11-102719 ` , iilding - Single Family
City of Development
Federal Way Permit #: 11 102719-00-S F
Community Development Services -
P.O.Box 9718
Federal Way,WA 98063-9718F I LE Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p 4
Project Name: CELESTIAL
Project Address: 1010 SW 350TH PLParcel Number: 542243 0350
Project Description: ALT-Tearing off an existing cedar shake roof,laying down new plywood and reroofing
with shingles.
Owner Applicant! Contractor Lender
ROMANITO CELESTIAL ROMANITO CELESTIAL 34803 14TH PL SW
34803 14TH PL SW 34803 14TH PL SW FEDERAL WAY WA 98023-7021
FEDERAL WAY WA 98023-7021 FEDERAL WAY WA 98023-7021
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
'F ,..
w .
New/Additional Sq.Feet 3:-'d-;1:2.0r...
rd Floor ................0 New/Additional Sq.Feet-Basement.........,.......0
Mechanical to be Included? .Na Plumbing to be Included? Na
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PERMIT EXPIRES Wednesday, January 4, 2012
Permit Issued on Friday, July 8, 2011
I hereby certify that the above inf•rmation is correct and that the construction on the above described property and
the occupancy and the us- w' •e in accordance with the laws, rules and regulations of the State of Washington
! ' and the City of Federal Way.
Owner or agent: Date:
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THIS CARD IST MAIN ON-SITE
CITY OF11111
• Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102719-00-SF Address: 1010 SW 350TH PL
Project: ROMANITO CELESTIAL FEDERAL WAY, WA 98023-8115
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) LI Final-Building(4050)
Approved to install rooting Approved
-3"---S, Dat(6—(—V/ By / Date /�i3D �C/
El Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal Way frF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT'SERVICES J U L APPLICATION agog
253-835-2607•FAX 253-835-2609 JUL
CII ( OF FEDERAL WAY
SITE ADDRESS CPS
` t } (/ SUITE/UNIT#
1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ tCCi .eC —
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION /+ r `A
Detailed description of work to �t, 1:;--� I,{im f k ya`1(,, r1 i\- tU g t;l l�,l!i t s
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1!x.1 i`.> 1 k ;� +�k• ,, '*,,t,(.L.,, i ('t i,
MAILING ADDRESS E-MAILlr q
ICR; 't. ')r i1, Pt A (,
CITY - STATE ZIP ,,-
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NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
(,:,i J i" \'v
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
D OWNER-FINANCED
Required value of$5,000 or more
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 Iaws 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 ' part of this application.
SIGNATURE. DATE 7 - I
PRINT NAME:
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application