11-102058 •
City of Federal Way drilding - Single Family
Community Development Services Permit #: 11-102058-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718F ILE Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 P q
Project Name: CONCANNON
Project Address: 34657 10TH PL SW Parcel Number: 132173 0490
Project Description: REP-Tear off shake roofing; over skip sheathing install 1/2" CDX plywood sheathing and
composition shingle roofing system.
Owner Applicant Contractor Lender
KEVIN&LORETTA CONCANNON NORTH CREEK ROOFING INC NORTH CREEK ROOFING INC
34657 10TH PL SW 17624 15TH AVE SE SUITE 105A NORTHCR042C2(2/21/12)
FEDERAL WAY WA 98023-8427 BOTHELL WA 98012 17624 15TH AVE SE SUITE 105A
BOTHELL WA 98012
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
1111110111W, 'rk if I NAM
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 Sunday, November 20, 2011
Permit Issued on Tuesday, May 24, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 51,o,"4////
I 1 104420 ill If
_ THIS •CARD IS T MAIN ON-SITE '
CITY OF Construction I ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 11-102058-00-SF Address: 34657 10TH PL SW
Project: KEVIN & LORETTA CONCANNON FEDERAL WAY, WA 98023-8427
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) 0 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
CI Floor Sheathing(4105) 0 Shear Walls(4245) El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /� Date ./c5::,. /
0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection; I
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 1093.4
O Framing(4120) ❑ 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 fel. Date -7-/-//
•
El Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
05/23/2011 MON 12: 49 FAX 425 487 6524 Nortcreek Roofing 002/003
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""°° e PERMIT
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COMMUNITY DEV F'AX 25 200Olt�� ArgPI CATION o-qillt253 A35 2G07•PAX 253 835 2G09 D
cI () FCOS
SITE ADDRESS SUITE/UNIT N
q 1,9S --.) 164h P1. 7 to
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ AS3 (e)— / / 3 a �. 73 - 0 f � 6
TYPE OF PERMIT ,Z1 BUU..DING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT p,/
(7'erian(Name/Hw
omeoner Last Name) c 0 na,/�i o(/n 1 'K/e V i i
I
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PROJECT DESCRIPTION / / l )
Detailed description of work to Oar eiv STI/'1 G .s � J/ / 7'// 7. //75 'à G/ /7 �) rnl M
be included on this permit only S h ins/ �/ J /
1 I !� PRIMARY PHONE
PROPERTY OWNER ( e vrn (O/las`) 11 1/7.5-26.0 -96/3 7
MAILING
3_`, 7 /� P� SG(JSTATE ZIP
E-MAIL -
CITY ___ l I nlay___j .E c2zz_ _
NAME /or 1-A &ei k 66.ki y PHONE (zr- -(A� ...,7u4i,
MAILING ADDRESS ,_/fes �j A E-MAIL
CONTRACTOR 17Lp<,• , /c /f'1 7411&. ��/yI. E -GJ/D--lS/7
CITY &ri/t(I I Y V/ 1 ' l A-0/Z FAX
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
NAME '-- - -- ---/I - - --
'/ PHONE
I
APPLICANT MAILING ADDRESS E-MAIL
. -. CITY 1 STATE JI I ZIP FAX
PROJECT CONTACT NAME •
P / G,S /
(Theutdwtdual to receive and
Pam ,��a )rs Plug ( h� - 7/, l./
respond to all correspondenceMAILING DRESS
po � S E-MAIL, I/ L'`
concerning this application) Q n 1' c ) pa m(ft r>h("r,�1 jz i- r i AY>�
CITY STATE ZIP
7ZS' (47-6S2V
ALTERNATE CONTACT NAME: _i . ' PHONE E-MAIL
uO n +(a izir 2 -.-S /-0'/7�0
PROJECT FINANCING NAME
El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27 0951 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
ail 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.
'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 supplies oo the
Jcit as a part of this application,
// (
SIGNATURE: / LCa(17,_
(1N
DATE E /7 /7/)/ ['
PRINT NAME: ?a.-n . ILA CS
Bulletin f#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application