09-104961 4 ()Building - Single Family
CiityDev Development ntS • Permit #: 09-104961-00-SF
Community Development Services �
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: BANG
Project Address: 33106 13TH AVE SW Parcel Number: 926495 1020
Project Description: REP-Tear off shake roofing; over skip sheathing install plywood and composition shingle
roofing.
Owner Applicants Contractor Lender
GUY D BANG HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
33106 13TH AVE S PO BOX 24449 HORIZCI110KR (05/19/11)
FEDERAL WAY WA 98023-5324 FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA 98093
Census Category: 434 -Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
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New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Include& No
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PERMIT EXPIRES Saturday, June 19, 2010
Permit Issued on Monday, December 21, 2009
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: I /01
F( PJAt EA 1z Z¢ Cc
THIS CARD IS TO REMAIN ON-SITE
ciry OF !~` • Construction Ins tion Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 09-104961-00-SF Address: 33106 13TH AVE SW
Owner: GUY D BANG FEDERAL WAY, WA 98023-5324
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) - Ei 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
El Floor Sheathing(4105) 12 Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date . By Date By 0 1,---- Date /2 *3
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
❑ Framing(4120) Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
▪ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By G Date i 2. 2.4. p9,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
II - . �� Z D to - l 0 �(
Federal Wa ECEt\ ' RM S: F CO ME EL PL DE EN FP
x -835-607V Ap23-8 5-2609ES DEC 2 PLI CATI O N �
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SITE ADDRESS
lo( 13 )SA."t- 5(04 .pedJA 1 (40-, ( ' Glkoz)
SUITE/UNIT• ZONING ASSESSOR'S TAX/PARCEL•
NAME OF PROJECT
(Tenant or Homeowner Name) M(< ICI vim' L(C
DES BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION ('Z,,000 t C e J c.i f L�kf) i,) 1 t v e a l c4 (,Nye 0 j,�'tn
Detailed description of work to I H (!,T
be included on this permit only
, � , � � � mid
S r� .,,ra��;.,..r r
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME A PRIMARY PHONE
NOh ZFn g.06 pi'5 ( ) -
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
6 C tc.7 2'1 4'11 pI w '4 te ti rg'U ( ) -
WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
110232 c= (10 Kit $ / VI / It
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT NAME ■ )PRIMARY PHONE
(The individual to receive and �� llC (2G 234 _ 2")Ff 1
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
(
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the
city,but only where such claim arises out of the reliance of the ci ing its officers and employees, upon the accuracy of the
information supplied to the as a part• his applic• , •
SIGNATURE: LL DATE
rZIIA I"
PRINT NAME: tor, &
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
MEAITICAL SIX
I'm.'' '
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture 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(cos)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PL I r
Indicate number of each type of fixture to be installed or relocated as part of 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)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 5.fw(,, co
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Homy -- ---— —
SECOND FLOOR `
-_._ —_
�
COVERED ENTRY
_ _____..___._.__ _
DECK
GARAGE ❑ CARPORT ❑
OTIER.(describe) Ai
=arum PROPO8ED
Area Totals
*NEW Hams,s ONLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL NEW/ADDITION. ,
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
is Square Feet Type Stories
NEW BUILDING
ADDITION
T IMPROVEMENTS {L L/
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Groupie) Additional Information
q Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREAoNLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application