15-103683o - 1k
Building - Single Family
City of Federal Way ,{{�,� C
Community & Econ. Dev. Services FILE Permit ft: 15 -103683 -00 -SF
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 8
Ph: (253) 835-2607 Fax: (253) 835-2809 p Q ( ) 35050
Project Name: SIWAWAT
Project Address: 28830 11TH AVE S Parcel Number: 720580 0110
Project Description: REP - Tear off shake roofing; install 1/2" CDX sheathing and composition shingle roofing
system.
Owner
A o�
Contractor
Lender
TAMMASAK SIWAWAT
CHETS ROOFING &
CHET'S ROOFING &
28830 11 TH AVE S
CONSTRUCTION
CONSTRUCTION
FEDERAL WAY WA 98003-3705
26301 79TH AVE S
CHETSRC924BB (1/4/16)
KENT WA 98032
26301 79TH AVE S
KENT WA 98032
Census Category: 555 - Non-structural roofing perniito,
Includes:
#1 #2 3 JV4
Occupancy Class:
R-3
Construction T
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 0
I
New / Additional Sq. Feet - 3rd Floor ....................
Occupancy # 1 -Construction Type .....................
Occupancy # 1 - Class ......................... ....ria .......
Occupancy #I - Use ........................... VR . ence (1 or 2
too, V
Adid ~ nfo ion
New/ al Sq. Feet - Basement...................0
al to be Included?...................................No
11
X bins to be Included?......................................No
I hei
the
Owner
ily) lop
oft
As1�cWdh This Permit 11
<V
PERMIT EXPIRES Saturday, January 23, 2016
Permit Issued on Monday, July 27, 2015
and At thehbnstruction on the above described property and
i e law rules and regulations of the State of Washington
I Way.
Date: 7/J 7/� 7
THIS CARD IS TO REMAIN ON-SITE
Construction onstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -103683 -00 -SF Address: 28830 11TH AVE S
Project: TAMMASAK SIWAWAT FEDERAL WAY, WA 98003-3705
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 Sheathing (4220)Final - Buildii
Approved to install roofing Approved
Date �� Z� _ By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECEIVED
CITY OF A 24A5 JUL 7
Federal Way CITY OF FEDERAL WAY
CDS
PERMIT NUMBER _ 3
PERMI'I0APPLICATION
FTARGET DATE / f 14
SITE ADDRESS
SUITE/UNIT #
dB?Sri / ►
1�4 S -
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$lZZ�G
���� 80-��1
C
TYPE OF PERMIT
❑ BUILDING El PLUMBING ❑MECHANICAL El DEMOLITION ❑ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
c/ ,W / % —
PROJECT DESCRIPTIONooapiu
' , —
Detailed description of work to
/ /
be included on this permit only
PROPERTY OWNER
NAME „/ � %
/^T/�
PRIMARY PHONE
0? -1'3— 9W • 61�1(0
MAILING ADDRESS ^ �
V
E-MAIL
CITY f0�(J
I
STATE_
ZIP
NAME P�S � N
PHONE �, (x^
MAILING ADDRESS ,� �J_n
E-MAIL
CONTRACTOR
CITY
STATEZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
h e
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
c- 9AY rib
r /16o .
NAME
PRIMARY PHONE
PLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
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 19.27095)
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 a less the City of F deral Way as to any claim'ncluding costs, expenses, and attorneys' fees incurred in
the investigation and efe of
claim), ch m made any rson, including the undersigned, and filed against the city,
but only where su clai arts
out of t ance of he in ding its officers and employees, upon the accuracy of the
information suppl' d to t e city
a part is applica
SIGNATURE:
DATE
PRINT NAME: 4 6-
�l < j $fir
Bulletin 4 100 — January 1, 2013 Page 1 of 3 k:11andoutsTermit Application