11-103185 _ ` jjlilding
City of Federal Way - Single Family
Community Development Services Permit #: 11-103185-00-SF
P.O.Box 9718
Federal Way, Fax
(253 9718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p 4
Project Name: DOIRON
Project Address: 1813 SW 331ST PL Parcel Number: 010457 0150
Project Description: REP-Tear off shake roofing and install sheathing and composition shingle roofing system.
Owner Applicant Contractor Lender
ROBERT&JACQUELINE DOIRON ROBERT&JACQUELINE DOIRON 1813 SW 331ST PL
1813 SW 331STPL 1813 SW 331ST PL FEDERAL WAY WA 98023
FEDERAL WAY WA 98023 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
-'d 8
New/Additional Sq.Feet-3rd Floor......................0 New/Additional Sq.Feet-Basement .................0
Mechanical to be Included? No. Plumbing to be Included?... No
f£ - res Associated`
PERMIT EXPIRES Saturday, February 4, 2012
Permit Issued on Monday, August 8, 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 in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: 764D/`t,i.Q t Date: �— 8'= //
'� ��
B/15/II
THIS CARD IS TMAIN ON-SITE
CITY OF , Construction I ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT#: 11-103185-00-SF Address: 1813 SW 331ST PL
Project: ROBERT & JACQUELINE DOIRON FEDERAL WAY, WA 98023-6481
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) l2 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) El Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By , F Date csv__76—_(/
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) 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
O Framing(4120) El 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
'
O Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By FL,F Date V-7 6--((
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
E �I� ►c - __I 0 31g 5
art OF ERMIT
v Federal ay F CO ME PL DE EN FP
GAanr.:
COMMUNITY DEVELOPMENT SERVICE APPLICATION L I C AT I O N
253-835-2607.FAX 253-835-2609
Unt'll'ci.yofklerabpat)COM AY fr.
CITY OF FeDemi.W
SITE ADDRESS cos
SUITE/UNIT#
i s 13 3' I y�7ej`//-J' ewe% IOA-y
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# �a
$ �a��,ea
0 1 0 `f 5 7 - b ( 5 b
TYPE OF PERMIT 0 PLUMBING 0 MECHANICAL
>iJ1LDING
DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ‘
b I-1,4
PROJECT DESCRIPTION I Y iu* 0
` 4 Q D 1 rD r7-4 l 1<e./3-11<e./3-1j,r!e Nei) e004
Detailed description of work to .A ' - '+0 5j' t ��v/,_
be included on this permit only D'�
NAME PRIMARY PHONE
PROPERTY OWNER �/Pi,-/-- ..Jilt CO()IA- .g 4 /. V. -
MAILING ADDRESS E-MAIL
j?(13 $W 3- l �--
er4/1.14� STATEA ZI9i"),Q
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAMEPHONE
�1J t� )'A
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT AME PHONE
(The individual to recei - •nd
respond to all Corr-.•ondence MAILING ADDRESS E-MAIL
concerning -'s application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAMEEi OWNER-FINANCED
Required value o 0 or more
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. 8"---
p��
SIGNATURE: ,,yd,- �C�'4�2r l'17/,_/ DATE C�._. Oji Jl
PRINT NAME: ,l a 4 eft 7 �._-____,e re
Bulletin#100-January 1,2011 L��! Page 1 of 3 k:\Handouts\Permit Application