11-102265 uilding - Commercial
of Federal Way
Community Development Services Permit #: 11 -102265-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 +r
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KINDERCARE#301166
Project Address: 28715 18TH AVE S Parcel Number: 332204 9037
Project Description: REP-Remove existing roofing and replace with Landmark composition shingles
Owner Applicant Contractor Lender
KINDERCARE LEARNING INTERSTATE ROOFING INTERSTATE ROOFING
CENTERS INC 15065 SW 74TH AVE INTERRI077KK(10/24/11)
650 NE HOLLIDAY ST SUITE 1400 PORTLAND OR 97224 15065 SW 74TH AVE
PORTLAND OR 987 322 PORTLAND OR 97224
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
3.1111Z4M-27 1f.
Mechanical to be Included . Na Number of Stories........, .1
Permit for Building Shell Only9 No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
t � b k 9hisp 1Rl 95d l
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PERMIT EXPIRES Wednesday, January 4, 2012
Permit Issued on Friday, July 8, 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
an e City of Federal Way.
Owner or agent: JW Date: 7-63 -
7NAU •7/143///
THIS CARD IS TO MAIN ON-SITE .
CITY OF I Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102265-00-CO Address: 28715 18TH AVE S
Project: KINDERCARE LEARNING CENTER FEDERAL WAY,WA 98003-9246
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.
El Roof Sheathing(4220) El Fire/Draft Stops(4095) El Final-Building(4050)
Approved to install roofing Approved Approved
By `L` Date 7-//._/) ,By Date By / Date 7-/3--//
Cl Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
`"rte A . , SII PERMIT SF MF CO ME PL DE EN FP
COMMU _.053835RVECES ,..
.
5APPLICATION PLICATION
253-8607•FAX 253-83�015 r`,,
wuw.cituofederaMVMP`
SITE ADO (ft, /
SUITE/UNIT N
XY5 /
A'./' _ S b7 f! TE D e .AL i t.'.R// W R. g'SO 0..3
PROJECT VALUATION ZONING / ASSESSOR'S TAX/PARCEL M
TYPE OF PERMIT *BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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PROJECT DESCRIPTION R Ell 4 < ALL- c)4c, 2 a--6Fift; c- To 17 C cic', /iu S 7—,4 L L—
le
Detailed description of work to FE L-7", /e2--A
/� - -sib/Q.e-s' file o N I°C'Jt)7, ce/e7/ 47?f t' l) 3 Y�° eQ
be included on this permit only LIWOM.4RK -WA,C.1.-ELS
NAME PRIMARY PHONE c2.4/(i Mc/it-Nee
PROPERTY OWNER it/00 idO L..E DCY-C E41'/JJ0-16- <4:,, p y,2,5'- z<I-42V1
MAILING ADDRESS E-MAIL
"Zit 134 X 2.83f'41 /04lc7'L40%/D oa. 5 722 S'
CITY STATE ZIP
10:).er4AAr-O o4 97 q24'
NAME/A/17-4-4--r774 re- R F/ns6- .563
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6,Sy_ 5(/l
MAILING ADDRESS E-MAIL
CONTRACTOR /..5"e6 S. --5c-) 7V771 Ati-e r Klvun4kso 0/A)mzs7;4c Rau
CITY STATE ZIP FAX /J��T-
�Dpe7LAID 62 ?7- -41
Sod- 3Y_ 3 ( 5 . cc.n
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE i
/orcRiz/4771<K /( i 2'/ / //
NAME PHONE
l/v f• 4% "^1‘-- S'd3- (. 3'/- /f CL
APPLICANT MAILING ADDRESS E-MAIL
/S'o 65 s '74/-711 A✓e
CITY STATE ZIP FAX
/)c,/Z 7 4..41\'.D LR ?72-7 y 563-- (.37-3 ra5'4
PROJECT CONTACT NAME PHONE
(The individual to receive and 4 0 ' N E'L
0 R ,a4S- b 3 &2 G (/22
respond to all correspondence MAILING ADDRESS ,/ E-MAIL
concerning this application) /5'23 4,S,s- 77' 4 Lie
CITY STATE ZIP FAX
/di).2 714" 6 R 972?C/
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(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 authorised 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.
C 6--8 -/(
SIGNATURE: 0161-'(--41- 1------ DATE
PRINT NAME: 4 a IA.l S O R. /J c 4. AS
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Pennit Application