10-104325 , -, • uilding - Single Family
City of Federal Way
Community Development Services Permit #: 10-104325-00-S F
P.O.Box 9718
Federal Way,WA 98063-9718 ec
PM(253)835-2607 Fax (253)835-2609 p Ins tion Request Line: (253)835-3050
:
Project Name: VALENCIA
Project Address: 33107 12TH CT SW Parcel Number: 926495 0990
Project Description: REP-Remove shakes,install plywood and composition shingles
Owner Applicant Contractor Lender
RICARDO VALENCIA HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
33107 12TH CT SW PO BOX 24449 HORIZCI110KR (05/19/1 I)
FEDERAL WAY WA 98023-5333 FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA 98093
Census Category: 438 - Residential Garage or Carport
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
3 (gi x #
,. a ms .. �,, ,1
New/Additional Sq.Feet-3rd Floor........: .........0 New!Additional Sq.Feet-Basement.. ........`.0
Mechanical to be Included?. No Plumbing to be Included? ......... .. ...`.. .. :..No
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PERMIT EXPIRES Monday, April 11, 2011
Permit Issued on Wednesday, October 13, 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: lc 1i2 Jas
Fi N M L L) io/1S/(O
• THIS CARD IS TO AIN ON-SITE -
CITY or �� c.r� • Construction Ins - ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-104325-00-SF Address: 33107 12TH CT SW
Owner: RICARDO VALENCIA FEDERAL WAY, WA 98023-5333
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) ❑ Initial Erosion Control(4365) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
Floor Sheathing(4105) ❑ Shear Walls (4245) ElRoof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By 7 �Date 0//0
❑ 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
4,
El Framing(4120) El Insulation (4150) ❑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) ' 0 Final-Building(4050)
Approved Approved
By Date By , \ Date ` b-`$*0 .
0 Rough Electrical u Final Electrical Right of Way
Approved Approved \pproved
By Date F3y Date By Date
I'
..71 3 .
0 PERMIT ., , i, CO ME PL DE EN FP
CO.MMINITY DEVELOPMENT SERVICES APPLICATION ..
. . 4
253-835-2607.FAX 253-835-2609 -l (-)
CI.Ty ( jt7S-tc ' p
SITE ADDRESS 7- SUIT20ruNIT#
eirif0
ey1) 10-7 124L C4- Ski r[w /W2.3 Cf)s ;bk Lill
-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# Cbs „4 y
$ SI ao _
- _-- -
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(7'enant Name/Homeowner Last Name)
, r
PROJECT DESCRIPTION
(2.4pw-t i i Liar., Cv•I &Me C'n Co, f 6i ir
) I
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER IV%(SA. VG.\-1/1C 1 4%
MAILING ADDRESS E-MAIL
caul 4.) A LP 44
CITY STATE ZIP
NAME ' . PHONE
• turn*, &A-1--a.-4-0C+
MAILING ADDRESS - E-MAIL •
CPc VP/
CONTRACTOR tf° 4/
CITY
Pdv CA GiC41 STATE ZIP
FAX
WA STATE CONTRACTOR'S I SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
[I v1211 cl' 110 r-14 011 / I,4 ill
NAME PHONE
Sc.4. 41
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME IA 1 a.: PHONE
I(11 merc 2,0/..2.14-2.1S-1
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
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 19.27.095) 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 of the chance o • , including its officers and employees, upon the accuracy of the
information supplied to th ity as • •:', . -•• cation.
tk 1 ll• 1 I
SIGNATURE: DATE
L
(,T1, 61 Vt.
PRINT NAME:
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
4 .
VALUE OF MECHANICAL WORK $ (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(cal)
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(fundSinloi) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(E7ectuc)
WASHING MACHINES ^ltitk]::::• V
HOSE BIBBS SUMPS .......... ....:�!'.; Wii?? '
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTDIG IMPROVEMENTS
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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Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
iii K•?+:'v'i�ii:�i?'i'ii iii:�i ii i:•i}i}ii?i iii:::?�i iii$iii:cif�iii:!iiiiii i'iif�i'riiii
`• � :'SAF(;i�is �i�'f�i��#•.`: <� ��� '':` �'�'`' ?•?E�}•%��� %•.`•.�'•'.^•'.��•.?•fE�•'•:.�i�''� '< :`':`:��:`:;`%:����%� i�% <z`'�`?'?�#t��•`•.�"4�d�?�i�����':�����%���'r'����> �#•?•.;:•.;{::.}:•}:•:
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TENANT AREA ONLY
ii iii•;::`:�::•.'•iiii:ii:�i:�i:�i:�i:�ifi:�i:�:�iifiiii::::�ii:::�i iii:�i::it::i:
•.••��r.�`: :�<•`�Q�iS!��s'.'•:;:t.:::::::::;�;;;,,;;;;;;;; �'�;'%:: ;: �:>�:�i:�:��:�ii:�:`:�:'t�:�:$:`i:;::;j;;:;':;p'�'isY::�ii�'t:k't�:�:o::;^;::::£•':2>5':::::�:-:': ::::':is�:�:�i:�i:� ::+:;�:�:�i::;:�.`•:;<iy iii::�4:;:�:::::::::::.,..
......................... _
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Pelmit Application