13-101619 e 1
Building - Single Family
Clof Federal Permit #: 13-101619-00-SF
Communitit y&Eco
n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DINGMAN
Project Address: 32920 49TH PL SW Parcel Number: 802951 0150
Project Description: REP-Tear off shake roofing; install OSB sheathing&composition shingle roofing system.
Owner Applicant Contractor Lender
DOUGLAS DINGMAN INTEGRITY WEST HOME INTEGRITY WEST HOME
ELIZABETH DINGMAN 15055 STEVENS INTEGWH898LZ(6/9/13)
32920 49TH PLS OLALLA WA 98359 15055 STEVENS
FEDERAL WAY WA 98023-3326 OLALLA WA 98359
Census Category: 555-Non-structural roofing pe`i'ts _.
Includes: #1 #2 /•-
Occupancy Class:
Construction Type: \'‘
Occupancy Load 1
Floor Area(sq.ft.) 0 0 , 0 0
F NAd i r ouall ®� Information t
New/Additional Sq.Feet-3rd Floor =" New/ d i dlfal Sq.Feet-Basement. 0
Mechanical to be Included? t r Plumb be Included? No
Vixtu . lated With Th Permit I!
, )(IV
PE IT EXPIR - <turday, October 12, 2013
`l! Permit Iss .1 o i Monday,April 15, 2013
I he y certit the a••ve information is correct and that the construction on the above described property and
7o up c th= ,se will be in accordance with the laws, rules and regulations of the State of Washington
• and the City of Federal Way.
Own agent, Date: 7 -/ ---/3
THIS CARD IS TO REMAIN.
ON-SITE R
Federal Way 4/Mr
CITY ofConstruction Inspection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101619-00-SF Address: 32920 49TH PL SW
Project: DOUGLAS DINGMAN FEDERAL WAY, WA 98023-3326
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) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
0 Floor Sheathing(4105) ❑ Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date IA,ti—t
r Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved Approved Prior to scheduling a Framing inspection;
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
CI Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
0 Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By Date
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
r ... RECEIVED PPLICATIC�N
07T Of PERMITM.
Federal Way A 2013
CRY OF FEDEp16 L
WAY `)2')7(1
0
_6
PERldiT NUMBER 7.,
3 - / 0 1_2 _
6 (L TARGET DATE Ce*-----.....................-------------")
SITE ADDRESS SUITE/UNIT 0
3;__ 2v q A _pL Sc)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 0
$ 6-SOO S0 A 9 S j - 30 S--v
TYPE OF PERMIT [BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1/r' 1�
PROJECT DESCRIPTION / , 1
Detailed description of work to 7 'crO c-c. 3,,1� /l�SJ /l QS/3 / cO,
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER jbU aJ fil c/) `J 53-D/o ei S-Y
MAILING AD Ct k Pt- .__WE-MAIL
3 -o //
CITY / STATE ZIP
feh /rt 1 l-Jc ./ W 8 ,
NAME e---- PHONE
--ki1 J (,°)1 C-J, 5 J 36o -c-a51-/4178
MAILING ADDRES I��� E-MAIL
CONTRACTOR /SDS ,k)_?-,.--,-)S
C r STATE ZIP c' 3•-3-1 FAX
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
TAI T (,, LI I- g l-- 7 / /
NAME
PRIMARY PHONE
14.1/6M c4
MAILING ADDRESSE-MAIL
/'C M f'
APPLICANT <5 A 0 ,�
-
CIIq ATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRES E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME 0 OWNER-FINANCEDPROJECT FINANCING
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the - as a part of this application.
SIGNATURE: --_- - DATE L// 5- .-/ 3
PRINT NAME:
Bulletin#100-January 1,2013 ID Page 1 of 3 • k:\Handouts\Permit Application