10-104822 _
0 City of Federal Way wilding - Single.,Family
Community Development Services FIL.E Permit 0-104822-00-SF
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: MATHUR
Project Address: 33501 11TH PL SW Parcel Number: 926496 0160
Project Description: REP-Tear off shake roof and install plywood sheathing and composition shingle system.
Owner Applicant Contractor Lender
ALOK K&ANJALI MATHUR HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
33501 11TH PL SW PO BOX 24449 HORIZCI110KR (05/19/11)
FEDERAL WAY WA 98023-5310 FEDERAL WAY WA 98093 PO BOX 24449
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
':"P";/,''''''::.
5
New/Additional Sq.Feet-3rd Floor0 New/Additional Sq.Feet-Basement-........ ......0
Mechanical to he Included.' No Plumhrng to be Inchided No
?'';' a� � '6'y �� �� N o res Ass �" Permit!!ay/d '''''';";;''S'-'''''')'''''''.44151::`,<.41.".:?) '''''''):-V4:':4;11:::3':''''
,. �'� 3
PERMIT EXPIRES Saturday, May 14, 2011
Permit Issued on Monday, November 15, 2010
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: ti /I J /'
FINALED iifr /i0
• THIS CARD IS TO AIN ON-SITE
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-104822-00-SF Address: 33501 11TH PL SW
Project: ALOK K &ANJALI MATHUR FEDERAL WAY, WA 98023-5310
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) El 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) 0 Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding proved to install roofing
By Date By Date By Date if./7/ 7
'❑ Fire/Draft Stops(4095) ❑ 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 1093.4
El Framing(4120) 0 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
0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved
By Date B . 7 Date// / /D
r] Rough Electrical Final Electrical - Right of Way
Approved Approved Approved
By Date By Date By Date
E EIV 1ERMIT
MF CO ME PL DE EN FP
CO0DNUNITY DEVELOPMENT SERVICES A PLICATION
253-835-2607•FAX 253-835-2609 N0V
:rrrc,:,tl;(,'i>dzra:u a:i.Gem 1'5 2010
CITY SITE ADDRESS CIOF FEDERAL WAY
A 1 SUITE/UNIT#
350 I e w
PROJECT VALUATION ZONING ASSESSOR' TAX/PARCEL#
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) IVIAltintrr
PROJECT DESCRIPTION t s
Detailed description of work to r f L Fe) l I A141")1 t I`, V et� A.d toAro '1 S t # I/r
be included on this permit only
PROPERTY OWNER NAME PRIMARY PHONE
Ale IL /lA i V
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME n 2 C^ t c n 4-(4 c�/) T1 rsoN > -,�S8,SS 3 3
CONTRACTOR MAILING ADDRESS pG n ? 2 41191 E-MAIL
CITY / ( / E Z '613
FAX
N'
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
hGiZ L2, I it IC R S , h it
NAME PHONE
APPLICANT MAILING ADDRESS - E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT
(The individual to receive and NAME i C L / v� PHONE
2-e c-214
23N" 2.4
respond to all correspondence MAILING ADDRESS 1 EMAIL
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 19.27095) 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 pa this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Perrut Application
•
VALUE of MECHANICAL WORE $ (a copy of bid or estimate must be provided)
Indicate how many 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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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Indicate how many 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 MACHINESi 6.16 q.'l ai ;
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OFEXISTING IAIPROVEAEIiTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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GARAGE 0 CARPORT 0
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EXISTING PROPOSED TOTAL - ....
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy
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ADDITION
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Construction #of
AREA DESCRIPTION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application