16-1036600 Oiilding - Single Family
City of Federal Way Permit #: 16- 103660 -00 -S F
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 a
Project Name: GORDER
Project Address: 512 SW 345TH PL
Parcel Number: 132170 0010
Project Description: REP - Remove shakes, install osb plywood and composition shingles
Owner
ARplicant
Contractor
Lender
DEBRA L GORDER
PETE GIERE
HORIZON ROOFING LLC
L KEITH JR GORDER
HORIZON ROOFING LLC
HORIZRL867L7 (6/27/18)
Type V - B
512 SW 345TH PL
PO BOX 24449
PO BOX 24449
Occupancy Load-
FEDERAL WAY WA 98023
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
Census Category: 555 - Non - structural roofing permits
Includes:
#1
#2
#3
#4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load-
Floor Areas . ft.
0
0
1 0
1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor ....................0
Calculated Structure Valuation ...... ........................6100.00
Mechanical to be Included? ....... .............................No
Plumbing to be Included? ......... .............................No
New / Additional Sq. Feet - Basement ...................0
Occupancy # 1 - Construction Type .......................Type V - B
Occupancy # 1 - Class ................. ............................R -3
Occupancy # 1 - Use ................ ............................... Residence (1 or 2
family)
No Fixtures Associated With This Permit It
PERMIT EXPIRES Tuesday, January 24, 2017
Permit Issued on Thursday, July 28, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wilt be i acc ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: >
t� i f ,
crrT or
Federal Way
PERMIT #:
Project:
9 THIS CARD IS TO ON-SITE
Construction In on Record •
INSPECTION REQ 3) 83 5 -3050
16- 103660 -00 -SF Address: 512 SW 345TH PL
DEBRA L GORDER FEDERAL WAY, WA 98023 -7304
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 recon Site Mtg (44W)
Approved Electrical
Approved
Initial Erosion Control (4365)
�
ootin t ac 4
Approved
Approved to sheath floor
To be done prior to breaking ground
Approved to install flooring
Approved to place concrete
By Date
By
Date
By
Date '
Underfloor Framing (4285)
Approved Electrical
Approved
Floor Sheathing (4105)
❑
Final Electrical
Approved
Shear Walls (4245)
Approved to sheath floor
Right of Way
Approved
Approved to install flooring
Date
Approved to install siding
By Date
By
Date
Date
By
Date
0
0 Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By V4 Date Z
12A
k,
By
Date
By
Date
Framing (4120)
Prior to scheduling a Framing inspection;
Insulation (4150)
I lectrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
re/Draft Stop inspections must be signed -off and
IBC 109.3.4
By
Date
By
Date
approved
❑ Gypsum Wallboard Nailing (4130)
❑
❑
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
LAS��
Date gz,
V
1:1
Approved Electrical
Approved
❑
Final Electrical
Approved
❑
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVED
,► PERMITOkPPLICATION
CITY OF I 2 . 2016
Federal Way CITY OF FEDERAL WAY
r CDS
PERMIT NUMBER _ / [Z&
TARGET DATE
SITE ADDRESS
51 Z 5�J 315 A P � �rivp I WA y WA olp z;
SUITE /UNIT #
PROJECT VALUATION
$ �ivo�u
ZONING
ASSESSOR'S TAX /PARCEL #
TYPE OF PERMIT]
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
L�
cl-C s- G11 41441 r/i Ci/l a o
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
sw-c
E-MAIL
CITY
STATE
ZIP
NAME .
H407,C1, �ccF;A
PHONE
S - 8 385833
MAILING ADDRESS p
�! L N Lj jj
E -MAIL
CONTRACTOR
CITY
Feiuxo WrA
STATE
tW4
ZIP
�1��3
FAX
WA STATE CONTRA;ORLICENSE #
G`TG �L �G' G. -,
FXI� ; I�O,N DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS �'. I
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME p
1 C
PRIMARY PHONE
MAILING ADDRESS
EL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5,000 or more
(RCW 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 ci as a parjoYth i, apiie�
SIGNATURE: DATE
PRINT NAME: 1 k
Bulletin #100 — February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
AREA DESCRIPTION
Square Feet
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utility)
WATER HEATERS (electric)
# of
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
AREA DESCRIPTION
Square Feet
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
NEw BUILDING
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
._... ........... ......_.._......_..- -- _ .._ ..._..... _ ....
_.. - ... --
Area Totals -... --
BRISTRiO PROPOSED TOTAL
_
* *10W sons ONLY**
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW /ADDITION
Area in
Construction
# of
AREA DESCRIPTION
Square Feet
Occupancy Group(s)
Type
Stories
Additional Information
NEw BUILDING
ADDITION
COMMERCIAL - REMODEL /TENANT IMPROVEMENTS
Area in
Construction
# of
AREA DESCRIPTION
S uare Feet
Occupancy Groups)
Tvve
Stories
Additional Information
TOTAL BUILDING,
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application