11-101190 Building - Single gamily
City of Federal Way
Community Development Services Permit #: 11-101190-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax (253)835-2609 p q
Project Name: KRIESEL
Project Address: 28925 12TH AVE S Parcel Number: 516201 0020
Project Description: REP-Remove existing cedar shakes and replace with new composition shingles
Owner Aualicant Contractor Lender
SCOTT L KRIESEL BRUCE'S ROOFING LLC BRUCE'S ROOFING LLC SCOTT L KRIESEL
28925 12TH AVE S 27605 SE 401ST ST BRUCERL964L9(6/30/12) 28925 12TH AVE S
FEDERAL WAY WA 98003-3707 ENUMCLAW WA 98022 27605 SE 401ST ST FEDERAL WAY WA 98003-3707
ENUMCLAW WA 98022
Census Category: 555 -Non-structural roofint its
Includes: #1 #2 0II
# #4
Occupancy Class: ,
Construction Type:
Occupancy Load: P.
Floor Area(sq.ft.) 0 0 0
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New/Additional Sq.Feet-3rd Floor Ofib VIP New/A, 'itio I -et-Basement 0
Mechanical to be Included ' - Plumb' • •. •ded9 No
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M EXPIRES Sundae tember 25 2011 _.
Y� P
ermit Issued onesday, March 29, 2011
ib
I hereby certify that the abov nformation is correct that the construction on the above described property and
the occ ncy aVe will be in accordanc- . the laws, rules and regulations of the State of Washington
a.d ', � ity of Federal Way.
Owner or agen : i Date: -c> — Z'-
ASiiifft 1
'� THIS CARD IS TO REMAIN ON-SITE ' , ,
Cm OF �` Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-101190-00-SF Address: 28925 12TH AVE S
Project: SCOTT L KRIESEL FEDERAL WAY, WA 98003-3707
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) ❑ Initial Erosion Control(4365) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
. .
O Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By f Date 5/3/1J
'
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 1
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
O 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
O Rough Electrical Final ElectricalCI Right of Way
Approved0 Approved Approved
By Date By Date By Date
1
9 0( _ / 0 / 1 _qo
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A PERMIT ® F CO ME PL DE EN FP
Federal Way S � : MITTED
COMMUMTYDEVELOPMENT SERVICES APPLICATION a$-76,Y
253-835-2607•FAX 253-835-2609
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MAR 2 9 2011
SITE ADDRESS
CITY OF FEDERAL WAY SUITE/UNIT*
-2 / Z S 12- /�-oc-- C J CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL i
$ lc000 S / (o Z o I - p c Z O
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ?
j
(tenant Name/Homeowner Last Name) I \r l n s c )
PROJECT DESCRIPTION p�✓h 0 v e_ CD I A c o ort ( Ce-St%to 4-- h o LcSe ,
Detailed description of work to l h S�,. in e k, C G+A e v 5' (01 �3
be inclined on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
S C o-(--f k r ; e se 1
MAILING ADDRESS E-MAIL
74/2S- 1.-- Akie S s k r,' se l eco-,(usf-
CITY Pe)¢c-(( Lc' 81,04 ZIPTATE 1 vo3 ref
NAMEPHONE
13r-itice5 a0.c. Y,3 36o-S as-1356
ONTRACTOR MAILING 2 7ADDRESS S ,E_ "IL,
1 E MAD
perSTATE
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FAX
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
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NAMEPHONE
�rIAce S 12c.)o-C;1,,
APPLICANT
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
(The indiPRvidual
CONTACTand NAME J �S};'1 ix,„ PHONE
112S-6 3SS-335i
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CmTY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE I-MALL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5.000 or more
(ROW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 authorised 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.
Ifurther 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 this application.
%J.—
SIGNATURE: DATE 3 - 2- - H
PRINT NAME: TT c-n • ✓-Cr r- �) (....-e_
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application