09-102466 Building - Single Family
City of Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 44 Inspection Request Line: (253) 835-3050
Ph (253)835-2607 Fax (253)835-2609
Project Name: DIERKING
Project Address: 28829 13TH AVE S Parcel Number: 516210 0750
Project Description: REP-Tear off shake roofing; install CDX sheathing and 30-year composition roofing
system.
Owner Applicant Contractor Lender
JOLENE DIERKING HET'S ROOFING& CH' S 'loFI
28829 13TH AVE S CON TRUCTION ON 'UC
FEDERAL WAY WA 98003-3763 26301 9T VES CH l !24BB 1 I)
EN 98032 • 01 7''H S
ENT '
ensus Category: 555 -Non-s uctural ing pe its
Includes: #1 #3 #4
Occupancy Class: f
Construction Type:
Occupancy Load:
Floor,Ar' a(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
41, % No Fixtures Associated With This Permit ]
PERMIT EXPIRES Sunday, December 27, 2009
Permit Issued on Tuesday, June 30, 2009
1r
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 Was ;ton
•• e City of Federal Way.
Owner or agent: r A
THIS CARD IS TO REMAIN ON-SITE 4
CITY ' - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT #: 09-102466-00-SF Address: 28829 13TH AVE S
Owner: JOLENE DIERKING- FEDERAL WAY, WA 98003-3763
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) El Initial Erosion Control(4365) 0 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) 11:1Shear Walls (4245) Roof Sheathing(4220)
Approved to install flooring, Approved to install siding Approved to install roofin
By Date By Date ,By Ai- Date`/ j
O Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
_ 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
O Framing(4120) ❑ 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) El Final-Building(4050)
Approved Approved
By Date By Date
•
•
•
•
I�I
For inspector reference only
0 Rough Electrical O FINAL-Electrical
Approved Approved •
By Date By Date
RECEIVW) cy
-- - Way 30 PERMIT 2C'-',,
Federal Wa OM,MF CO ME EL PL DE EN FP
co1T
mm.-y= E1=47
253 835-260 EDERARRLICATION Asist1 1.-ii°11111111111.1
---- CDS
PROPERTY
SITE ADDRESS
2F5r 2C) /3 .A-7,- ....5 Fecie/a / Oav Iftii- 47gaS
SUITE/UNIT# ZONING ASSESSOR'S TAX/P EL*
51
PROJECT
NAME OF PROJECT
(Tenant or HomeownerName) -i--40 lent. 01 ir r k/11 41-01-z3 j
YBUILDrNG 0 PLUMBING 0 ECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
/e4 r &TM .3/16tk e. rire6 pi,/ dak4-% illi,t) CDeri
PROJECT DESCRIPTION
Detailed description of work to 1-7'
in,r 1-uP SO vea p- dza carytios i D 5') /7)
r)?
be included on this permit only 171 LI Itte -4,,...,5- spey/1-7 ef---76 ie., 20a ) glija p4 .
6)1 PEOPLE
NAME
b leirEi . ( )PRIMARY PHONE
PROPERTY OWNER -
MAIMING ADDRESS,CITY.STATE.ZIP-- k E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PH3
Chris /?0nP 1 Pi "k2-(nr),511 --ThC . (2s3)
MAILING ADDRESS,CITY,STATE, , FAX
CONTRACTOR
- ,__S /</P/7,-- bt11032. (13) gr€./- ',S1'k
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Cife-rcf 6 9z-ti 6R. / 1260 zo-1Y-7-/ho4 ii-On AL
NAME PRIMARY PHDNE _
APPLICANT /4/S/-7 J-k g 541,is (4,7172AekeY 4w1) (266 )53/ - SE I...Si
MAILING ADDRESS,CITY,STATE,ZIP FAX
( ) -
PROJECT CONTACT NAM5 PRIMARY PHONE
556 3
(The individual to receive and .4//-pa a (20b ) -61.5
airrectS
respond to all correspondence MAILING ADDRESS,CITY.STATE,?Jr FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY PRIMARY PHONE
(RCW 19.27.095)
( )
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 cermet.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 treacle 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 supp• •• • • ••• • •• • •is applic•I,•
SIGNATURE: 4.11111111 .....=.
— DATE 6/36/1::
PRINT NAME: Airish n 4_ I el vl
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Pennit Application