13-104637s 'k _
Ctty of Federal ay Building - Single Family
Community & Econ. Dev. Services Permit #: 13 -104637 -00 -SF
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: DOHERTY
Project Address: 33108 12TH CT SW Parcel Number: 926495 0940
Project Description: REP - Tear off shake roofing & install 7/16" OSB sheathing and composition shingle
roofing.
Owner
ARRIOcap
Contractor
Lender
FRANK DOHERTY
R & C ROOFING INC dba
R & C ROOFING INC dba
33108 12TH CT SW
CHINOOK ROOFING & GUTTERS
CHINOOK ROOFING & GUTTERS
FEDERAL WAY WA 98023
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 Load-
Floor
oadFloor Areas . ft. 0 0 0 0
Additional Permit lnfonnation
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Mechanical to be Included?...................................No Plumbing to be Included?......................................No
No Fixtures Associated With This Permitil,
PERMIT EXPIRES Saturday, April 19, 2014
Permit Issued on Monday, October 21, 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 will be in accordance with the laws, rules and regulations of the State of Washington
anthe City of Federal Way.
Owner or ag t Date: LD
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
13 -104637 -00 -SF Address: 33108 12TH CT SW
FRANK DOHERTY FEDERAL WAY, WA 98023-5333
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)
Shear Walls (4245)
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
Floor Sheathing (4105)11
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 �x6 Date [0
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
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
Gypsum Wallboard Nailing (4130)
Framing (4120)
Insulation (4150)
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
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
a" OF
A
Federal Way
RIVED
OCT 21 2013
r
PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER _13- _ _O Y_ _�? 3 Z TARGET DATE
SITE ADDRESS
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SiTITE/iTNIT #
PRCkUWTTjVALUATION
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ZONING
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ASSESSOR'S TAR/PARCEL #
C� `� - D�1,
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECTCori
n &S dere haL ► ?.a- rm
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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vag ® S �i Z� S '
(�
PROPERTY OWNER
NAME PRIMARY PHONE
G ADJD1��,8r1 1 E-MAIL
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PRONE
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CONTRACTOR
STATE
WA
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAME C. t _ PRIMARY Mom
YV/A`C/'i
MAILING "DREW E -MAD;
APPLICANT
CITY
STATE
ZIP F"
PROJECT CONTACT
NAS PHONE
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(The individual to receive and
respond to all correspondence
KAI'I G Qel �n E-MAIL
G
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STATE ^
✓
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER-FIFANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP PHONE
I cert(y 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 certjfy 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
ir{formation Supp ed to the ci a part of this application.
f
BIGNA j DATE lq� y i2A / I 1-5
PRINT NAME: Jlti/! 1.1 t l
Bulletin #100 -January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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