06-104174 • City of Federal Way �ul luln g - Sin le Family l Permit #: 06-104174-00-SF 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: BARCLAY
Project Address: 33301 12TH AVE SW Parcel Number: 926495 0780
Project Description: ALT- re-Roof remove shakes install sheeting.
Owner Applicant Contractor Lender
BARCLAY L MARGARET HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
FEDERAL WAY WA 32705 5TH AVE SW HORIZCI11OKR 05/14/07
98093-0245 FEDERAL WAY WA 98023 32705 5TH AVE SW
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: -
n� 64,cupancy Load:
@1 - t.Area(sq.ft.) 11, 3i 0 0 0
�.•iti Y , rm it fo ff
q�Pr, �a� ;o-- �n5� ��'� r � a da� k!. �: � rl ;hf f' ��1t
yPr roW i
New/Additional Sq.� 3rd Floor „,11,.20 k ek ,t4weiw 1d4 +° .1 84.Feet-Base 0
Mechanical t• ` 'cll ed91 iN m a _ )'luirttl g t 1? SQ Rd 4 . '
No Fixtures Associated With This Permit!! 7:.
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 17, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance ith the laws, rules and regulations of the State of Washington
end the ity of Federal Way.
1
Owner or agent: C•"l Date: g) 1_,
THIS CARD IS TO •MAIN ON-SITE
CITY OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104174-00-SF
Owner: BARCLAY L MARGARET
Address: 33301 12TH AVE SW
FEDERAL WAY, WA 98023-5301
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.
❑ Temp.Erosion Control(4365) ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Shear Walls (4245) ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By P2.4e. Date By By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
,. a ,.r .. .�.T.�. ..�.. , By Date 1 By Date
❑Gypsum Wallboard Nailing(4130) ❑ Final- SWM(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By �v/ Date r406,
['Temp.Erosion Maintenance(4370)
Approved
By Date
RECEI 0 _ o ,
deral Wad 70'3\ -� _ ____0
Fe
PERMIT 1,70'3\ (2.
CO ME EL PL DE EN FP
• coAIlwNJirDSVELOP�Nf sEItV1G8SQ U t T 17 2006
33325 8m AVENUE SOUTH•PO BOX 9718 /� •
FEOEEAL WAY,WA 958°)31;718 „j R P LI C AT I O N T°
ssaass�eo7•FAxsssass OF FED ..l�r/!�' —
,. .dterolfedemhocy.a
BUILDINg DEPT.
The ollowin• is re,uired in ormation-an inco .lete a, •lication will not be acce•ted. Please •rint legibl in in or ty. .
■ PROPERTY INFORMATION
SITE ADDRESS 3 33 0 I ( L i1 -' S• SUITE/UNIT*
ASSESSOR'S TAX/PARCEL# g Z y q - p 7 ® LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
met.*/Warn,.Page for lasgall legal discriPlke1
■
IN PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work k included o this permit only) 1
C/l.,.s,„ s L,t,e 1 I..s i
i
PROJECT NAME(Name of Business or Owner Last Name) 3("v*"a'
I
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 1Y1(r &rt4 &,-J ( )
MAILING ADD 21 s CITY,STATE,ZIP
333-0 I 1-7--- F}.,-e. S,(3 F/„)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
)1 ZZ _ (
MAILING C � CITY STATE,ZIP CELL PHONE
CITY OF FE ERA WAY BUSINESS LICENSE NUMBER /V EXPIRATION DATE FAX NUMBER 517.-,-4 77Y
- - -B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
03.--rtlr"'"-MAILING DRESSS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ). . -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
N ?DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /Z C
a o r
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• 1►
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOO RS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS sa�ruo reorossn �
**NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commeraeq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS gam) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(sue VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify 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
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 of Federal Way,but only where such claim
arises out of the reliance oft city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE
Vit-S✓"\ DATE 7'_ (O _p
(Signature( (Title)
�/
RELATIONSHIP TO PROJECT U Owner []Agent ,p Contractor ci Architect [I Other •
a �.°.►n C L• °9 1 zi, k-"r S S.E)
°f.,i p 3��j" �;,.r,,. ..: _,�; y�r�i �G► l i� ,x 'a a ;� ,�o';r�
Rnllntin iii iNl—Tammy 1 7(111 Pape 2 of 4 k\Handouts\Pemut Application