10-101806 Building - Single Family
City of Federal Way �i �j
Community Development Services '' Permit #: 10-101806-00-SF
P.O.Box 9718 "=
Federal Way,WA 98063-9718 i 6..--.. v....AA Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609p q
Project Name: LAINE
Project Address: 33300 11TH AVE SW Parcel Number: 926496 0990
Project Description: REP-Tear off existing shake roofing. Over skip sheathing,install CDX sheathing and
composition shingle roofing.
Owner Applicant Contractor Len r
WARREN H&SHIRLEY A LAINE GUARDIAN ROOFING GUARDIAN ROOFING
PO BOX 24600 213 54TH AVE S GUARDRL942NN(8/15/10)
FEDERAL WAY WA 98093-1600 FIFE WA 98424 213 54TH AVE S
FIFE WA 98424
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/Additional Sq.Feet-Basement-----.. ........0
Mechanical to be Included? No Plumbing to be Included? No
PERMIT EXPIRES Saturday, October 30, 2010
Permit Issued on Monday, May 3, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be in accor•ance with the laws, rules and regulations of the State of ashington
-nd th- City of Federal Way.
r"-//*--2 i i....„
Owner or agent: Date:--}
THIS CARD IS TO REMAIN ON-SITE
artoF :` ° Construction Ins ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-101806-00-SF Address: 33300 11TH AVE SW
Owner: WARREN H & SHIRLEY A LAINE FEDERAL WAY, WA 98023-5300
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.
0 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
El Floor Sheathing(4105) CI Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By L Lk) Date S.. S",: 140
El Fire/Draft Stops(4095) El Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4
o Framing(4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
El Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved
By Date By Date
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
lc:
• �► - L L �
F, a ®.3 ti� 'ERMIT
MF CO ME PL DE EN FP
���,jP1LICATION
COMMUNITY DEVELOPMENT\I' CES
253-835-2607•FAX 253-835-2609.N.cfl a1S9
u�mw.ci[iiol(erlernLuaq.com {�
PSITE ADDI � SUITE/UNIT C
3 ®0 In
PROJECT VALUATION ZONING ASSESSO$'S TAX/PARCEL# V & -
67
TYPE OF PERMIT )(BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �n`, II 1 \(\ ,�p 6/��f1
(Tenant Name/Homeowner Last Name) (/� 1�V(�/� �.�,//�l�
01
PROJECT DESCRIPTION , +�A � j 1 �� c .
Detailed description of uwrk toLA -IA/00d M I I Y I ;Vit.() C i Iii J 1 n
be included on this permit only12 1
PHONE
PROPERTY OWNER NAME
V�t t�V . LuA ► k 25,3
U l - 2 ' /� 1
MAILING ADDRESS E-MAIL J V I
72 560 ( lyPCV-eS1A)
CITY d.J"1 a it \Aicuy 5�� nPq g V 1;3
NAMEE WA/1W\ 1ea 61\cLL(-
MAILING 1 1 l' S f ` E-MAIL
CONTRACTOR
CITY -TC11. Y\C.. MI;
Z`ci. q 5 F".. ,
3 9 2.10
12`1
7
WASTATE��Ir L l(4- g' 1151 10 2OEXPIRATION DATE -��WAY
1BUSINESS
t3OL1LICENSE
U0'8t--
IAmE anti ccr' eo no LL C - E ,c1 _z ,-qac
APPLICANT
MAILING DRESS q9^ �1--
E-MAIL
CITY 1 v�.-Cl O l.ti. S
� -l. -� FAX
` q2(-- '6/7/1"
PROJECT CONTACT NAME'{/� ( ,{{ IA r PH NE
(The individual to receive and -3 a t ) 1 v C'' t✓te l J t1`J 2k) "l- l l*
respond to all correspondence M��G fi(,F�'�,,, `c;,.)__ e E-MAIL
concerning this application) '4 11 �/*�'�//��1 1 l' T / ��//� �/y /y�7 /y
CITY 'v V...Cl/ • la � '." F X / VU/ V l
ALTS ATE CONT NA. tyyv PHONE
rotjac
PROJECT FINANCING NAME `, }
Required value of$5,000 or more 11�) ❑ OWNER-FINANCED
(RCW 19.27.095) MAILING ADDRESS,C .STATE.ZIP PHONE
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 a part of this application.
SIGNATURE: _ �� /}"� DATE &" 5 --2 C)It.
PRINT NAME: -- �i�'. p( L}�' £S
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application