10-103092 Building - Single Family
City of FederaWay Permit #: 10-103092-00-SF
Community Development Services "'
P.O.Box 9718 „
Federal Way,WA 98063-9718 Lim
66411111
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EDMOND
Project Address: 922 S 293RD ST Parcel Number: 515280 0100
Project Description: REP-Remove existing shake roof. Install 1/2 " CDX plywood decking.Install handmark
Premium lifetime composition shingles.
Owner Applicant Contractor Lender
THOMAS H EDMOND CHET'S ROOFING& CHET'S ROOFING&
GWENDOLYN K EDMOND CONSTRUCTION CONSTRUCTION
922 S 293RD ST 26301 79TH AVE S CHETSRC924BB (1/2/12)
FEDERAL WAY WA KENT WA 98032 26301 79TH AVE S
98003-3711 KENT WA 98032
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
,4 4 r Additional e it I t ;°
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included9 No
k y No Fixtures Arsoci. ; � it!! � Y
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, January 17, 2011
Permit Issued on Wednesday, July 21, 2010
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 th- • ederal Way.
Owner or agent: / Date:
q Y YU 9 y.)3.1
411111111. THIS CARD IS TO REMAIN ON-SITE
CITY OF Iffil Construction Inspection Record -
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-103092-00-SF Address: 922 S 293RD ST
Owner: THOMAS H EDMOND FEDERAL WAY, WA 98003-3711
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) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
•
El 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 /` G"/_ Date 7
/1. 14:0_,
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 49
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
El Framing(4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Final Erosion Control (4375) Final-Building(4050)
Approved Approved
By Date By Date
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT
Federal Way
COMMUNITY DEVELOPMENT SERVICES AP P LI CAT I O N
253-835-2607• FAX 253-835-2609
miuiu.�in�ol&.•c&•nil �17._�4d1
SF F�
SITE ADDRESS / �}►
qZZ
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
111, o0o-U,N _6�_Z 57 2
TYPE OF PERMIT IS BUILDING ❑ PLUMBING ❑ MECHANICAL
�& DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) m
PROJECT DESCRIPTION
Detailed description of work to dAAdVIa
be included on this permit only _,�� ..s.c� �. e►•r� C�r►ti�. I .fit
PROPERTY OWNER fi l_"k
MAILING ADDRESS
CITY STATE ZIP
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
Required value of $5,000 or more
(RCW 19.27.095)
NAI4f •,
mAII.ING ADDRESS
CITY
WA STATE CONTRACTOR'S LICENSE N
NAME
MAIIJ D ADDRESS
CITY
NAME
MAILING ADDRESS
CITY
ALTERNATE CONTACT NAME:
MAILING ADDRESS, CITY. STATE. ZIP
EXPIRATION DATE
STATE I ZIP
STATE ZIP
PHONE
JUL 21 2010
CUS
0/ 00
/h i( CQ
PREVARY PHONE
E-MAIL
PHONE
Sj�y e
ilsIS.AIt.
FAX
FEDERAL WAY BUSEVESS
PHONE
F, UL
FAX
PHONE)
E-MAIL
FAX
E-MAIL
OWNER -FINANCED
PHONE
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best
of my knowledge, the irlforination submitted in support of this permit application is true and correct. I cert(fy 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 gf Federal Way as to any claim (including casts, expenses, and attorneys' fees incurred in
the investigation and defense ofsuch clam►. which may be made by any person. including the undersigned, andfiled against the city,
but only where such claim arises out of the reliance of the city, including its gfficers and employees. upon the accuracy of the
irtformation supplied to the city as a part of this application.
SIGNATURE: n s rr PRINT NAME:Y
Bulletin #100 —April 14, 2010
Page I of 3
kAHandouts\Permit Application