19-105016 Building - Single Family
City of
CommunityDevelFederal
opmentDept. Permit #:19-105016-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)8352609
Project Name: MILOSCIA
Project Address: 30720 19TH AVE S Parcel Number:092104 9144
Project Description: REP-Reroof like for like.Full CDX replacement.
Owner Applicant Contractor Lender
MESCHELL M MILOSCIA MICHAEL EADESVALENTINE VALENTINE ROOFING INC OWNER IS LENDER
30720 19TH AVE S ROOFING 910 INDUSTRY DR SUITE 120
FEDERAL WAY WA 98003-5103 910 S INDUSTRY DR SUITE 120 TUKWILA WA 98188
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.application" No
Plumbing to be Included" No
Total Valuation:21,451.36
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PERMIT EXPIRES Tuesday, 14 April,2020
Permit Issued on Thursday,October 17,2019
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
shington a• the City of Federal Way.
Owner or agent: I Date: 10/1-7// 7
f THIS CARD IS TO REMAIN ON-SITE ,
CITY OP Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105016 00 Address: 30720 19TH AVE S
Project: MARK A MILOSCIA FEDERAL WAY WA 98003-5103
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.
® Roof Sheathing(4220) Q Final-Building(4050)
Approved to install roofing Approved
.By v}`' Date i°13)/1? ' By Date //70
•
El Rough Electrical El Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
,4 I 1*..,,,, RECEIVED PERMIT APPLICATION
'CITY.OF.
Federal Way OCT 1 7 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(acityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOP N7'
PERMIT NUMBER I 1 ' 0 V / - S F TARGET DATE Al/lt)
SITE ADDRESS SUITE/UNIT it
3004.'20 161 #A1/ aE-M- WA 9 rbv
PROJECT VALUATION I NING ASSESSOR'STAX/PARCEL N
$ 4Si • at a
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
-
NAME OF PROJECT 11 0 CIA ` R A �.�.•F�t�1�
PROJECT DESCRIPTION _. _ `�- ` G Pflr
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MtXx l-`Q� M� 2.��- `� t./ Z
MAILING ADDRESS E-MAIL
SE. eCutJ t .0M:rtUCCZ
CITY STATE ZIP T�I errteA AJ
PHONE � �
1.F-1 k lkLl 2 )t .I.c
MAILING ADDRESS E-MAIL
CONTRACTOR Ito tN zu 3 "�y ti 120
CITY STATE ZIP FAX
4LVM- 1czLICENSE 2Y 20 � 13-lC O LICENSE7 IL
NAME MARY PHONE
Mtt #L e -T4s- o1-
APPLICANTALVL�IINWNG�ADDRESS E-MAIL
INvinrizq De. WWO
CITY STATE IrE ZIP i v FAX
TUI440 ti-A
NAME PRIMARY PHONE
PROJECT CONTACT EDD,E 'C7
(The individual to receive and G ADDRESS E-MAIL
respond to all correspondence ti 5T11e-- { • Ul'(t. 120
concerning this application) CITY
� "� STATE ZIP �/ FAX
-
��'VF" ^L' _. 4 1.i 1v'
NAME
PROJECT FINANCING X 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 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 the city as a part of this application.
k.)
9- ,,.......„r
SIGNATURE: DATE I O (1, 1 1 d)
PRINT NAME: L *V-A S
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application