10-104157City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718 ,yam
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PETEK
Project Address: 33516 9TH AVE S Bldg 1
Building - Commercial
Permit #: 10 -104157 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 926925 0010
Project Description: REP - Tear off existing shingle roofing; over existing plywwod sheathing, install
Presidential composition shingle roofing system.
Owner
Applicant
Contractor
Lender
THOMAS & EDITH PETEK
NORTHWEST ROOF SERVICE INC
NORTHWEST ROOF SERVICE INC
33516 9TH AVE S BLDG 1
PO BOX 1697
NORTHRS088DW (10/15111)
FEDERAL WAY WA 98003
KENT WA 98035
PO BOX 1697
KENT WA 98035
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 1 0 1 0
New / Additional Sq. Feet - Total ..........................
0
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PERMIT EXPIRES Tuesday, March 29, 2011
Permit Issued on Thursday, September 30, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th se will be in accordance with the laws rules and regulations of the State of Washington
/ and thePty of Fed ral Way. / nn
Owner or agent: % : Date:
CI C�' Z)
THIS CARD IS TO REMAIN ON-SITE
CITY OF 0-- Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -104157 -00 -CO Address: 33516 9TH AVE S Bldg 1
Owner: THOMAS & EDITH PETEK FEDERAL WAY, WA 98003-6322
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)
[:]
Footings/Setback (4110)
By
Approved
By
To be done prior to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
Date
0
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
[:]
Re -steel (4215)
By
Approved to place concrete
By
Approved to backfill
By
Approved to place concrete or grout
By
Date
By
Date
By
Date
❑
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
E]
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
72�Date D /
By
Date
Interim Erosion Control (4370)Electrical,
Framing (4120)
o scheduling a Framing inspection;
Approved
Plumbing & Mechanical Rough -in and
Approved to insulate
B
By
Date
Stop inspections must be signed off and
By
Date
approved. IBC 109.3.4
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
[:]
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
Final - Fire Department (4060)
E]
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal Way
(,YAMMITY DEVELOPMENT SERVICES
2
253. 8335 - 607- F.AX 253-835-2609
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9PERMIT0 E PL 6E EN FP
APPLICAT18FqCE,.rVt1b,�)M
S E P 3 0 2 C 1. "),
SITE ADDRESS
CITY OF FEDERAL WAY
CDs
SUITE/UNIT
PROJECT VALUATION
ZONING
ASSESSORM TAX/PARCZL #
TYPE OF PERMITgBUMDING
0 PLUIMING 0 MECHANICAL
Q DBIKOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/HomeouinerLast Name)
PROJECT DESCRIPTION
lhay- 0 (tom j)Wr, wlAl
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Detailed desa*tion of work to
be included an this permit only
PROPERTY OWNER
NAM
PRn"M PHONE
253 9 Jg 250
K&XEMIG ADDIUM0
1
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F-KAM
CITY
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CONTRACTOR
CITY
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1A IN
ZIP
1092-
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EXPIRATION DATE
FEDERAL WAY WSINESS LICENSE 0
V -Q 0 W
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NAAKE
PE1ONM
APPLICANT
MAILING ADDRESS
E-KAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NA*E
PHONE
2 —
(Tyle individual to receive and
KA LING ADDRESS
E-KAM
respond to all correspondence
concerning this application)
arrT
STATE
ZIp
FAX
ALTERNAIS CONTACT NAPM
PHONE
F -BAIL
PROJECT FINANCING
oWNSR-i+ilf*NCIGD
Required vatue of $5, 000 or more
i
mAlLm ADDRESS, CITY, sTAim, zip
PHOOM
(RCW 19.27 095)
r certfb under penalty OfPcrjttrY that I am the property owner or authorized agent of the property owner. r cerr�qffl&y that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that r will coarly with
all applicable City of Federal Way regulations pertaining to the work authorized by the Issuance of a permit. r understand that the
issuance of this permit does not remove the owner's responsibility for compliance with total, state, or federal laws �.gultxtirtg
construction or environmental tat". i
rfurther agree to hold harmless the City ofPsderat Way as to any claim ftncluding costs, expenses, andattorneys' fees incurred in
the investigation and defense of such claim) which may be made by any person, including the undersigned, andfitted against the city,
but only where such claim out of reliance of the city, including its q0tem-s and empleyees� upon the acattrgwy of the
information supplied to as cc, is application.
SIGNATURE: DATE
PRINT NAME: lam 4�
Bulletin #100—April 14, 2010 Page 1 of 3 k:\Handouts\PerInit Application