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11-102893 Building - Single Family City of Federal Way Community Development Services Permit #: 1 1-102893-00-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: HODAC FILE Project Address: 33400 10TH CT SW Parcel Number: 926496 0760 Project Description: REP-Remove existing shakes down to plywood and replace with Ledmark TI Composition asphalt shingles Owner Applicant Contractor Lender THAI HODAC MIROSLAW KANCZUGOWSKI 3027 SW 339TH ST THAI HODAC 3027 SW 339TH ST 23811 W 77TH PL FEDERAL WAY WA 98023-7771 3027 SW 339TH ST FEDERAL WAY WA 98023-7771 EDMONDS WA 98026 FEDE'AL WAY WA 98023-7771 Census Category: 555-Non-structural roofinVle 1, s Includes: #1 #2 #4 Occupancy Class: 4� Construction Type: il) 44 , Occupancy Load: Floor Area(sq.ft.) 0 0 4 0 � '. . , New/Additional Sq.Feet-1st Floor 0 ~' New/ • . tional Sq.Feet-2nd Floor... 0 New/Additional Sq.Feet-3rd Floor 0 Neville 4 itional Sq.Feet-Basement 0 Basic Plan? dditional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage X anical to be Included? No Mechanical Valuation (4 w/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.applicati ?...lit•.... tfes if Plumbing to be Included? No New/Additional Sq.Feet-Totals 0 4. eft '- • ,iii 3 4, ' .. ..:',ii','4,f. .. :r. Ca'2.4, '.,: ',' *•'* 3 - `' fe. ; h This Permit ) „,, ' n •4. • s , clilti çV isk ' RMIT EXPIRES Sunday, January 15, 2012 VPermit Issued on Tuesday, July 19, 2011 I hereby c at the •ove information is correct and that the construction on the above described property and the occupan and t use will be in accordance with the laws, rules and regulations of the State of Washington / and the City of Feral Way. - Owner or agent: Date: of) 0i/' 679a9oao7 r, 47X THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 11-102893-00-SF Address: 33400 10TH CT SW Project: THAI HODAC FEDERAL WAY, WA 98023-5311 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) - El Initial Erosion Control(4365) El Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date 0 Foundation Wall(4115) El Drainage/Downspout(4040) 0 Slab/Concrete Floor(4255) Approved to place concrete Approved to backfill Approved to place concrete By Date By Date By Date , O Underfloor Framing(4285) Floor Sheathing(4105) 0 Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date Roof Sheathing(4220) 0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Approved to install roofing Approved Approved ByeiC Date 7^Z4 —1/ By Date By Date Prior to scheduling a Framing inspection; , 0 Framing(4120) ElInsulation (4150) Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4 By Date By Date , ❑Gypsum Wallboard Nailing(4130) El Blocking/Tie Downs(4015) ❑ Final Erosion Control(4375) Approved to install mud&tape Approved Approved By Date By Date By Date • • ❑ Final-Building(4050) 1:1 Skirting/Final(4250) ' Approved Approved By Date By Date El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 4 411 - It7zg. 93 iCITY Of APERMIT FP Federal Way • �"R�°cE ► cis COMMUNITY DEVELOPMENT SERVICES APPLICATION 253-835-2607•FAX 253-835-2609 ufuru,rrtyujfe_deratuaLcom JUL �5 r '^1 , 0 g3 1 9 L SITE ADDRESS CITY O F SERA L WAY 33 400 /O Cf S4.), DS PROJECT VALUATION ZONING ASSESSOR'S TA7C/PARCEL S $ /A5-�Lo G?' Z � �{ ` C� _ 0 -7-- GO TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL Cl DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) IP___e_ittjtC, rre,6-4-0/ il�/n DAC PROJECT DESCRIPTION SirAr . Detailed description of work toye � be included on this permit only fc(.CO/ r 7‘"7 .4 fir-5../.: ,��- 72 NAME PRIMARY PHONE PROPERTY OWNER AC, C MAILING ADDRESS E-MAIL 3 4 OR::, /p C/ �l..J CITY STATE ZIP , eL.,:e/ Z)C.CV _ iti/4- NAME a41/7 ` PHONE _/I MAILING ADDRESS / E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M / / NAME ` `t ©G PHONE /-)Nee -S? � � 4 2 r- 34 4 31"v2_ APPLICANT MAILING ADDRESS E-MAIL Z 3Y/// 7'7r-2 - STATE i Q(Q b2 CITYWc./ s L c , `4 9� FAX PROJECT CONTACT NAME 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 OWN V►�i f A r N�L 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 this application. SIGNATURE: DATE 7- 77-2.0// PRINT NAME: Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application