11-103138 ° iilding - Single Family
City of Federal Way
Community Development Services Permit #: 11-103138-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Ins ection Request Line: (2
53)835-3050Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FITZGERALD
Project Address: 29423 19TH PL S Parcel Number: 131000 0060
Project Description: REP-Tear off existing shake roof; install 7/16" OSB sheathing and composition Lifetime
shingle roofing.
Owner Applicant Contractor Lender
JOHN&FRANCES FITZGERALD TEDRICK'S ROOFING INC TEDRICK'S ROOFING INC
29423 19TH PL S 37220 188TH AVE SE TEDRIRI121NC(5/10/13)
FEDERAL WAY WA 98003-3860 AUBURN WA 98092 37220 188TH AVE SE
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
New/Additional Sq.Feet-3rd Floor,»»..... .........0 New/Additional Sq.Feet-Basement...... , 0
Mechanical to be Included9 No Plumbing to be Included? No
Associated `
Thief .._ i
PERMIT EXPIRES Tuesday, January 31, 2012
Permit Issued on Thursday, August 4, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- will be in accordance with the laws, rules and regulations of the State of Washington
and e City • F- -ral Way.
Owner or oiragr /, .,�, Date: 41.74://:/j
Fit
, o 3/1'efil
• THIS CARD IS T MAIN ON-SITE • . ,
•
CITY OF - Construction I ection Record
Federal Way INSPECTION REQUE, TS: (253) 835-3050
PERMIT#: 11-103138-00-SF Address: 29423 19TH PL S
Project: JOHN & FRANCES FITZGERALD FEDERAL WAY, WA 98003-3860
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) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By n1 Date ea^$ 1
❑ 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
•
❑ 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
0 Final Erosion Control(4375) ❑ Final-Building(4050) •
Approved Approved
By Date By (( Date e-z/..--//
Rough Electrical Final Electrical Right of Way
❑ Approved ❑ Approved ❑ Approved
By Date By Date By Date
V\ti?0,10 i ''. / -6- / 3 -IC
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SITE ADDRESS
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NAME OF PROJECT
(Tenant or Homeowner Name) ,ff�I Z�'j 14
ING / ,0 PLUMBING 0 MECHANICAL. 12 0("A
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to � � �� �a�� �ti�''" �
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER / lv l /-//Z-(7 P F/+'J (..06 )Ve23 "SfU/
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: CONTRACTOR ❑ APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
) Com✓ 0/71 c, (3t,c )7-TO -m2SSY
CONTRACTOR MAILING ADDRESS,CITY,STA ZIP FAX
37Zzo 1'8 'NAvr':/1; 4ij/3i- w ?tJo9Z ( 3) YoY-..S.-‘72
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 9
/i,)f21AVC / /
NAMEPRIMARY PHONE
APPLICANT 7 f% / �✓3/ '1Ce. ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
OL/ ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(me indiudualto receive and- - "712,14:'," _A-. /i6)/'/ck (-206 )7-Y0 '
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ,r 4-f Lif//V jj ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
/4Z,•cieke-14 (-2'06) -
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CMR,STATE,ZIP PRIMART PHONE
(RCW 19.27..095)
( ) -
I certlt under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply with
all applicable City of Federal Wag regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
/further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reli of the city, including its officers and employees, upon the accuracy of the
information supplied to , city as a part of app ation.
SIGNA 1 -1 sipr
i�Gf DATE //7
Jl9",51 , //=
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Pennit Application
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Value of Mechanical Work$ - (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(commerd4
BOILERS FURNACES HOT WATER TANKS
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVESc
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Indicate number of each type offhture to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS(or Tab/Shower Combo) LAVS(Hand Hobo) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS : OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS • SINKS gatraen/uta WATER HENiERS(Beet
HOSE BIBBS SXJMPS - WASHING pi1ACHINES 'OTA.L PIX RES
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T . '. `" :: : IIIIIIiiiiiiiiiiiiiP' GENE. NFOR . :..
P .. VALUATI•,, • WATER OR SEWER PURVEYOR VALDE OF EXISTING IMPROVEMENTS
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,....: -�. - .;,.n..•.,.USE LOT SIZE(Ia.:.- Fest) EXISTING FIRE SP SYSTEM? :PROPOSED FIRE SUPPRESSION SYSTEM[?
•
❑Y ❑ No ❑Yes• ❑ No
i
AREA DESCRIPTION(in square feet) STING PROPOSED, TOTAL FOR OFFICE USE
BASEMEN'#`
FIRST FLOOR(or Mobile Home)
/
SEeel!ID.FL4JOR \
COVERED ENTRY /
GARAGE 0 CARPORT 0
OTHER dcrr7i
Area Totals
l TOTAL
*lvg.i xo s Old ::: ..i
ESTIMATED SELLING PRICE$ I #OF BEDROO •
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AREA DESCRIPTION Arean t}struc on #of
anon
Occupancy Group(s) Additional
in Square Fe7i Type
Stories
:„ .:
ADDITION �,
+fit rd's
AREA DESCRIPTION eaConstruction - #`,,,, of
Occupancy Groups)in
Information
in S are Feet Type Sti es
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4` fAL.. IIIWING::.:::::... 'r :_''[` ::: :ii:::::irr::o: ;:::: .
TENANT AREA ONLY
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Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application