19-106020 , e
Building - Single Family
City of Federal Way Permit #:19-106020-00-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: PALIN
Project Address: 30705 12TH PL SW Parcel Number: 178830 0155
Project Description: Tear off current roof,re-sheet w/1/2" CDX plywood&install new roof.
Owner Applicant Contractor Lender
ANDREA PALIN LISA BACKESNORTHERN NORTHERN PACIFIC EXTERIORS
30705 12TH PL SW PACIFIC EXTERIORS 1420 MARVIN RD NE UNIT C311
FEDERAL WAY WA 98023 1420 MARVIN RD NE SUITE C311 LACEY WA 98516
LACEY WA 98516
Census Category: 555-Non-structural roofing permits
Includes: I #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: 14,839.00
PERMIT EXPIRES Sunday,5 July,2020
Permit Issued on Tuesday,January 7,2020
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy a 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: >_-- Date: 1/7/Z
. THIS CARD IS TO REMAIN ON-SITE
`mom - Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 106020 00 Address: 30705 12TH PL SW
Project: CLINT H PALIN FEDERAL WAY WA 98023-8231
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) 0 Final-Building(4050)
Approved to install roofingApproved
ByL_ Date 3165 1 amtBy tAisi S Date (Q n o+l lo=
E Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date •
CITY OF PERMIT APPLICATION
Federal � PERMIT CENTER+33325 8m Avenue South+Federal Way,WA 98003-6325
t�M wa 253-835-2607+FAX 253.835-2609+peraz=:tc?ntergcit'Beef+;raid ay.rrm;
PERMIT NEMdOSR / 9 _ / o t V a v S f N /IJ--
_..._ �..� TARGET DATE /
SITE ADDRESS SUITE/UNIT•
30j05 !"7't P 4 ',7 , Fez'
jtlC 'A qii C)2-j
PROJECT VALUATION ZONING TAX/PARCEl•
TYPE OF PERMIT Al BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT t'? -) 1
h C V t) ft('.�
PROJECT DESCRIPTIONTey ' c't' CA.A..r�eiai r t,( ` U (f i "j G 1'' 5 1/, c::.-f c 1,(frwd
I
Detailed description of unric to 4 it yS"4 tied:3 r n-N4.1
be included on this permit only
WANEPRIMARY PHONE
3 t i..;-')~f- 4 Ar€cil'-eek 'c--i41 90 '77-6X- `'i 144
PROPERTY OWNER rANmG ADDS EAAI
'3U O izii Pi. .% p..p,-f n"a t ti Lz.c r/k'd<''' '
CITY STATE SW
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WALLIES ADORED! vg,-.
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CONTRACTOR '?)" :. )r^g`tCLr,it tJ V5"i
3I f c.. /Fe edC':C.-e S.coon
ATE 12F.
7,..,-;„.,,, 113A 61 5lig 9i�5`g- (G -/to30
WA STATE COIITRACTOR S uczeaE• EaIRATIOR DATE PIDERAL WAY SUWMSSB IAORIRE•
r.33vv"F P `1 1...() -9te / 1-4 /24 ll,- 0317.4--i, _
NALE c"., PRQMART PHONE
APPLICANT
LAaoIG ADDRESS E-LAI.
CHS STATE SIP FAX
1
NAME /-
PROJECT CONTACT SI ip'ne, (.;s i'i'i ChC,11-'( PRI4RY PHONE
( he individual to receive and HAILING ADDRESS E-LNL
respond to all correspondence
concerning this application) CHT STATE ZIP FAX
PROJECT FINANCING NAS CLInl _ CCS i>f D cf iiic C i3-f% .( 04 OWNER-FINANCED
When value is$5,000 or mere HAULING ADDRESS.CHT.STATE.ZIP PRONE
(RCW I9.27.095)
I certify under penalty of perjury that I ass the property owner or authorised agent of the property owner.I certify that to the best
of mg knowledge:the information submitted in support of this permit application is true and correct.I certify that I wilt 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, stats, or federal laws regulating
construction or enstronawatal las.
I Ratherr agree to hold harmless the City of Federal Way as to any claim(including costs,eyesore,and attoruys'fps incurred in
the tnsestlgaNsa arid defense ef such claim*,which may be made kg any person,including the undert,v ,and fled against the city,
bat only where such claim arise,oat 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.
,s`
SIGNATURE, &A c'-: DATE ! Z- :1-4.)`"i s
PRINT NAME: L!Sogetc e.S