13-103860t f City of Federal Way #uilding - Single Family
it #: -
103360-00-S F
13
Community &Econ. Dev. Services Perm
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2809 � a
Project Name: OSBORNE '=jl 34 lv
Project Address: 2804 SW 315TH ST Parcel Number: 150330 0120
Project Description: REP - Tear off shake roofing; install 7/16" OSB sheathing & composition shingle roofing.
Census Category: 555 - Non-structural roofing permits
Includes. #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Loa&
Floor Areas . ft. 0 1 0 1 0 1 0
Additional; Permit Information
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 Permit It
PERMIT EXPIRES Sunday, March 2, 2014
Permit Issued on Tuesday, September 3, 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
and the City of Federal Way.
Owner or agentAW4'uj!�I� al a6�w V Date: of l —a
FINALF-!)
Owner
ARRlican
Contractor
Lender
MICHAEL & DIANE OSBORNE
TEDRICK'S ROOFING INC
TEDRICK'S ROOFING INC
31408 27TH AVE SW
37220188TH AVE SE
TEDRIIU121NC (5/14/15)
FEDERAL WAY WA 98023-7814
AUBURN WA 98092
37220188TH AVE SE
AUBURN WA 98092
Census Category: 555 - Non-structural roofing permits
Includes. #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Loa&
Floor Areas . ft. 0 1 0 1 0 1 0
Additional; Permit Information
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 Permit It
PERMIT EXPIRES Sunday, March 2, 2014
Permit Issued on Tuesday, September 3, 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
and the City of Federal Way.
Owner or agentAW4'uj!�I� al a6�w V Date: of l —a
FINALF-!)
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103860 -00 -SF Address: 2804 SW 315TH ST
Project: MICHAEL & DIANE OSBORNE FEDERAL WAY, WA 98023-7833
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.
FILE
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Walls (4245)
Underfloor Framing (4285)
By
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
FILE
Floor Sheathing (4105)Shear
Final Electrical
Approved
Walls (4245)
0 Roof Sheathing (4220)
By
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
Date
By iNA V3 Date 'j' V I I 3
Prior to scheduling a Framing inspection;
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved IBC 109.3.4
Framing (4120)
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
E]
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date.QC:Da
' I �
ee
FILE
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
As�
CITY OF 0 PERMIT
Federal Way
COMMUNITY DEVELOPMENT SERVICES P P Ir I S A TION
0 o
F CO ME PL DE EN FP
253www. 607• FAX 253-83
watl,P'E C E IV E f-�
www.cituoffedernlwau. C
31
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SITE ADDRESS
SUITE/UNIT #
�V
PROJECT VALUATION'CDS
ZONING ASSESSOR'S TAX; PARCEL #
r
—
c
UILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
Ll7 is / I %
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
73 o 121-7
E-MAIL
CITY
STATE
ZIP
NAME --� /
PHONE/'
.20 (� -3j.2&
MAILING ADDRESS /
oZ;L Q /GZ "�
E-MAIL
f/it Pi)�ZiC f
CONTRACTOR
CITY
STATE
ZIP
Wvyz
FAX
G
3
. h
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
i
NAME /y
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME �-,
PHONE
(The individual to recetue and
`�
MAILING ADDRESS
Il
E-MAIL
respond to all correspondence
concerning this application)
�� /i Af /
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
(RCW 79.27.095)
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 ade y any person, including the undersigned, and filed against the city,
but only where such claim arises out of the relia f the c' , including its officers and employees, upon the accuracy of the
information supplied to the city as a pa is pli ation.
SIGNATU DATE 6 c,2`2
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Bulletin X 100 - lanuan 1, 2011 Page I of 3 k:AHandouts\Permit 1pplicaaion