12-103090r �
•
City of Federal Way
Lender
Community & Econ. Dev. Services
33325 8th Ave S
F7'7 I
c
Federal Way; WA 98003
pa#
Ph: (253) 835-2607 Fax: (253) 835-2609;
_.q
Project Name: HODSON
Project Address: 938 SW 295TH ST
Ouilding - SiH-glo Family
Permit #: 12 -103090 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 2757
Project Description: REP - Tear off shake roofing; install 1/2" CDX plywood sheathing & composition shingle
roofing system.
Owne
Applican
Contractor
Lender
MARION HODSON
TEDRICK'S ROOFING INC
TEDRICK'S ROOFING INC
CHARLES G HODSON
37220 188TH AVE SE
TEDRIRI12INC (5/10/13)
938 S 295TH ST
AUBURN WA 98092
37220 188TH AVE SE
FEDERAL WAY WA 98023
AUBURN WA 98092
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 1 0 1 0 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 11
PERMIT EXPIRES Tuesday, January 1, 2013
Permit Issued on Thursday, July 5, 2012
hereby, certify that the above information is correct that th construction on the above described property and
the occupancy and the us ill be in a •the I s, rules and regulations of the Sta of Washington
d t ity o ederal Way.
Owner or a Date: ?
FINAWR> V/24/jr,
` THIS CARD IS TO MAIN ON-SITE
Federal Way ! Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -103090 -00 -SF Address: 938 SW 295TH ST
Project: MARION HODSON FEDERAL WAY, WA 98023-8213
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 Sits
Approved
By Date
0 Floor Sheathing (4105)
Approved to install flooring
By Date
Fire/Draft Stops (4095)
Approved
By Date
0 Initial Erosion Control (43
To be done prior to breaking ground
By Date
Shear Walls (4245)
Approved to install siding
By Date
El Interim Erosion Control (4370)
Approved
By Date
Approved to sheath floor
By Date
Roof Sheathing (4220)
Approved to install roofing
BSS Date 7_ l
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
0 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
Final Erosion Control (4375) Final - Building (4050)
Approved �J Approved
By Date By /� `'/ Date
Rough Electrical Final Electrical Right of Way
Approved Approved 1:1Approved
By Date By Date By Date
CITY OF
4A 0 PERMIT
Federal Wa4CEIV ED
COMMUNITY DEVELOPMENT SE ,
APPLICATION253-835-2607• FAX 253-835-2609
www.citlioffedemlwuu.com AUL 5IM
nl AY
a- �0
MF CO ME PL DE EN FP
01
a
SITE ADDRESS Cm pF F
3 s , L j�
SUITE/UNIT #
PROJEbT VALUATION
$ff�*6
TYPE OF PERMIT
ZONING ASSESSOR'S TAR/PARCEL #
I IL-_&-oo_a_� —7_S_-7-
DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION tJ ?001-1,N6
NAME OF PROJECT
(Tenant Name/ Homeoumer Last Name)
(1 /7r` J J `6 0� `5I�� % ^ J / t� �� ��
ak
/�
PROJECT DESCRIPTION
'
t h --f AIV '44/67/7/* Cd
/
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME !
f u
PRIMARY PHONE
Ss
MAILING ADDRESS
3q,S 'S�r'
E-MAIL
CITY
S ATE
ZIP
9 go
-
NAME " /
N 7�y-C .
PHONE
-,�- 6 �
MAILING ADDRESS ,�/
3 2 2 O
E-MAIL
CONTRACTOR
CITY
LdgAl
STATE
ZIP
0�2
FAR
WA STATE CONTRACTOR'S LICENSE #
EXPION DATE
1RATIi/3
FEDERAL WAY BUSINESS LICENSE #
-
NAME
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
PHONE
MAILING ADDRESS
E-MAIL '
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT N E:
,cls
PHONE
a6 9.2v Ys�
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW ] 9.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& 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 tLrelin of city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart ofat
SIGNAT DATE / L
PRINT
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application