07-104200 TF5e378
•City of Federal Way — Single Family Permit #: 07-104200-00-SF
Community Development Services
P.O.Box 9718
ral Way,WA 98063-9718
h:(235-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: MONROE
Project Address: 32930 6TH AVE SW Parcel Number: 926491 0680
Project Description: REP-Tear off existing shake roofing; install plywood sheathing & composition shingle
roofing system.
Owner Applicant Contractor Lender
KATHERINE MONROE HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32930 6TH AVE SW 32705 5TH AVE SW HORIZCI110KR (05/14/09)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 32705 5TH AVE SW
FEDERAL WAY WA 98023
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
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
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, July 30, 2009
Permit Issued on Monday, July 30, 2007
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,th City of Federal Way.
Owner or agent: \,/�-ti L V Date: -) -5` "��
AN...., • THIS CARD IS TO EMAIN ON-SITE
CITY OF Community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104200-00-SF
Owner: KATHERINE MONROE
Address: 32930 6TH AVE SW
FEDERAL WAY, WA 98023-6104
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.
0 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
❑ 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 C e 7 00
•
0 Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing (4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
ByDate signed-off and approved. IBC 109.3.4/UBC 108.5.4
\ By Date
0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control (4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
• �
❑ Final -Building (4050) 0 Interim Erosion Control (4370)
�j,, Approved Approved
By �//�" 1 Date Sb/ BY Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
",,— 21.9-cel 7 i 0 Yd-o o
Federal Way • PF RME1civED
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 D AVENUE SOUTH•63 BOX719718 A P P L I C ALT la
FEDERAL WAY,WA 98063-9718 I /1117 7D / /
253-835-2607•FAX 253-835-2609
Lo w_citriofledernhenl.crm q
T�1�
The following is required information-an incomplete
Iap� t
�EW b
e acc�ited. Please print legibly(in ink)or type.
U PROPERTY INFORMATION •
SITE ADDRESS_ %3 ,i--C(3i / i -E"_ ' •L / U `� SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 9__ (o 4 ( _L- p LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 :UILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included o this permit onlu)
/ .' U
PROJECT NAME(Name of Business or Owner Last Name) 44re-
v 'l e_.
• • PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER dn.3 i roe. ( ) -
MAILING ADDRES 2 Z 04)-C } CITY,STATE,7.,kP iE-MAIL ADDRESS
42
t.
btja l"
CONTRACTOR COMP NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRZS CITY,ST eitCELL P ONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/
1 ) -
COPY of card required CONTRACTOR'S REGISTRATION NUMBER �7 EXPIRATION DATE E-MAIL ADDRESS
with each application ,� 1�V/� ��4�`0 ,Alf
APPLICANT COMPANY`NAME,( ) 'C 4—, APPLICANT NAME OFFICE PHONE
MAILING ADDRE$\i CITY,STATE,ZIP CELL PHONE -
(
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
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 PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3 ?in.'
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING IPROPOSED TOTAL
, III
SQ.FT. • SQ. FT. SQ. FT. 1
BASEMENT .
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(O COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
4 _
EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
•
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
1
• FIXTURES .
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
•
MECHANICAL I
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) 1
i
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
1
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroiiet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliance of the city,including its oi cers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
\i\
•
NAME/TITLE l(.__L• DATE ? ' o'-o7
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent ,Contractor o Architect 0 Other .
e : - I s . E B .g
a
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application