16-104780 , . Building - Single Family
City of Federal Way Permit #:16-104780-00 -SF
Community Development Dept. Ft !
33325 8th Ave S E.'
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
, '
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BOFENKAMP
Project Address: 34622 14TH PL SW Parcel Number: 666490 0490
Project Description: REP-Remove cedar shakes and install CDX plywood and composition shingles
Owner Applicant Contractor Lender
MARK A BOFENKAMP PETE GIEREHORIZON ROOFING HORIZON ROOFING LLC OWNER IS LENDER
34622 14TH PL SW LLC PO BOX 24449
FEDERAL WAY WA 98023-7038 PO BOX 24449 FEDERAL WAY WA 98093
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.)
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
Is this an Online or O.T.C.application? No Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Total Valuation:4,900.00
PERMIT EXPIRES Saturday,25 March,2017
Permit Issued on Monday,September 26,2016
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: �12 e�4`
THIS CARD IS TO REMAIN ON-SITE _
FedConstruction Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 104780 00 Address: 34622 14TH PL SW
Project: ANN V BOFENKAMP FEDERAL WAY WA 98023-7038
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)
Roof Sheathing(4220) Final-Building(4050)
BY /4/v Date C842,1 i ic By a vis.I/ Date 9 ..2 S. - )
0 Rough Electrical C3 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
AVM1NM3a3d JO AlID
• OZ 9 d3S PERMIT' PPLICATION
CITY OF
Federal Way CI3AI901
PERMIT NUMBER I (4) _ ) (3 Li / ✓ TARGET DATE ci 126 j/i,,
SITE ADDRESS SUITE/UNIT#
2:1a MS (21 ill Ft)(r 1 wA7 9t2)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# a 0 _ Ci /`
TYPE OF PERMIT 18:r BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT (^
PROJECT DESCRIPTION (l ( ( IU 1, )' (PX l 7 �k / `�€` /
Detailed description of work to �"l (lief f� �f `°W /'� /' (� /c1/S
be included on this permit only fi 6A s�I 11'1I(�'
. - NAME T! PRIMARY PHONE
4p^ x heft etro kAmP
PROPERTY OWNER MAILING ADDRESS E-MAIL
5"
CITY STATE ZIP
NAME PHONE
)ZGiI g 4:.)/1,r 253-83g -583)
MAILING ADDRESS �‘o`� I E-MAIL
CONTRACTOR 1
CITY / , STATE ZIP FAX
STATE CONTRACTOR'S LICENSE# !W EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
hCP 2I2L /I
NAME PRIMARY PHONE
SO4
APPLICANT MAILING ADDRESS E-MAIL
•
CITY STATE ZIP FAX
NAME - PRIMARY PHONE
PROJECT CONTACT Pct( 67.tre Z 0 6 -2 3.11-2.1k1
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME. ..
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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: I_ DATE 4)/4))L
PRINT NAME: fth Erc
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offacture 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
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/Unity) 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)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area In Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application