21-102812City or Federal way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph:(253) 635-2607 Fax: (253) 835-2609
Project Name: CAMPUS VIEW FOURPLEX 25
Project Address: 34234 IST PL S
Building - Multi Family
Permit #:21-102812-00-MF
Inspection Request Line: (253) 835-3050
Project Description: Tear off and re -roof with some sheathing replacement.
Owner Applicant Contractor
PAMELA SCHILZ ALISA BERKLANDNORTHWEST NORTHWEST ROOF SERVICE INC
1605 SW MILLER CREEK RD ROOF SERVICE INC 801 CENTRAL AVE N
IORMANDY PARK WA 98166-332, 901 CENTRAL AVE N KENT WA 98032
KENT WA 99032
Includes:
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Census Category: 555 - Non-structural roofing permits
Parcel Number: 132201 0250
Lender
#1 #2 #3 #4
Additional Permit Information
Mechanical to be Included? .............................. . No
Is this an Online or O.T.C. application? .................. Yes
Plumbing to be Included? ................. No
Total Valuation: 29,000.00
Number of Stories ................................................... I
Permit for Building Shell Only? No
No Fixtures Associated With This Permit IZ
PERMIT EXPIRES Sunday, 9 January, 2022
Permit Issued on Tuesday, July 13, 2021
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
Washingtarl d tl Le C1fy of Federal Way.
Owner or agent: Date:
4 THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 102812 00 Address: 34234 1ST PL S
Project: PAMELA SCHILZ FEDERAL WAY WA 98003-4423
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.
Q Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
By Date 11 By Ad Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECENED
JUL 0 9 2021
PERMIT APPLICATION
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TYPE OF PERMIT nr)FMOUTION D) r"NOME-,MeNG
NAME OF PROJECT
PROJECT DESCRIPTION
Detniled description of work to
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be included On this permit orily
NAME ; �0 ot
PROTIVRIlly OWNER
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APPLICANT
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PROJECT CONTACT
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rt-"s'pond w 0t1 corrc�spwldemce
c,onverning this applicca;0n)
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CITY I LTA'T11 I,
PROJECT FINANCING
When vutte is $5,00c) Or "Wre,
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MAILING ADDRL16%
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I certify uniJur:pvnujty oj'perjury that I am the property owner or authorized agent 0j't1tv property oucitior, faure(fy chat to the treat
Ofltl,q k'rD1ej19d0*, t)j(t tr4jojiij(4tion submitted in support of this prilift Upplioution is trite and vol-?Wt- I 04i-Vfl) Milt I EUM OolnplSl with
all applicable City of fi'o<,1ej-aj Way regulations pertaining to t)le work authorized by the fssimnou oj' a pormic, r uitclarveirici cjz4jC t1tv
(ssuarlcc p), this permit, clots not viollove the owner's respoltslbllitV forwith state, F'0qt4lUt17tq
constrij o tion or vnviroytmo;jt(tj laws,I flarthe r agree to hold Ilar,titless the City of Federal Way as to any claim(jaclacling costs, expenses, and attorimys, fees (noili-red Ill
the 1AV4PStjQCttj0jj alta defense of such claim), 1,vIllalt lijay be tijacle by any person, ITICIUdit1fl the unrlerslyncti, and filed agcttIjSt the city,
bat only where Such clalm arises out of the relianoc of the city, jac((4iijFlQ its cfficCrs and Oniployces, lipolz the act,itracy of the
informat loll supplier! to IV city as G 1)(IT.-t GfUll ppUcatiall.
SIGNATURE: DATE 7 19'
PRINT NAML; T7ccN—6 v
J111)LIal'y 29,20J6 'J'age I of 2'