15-102046wilding - Single Family
Cityof'Way Permit #: 15 -102046 -00 -SF
Community&Econ. Econ. Dev. Services
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Project Name: NELSON
Project Address: 34806 10TH PL SW Parcel Number: 542243 0050
Project Description: REP - Tear off shake roofing; install 1/2" CDX sheathing and composition shingle roofing
system.
Owner
Awn
Contractor
Lender
JENNIFER NELSON
CHET S ROOFING &
CHET'S ROOFING &
3480610TH PL SW
CONSTRUCTION
CONSTRUCTION
FEDERAL WAY WA 98023
26301 79TH AVE S
CHETSRC924BB (1/4/16)
KENT WA 98032
26301 79TH AVE S
KENT WA 98032
Census Category: 555 - Non-structural roofing permits
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Occupancy # I - Construction Type .......................Type V - B Mechanical to be Included? ................................... .No
Occupancy # 1 - Class.............................................R-3 Plumbing to be Included? ....................................... No
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, October 25, 2015
Permit Issued on Tuesday, April 28, 2015
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: !�
CITY OF 441 g�
Federal Way
PERMIT #:
15 -102046 -00 -SF
THIS CARD IS TOIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 34806 10TH PL SW
Project: JENNIFER NELSON FEDERAL WAY, WA 98023-8100
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.
❑
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
❑
Footings/Setback (4110)
❑ Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
❑
Rough Electrical
Approved
Floor Sheathing (4105)
❑
Final Electrical
Approved
Shear Walls (4245)
install
❑ Underfloor Framing (4285)
Approved to sheath floor
By
Approved to install flooring
By
Approved to siding
By Date
By
Date
By
Date
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Roof S thing (4220)
A ed to install roofing
Approved
Approved
B Date _
By
Date
By
Date
4/
Insulation (4150)
Framing (4120)
Fraing inspection;
Prior to scheduling
to insulate
Approved to install wallboazd
Electrical, Plumbing & anical Rough in andApproved
�echm
ire/Draft Stop inspectis must be signed -off and
By
Date
By
Date
approved IBC 1o9.3.4
Gypsum Wallboard Nailing (4130)
❑
Final - Building (4050)
❑
Final Erosion Control (4375)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By
Date
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date
MY OF V&
Federal Way
APB 2015
PERMITI*APPLICATIQN /
CITY OF FEDERAL WAY old
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PzpmT NUMBER `
TARGET DATE
SITE ADDRESS
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SUMMIT IF
PROJECTVALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
TYPE OF PERMIT
0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of u)ork toladaej.
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be included on this permit only
PROPERTY OWNER
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PRIMARY IONS
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MAILING ADDRESS
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NAME
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PHONE
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CONTRACTOR
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FAX
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WA STATE CONTRACTOR'S LICENSE #
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��7P7IRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
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CITY
STAT$
ZIP -
FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
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(The individual to receive and
MAILING ADDRESS
It -MAIL
respond to all correspondence
CITY
STATE
I ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
0 OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAUJNG ADDRESS, QTY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 certVV 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 4f Federal Way as to any claim (including costs, expenses, and attornegs' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and flied against the city,
but only where such claim arises out of the reliance of the city, including its ga'lcers and employees, upon the accuracy of the
injormation supplied to the city as apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 January 1, 2013 Page i of 3 k:\Handouts\Permit Application
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