11-102561 •uilding
City of Federal Way • - Single Family
Community Development Services Permit #: 1 1-102561-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PECOVICH
Project Address: 34812 10TH PL SW Parcel Number: 542243 0060
Project Description: REP-Remove existing cedar shake roofing and replace with asphalt shingles
Owner Applicant Contractor Lender
PAUL R PECOVICH PAUL R PECOVICH 34812 10TH PL SW
34812 10TH PL SW 34812 10TH PL SW FEDERAL WAY WA 98023
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
J
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
It. .F5jtfV1211 fin.
li 113911
New/Additional Sq.Feet-3rd Floor 0 New t Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
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PERMIT EXPIRES Sunday, December 25, 2011
Permit Issued on Tuesday, June 28, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use :- in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: L _ __ _ --- Date: , 11
r1ukW> 61 bart
,� THIS CARD IS TO REMAIN ON-SITE
art OF" ` 0 Construction Rection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-102561-00-SF Address: 34812 10TH PL SW
Project: PAUL R PECOVICH FEDERAL WAY, WA 98023-8100
•
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.
O SWM Precon Site Mtg(4400) ❑ 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
�
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 ?////l
O Fire/Draft Stops(4095) ( )0 Interim Erosion Control 4370 AP
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
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
O Final Erosion Control (4375) 0 Final-Building(4050)
Approved Approved
By Date By �'/G Date 9-/9—//
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1e - 102 . 6E
-- C IVE ERMIT
Federa ay _ F CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERI 2 8 20 APPLICATION
253-835-2607•FAX 253-835-2609
ywy2fity..9ffr.lieT0111.1211 COM
CITY OF FEDERAL WAY 11°15
SITE ADDRESS CDS SUITE/UNIT#
, 4 iz tom- Ft- s v/
PROJECT VALUATION _ ZONING ASSESSOR'S TAX/PARCEL#
•� y•CC , -- s 2 24 3 - CSO 60
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT b O \I 1
(Tenant Name/Homeowner Last Name) '[ `�
'Il0 L=s71L� `-- �le-l4-) C_r,74 ?(1t d� "; til AL.( � 30�•i,,'_
PROJECT DESCRIPTIONt. l
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
. J..- ' z i c - s kg) y�� �j -. ..;-----
CITY ---
.. CITY L k'tE . VIA /t' 3)-1 ZIPC ` C�L
NAME ` )'IT,
H( a f`''�J t /� ' �t ) PHONE
MAILING ADDRESS I V l tf. 1( E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
NAME J`r t�/Lrr /�lI ,Ajt_ PHONE
APPLICANT tz
MAILING ADDRESS L �( E-MAIL
CITY STATE ZIP FAX
n 1
PROJECT CONTACT NAME N{ /t PHONE
(The individual to receive and (\ /
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
N O
` 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 taws.
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 this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application