13-1042300. , Ouilding - Single Family
CuWay Permit #: 13-104230-00-S F
Community
& Econ. Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 96003 Inspection Request Line: 253 835-3050
Ph: (253} 835-2607 Fax: (253) 835-2609 p q
Project Name: FITZPATRICK
Project Address: 32100 11TH AVE SW Parcel Number: 926493 0070
Project Description: REP - Tear off shake roofing ; install 7/16" OSB sheathing and composition shingle roofing
system.
Owner
AR12licant
Contractor
Lender
MARION FITZPATRICK
R & CROOFING INC dba
R & C ROOFING INC dba
3210011TH AVE SW
CHINOOK ROOFING & GUTTERS
CHINOOK ROOFING & GUTTERS
FEDERAL WAY WA 98023-5550
5013 PACIFIC HWY E SUITE 7
RCROOCR917M8 (7/28/15)
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 Loa&
Floor Areas . ft. 0 0 0 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 !!
PERMIT EXPIRES Sunday, March 23, 2014
Permit Issued on Tuesday, September 24, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be in accordance with the laws, rules and regulations of the State of Washington
nd City of Federal Way.
2Owner or agent: Date:
V:%tAN%.VD
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO SMAIN ON-SITE t
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -104230 -00 -SF Address: 32100 11TH AVE SW
Project: MARION FITZPATRICK FEDERAL WAY, WA 98023-5550
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.
Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Final Erosion Control (4375) E] Fin - Building
Approved Approved
By Date By Date( C
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
SWM Precon Site Mtg (4400)Initial
Erosion Control (4365)
E]
Underfloor Framing (4285)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Final Erosion Control (4375) E] Fin - Building
Approved Approved
By Date By Date( C
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
Floor Sheathing (4105)Shear
Walls (4245)
Roof Sheathing (4220)
1:1Approved
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
prior to scheduling a Framing inspection;
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved
Approved
Electrical, Plumbing & Mechanical Rougb-in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Final Erosion Control (4375) E] Fin - Building
Approved Approved
By Date By Date( C
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
REce*° •
CITY OF .-.� 3 PERMIT APPLICATION
Federal Way SEP 4 241
m OF FEOS��WAY
PERMIT NUMBER ! r _ Z
TARGET DATE
SITE ADDRESS
3
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
f j 2—
1
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
..' C
L�. jL-c ��
f4 C
PROJECT DESCRIPTION
Detailed description of work to
p
r
-Ace,
be included on this permit only_L
NAME
�
PHONE ,
PROPERTY OWNER
I Z - C 1 T � �' � ce a
.PRIMARY
MAILING ADDRESS �.,
E-MAIL
CI ,.,
STATE
2-,
NAME < ��- -.�., �_.....
� �-• L
PHONE
'�' '%' J '7 . �n r' -'�
-Ll�
MAILING YI
- c�
ec - l
MAIL
CONTRACTOR
L_
CI
(TATEd
ZIP .. , jj
FAX
WA STAeE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
A
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACTi
NAME
f
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 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,
out f the rel nce of the city, including its officers and employees, upon the accuracy of the
but only where su claim a ¢�apg�
information:? ie to the cilt# of thi applica on.
/ f lam. j
SIGNATURE. L — DATE i
PRINT
Bulletin #100 -January 1, 2013 Page 1 of 3 k:\Handouts\Pelmit Application