20-104526 j
Building - Single Family
City of Federal Way Permit #:20-104526-00-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: TRAN
Project Address: 29818 23RD AVE S Parcel Number:768380 0214
Project Description: Remove and replace old roofing material with new TPO material.
Owner Applicant Contractor Lender
HIEN IRAN HIEN TRAN OWNER IS CONTRACTOR OWNER IS LENDER
4520 38TH AVE S 4520 38TH AVE S
SEATTLE WA 98118 SEATTLE WA 98118
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 Included9 No Is this an Online or O.T.C.application? Yes
Plumbing to be Included? No
Total Valuation: 10,000.00
3 s et141
.- _1,.._ _ :°73, „k;;,.. K.
PERMIT EXPIRES Tuesday, 18 May,2021
Permit Issued on Thursday,November 19,2020
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 Federal Way.
Owner or agent: F
ILE Date:
THIS CARD IS TO REMAIN ON-SITE
«� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 104526 00 Address: 29818 23RD AVE S
Project: HIEN TRAN FEDERAL WAY WA 98003-4252
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) ® Final-Building(4050)
Approved to install roofing P r tt, Approved
By Date '`By t to S Date 1 ,33...3,D
•
El Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF ' 13 2020 PERMIT APPLICATION
Federal ,.. ......... NOV` PERMIT CENTER+ 33325 8thAvenue South + Federal Way,WA 98003-6325
7V C1T1'OF FEpE 253-835-2607 + FAX 253-835-2609 + permitcenter(a)cityoffederalway.com
COMMUNfTY DEV LELE OPI�E�
PERMIT NUMBER 49 0 _ / V 5A - 5E
TARGET DATE _ASAP
SITE ADDRESS: 29818 23RD AVENUE SOUTH SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 10,000
TYPE OF PERMIT X❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ROOFING
REMOVE AND REPLACE OLD ROOFING MATERIAL WITH NEW
PROJECT DESCRIPTION TPO MATERIAL.
Detailed description of work to
be included on this permit only
NAME:HIEN TRAN PRIMARY PHONE
206-227-3224
PROPERTY OWNER MAILING ADDRESS:4520 38TH AVENUE SOUTH E-MAIL:HIENVQTRAN*GMAIL.COM
CITY STATE ZIP
SEATTLE WA 98118
NAME:SAME AS ABOVE PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE UBI#
NAME:SAME AS ABOVE PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME:SAME AS ABOVE PRIMARY PHONE
• PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME:SAME AS ABOVE 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 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 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.
SIGNATURE: HIEN TRAM DATE 11/13/2020
PRINT NAME: HIEN TRAN
Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application