13-103861 • wilding - SinglesFamily
City &FederalWay Permit #: 13-103861 -00-S F
CommunityEcon.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: HAZELHURST
Project Address: 30204 7TH AVE S Parcel Number: 064300 0110
Project Description: REP-Remove existing BUR; install 7/16" OSB sheathing&Torchdown roofing system.
Owner Applicant Contractor Lender
JEFFREY HAZELHURST TEDRICK'S ROOFING INC TEDRICK'S ROOFING INC
SONIA HAZELHURST 37220 188TH AVE SE TEDRIRI121NC(5/14/15)
30204 7TH AVE S AUBURN WA 98092 37220 188TH AVE SE
FEDERAL WAY WA 98023 AUBURN WA 98092
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, March 2, 2014
Permit Issued on Tuesday, September 3, 2013
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 accorda ->with t e laws, rules and regulations of the Star of Washington
de C. of Federal Way.
Owner or a.- t: Ar.‘, %�'/� Date: 7 /1
Fife
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CITY OF �� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-103861-00-SF Address: 30204 7TH AVE S
Project: JEFFREY HAZELHURST FEDERAL WAY, WA 98003-4050
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) 0 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
❑ Floor Sheathing(4105) ❑ Shear Walls(4245) ElRoof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By c C, Dates , 4- (3
O Fire/Draft Stops(4095) El Interim Erosion Control(4370) ' " -1' "" °
Approved Prior to scheduling a Framing inspection,
pp 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) ❑ 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
o Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date ,B. - Dateq (0-1 '3
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
:i s 3 -
tr�aF • PERMIT
Federal WayAPPLICATION
r^ A .�■y-T f� MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES L1 P F�I I l _A 1 I V N
253-835-2607•FAX 253-835-2609 L iii i VVV i i
www.cit sotiederalwatl.corn
RECEIVE 3010 N '"7 A 3.
SITE ADDRESS 1 �. SO�^ SUITE/UNIT#
'''302_0„1--/, -7 , 1
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, Pld '1,')°'
PROJECT VALUATION ZONINGO�FELE 35ESSOR S TAR/PARCEL#
$ 6 Ct co, -
TYPE OF PERMIT ❑ BUILDING El PLUMBING ❑ MECHANICAL Q 6A(S---\
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION / j`/
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) _ r ;•,- - 6?"„:Lille a , I-
PROJECT DESCRIPTION /i4 ` , ,� ���� �� 1,
Detailed descr ption of work to �l�(/� adv/rtel�G � d' ..�'')
be included on this permit only
NAME f PRIMARY PHONE
PROPERTY OWNER SC > 'S�,t)rt #y diuelc S 6"r 11,/_3,!'
MAILING ADDRESS �/'I' E-MAIL
CITY / STATE ZIP
/ 1.t, D
NAM//' ./ / PHON f..2..
j/' L/ 1�
MAILING AD /�jl ' �L/ ‘1/+7/Gdb(J� /�li':
CONTRACTOR /c Z.V /�r7 � -
CITY STATE Z 1: , FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME_ PHONEE, _
(The individual to receive and h '''`/Cl ()?o/. a
respond to all correspondence
MAILING ADDRESS E-MAIL
concerning this application) 100✓II-
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
1 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. 1 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 Iaws.
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 t• rce of the city, including its officers and employees, upon the accuracy of the
information supplied to th city as a pa a of this a'-Ii tion.
r
4SIGNAT '1 DATE /`�
PRINT ' . if
Bulletin# —January 1,2011 Page 1 of 3 k:\Handouts\Permit Application