07-104745City of Federal Way
Community Development Services Buil�n - Single Family Perm #: 07- 104745 -00 -Sf
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8355 -3950
I
Project Name: NGUYEN
Project Address: 707 SW 328TH PL
Project Description: REP - Tear off shake, install plywood and composition
Parcel Number: 683782 0080
Owner
Applicant
Contractor
Lender
LIEN NGUYEN
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
LIEN NGUYEN
707 SW 328TH PL
32705 5TH AVE SW
HORIZCI110KR (05/14/09)
707 SW 328TH PL
FEDERAL WAY WA
FEDERAL WAY WA 98023
32705 5TH AVE SW
FEDERAL WAY WA
98023 -5225
0
FEDERAL WAY WA 98023
98023 -5225
Includes:
;cutnancv Class:
Load:
Census Category: 555 - Non - structural roofing permits
#1
#2
#3
#4
0
0
0
0
PERMIT EXPIRES Friday, August 28, 2009
Permit Issued on Tuesday, August 28, 2007
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: Date:
THIS CARD IS TO MAIN ON -SITE
CITY �tommunity Develo m t Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104745 -00 -SF
Owner: LIEN NGUYEN
Address: 707 SW 328TH PL
FEDERAL WAY, WA 98023 -5225
This card is part of your required inspection documents 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.
❑
Final - Building (4050)
❑ SWM Precon Site Mtg (4400)
By
❑ 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
❑ Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
roved to install roofing
By Date
By Date
y
G Dateeg,,aq
❑ Fire/Draft Stops (4095)
Prior to scheduling a Framing (4120)
❑
Framing (4120)
Approved
ctrical, Plumbing & Mechanical
FRough-in
Approved to insulate
Stop inspections must be
By Date
proved. IBC 109.3.41UBC 108.5.4
By
Date
❑
Insulation (4150)
Approved to install wallboard
By
Date
❑
Final - Building (4050)
Approved
By
Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑ Interim Erosion Control (4370)
Approved
By Date
❑ Final Erosion Control (4375)
Approved
By Date
For inspector reference on
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Raderal way ��� r
CO,VAlUMTY DEVELOPb�Nl SERVICES
$ 2007 ' y i � M IT S MF CO ME EL PL DE EN FP
393 ?58THAVENUE,WA 9 •POBOX971AUG p� LI CATI O N
FBDBRAL WAY, WA 53435.260
?53d9S ?607• FAX buoy, 5 ?609
�tua(]plhtkrolwau.mm ��- r/ �E�"�� ,
The following is requ! sired igformatioien -an incomplete application will not be accepted Please print. legibly (in ink) or type,
PROPERTY • •
SITE ADDRESS _ �� 5 32�^ �f 0 `% SUITE /UNIT #
ASSESSOR'S TAX /PARCEL #
LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attaeh- Pa!ubPn f-lwv ftkDdd**w0 N .
PROJECT •• •
TYPE OF PERMIT BUILDING ❑ PLUMBING . ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
1rC0017, 0 S(At- kt). n>j, ,1I $ly voe t'at,%,, s 4�0�•,
PROJECT. NAME (Name of Business or Owner Last Namel
h
PEOPLE. •• •
PROPERTY
NAME PRIMARY PHONE
OWNER *
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPAW NAME 1
Rk�ln
A�PpLI NT NAME
OFFICE PHONE
fir, �.,
ldt'�t•
CELL PHONE
MAILING ADDRESS
CITY TE, ZIP
�t� '-✓`-1
CITY, STATE, ZIP
E -MAIL ADDRESS
,
ZG(+ _
CITY OF FEDERAL' BUSINE89 LICENSE NUMBER
EXPIRATION DATE
COMPAW NAME 1
Rk�ln
A�PpLI NT NAME
OFFICE PHONE
fir, �.,
ldt'�t•
CELL PHONE
MAILING ADDRESS
CITY TE, ZIP
�t� '-✓`-1
C LL PHONE
23h 2htrt
,
ZG(+ _
CITY OF FEDERAL' BUSINE89 LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REOISTRATION NUMB AR
>! TION DATE
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE 7MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required ifproject value exceeds $8,000 .
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISkD VALUE $ VALUE OF PROPOSED WORK $ 3SU0, 0o
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
VffATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER q LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
PROJECT •.• AREAS
AREA DESC N •EXISTING
S : F'1'.
BASEMENT
PROPOSED
Su. FT.
TOTAL
BUILDING SHELL ONLY?
a YES . o NO
SECOND
a YES
a NO
ZONING DESIGNATION
THIRD .
CHANGE OF USE?
a YES
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUIRED?
o YES o NO
DECK (O COVERED OR 13 UNCOVERED ?)
o YES.
ONO
PLATTED LOT?
GARAGE 13 CARPORT 13
DEMO PERMIT REQUIRED?
n YES
NUMBER OF FLOORS
memo
Pao"=
roan
roru.aaerarosr
rmsu,rsamassr
ronwsr
"NEW HOMES ONLY".. . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
Value of Medmical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICA77019
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /Sho —r combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sk*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS 1com amdg
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (ranaq
WASHING MACHINES
WOODSTOVES
T^ MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that I an the property owner or authorised agent of the property owner. I certify that to the beat of my
knowledge, the information submitted in support of this permit application is true and eorrecL 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 appPcca$iL l7
SIGNATURE:
Authorized
14-5 2% N 61 ...
o NEW o ADDITION
a. ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES . o NO
BASIC PLAN? '
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES.
ONO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
n YES
o NO.
Bulletin #100 "August 16, 2007 Page 2 of 4 . Mandouts\Pern it Application .