11-100504 Building -Single Family
City of Federal Way ID
Community Development Services Permit #: 11-100504-00-SF
P 0 Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CHUBBS
Project Address: 34640 14TH PL SW Parcel Number: 666490 0460
Project Description: REP-Tear off shake roofing; over skip sheathing, install 7/16" OSB and composition
shingle roofing.
Owner Applicant Contractor Lender
BRENT CHUBBS HAMMERHEAD CONSTRUCTION HAMMERHEAD CONSTRUCTION
34640 14TH PL SW 1807 SW 346TH PL HAMMECL939M7 (9/16/11)
FEDERAL WAY WA 98023-7038 FEDERAL WAY WA 98023 1807 SW 346TH PL
FEDERAL WAY WA 98023
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
z �Y >€*'S*'
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 .
Mechanical to be Included') No Plumbing to be Included') No
Ilte .?�,.N.;�:P'4 3: i ps �,„}��F. �°, l� # }• ��,�•� .x'�:_w]j�,,`,j{y} r<, 5.Z � �,• ;
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PERMIT EXPIRES Saturday, August 6, 2011
Permit Issued on Monday, February 7, 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 will be i ac • dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /
Owner or agent: tI 6 ' Date: ?-11///
_3 2 ! t 11
{ - THIS CARD IS TO REMAIN ON-SITE
CITY OF
• Construction Ins tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-100504-00-SF Address: 34640 14TH PL SW
Project: BRENT CHUBBS FEDERAL WAY, WA 98023-7038
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.
El 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 Byp( Date 2—g..../(
El Fire/Draft Stops(4095) 0 Interim Erosion Control 4370
II ( ) 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
4
0 Framing(4120) 0 Insulation (4150) El 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) 0 nal-Building(4050)
Approved Approved
By Date By j <S Date z— (/ (f
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
a"af er \f PERMIT
, �� V {i ( S F CO ME PL DE EN FP
COMMUMTY DEVELO VICES \
253.835-2607•FAX 253-835-2609�� o APPLICATION 1 0.2'-
11
www.cituolfederalwae.com
SITE ADDRESS / O SUITE/UNIT S
24( )kr'cp LfALF L
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL It
$ '/cc . Cr 6,1 4 `( I v_ - L/ o
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) L'_
PROJECT DESCRIPTION
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4- -6\`oqc\,_
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Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ttYC.V`\ 1 'T-)IV--C L Q L�`3
MAILING ADDRESS \ E-MAIL
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C p STATE ZIP _
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NAME PHONE
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G ADDRESS E-MAIL
CONTRACTOR C C t 7 �3�"{lC f 1` p(-__
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICEWSE 8 EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE S
NAILE
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APPLICANT MAILUM ADDRESS1 j E-MAIL
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C_.. STAT ZIP FAX '_k,�' i rL^.,
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PROJECT CONTACT N�_ U PHONE
(The individual to receive and ` 1-i -i'L til 0,--4--)4)
respond to all correspondence
MAILING ADDRESS ''II(� (�` ��j E-MAIL
concerning this application) I r - '?*v ( `C I ()
97
1
f-C L E.i L\ (2.---U �C'..!_\ sTATIj!l_I1 73' c 'L 3 FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 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 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.
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?e//
PRINT NAME: ` 7T_-
Bulletin
6#100-AApril 14,2010 Page 1 of 3 ii
P ag k:Wandouts\Penntt Application