07-104205 L
Communi
City ty of Federal Way
Development Services Buil ig - Single Family Permt#: 07-104205-00-SF
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: MOFFETT
Project Address: 32223 7TH PL SW Parcel Number: 926492 0360
Project Description: REP-Tear off existing roofing; install plywood sheathing & composition shingle roofing
system.
Owner Applicant Contractor Lender
MICHAEL M MOFFETT HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32223 7TH PL SW 32705 5T1i AVE SW HORIZCIIIOKR (05/14/09)
FEDERAL WAY WA 98023-5539 FEDERAL WAY WA 98023 32705 5TH AVE SW
FEDERAL WAY WA 98023
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 Inclu ded No N Plumbing be Included.
No Plu b
g to
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, July 30, 2009
Permit Issued on Monday, July 30, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
ante ity of Federal Way.
Owner or agent: � ) L j Date: i - 77
FINALED
- _
THIS CARD IS TO .MAIN ON-SITE
,iz .- b
CITY OF 9 xR community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-104205-00-SF
Owner: MICHAEL M MOFFETT
Address: 32223 7TH PL SW
FEDERAL WAY, WA 98023-5539
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.
❑ 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
El Floor Sheathing (4105) ❑ Shear Walls (4245) ,❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By C Dates -/ b • 07,
`
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date A By Date
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control (4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
o❑ Final-Building (4050) ❑ Interim Erosion Control (4370)
Approved Approved
B C -7 Date6.._--(� By Date
For inspector reference only
-I-
❑ Rough Electrical ❑ FINAL- Electrical
Approved Approved
By Date By Date
cirf OF ." /-'V I 3t% - / 0 q .2_ 09
Federal Way 0 PERMIT RECEI - 0.
COMMUNITY DEVELOPMENT SERVICES , F CO ME EL PL DE EN FP
33325 8*"AVENUE SOUTH• 9718 A P P L I C A T I 0 Ni.. a �� •
FEDERAL WAY,WA 9806363.971971 8 1 /
253.835-2607•FAX 253-835-2609 0 z o
w ww.ciiuoilederahvalj.com
The following is required information—an incomplete appiicationlw F
It IffG"D A YPlease print legibly(in ink)or type. •
IO PROPERTY INFORMATION
I ,
SITE ADDRESS .3 2,Z• 2—/ '11,,1(
• 5, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9� L 7 ak._- O ,3 7 0 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
1 ■ PROJECT INFORMATION
TYPE OF PERMIT a BU I DING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)),___.
1 e-r-;-- 4, P )
, •
PROJECT NAME(Name of Business or Owner Last Name) 114 0 Fret-f-
1 • PEOPLE INFORMATION
I
PROPERTY NAME �\ � p � �� ) PRIMARY PHONE
OWNER 1 G 1�•✓YI O -3+ ( ) -
MAILING ADDRESS CITY,STAT ,ZIP E-MAIL ADDRESS
1 32zz3 1el - 5 -) c ,� ,
ICONTRACTOR COMPA NAME / APPLICANT NAME OFFICE PHONE
M
C -.\--'. ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3z-70-s--- j--4-1... S.td.3 (1 J3) 3S- )9 '7L
CITY OF FEDERA/LI WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
COPY of evd ragalred
CONTRACTOR'S EGIST RAT ION NUMBER EXPIRATION DATE E-MAIL ADDRESS
Iwith eecb epplfeetfea �� ' ��(' .
t APPLICANT COMPANY NAME v� APPLICANT NAME OFFICE PHONE
I ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
■ RELATIONSHIP TO PROJECT FAX NUMBER
1 0 Architect ❑ Tenant ❑Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
•
I CONTACT ( ) -
I LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ ? (p 01),r
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. Se. FT. Se. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING Si TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
•
•
**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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
_ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS. FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tout)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
•
SIGNATURE
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 of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
Uc_ \IL -?- ; ` 7
NAME/TITLE ) DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASI.0 PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO •
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application •