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07-1042040 Community Development y Building - Single Family Permit #: 07-104204-00-SF Communi Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: BERGSTROM Project Address: 1111 SW 329TH PL Parcel Number: 926494 1110 Project Description: REP - Tear off existing roofing; install plywood sheathing & composition shingle roofing system. Owner Applicant Contractor Lender THOMAS & DEANNA HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC BERGSTROM 32705 5TH AVE SW HORIZCI1l0KR (05/14/09) 1111 SW 329TH PL FEDERAL WAY WA 98023 32705 5TH AVE SW OccpXancy Load FEDERAL WAY WA 98023 -5218 FEDERAL WAY WA 98023'`" Census Category: 555 - Non - structural roofing permits Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: OccpXancy Load Floor Areas . ft. 0 0 0 0 al �rlitt,. "a #�� #. New / Additional Sq. Feet 3rd Floor ...............0 New 1 Additional Sq. Feet - Basement , .......... ., ...... 0 Mechanical to be Included? ...... .............................No Plumbing to be Included? ...................................... No No Fixtures Associated With This Permit 1! PERMIT EXPIRES Thursday, July 30, 2009 Permit Issued on Monday, July 30, 2007 I hereby certify that the ab a information is correct and that the construction on the above described property and the occupancy and the a will be in accords w'th the laws, rules and regulations of the State of Washington an the ity of Federal Way. Owner or agent: l 1 Date: '7 THIS CARD IS TO I&MAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104204 -00 -SF Owner: THOMAS & DEANNA BERGSTROM Address: 1111 SW 329TH PL FEDERAL WAY, WA 98023 -5218 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. ❑ 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 ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) ❑ Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By G C. j Date ❑ Fire/Draft Stops (4095) pom NOTE: Prior to scheduling a Framing (4120) ❑ Framing (4120) Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate Rough -in and Fire/Draft Stop inspections must be By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 By Date ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) ❑ Final Erosion Control (4375) Approved to install wallboard Approved to install mud & tape Approved By Date By Date By Date ❑ Interim Erosion Control (4370) ❑ Final - Building (4050) Approved Approved By A "1_—DateI l� By Date For rector reference only _ ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date CITY 0 Federal way PE RM ITECEIVED COMMUNITY DEVELOPMENT SERVICES SF F CO ME EL PL DE EN FP 33325 8r" AVENUE SOUTH • PO BOX 9718 T �� \/ 777�� j� 253-835-2607- � FAX 253-835-2609 A P P L I C AT 1,JVJC. NU 2007 o . wivu,xituolTederalivau. com IT OF DERAL WA The following is required information - an incomplete app&at i type., I LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) /- -/- zU (Attach separate page for lengthy IeO description) SUITE /UNIT # RUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work inc uded on this permit nl 2 ��. PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER . CONTRACTOR COPY of esrd mq.1 -4 with sc rppll —ti.. APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME APPLICANT NAME PRIMARY PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE MAILING ADDRESS S Z1E CITY, STATE, ZIP E -MAIL ADDRESS I EXPIRATION DATE / CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE COMPANY NA APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE MAILING ADD ESSCITY, S/ S Z1E CELL PHONE �G ' I4-7 L CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER I EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS . f}b-0� 2-C, 1-t to � 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 E -MAIL ADDRESS NAME Per RCW 19.27.095. Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S . FT. PROPOSED S Q . FT. TOTAL SO. FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES .SECOND T_ GAS LOG SETS REFRIG. SYSTEMS D NO THIRD o YES o NO UP /SEPA /SU? ADDITIONAL' FLOORS (DESCRIBE) D NO PLATTED LOT? D YES "D NO DECK (0 COVERED OR D UNCOVERED ?) DEMO PERMIT REQUIRED? b YES a NO GARAGE D CARPORT D NUMBER OF FLOORS �O�o ►somas TOTAL TOTAL E IM er Ton�t rsorosss er TOTAL er NEWHOMES 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 Mechanical Work $� 0 COPY OF BID OR ESTIMATE MUST BE INCLUDED Wll`H APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES BBQS . FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commetdal) COMPRESSORS FURNACES RANGES DUCTS T_ GAS LOG SETS REFRIG. SYSTEMS $ATHTUBS (w Tub /Shower Combo) LAYS (SathmomSink.) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS troseq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certWfy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of .the above premises to perform the work for which the permit application is made. I further agree to hold hanriless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and dejsnse of such claind, which may bs made by any person, including the undersigned, and filed against the City of Federal Way, but only whore such claim arises out of the reliance of the ty, including its ofJieers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME /TITLE " — DATE ) RELATIONSHIP TO PROJECT o Owner o Agent /�'�Contractor ❑ Architect o Other o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES n NO ZONING DESIGNATION CHANGE OF .USE? Q YES D NO NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? a YES D NO PLATTED LOT? D YES "D NO DEMO PERMIT REQUIRED? b YES a NO Bulletin 11100 —April 2, 2007 . Page 2 of 4 k\HandoutsTermit Application