12-102141City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: TILLMAN
r Wilding - Single'Family
Permit #: 12 -102141 -00 -SF
Inspection Request Line: (253) 835-3050
Project Address: 34813 10TH PL SW
Parcel Number: 542243 0430
Project Description: REP - Tear off existing shake roofing; over skip sheathing, install plywood sheathing and
composition shingle roofing system.
Owner
Applicant
Contracto,
Lender
RICHARD TILLMAN
R & C ROOFING INC dba
R & C ROOFING INC dba
TERESA TILLMAN
CHINOOK ROOFING & GUTTERS
CHINOOK ROOFING & GUTTERS
34813 10TH PL SW
5013 PACIFIC HWY E SUITE 7
RCROOCR917M8 (7/28/13)
FEDERAL WAY WA 98023-8105
FIFE WA 98424
5013 PACIFIC HWY E SUITE 7
FIFE WA 98424
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?.......................................No
No fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, November 11, 2012
Permit Issued on Tuesday, May 15, 2012
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
nd he City of Federal Way. %
Owner or agent: Date: Sl CS /l Z
YNX - 7/1 X// &
CITU OF 44A
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction Ion ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -102141 -00 -SF Address: 34813 10TH PL SW
RICHARD TILLMAN FEDERAL WAY, WA 98023-8105
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.
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By DateDate"*57
��'/d �l
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
E:]
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By DateDate"*57
��'/d �l
Floor Sheathing (4105)Shear
Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date !;--I lt�- I q.
Fire/Draft Stops (4095)
E]
Interim Erosion Control (4370)
uling a Framing inspection;
Prior o s:approved.
Approved
Approved
ctrical,Plng & Mechanical Rough -in and
[Fire/DrafftltStop
By
Date
By
Date
pections must he signed -off and
IBC 1093.4
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By DateDate"*57
��'/d �l
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
FeOF A
deral e1\J D PERMIT
COMMUNITY
. DEVELOPMENT
n-i .SERVICES
253;835-v2r607•FdAXa2A5383,5- 20
2 APPLICATION
FEOERp� W AY
a
SF F CO ME PL DE EN FP
3ITE ADDRESS �,
SUITE/UNIT #
3(B lc�� 4, SL_0 q edZ 3
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/P CEL #
kUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
iTenant Name/Homeowner Last Name)
r Y ,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
`�` L l
PRIMARY PHONE
223 - -'o -'
?AAELING ADDRESS 0 r�ALAIL
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�V_bP4-
C>�
STATE
to+
ZIP !!ll
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NAME_ �-
PHONE
MAILING ADD
E -MAH.
CONTRACTOR
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STA
ZIP
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F
2_1s3 - 92
WA SiATE CONTRACTOR'S LICENSE #
C_ ell
EXPIRATION DATE
2 2-q 13
FEDERAL WAY BUSINESS LICENSE #
2()
L- oecl S
l- v
PHONE
APPLICANT
MAILING ADDRESS
WMAIL
CITY
STATE
ZD'
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADD
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY. STATE, ZIP
PHONE
IRCW 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 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 suppl to the city a this tpplication.
1partof
SIGNATURE: DATE 345 l Z
PRINT NAME-�e ✓� v� a .i i �j t
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application