11-101503 Building - Singh Falthily
City of Federal Way
Community Development Services PFILEermit #: 11-101503-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph*(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: DELAFONTAINE
Project Address: 30205 17TH AVE SW Parcel Number: !05070 0060
Project Description: REP-Remove existing shake roof and replace with composit s hingles
Owner Applicant Contractor (► Lender
GERALD A&JANICE CHET'S ROOFING& CHET'S ROOFING GERALD A&JANICE
DELAFONTAINE CONSTRUCTION CONSTRU DELAFONTAINE
30205 17TH AVE SW 26301 79TH AVE S CHETSRC924 4/12) 30205 17TH AVE SW
FEDERAL WAY WA 98023-3454 KENT WA 98032 26301 S DERAL WAY WA 98023-3454
KENT 98032
1
Census Category: 555 - Non-st cal r i ing p
Includes: #1 #2 #4
Occupancy Class: 1)C°
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 Xt. 0 0
3111` ' M lk z . 4: : } 14
. ' ;114 sM ..y(1' 14r
• New/Additional Sq..Feet-3rd Floor ' New/Additional Sq.Feet-Basement 0
Mechanical to be Included? a Plumbing to be Included? No
;:.":..!,''k,'„7: , r?,k,:, -:';:lle7:", V,:s, , .':‘-:,.:i' ,'';':_=;i„;.-TV :t,':'''',.'; . A „ ,, )*i,. ',',1' " ' '•. 4t,: l-,5'.1#7'27!
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ER t T E S Sunday, October 16, 2011 , . .
'ermit(s ed on Tuesday, April 19, 2011
I hereby certify that the a..'- f•` ation co -ct and t ,- e -•nstru• ion on the above described property and
the occupancy and it re in ac'•r.=nce w' t'Saw pules /d regulations of the State of Washington
1\0 / and •- C�,�f F-.:eral - .
/iwr ci //
Owner or agent. ' Date:
...A.
ki"--1‘
_ 6479 Jgoao7
r THIS CARD IS TO REMAIN ON-SITE l
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-101503-00-SF Address: 30205 17TH AVE SW
Project: GERALD A & JANICE DELAFONTA FEDERAL WAY, WA 98023-3454
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
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 Cts Date
Ava\--i 1
❑ 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 109.3.4 '
o Framing(4120) 0 Insulation (4150) Ei 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 Date
0 Rough Electrical Final Electrical EJ Right of Way
Approved Approved Approved
By Date By Date By Date
•--- 0-
Feder PERMIT
dl W'a„ SF cA • 1EF., EN FP
COMMUNTY DEVELOPMENT SERVICES APPLICATION ���///
253-835-2607•FAX 253-835-2609 $(I a
wow n(goi/cderalwaq corn l
APR 1 9 20:1 a$
SITE ADDRESS CITY 0 F FE WAY
30Z(9.9 ,/ ;J , J ) j- ata re,1 k/ c j CDS
PROJECT VALUATION- wnanu M 0 0
O 7- _ 0 O 1(/ D
TYPE OF PERMIT 'BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ) �/� �► Q �/��// �" ]�
(Tenant Name/Homeowner Last Name) CU t , 1 U 1 r I`�� Y V V y r 1( -- i 1 I b f��l \Y R/1 I' ' •I/`�t
PROJECT DESCRIPTION Jrre-f r bin ol rer,2 ;5'hc. l(._� 1 7�) 4T/"--
Detailed description of work to CI-64111 e l L11 )f)f)(!/ 1 arzt T )5 I/ y U (:IVY\f")
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
A3 k
CIT! STATE riZIP
NAME ale t 5 >-(rt �i v c/o/1 - PHONE s 6161
ADDRESS E-MAIL(11/<
MAILING
bl S
CnT ��� SSZIP [ I"32 . aS; pS
( _!<Sl'
WA STATE CONTRACTOR'S LICENSE t EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
CNE7 Q47.y f2j5
NAME PHONE
APPLICANT
RARING ADDRESS
CITY STATE ZIP FAX
PROJECT CONTACT '- sCin TOS I{)
(The individual to receive and er PHONE
A( c•.! G v, �} E
respond to all correspondence RADARS ADDRESS E-MAIL
concerning this application)
CITY STATE ZD' FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 0 OwR_PINAIICED
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 can the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the*formation 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.
'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 - e , including its officers and employees, upon the accuracy of the
Information supplied
/ilib
//I�- i;1i�I�
SIGNATURE: -/ `_ - DATE
PRINT NAME:
Bulletin#100—January 1,2011 Page 1 of 3 kAl-Iandouts\Pelmit Application