10-103766 t r t , .,.
Building - Single Family
City of Federal Way
Community Development Services Permit #: 10-103766-00-SF
P 0 Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GAFFKE
Project Address: 35906 16TH AVE S Parcel Number: 282104 9110
Project Description: REP-Tear off existing roof system down to decking and install new metal roof system
Owner Applicant Contractor Lender,
DUANE GAFFKE NORTHWEST ROOF SERVICE INC NORTHWEST ROOF SERVICE INC
35906 16TH AVE S PO BOX 1697 NORTHRS088DW(10/15/11)
FEDERAL WAY WA 98003-7414 KENT WA 98035 PO BOX 1697
KENT WA 98035
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
:x• .: It '• 'L: (4,E'�'• dti% a `>4.?; _
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
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PERMIT EXPIRES Monday, February 28, 2011
Permit Issued on Wednesday, September 1, 2010
I hereby certify th. e above information is correct and that the construction on the above described property and
the occupancy -nd the use will be in ac rdance with the laws, rules and regulations of the State of Washington
nd the Ci of Federa ay. q ( //
Owner or age t: /� t tit t "� Date: ` ( ( (
•
( 79 d90J77
THIS CARD IS TO REMAIN ON-SITE ' .
CITY°F10111 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT if: 10-103766-00-SF Address: 35906 16TH AVE S
Owner: DUANE GAFFKE FEDERAL WAY, WA 98003-7414
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 SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) "0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
.El Floor Sheathing(4105) 0 Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By ,--7:- Date , /slie
/
�o Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
El 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
'El Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By Date
P
t
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
1
/ 0 _7- 6 �
Federal Way MF CO ME PL DE EN FP
COMMINITYDEVELOPMENTSE VICES APPLICATION RECEIVED
609
•!v!,..doru1^,.i:,r..;,,erl
SEP 01 ?U
SITE ADDRESS (a �I p� Ptva �. CITY OF DS 1�'1". WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1� 61)0 g 2- 10 - I I 0
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ,1V^L/ e �� ,i •
1" iAs
� ► FIN A.
PROJECT DESCRIPTION � \
Detailed description of work to I r tS
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
(/� NI 0 WSk Vo aP � -vj cam, V►.c - PHONE�3-8s9 —on 03
MAILINIv� ��GAD�•-1 AP IV E-MAILI^(IWiWi y w o-( c
`I ONTRACTOR
V CITY STA'L� ZIP618,0 ^ M3 —
�1X 3 —111&so 3 590
W STATE CONTRACTOR'S LICENSE# tV,1//(]I EXPIRATION DATE FFEED/DERAL WAY BUSINESS LICENSE#
N0
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
•
PROJECT CONTACT NAME PHONE C
(The individual to receive and �U "I'I . �3—b 5�U CIO
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
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 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 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 city as a part of application. I
SIGNATURE: DATE D Q j v 3I'
PRINT NAME: / po
Bulletin#100–April 14,2010 Page 1 of 3 k:\Handouts\Permit Application