10-101566 Building - Single Family
City of Federal Way Permit #: 10-101566-.00-SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Line: (253)
Inspection
Ph:(253)835-2607 Fax(253)835-2609 1 `� p Request 835-3050
Project Name: DUTENHOFFER
Project Address: 33013 11TH AVE SW Parcel Number: 926495 0170
Project Description: REP-Tear off shake roofing; install plywood sheathing and composition shingle roofing
system.
Owner Applicant Contractor Lender
MYRON&ANGELA ASSURED EXTERIORS ASSURED EXTERIORS
DUTENHOFFER 12703 86TH AVE E ASSURE*924NG(8/07/10)
33013 11TH AVE SW PUYALLUP WA 98373 12703 86TH AVE E
FEDERAL WAY WA 98023-5335 PUYALLUP WA 98373
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
New/Additional Sq.Feet-3rd Floor 0 New I Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
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PERMIT EXPIRES Saturday, October 16, 2010
Permit Issued on Monday, April 19, 2010
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. II
Owner or age Date: I ' 19 - 16
( .
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-101566-00-SF Address: 33013 11TH AVE SW
Owner: MYRON &ANGELA DUTENHOFFE FEDERAL WAY, WA 98023-5335
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.
Ei SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
0 Floor Sheathing(4105) ❑ Shear Walls(4245) El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofingBy Date By Date 1.31(S Date 4_z(-2oi
C3 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framinginspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
El Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•
❑ Final Erosion Control(4375) ElFinal-Building(4050)
Approved Approved
By Date By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal WaypR 19 201
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COMMf9VITY DSVELORSF/F.IVT LICATION
SERVICES
253-835-2607•FAX 5 9 F EDER
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NAME OF PROJECT L
(Tenant or Homeowner Name) ,\_ Lc .-1/Tv
•BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT DEMOLITION
0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER 'r/�`A�� o;�p� Aj j b.er ( )
AMAILIN DRESS,CITY,STATE,ZIP D E-MAIL
S30 1.3 kl 11-A-1/4,-t, .3-
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME • PRIMARY PHONE
i UJ2 n -IC t69-LO QS (ZS) ) 556- 1`l
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
l ot-10 3 $is ' '/lev•o- E }Rkkiikt Iv, CI g573 ( ) -
WA STATE CONTRACTOR'S LICENSE# EJWIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AME, PRIMARY
APPLICANT N
14 t(ik— 'I MS (Z�- ) &-_,-PHONE ill 1)
MAILING ADDRESS,CITY,STATE,ZIP ( 1 FAX
( t ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and 56 -,.'k- Ct 3 ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
`E OWNER-FINANCED
Required for projects with �
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I certify under penalty of pedury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental taws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the,investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application. Q� C i q - L)
SIGNATURE: -*----------L`----
� DATE [ 0
PRINT NAME: 1\f.
tlAtr. cat<€.0,t.05
Bulletin#100–January 1,2010 Page 1 of 4 k:\Handouts\Pennit Application
::1151 .i..!illiti1111:1111.11111111111111111.111111nel 40 M. : alga
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as •• of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commei
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING PIPIN WOODSTOVES
•
. .:.. :.: '1:
Indicate number of each type of fixture • be installed or reloited as part of this project. Do not include existing fixtures to remain.
BATHTUBS or Tab/shower combo) LAVS(Hand sinla) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)IGtohen/utEuy� WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL 1 S '
Rd 1.
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ ,�
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINIaER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
...............................................................
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT'
FIRST FLOOR(or Mobile Home)
sEE)NT?:Ft03
• COVERED ENTRY
IE
GARAGE 0 CARPORT 0
(Y1 ISRrfeseMba#
.. .... _ EXISTING -• •SED 'TOTAL
Area Totals /1
ESTIMATED SELLING PRICE$ �f" OF BEDROOMS
AREA DESCRIPTION in SqArea FeetConstruction #of
• Occupancy GroupType s Additional Information
uare ' Stories
ADDITION
AREA DESCRIPTION Area Construction #of ..
Occupancy Group(s) Additional Information
in Square Feet Type Stories
L Bt IL.DIN t
TENANT AREA ONLY
Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application