13-101679City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: ELLIOT
Project Address: 33002 49TH AVE SW
Ouilding - Single Family
Permit #: 13 -101679 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 8029510270
Project Description: REP - Tear off shake roofing; install OSB sheathing & composition shingle roofing system.
Owner
Annlicant
Contractor
Lender
KENNETH E ELLIOTT
R & C ROOFING INC DBA
R & C ROOFING INC DBA
OWNER IS LENDER
33002 49TH AVE SW
CHINOOK ROOFING & GUTTERS
CHINOOK ROOFING & GUTTERS
FEDERAL WAY WA 98023-3324
5113 PACIFIC HWY E SUITE 8
CH NORG895C4 (2/24/15)
FIFE WA 98424
5113 PACIFIC HWY E SUITE 8
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 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 Fxtums Associated With This Permit 11
PERMIT EXPIRES Monday, October 14, 2013
Permit Issued on Wednesday, April 17, 2013
1 hereby certify that the above information is correct an that the construction on the above descri properly and
the occupancy and the use will be in rda wit the laws, rules and regulations of the State f Was ngton
an ity of F al Way. —7
Owner or agent: Date: T l
R -,o q/of
o�3
y Y
THIS CARD IS TYs ON-SITE ,
CITY � Construction Iction Record
Federal Way INSPECTION REQ: (253) 835-3050
PERMIT #: 13 -101679 -00 -SF Address: 33002 49TH AVE SW
Project: KENNETH E ELLIOTT FEDERAL WAY, WA 98023-3324
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 - Building (4050)
10 Approved to install roofing Approved
( g , t _4 I By (�1v Date
F1
El
Rough Electrical
Approved
ElFinal
Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
or A RECEIVED
Federal Way
APR 17 2013
PERMI1*lPPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER CDS r 1
TARGET DATE
X601
SITE/ADDRESS % q/ . ,
--�)oo 2 —� I vl 4 e— Vco
SUITE/UNITt
PROJECT VALUA�TION
ZONING
ASSESSOR'S TAR/PARCEL ii
OL
—
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
U,t V `e
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME II1 I 1 ' l `
\J/vCe..
PRIMARY PHONE
1
MAILING ADDRESS
E -MAD.
CITY
STATE
ZIP? gOZ'
Y
IL c,v
PHONE
MAILING ADDRESS
E -MAH,
CONTRACTOR
C
ZD'/�T �
[[EEXPIRATION
FAX
STA CON'TRACTOR'S LICENSE M
CYp�.
DATE
f
FEDERAL WAY BUSINESS LICENSE M
20 -0 -•L�j
NAME
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property oumer 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 be made by any person, including the undersigned, and filed against the city,
a of the city, including its officers and employees, upon the accuracy of the
but only wherjed
h claim arts out of the reFri
information to the ci as part of catio
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application