09-102473City of Federal Way
Aoglicant
Community Development Services
FILE
P.O. Box 9718
JANICE A AVINGER - JACQUES
Federal Way, WA 98063 -9718
JANICE A AVINGER- JACQUES
Ph: (253) 835 -2607 Fax: (253) 835 -2609
3018 SW 346TH PL
Project Name: AVINGER - JACQUES
Project Address: 3018 SW 346TH PL
Building - Single Family
Permit #: 09- 102473 -00 -SF
Inspection Request Line: (253) 835 -3050
Project Description: REP - Tear off shake roofing; install composition roofing system.
Parcel Number: 279150 0010
Own r
Aoglicant
Contractor
Lender
JANICE A AVINGER - JACQUES
JANICE A AVINGER - JACQUES
3018 SW 346TH PL
JANICE A AVINGER- JACQUES
3018 SW 346TH PL
3018 SW 346TH PL
FEDERAL WAY WA 98023 -3107
3018 SW 346TH PL
FEDERAL WAY WA 98023 -3107
FEDERAL WAY WA 98023 -3107
FEDERAL WAY WA 98023 -3107
Includes:
Census Category: 555 - Non - structural roofing permits
#1 #2 #3 #4
PERMIT EXPIRES Sunday, December 27, 2009
Permit Issued on Tuesday, June 30, 2009
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
a �Ciity de ral Way. Owner or agent: Date: % b
I
CITY OF
Federal Way
PERMIT 4:
Owner:
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
09- 102473 -00 -SF Address: 3018 SW 346TH PL
JANICE-A AVINGER- JACQUES FEDERAL WAY, WA 98023 -3107
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.
rj
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
By
Underfloor Framing (4285)
Approved
To be done prior to breaking ground
Approved to sheath floor
By
Date
By
Date
By
Date
E
Floor Sheathing (4105)
Approved to install flooring
By
Date
Fire/Draft Stops (4095)
Approved
By
Date
Framing (4120)
Approved to insulate
By Date
Shear Walls (4245)
Approved to install siding
By Date
Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
❑ Final Erosion Control (4375) E] Final - Building (4050)
Approved Approved
By Date By Date q
0 Roof Sheathing (4220)
Approved to install roofing
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
For inspector reference only
❑ Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
gECEf6ED
MY of AN 3 0 Z" PERMIT
Federal Way L
comm 60E7 FAX 25 ; OF FE"PUCATI ON
CDS
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MF CO ME EL PL DE EN FP
Bulletin #100 - 4/21/2009 Page 1 of 4 k:\Handouts\Pennit Application
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PROPERTY
SITE ADDRESS
01 5v(,3 q-�e Pt vve4,1
SUTTEMNIT #
ZONING I
ASSESSOR'S TAX/PARML #
PROJECT v
NAME OF PROJECT
(Tenant or Homeowner Name)
f UILDING ❑ PLUMBING ❑ MECHANItAL
TYPE OF PERMIT
❑ DEMO±± LMOrN ❑ ELECTRICAL ENGINEERING ❑ FIRE PREVENTION
/❑
ko U 5 `.
PROJECT DESCRIPTION
Detailed description of work to
be included this
( 2r 5
on permit only
PEOPLE
PROPERTY OWNER
NAME
A-j (' -e —
PRUMARY PHONE
U 9
MAILING ADDRESS. CITY, STATE. ZIP q Q'Q 2.3
3 s Vl 3- f 6 w
E-MAM
Aur d-m -er4 ac Y
CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PRONE
CONTRACTOR
( )
MAILING ADDRESS. CITY, STATE, ZIP
FAX
( )
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( )
MAILING ADDRESS. CITY. STATE. ZIP
/ FAX
l )
PROJECT CONTACT
NAM
PRIMARY PHONE
(The individual to receive and
( )
MAILING ADDRESS. CITY. STATE. ZIP
FAX
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
PRIMARY PHONE
( )
E -MAD.
PROJECT FINANCING
NAME
�� �./ � 4
i� V �l �✓�
OWNER- FINANCED
Required for projects with
MADdNG ADDRESS. CITY. ST ZIP
2aF1 T 5W i ,. I r— 1 A w A
PRIMARY PHONE
P S3) T!, T'- 0 (l [(
value of $5,000 or more
(RCW 19.27.095)
I certfy 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 tgformation submitted in support of this permit application is true and correct. I cert(jy 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 casts, 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
irlfornlation supplied to the city as a part of this ication.
7
SIGNA DATE d
PRINT �— i Vl G 'Cis
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