14-101938City 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: FOLGER
FILE
Project Address: 32033 11TH AVE SW
wilding - Single Family
Permit #: 14 -101938 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 926493 0860
Project Description: REP - Tear off shake roofing; install OSB sheathing & composition shingle roofing system.
Owner
Applicant
Contractor
Lender
JAMES R FOLGER
R & C ROOFING INC DBA
R & C ROOFING INC DBA
OWNER IS LENDER
32033 11TH AVE SW
CHINOOK ROOFING & GUTTERS
CHINOOK ROOFING & GUTTERS
FEDERAL WAY WA 98023-5549
5113 PACIFIC HWY E SUITE 8
CHINORG895C4 (2/24/15)
FIFE WA 98424
5113 PACIFIC HWY E SUITE 8
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 11
PERMIT EXPIRES Sunday, October 26, 2014
Permit Issued on Tuesday, April 29, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us e' acc r ce with the laws, rules and regulations of the State of Washington
the City of Federal Way. %
Owner or agent: Date:
LFINALED
THIS CARD IS TO MAIN ON-SITE r
crn� Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -101938 -00 -SF Address: 32033 11TH AVE SW
Project: JAMES R FOLGER FEDERAL WAY, WA 98023-5549
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.
Roof Sheathin
Approved to install
Date S`-_ :Z_ _ (
❑ Final - Building (44)54))
Approved
Date S7-- 2--
0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4A
Federal Way
COMMUNnY DEVELOPMENT SERVICES
253-835-2607•FAX 253-835-2609
www.citijoffederalwau.com
PERMITsF F CO ME PL DE EN FP
V
APPLICATION
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSO$'S TAR/PARCEL N � � �
(—��
(/Yd/1 O (j7 0
-
— — — — �G
TYPE OF PERMIT
S""""""ING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeoumer Last Nn,46r
(/�
PROJECT DESCRIPTION
4f,
Detailed description of work to
L9 IS k:t
be included on this permit only
PROPERTY OWNER
�'S� yY� l .fl i (7v 1 c
PHONE
X9'9 9 . �Ol co
GADDRESS
E -NAD.
f
c .t.&
CITY
STATE
Ztp
NAUMIG ADDRESS
NAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
Wjk STATE CONTRACTOR'S LICENSE #
*1t/-
EXPIRATION DATE
FEDERAL WAY BUSINESS ISCENSE
NAME
PRONE
APPLICANT
NAHMG ADDRESS
FIMUL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
N�tL
PHONE
IThe individual to receive and
NAILING ADDRESS
E -NAD.
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNA CONTACT
PHONE
E-MAIL
PROJECT FINANCING
NAS
❑ OWNER -FINANCED
Required value of $5,000 or more
(�J
MAILING ADDRESS, CITY, STATE. ZIP
l�PHONE
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(fy 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 remoue 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, andfilled against the city,
but only where such claim arises out of t relianep of the city, including its oiDicers and employees, upon the accuracy of the
information sup to the ity as part this app anon.
SIGNA DATE Ll
PRINT NAM CL �+-
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application