13-104088 R l
0 •ilding - Single Family
CCommunity of E Dev.Services Permit #: 13-104088-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p 4
Project Name: BOONE
Project Address: 912 SW 346TH CT Parcel Number 132173 0560
Project Description: ALT-Remove existing roofing and install new 7/16" OSB over skip sheeting;install
composition shingles.
Owner Applicant Contractor uncles `
Le
CATHERINE D KUBIAK R&C ROOFING INC dba R&C ROOFING INC dba
SE BOONE CHINOOK ROOFING&GUTTERS CHINOOK ROOFING&GUTTERS
912 SW 346TH CT 5013 PACIFIC HWY E SUITE 7 RCROOCR917M8(7/28/15)
FEDERAL WAY,WA 98023 FIFE WA 98424 5013 PACIFIC HWY E SUITE 7
FIFE WA 98424
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit II
PERMIT EXPIRES Saturday, March 15, 2014
Permit Issued on Monday, September 16, 2013
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 in ac cor•-nce with the laws, rules and regulations of the State of Washington
9 • -:nd th ity of Federal Way.
Owner or agent N /r' Date: 9/Le 13
• THIS CARD IS TO ,MAIN ON-SITE
CITY OF1A. Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104088-00-SF Address: 912 SW 346TH CT
Project: CATHERINE D KUBIAK FEDERAL WAY, WA 98023-8430
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 Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
By tM Date 61 (sok •By Date 1 f 1;
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ak 011iSOMITTED
CITY OF PERMI APPLICATION
Federal Way SEP 16 2013
CITY OF 7FRAL
WAY l 12\1'94)
PERMIT NUMBER _ c) ? O - 5 r�
( TARGET DATE
SITE ADDRESS SUI /UNIT N
9r CA--
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ tol0v0 — _ -
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �.,
k). ` S(i�Xc (.-C--t
PROJECT DESCRIPTION 7 90w:i v e_.. �. -s
> k) l r-rxr,:6-, 'f'- cI1Jh' -C.
S C,. ll(;7" 636
Detailed description of work to CYiJ' � �k..4..p t._ ( t ,z.--,,,,. .1,,,,¶ /,,��i elevi�(, aVir_ �j
be included on this permit only
:Sl.t A - S i A.
x E PRIMARY PHONE
PROPERTY OWNER —4- CM—tve�rLA,-%-( X)OE iry__ /4/3-6.12-q2
MAILING ADDRESS
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L�MAIL
quo 3E STATE ZIA D /
le r` r:�� Y-,`F Au S 6 PHONE 5-5c�22'6 702
MAILING
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CONTRACTOR ��y(�(/��/
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ST CONTRA C'tsQjt'L;L4/ / �c- 1 EXPIRATION/ DATE FEDERAL7 I t,J✓ '2 WAY BUSINESS LICENSE#
NAME 1-1\ VVV���PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAM P MARY NE
PROJECT CONTACT / y � ��
3 23-(c>,0 2
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27 095)
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 sup • to the city as ••'•art oil his a;'•licatio
/ /
SIGNATURE. /'• it CA -e,� ./ DATE 0 ,
PRINT NAM' �__if - .. Ili ,
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application