17-101404 r
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Building - Single Family
City of Federal Way Permit #:17-101404-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: VAN HORN
Project Address: 32348 9TH AVE S Parcel Number: 150241 0240
Project Description: REP-Replace 22 squares of roofing,replace(2)squares of decking.
Owner Applicant Contractor Lender
ROBERT S VANHORN NAIDA KHANNORTHWEST THE HOME DEPOT
32348 9TH AVE S PERMIT INC 3600 LIND AVE SW
FEDERAL WAY WA 9808 31ST AVE SE RENTON WA 98057
98003 EVERETT WA 98208
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.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 0
New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B
Mechanical to be Included? No Plumbing Work Valuation 0
Mechanical Work Valuation? 0 Is this an Online or O.T.C.application? Yes
Plumbing to be Included? No Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation 0
Residential
Total Valuation: 13,011.56
PERMIT EXPIRES Tuesday,3 October,2017
Permit Issued on Thursday,April 6,2017
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: 9 ________
Date: 4/Cr/ ii-
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THIS CARD IS TO REMAIN ON-SITE
CITY of Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101404 00 Address: 32348 9T11 AVE S
Project: MAUREEN VANHORN FEDERAL WAY WA 98003-5920
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) "� Initial Erosion Control(4365) "3❑ Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date By Date By Date
•® Underfloor Framing(4285) El Floor Sheathing(4105) ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
El Roof Sheathing(4220) ® Fire/Draft Stops(4095) ® Interim Erosion Control(4370)
Approved to install roofmg Approved Approved
By Date •. B• y Date By Date
• Prior to scheduling a Framing inspection; 90 Framing(4120) 11 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must be signed-
off and approved. IBC 109.3.4 By Date By Date
i Gypsum Wallboard Nailing(4130) LIJ Final Erosion Control(4375) CI Final-Building(4050)
Approved to install mud&tape Approved Approved
�By Date ��By Date ��By /O Date 9JJq —1
•
0 Rough Electrical ElFinal Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
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253-835-2607•FAX 253-835-260• I ,;'i
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 32348 9th Ave S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 150241-0240 _ __ LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ft1 BUILDING 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 only)
RESIDENTIAL REROOF. REPLACE 22 SQUARES OF ROOFING. REPLACE 2 SQUARES DECKING.
NO STRUCTURAL CHANGES
PROJECT NAME(Name of Business or Owner Last Name) Robert Van Horn
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Robert Van Horn (253 ) 529-0523
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
32348 9th Ave S Federal Way, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Home Depot At Home Services ( 800 ) 381 -5699
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3600 Lind Ave SW#150 Renton 98057 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-03-101448-00-B 12/31/2017 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
HOMED**088RH 7/17/2017
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-278-7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
9808 31st St SE Everett WA 98208 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant Ib Agent 0 Other (888 ) 400-0383
PROJECT
NAMENaida Khan/ Northwest Permit P(360 ) E-MAILH945-2787 ad@ ADDRESS
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 13011.56
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
11 PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offi ture 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(commereia)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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.
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SIGNATURE: ,��z-` 2 /�;V� DATE March 28,2017
Property Owner and/or Authorized Agent
(;)*64,,
❑NEW D ADDITION ❑ALTERATION D REPAIR D TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? D YES D NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? D YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application