13-102074s
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
11` Ph: (253) 835-2607 Fax (253) 835-2809
Project Name: GRURD
Project Address: 1612 SW 304TH ST
Buildings- Single Family
Permit #: 13 -102074 -00 -SF
Inspection Request Line: (253) 835,3050
Parcel Number. 012103 9129
Project Description: Tearing off existing shake roofing, installing roof sheathing and new composition roofing
material.
Owner
ARRlicant
Contractor
Lender
GREGORY L GIRARD
EAGLE CONSTRUCTION
EAGLE CONSTRUCTION
OWNER IS LENDER
1612 SW 304TH ST
1128 144TH ST NW
EAGLEC*995J5 (4/25/15)
FEDERAL WAY WA 98023-3431
GIG HARBOR WA
1128 144TH ST NW
GIG HARBOR WA
Census Category: 555 - Non-structural roo!Whi s
Includes: # 1 #2 A #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area . ft0 0
s • m • '
J
New/ Additional Sq. Feet - 3rd Floor...... .`..
Mechanical to be Included? ......................... .
Zoning Designation. ....................................... .. S 15.0
uses Assmia
`/ CONDITIONS:
Subject to field i ction without plans.
litional Sq. Feet - Basement...................0
to be Included?......................................No
mit Il
PERMIT EXPIRES Wednesday, November 6, 2013
Permit Issued on Friday, May 10, 2013
Ijf(ereby certify that th above information is correct and that the construction on the above described property and
Othe occupancy and s will be" accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: d L 0 1 t'b
Cnrr of
Federal Way
PERMIT #: 13 -102074 -00 -SF
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 1612 SW 304TH ST
Project: GREGORY L GIRARD FEDERAL WAY, WA 98023
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.
0 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date r1l
■
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
0
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
0 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date r1l
■
Floor Sheathing (4105)
❑
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date �/d /3
D
Interim Erosion Control (4370)EFZeAiDraft
Fire/Draft Stops (4095)
eduling a Framing inspection;
Approved
Approved
bing & Mechanical Rough -in and
By
Date
By
Date
inspections must be signed -off and
pproved IBC 109.3.4
0 Gypsum Wallboard Nailing (4130)
Insulation (4150)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
0 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date r1l
■
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
cr"OFRECEPED PERMIT VAPPLICATION
Federal Way
MAY 10 2013
/WAY
PERMIT NUMBER / "� C'm p � ( _ sa 1TARGET DATE
SITE ADDRESS
1
3 �
� � � (/
SUITENIT i
/U
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT`�
�� Go
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
NAII.IIYC� ADD
E-MAIL
CITY
STA
ZIP
NAME ,& ) \ 1A
PHONS
/MA1_M
MAILING AD � j
.1 `' /��.
Z-
�' C>J
CONTRACTOR
FAX
WA CQN'[RAIC7O 'S LICENSE #
ERPn2AT191Y DATE,
FEDERAL WAY BUSIIfE88 LICENSE #
NAME
Q�
PRIMARY PHONE
MAILING ADDRESS
E -MAH.
APPLICANT
CITY
STATE
ZIP
FAX
NAME Y0�2ee� t t
PRIMARJY PH, IIE
'!
/—/�Q)
PROJECT CONTACT
V V V
MAUMGADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
FINANCED
Required value of $5,000 or more
MAH.ING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 taws 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 chdnq, which may be made by any person, including the undersigned, and filed against the city,
but only where sucA claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppti t the ty as a of this application.
2
SIGNATURE: DATE �r7i Ifl l� L
PRINT NAME. 11
Bulletin #100 — January 1, 2013 Page l of 3 k:\Handouts\Permit Application
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