19-105242 •
Building - Single Family
City of Federal Way Permit #:19-105242-00-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: NOWICKI
Project Address: 29012 7TH PL S Parcel Number:515290 0040
Project Description: Remove an existing shake roof,install new 1/2 inch CDX and composition roofing.
Owner Applicant Contractor Lender
RONALD E NOWICKI VALENTINE ROOFING INC VALENTINE ROOFING INC RONALD E NOWICKI
29012 7TH PL S 910 INDUSTRY DR SUITE 120 910 INDUSTRY DR SUITE 120 29012 7TH PL S
FEDERAL WAY WA 98003-3607 TUKWILA WA 98188 TUKWILA WA 98188 FEDERAL WAY WA 98003-3607
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1-Construction Type Type V-B Mechanical to be Included" No
Is this an Online or O.T.C.application9 Yes Plumbing to be Included" No
Occupancy#1-Use Residence(1 or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Total Valuation:29,000.00
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PERMIT EXPIRES Tuesday,28 April,2020
Permit Issued on Thursday,October 31,2019
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
#4111111"
•to =nd the City of Federal Way.
Owner or agent: Date: I 0 31 1 al
THIS CARD IS TO REMAIN ON-SITE
"��d` Construction Inspection Record
Feeral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105242 00 Address: 29012 7TH PL S
Project: BONITA NOWICKI FEDERAL WAY WA 98003-3607
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.
El Roof Sheathing(4220) f=1 Final-Building(4050)
/' Approved to install roofin Approved
11)(k," / / 7 Date ll :4By Date II (bef It
ET Rough Electrical1 10Final Electricalj I Q Right of Way
rApproved Approved
Approved
By Date By Date
By Date
41k DECEIVED PERMIT APPLICATION
CITY OF
Federal Way OCT 31 2019 PERMIT CENTER+33325 80,Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(acityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
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PERMIT NUMBER / _ L 6 J _�� TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ to) , go. n psoi. to 5 i 5 loip _ o04-10
TYPE OF PERMIT UILDING D PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT NOWT CYC 'erp(4
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PROJECT DESCRIPTION �j /� /� � � r(W)
Detailed description of work to 'V', V o (.LV (A Of 1 t09
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be included on this permit only
NAMEPRIMARY
NOV%1C2LI . 253PH2 5 /77'1
PROPERTY OWNER MAILING ADDRESS E-MAIL
TFoltraI i/)aV 1 ',11 ZIP gy O 3
NAMEv6t,lnfi r P00'009 737-5-75.-7g0 7
MAILIN(G� DRESS '/� ('�j� / E-MAIL
CONTRACTOR " (��"` 1' " "J V i
�I�f5' 2)i ZIP q r i s r/T�� FAX
AY BUSINESS LICENU 0
Vin-CM V 19 -4--WA STATE 91/ [j LICENSE#0 ` i 'Z /r 26 LO `FEDERAL 7W 1656'J5-o0-
NAME PRIMARY PHONE
APPLICANT MAILIr1q�AD'I , ' E-MAIL
CITY 1 r 1 I,4' I
STATE ZIP FAX
NAMEirn V\� sal)l_` PRIMARY PHONE
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PROJECT CONTACT L V�, l)
(The individual to receive and MAILING
� DDDRnESS r� C f y��,�,A E-MAIL
respond to all correspondence c C& �/ L 06 ( 1 I i A
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 F • ral Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this pe it .oes not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or envi nme tal laws.
I further agree t• hol• harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation a d •-,ease of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where s h aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppl e• to e city as a part of this application.
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SIGNA i: ,AIIIL DATE /D 1 7'09
PRINT NAME: , NM► 1\, r h Y K- V L f j� (/
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application