16-103381 'iN' • Ouilding - Single i,amily
City of Federal Way Permit #: 16-103381-00-S F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WILLIAMS
Project Address: 2702 SW 349TH PL Parcel Number: 502945 1050
Project Description: REP-Inspection of fire damage. **NO construction work approved under this permit**
Owner Applicant Contractor Lender
CINDI SHANTE WILLIAMS LA KENCADE CONSTRUCTION INC KENCADE CONSTRUCTION INC
2702 SW 349TH PL 8502 RIVERSIDE DR E KENCACI093NN(8/24/17)
FEDERAL WAY WA SUMNER WA 98390 8502 RIVERSIDE DR E
98023 SUMNER WA 98390
Census Category: 999 -Unknown
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
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
Occupancy#1-Class R-3 Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, January 10, 2017
Permit Issued on Thursday, July 14, 2016
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 of Federal Way.
Owner or agent: Date: 2 l
eQ66 a,y€97
.9,` ill PERMITeiPPLICATION
CITY of .:.,:...,...:.:,
Federal Way RECEIVED
tç - l 0 338 I - JUL 14 2016
PERMIT NUMBER
— TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE UNIT#
0 s u1 3 `1 '�� p L Fe,se.,„,1 (AL,,/ q t o2 3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PA<�Q #
$ 6U aoo .1 Is _ 1 5-0
TYPE OF PERMIT BUILDING PLUMBING ❑ MECHANICAL V DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ` Ilw \ s. ' /_ /� ,h �a r (-NI
PROJECT DESCRIPTION (,' "v y"in v 0 L.) — C O�' p L-G�� /i /t0-F Ir,: ,s''e J J?-Gl)1 f c
Detailed description of work to _ 11 Iv-ti 5 J e,_5
be included on this permit only
NAME ,l) ,(1�// ) PRIMARY PHONE L f� p�
PROPERTY OWNER �CL. L,h 1! " " e''h f L` 1 L J�4 kg,, C ( --q" Y —ai
MAILING ADDRESS , E-MAIL
) './ 5J C; i 1 . 6 0 s- LSV'
CITY10 l''il br(21 c_ TSTAT$ ZIP ^ ) g0
NAMEPHO
Ke h L d e CZ) f f: -7-4,- c .s'3--;4-9`/-0, &e:.
MAILING ADDRESS ,-., E-MAIL
CONTRACTOR
e-4-"o :),_ Riuc.�$;1G O;,, b.- , ike g 1, �4de •6-04-7
CITY STATE ZIP FAX
3u wee " A q(1-'39 )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
PRIMARY
NAME / v Ww. vi.-, (.L G� f 3 PHONE�� A 9'
APPICANT MAILING ADDRESS V / E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT , ke G i.J ln-, I /^, ,f 2 f3-2 f ) •-a. .i
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence
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 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.
01
1,
SIGNATURE: DATE
PRINT NAME: /id i `1: G C-u i/L, ir.. i'6%. !, s roc i<ei, G S. d e e vk d-1`.
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application