15-104141 •
iilding - Single Family
City of FederalWay Permit #: 15-104141 -00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request Inspection Re t Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 I p q ( )
Project Name: WALSH -
Proje •
ct Address: 35205 6TH AVE SW Parcel Number: 066230 0210
Project Description: REP-Re-roof shake to composition with plywood
Owner Applicant Contractor Lender
WENDY M WALSH HORIZON ROOFING LLC HORIZON ROOFING LLC OWNER IS LENDER
35205 6TH CT SW PO BOX 24449 HORIZRL867L7(6/27/16)
FEDERAL WAY WA 98023-8121 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: R-3
Construction Type: Type V-B
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
Occupancy#1 -Construction Type. Type V-B Mechanical to be Included? No
Occupancy#1 -Class R-3 Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, February 13, 2016
Permit Issued on Monday, August 17, 2015
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 a cordance with the laws, rules and regulations of the State of Washington
•• the City of Federal Way.
Owner or agent: Date: S-1/7 lir-
,
•
® • THIS CARD IS TC MAIN ON-SITE
CITY OF Construction Inspection Record '
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-104141-00-SF Address: 35205 6TH AVE SW
Project: WENDY M WALSH FEDERAL WAY, WA 98023-8121
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.
❑ Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
By !;"+•l„ Date $'i(VI IS— By Date
El Rough Electrical Final Electrical El Right of Way ��
Approved Approved Approved
By Date By Date By Date
iliECEIVED
aTYOF PERMITtPPLICATION
Federal Way AUG 17 2015 Z-('
CITY OF FEDERAL WAY /17
CDS
PERMIT NUMBER 1.( _ I (7 '
— I 1 — 5 V TARGET DATE t711 .? 1 )�
SITE ADDRESS SUITE/UNIT#
5 2 o 5 G rL 4't 5W F(r)efrs IA41 /if°23
PROJECT VALUATIONl,�, ZONING ASSESSOR'S TAX/PARCEL#
$ 550 .G4 is (L- C, '" 0
TYPE PE OF PERMIT KBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT CJ IJ
PROJECT DESCRIPTION n�,, �� L f 1 L` I
Detailed description of work to 1�' r/4 C� PI iA ki) Wyf^J -A !� /4W(/l) fir/ z/,vG�17►(-1 S I for
be included on this permit only
NAME ') 1 PRIMARY PHONE
PROPERTY OWNER V(Il(/'1 W�,1f 4 2S3_ -
MAILING ADDRESS �i� E-MAIL
7'"1 `
CITY STATE ZIP
NAME r PHONE
) 4 n►2k, l F'^15
MAILING ADDRESS ^ E-MAIL
CONTRACTOR (G�C� Zy" '
CITYr (�`) �� 1ST 5E ZIP,I�,; FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME (�L+2 L SUI G PRIMARY PHONE
APPLICANT MAILING ADDRESS /r E-MAIL
CITYI,. STATE ZIP FAX
NAME pr PRIMARY PHONE
PROJECT CONTACT G V '(fL �/t- 34-2 VI Fes)
(The individual to receive and MAILING ADDRESS S E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: /] + l DATE )
PRINT NAMTE: ! C 6-1't
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
III • 111
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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
VALUE OF PLUMBING WORK
PLUMBING PERMIT I $
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/Slower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utaity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**.NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application