l/41) •r9 S'".-- yv*
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
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 authorised 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 authorised 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 a • defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where •'h clai �es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup• I.• to t c ty as a part o this appl .. - �j
SIGNATURE: ��J t DATE l Z y
PRINT NAME: (e44 4t/L =%f"Yh/J
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application