08-101553 VI
City of Federal Way Buil Single FamilyPerm##: 08-101553-00-SF
Community Development Services g - g
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(2531835-2607 Fax:(253)835-2609 Inspection Request Line: (253).835-3050
Project Name: GAUDETTE
Project Address: 32205 7TH AVE SW Parcel Number: 926492 0140
Project Description: Remove shakes,install osb plywood'and conipositieft shingles
Owner Applicant Contractor Lender
DAWN A GAUDETTE HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32205 7TH AVE SW 32705 5TH AVE SW HORIZCII IOKR(5/14/09)
FEDERAL WAY WA 98023-5523 FEDERAL WAY,WA 327055TH AVE SW
98023 FEDERAL WAY,WA
98023
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
struction Type:
1QC,cupancy Load: �� g
Floor Area(sq. ft.) 0 0 0 0
4s, ,
;��� ' • t�� a� ®rttInformation
New/Addit .F e Mrd Floor... 0 A5 New/ 1d " nal .Feet-Base i ..... ...0
Mechanical to be Included? ' o ' Plumbing to e ndlud d9
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, April 1, 2010
Permit Issued on Tuesday, April 1, 2008
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: 1 /GS—
(�t 4/3,/OC
THIS CARD IS TO EMAIN ON-SITE '
CITY OF ' +"a,
lit THIS
Developiffnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101553-00-SF
Owner: DAWN A GAUDETTE
Address: 32205 7TH AVE SW
FEDERAL WAY, WA 98023-5523
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.
O 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
O 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 ��7 y'�_ Dater Z 1'
❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120)
Approved Approved 1 inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
O Framing(4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
t By Date By Date
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
cm or D E- _ / V / 5_ ;_
PERMIT 2" O SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES p j
33325 WAY,W 8063-97 897XA R 0 1 Zoo P P L I C AT I ON
TO /
253-835-2607•FAX 253-835-2609
www.dtuoikderalwau.com dFEDERAL \NAY
The olio t eq r I, .,t ztion—an incomplete application will not be accepted. Please print legibly(in ink)or type.
J � • PROPERTY INFORMATION
SITE ADDRESS- 32205 -)7(,/. Al/•L 5 Li F GI
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# q 2— tilk.4 '7 2— 0 ` LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(leach separate page for lengthy legal desoiptien)
• PROJECT INFORMATION
TYPE OF PERMIT )6BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Vt 5Lih10)i ) A)'fa1 ) t )6 /CHi,,,ccei� t:e y'dSjf70^ 54'4f(!J'
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME y� — PRIMARY PHONE
OWNER I/GlU'� 0-a,6114-1--‹ ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME . PPI,ICANT NAME OFFICE PHONE
f10n Qce-P A5 (t 12- 6-7cr( (20t ) 2 '1 - 29t)
MAILING ADDRESS CITY,SATE,ZIP CELL PHONE
1(A2"7G'S 5fG 4-c s w Fl w ( )
i I' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
Rai-24r 1%01(R 51191/0)
pi
APPLIC COMPANY NAME APPLICANT NAME OFFICE PHONE
A ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender lnforn ation 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 $ .110#I Fi0
SPRINKLERED BUILDING? Cl YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
•
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS mom PROPOSED TOTAL TOTAL Eumw
sSP TOTAL PROPOSED Sr TOTAL Sr
**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 su* URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS r.ueq •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE •
I certtfy under penalty of perjury that I am the property owner or authorised 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 cert* that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 part of this applicati n.
SIGNATURE: I) I G 0
DATE
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a,TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application