12-105471 • •uilding - Single Family
City of Fe Way Permit #: 12-1.05471-00-SF
Community&Econ.D ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: GREEN
Project Address: 32606 8TH AVE SW Parcel Number: 926492 1000
Project Description: REP-Remove shake roofing&install OSB sheathing&composition shingle roofing
system.
Owner Applicant Contractor Lender
COREY GREEN HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
ELAINA L GREEN PO BOX 24449 HORIZCI110KR (5/19/13)
32606 8TH AVE SW FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA 98023 FEDERAL WAY WA 98093
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included'? No Plumbing to be Included No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, June 4, 2013
Permit Issued on Thursday, December 6, 2012
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: 12102.
PItl#4,1,4;1> l'&//t2AZ
• D\l 1: INSPECTOR ARE 1 l PE OF SPECTIO\
/24'12 fif 444917/4r_ , ,afr/ /70 2 01,e 44'liy.
�L1�72
, THIS CARD IS TO MAIN ON-SITE
CITY OF ` Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-105471-00-SF Address: 32606 8TH AVE SW
Project: COREY GREEN FEDERAL WAY, WA 98023-4904
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.
O 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
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 `e, Datet2 -/0-12,
❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved z Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved IBC 1093.4
E 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
o Final Erosion Control(4375) •0 Final-Building(4050)
Approved Approved
By Date By 'G` Date `a,i`L
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Federal ,a, y 9 PERMIT ((_J MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES ,w�p A P P I,,I C A T I O N
253-835-2607•FAX 253-835-260t _ - ri
www.cityyff lergluyzasp //rr�{1tJ 111
SITE ADDRESS ‘0 SUITE/UNIT#
PROJECT VAL UATICet CII ZONING ASSESSOR'S TAX/PARCEL# � � � - �
0 9 �/(/^/ 0 o d
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) G-reCA
PROJECT DESCRIPTION
Detailed description of work to �'II e d c 44 I ce) , 110.1 L ac 11 ' J RA) .r'
`I/l� )15--
be included on this permit only
NAME Curt rG PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
SO"
CITY STATE ZIP
•
NAME PHONE
Hn2Gn C<t)fro G4-0( " ZS3- 3S - 5g-33
MAILING ADDR E-MAIL
CONTRACTOR •"bli)C 11 ci 1
CITY rde/A 1 �4'1 S("el- ZIP w3 FAX
WA STATE
}��RS�CONTRACTOR'S�� 'LICENSE���- EXPIRATION� DATE FEDERAL WAY BUSINESS LICENSE X
NAME
S Ji 3 PHONE
S6 6- ire 204-211-2vsl
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE - ZIP FAX
PROJECT CONTACT NAME PHONE
L
The individual to receive and JoV"4'
respond to all correspondence
MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$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 city as a part of thi application.
SIGNATURE: DATE 12.) 1
//_
PRINT NAME: L V'eL
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application