12-101926 r • P wilding - Singh Fafily
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-101926-00-SF
33325 8th Ave S Liza
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-30660
Project Name: SHIPLEY
Project Address: 32608 10TH PL SW Parcel Number: 926495 0520
Project Description: REP-Tear off existing cedar shake roofing&install OSB sheathing and composition
shingle roofing system.
Owner Applicant Contractor Lender
RANDAL L SHIPLEY HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC RANDAL L SHIPLEY
32608 10TH PL SW PO BOX 24449 HORIZCI110KR (05/19/13) 32608 10TH PL SW
FEDERAL WAY WA 98023-4900 FEDERAL WAY WA 98093 PO BOX 24449 FEDERAL WAY WA 98023-4900
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 II
PERMIT EXPIRES Sunday, October 28, 2012
Permit Issued on Tuesday, May 1, 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:
/
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THIS CARD IS TO MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-101926-00-SF Address: 32608 10TH PL SW
Project: RANDAL L SHIPLEY FEDERAL WAY, WA 98023-4900
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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
By c j, Date a_ i Z By Date „1"-- /Z
Rough Electrical Final Electrical *El Right of Way
Approved Approved Approved
By Date By Date By Date
1Z � ° L9
CITY OF • PERMIT • MF CQ PL DE EN FP
Federal Way .. �
'T`I V
COMMUNITY DEVELOPMENT SERVICES APPLICATION '1
253-835-2607•FAX 253-835-2609 `�
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MAY M A ® ( ZO(Z'
SITE ADDRESS
CITY
(.J �''L'��RAL WAY
y AY
Jti
3z�� �o � �� s �<a cos
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
$ G3 So 160 3 z Z 0 4 - °(
TYPE OF PERMIT A BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ,p
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION y / r,,A
Detailed description of work to 11� t C c,114.1C0 iTA*I I Z " G5 6 Pk() C-(fr) 110#!
be included on this permit only 514/15 k J.
NAME PRIMARY PHONE
PROPERTY OWNER 4.5 44 C,(
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME P{o ri zc" Ct'�rAcrfro r"( PHONIC_c) -25 -5 33
MAILING ADDRESS 17 L 1441
E-MAIL
CONTRACTOR
10.1?
CITY It , 4 ZIP J_) FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE&
NggT2c1I1O KR S / /? / l y
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
G' y-2 y g
(The individual to receive and ( 7 �T I
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
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 atf the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t - city as a part of this application. I
SIGNATURE: DATE S) /
PRINT NAME: " 6/(rG
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application