20-103433City of Federal way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KELLERMAN
Project Address: 4720 SW 315TH PL
Building - Single Family
Permit #:20 -103433 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 211572 0440
Project Description: Remove shake roofing down to skip sheathing. Install CDX plywood decking, synthetic
underlayment and shingles to Certainteed manufacturer's specifications.
Owner
Aunt
Contractor
Lender
ELIZABETH KELLERMAN
AMBER BROOKERNORTHERN
NORTHERN PACIFIC EXTERIORS
4720 SW 315TH PL
PACIFIC EXTERIORS
1402 LAKE TAPPS PKWY SE
FEDERAL WAY WA 98023
LAKE TAPPS PKWY SE SUITE F10
AUBURN WA 98092
AUBURN WA 98092
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 Included? ................ I................... No Is this an Online or O.T.C. application?.................. No
Plumbing to be Included? ........................................ No
Total Valuation: 20.478.00
No Fixtures Associated With This Permit!l
PERMIT EXPIRES Saturday, 15 May, 2021
Permit Issued on Monday, November 16, 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
Owner or agent: FILE
Wa of Federal Way.
Date:
PERMIT APPLICATION
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PROJECT FINANCING p 01WNER-FINA14CED
F.7lr-n vat— i5 $5,000 ar nlnrc •• ••LINO AonTM53, CrrY' -'TATE, Zrp PHame
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7 eartfify under penalty of Perfary that I am the property owner or autharisod agent of the Property ow w', I eortffy that to the best
of my knowledge, the tafermaelon s"Mftred in support of this perm(! applleatian is true and 0arrec4 I ao-rtlfy that f will Comply IWth
all applfeabfe CRY of Fecirml Way regutafione pdreatning to the work wdhorlaed by the leruanev of a permit. I andorstaftd that ilia
Icsaance of this permft does not remoft the OWAor's rerpamslbllity for compliance with focal, state, or fQderof fawn regulating
construction or cnufrvnmcntol laws.
I further agree to hold harmless the Ctty of Federal Way os co any elolm #xcludtng cvsts, expenses, and attom".,ices lncaarod in
chid irwa$efgatiun and defense of such claim), Irhtoh may he make by any p . ran, lneludlap the undffrsiVnad, and filed agalnst the city,
hit an{y Where such Claim artces out of the rallea" of the ricy including [ts o Com and eraptayreF. upon the accuracy of the
lrLiernla;tinn supplied to the dity as a part of Nit appficn tion.
SIGNATURE: t.� /- _ 6AT>;
PRINT fiAhxE;
131111etin #100 - F•ebnmafy 19, 2030 Page I of 2 k:•.i-tandoii&,Pennk Applicafenn
THIS CARD IS TO REMAIN ON-SITE
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 103433 00 Address: 4720 SW 315TH PL
Project: ELIZABETH KELLERMAN FEDERAL WAY WA 98023-2094
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 A; io%ed
By Date I By /,WS 1)ale Z 1 IZ I
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved Approved
By Date 13y Date By Date