11-103059 uildin - Sin le�Fami1,
City of Federal Way
Community Development Services ILEPermit #: 1 1-1 03059-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax.(253)835-2609 p q
Project Name: CRISCIONE
Project Address: 30412 10TH AVE S ecParcel Number: 091900 0250
Project Description: REP-Tear off existing composition roof; replace half of the plywood sheathing,and install
composition roofing system.
Owner Applicant Contractor Lender
MICHAEL&SHEILA CRISCIONE MICHAEL&SHEILA CRISCIONE 30412 10TH AVE S
30412 10TH AVE S 30412 10TH AVE S FEDERAL WAY WA 98003-4118
FEDERAL WAY WA 98003-4118 FEDERAL WAY WA 98003-4118
Census Category: 434 -Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additionall rnt it 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 I! •
At
PERMIT EXPIRES Wednesday, January 25, 2012
Permit Issued on Friday, July 29, 2011
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.
Owner or agent: _ : Date: 7 1 9
- a z11
lil
THIS CARD IS TO EMAIN ON-SITE ,,CRY®P '' Construction I ection Record
Federal eral Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-103059-00-SF Address: 30412 10TH AVE S
Project: MICHAEL & SHEILA CRISCIONE FEDERAL WAY, WA 98003-4118
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) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
.
Floor Sheathing(4105) .
El Shear Walls (4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /Z Date f-/c rt
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) io
Priorr to scheduling aa 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
El
Framing(4120) ❑ Insulation (4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By n Date _ _li
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY aF -.* 4__ - I 0 3 05
Federal WJECEIvPERMIT F CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES�U APPLICATION
(------....
253-835-2607•FAX 253-835-2609 L Q L? o r
www.cituoffederalwati.corn G O C(U i
� 07
'SSITEADDRESS��� �� . wA
Y' SUITE/UNIT# 6.���
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 9 O O - 0 d• C
_ $>- ,.i---er--------)6 ' (-- /0 000
TYPE OF PERMIT ' BUILDING ❑ PLUMBING ❑ MECHANICAL
1111(❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT-77-
.
(Tenant
ROJECT- 7-
(Tenant Name/Homeowner Last Name)
L kl ' 5fAOJ .
----, / ` � l
l .c�,�r�d r la(P.,,-,;K d--
PROJECT DESCRIPTION " D /
s
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER h�l \IA_
MAILING ADDRESS Crk._c6. elk l��lt' `, 1 i�
E-MAIL
t . . I O::- �- - ,.-..CsiSr b N a halt' t (Am
CITY STATE ZIP
re Aeia ( I_��ct.ri_. �_ 9 rtv, ?
NAME )/ - - PHONE
6I' (An'LI-'�
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME (- C PHONE
71
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT '?jam C ONE L'c- L t
(The individual to receive and '747721 1
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING } _.' ❑ OWNER ANC ED
Required value of$5,000 or more % ///111
(RCW 19.27.095) MAILING ADDRESS,CITY,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 to the city as a part of this application.
/\( SIGNATURE: ( DATE l/cn�(e / I ,
� ii •
PRINT NAME: _ )'i P,i 1t& c Kr i,�� .. L i
Bulletin#100–January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
IECI AN1CAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must Ere provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODS 'OVES
PIL� BING FIXTURES Parefirificinflia
i St M -;*.- x;
Indicate how many of each type of fixture to be installed or relocated as part of(his project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS :`URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS pcitchon/utility) % WATER HEATERS(Electric)
HOSE BIBBS .\ SUMPS / WASHING MACHINES TOTAL FIXTURES,
GENERAL Ir OR%IATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
/ / $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feed /EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
\,
❑Yes ❑ No ❑Yes CI No
<'t
' .'' ,,. As .', `V-Z 4;4 e - ._ ':-:',1111'. , .....,, `. ',: ter ._:. `r;:, .'d
AREA DESCRIPTION(in square feet) EXIST 4 G PR• '•SED TOTAL FOR OFFICE USE
\
BASE ,, o F
�,r ,.
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
IIII
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY** .,. is'i.,:-,Watek `
ESTIMATED SELLING PRICE$ / #OF BEDROOMS
n,, ,z-h., a z' e*a, ' .�' •�'"I 19. t"�i. ' ,fin ri 'e,,,. `� t- .`�', e0,4 . u'..,e .,&,,,
AREA DESCRIPTION / Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING 0 11-"
� < , ,
ADDITION
CONt\WERO U. RE onEL/TENANT IMPROVEMENTS
Area
AREA DESCRIPTION Occupancy Group(s) Construction #of Additional Information
In Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of3 k:\Handouts\Permit Application