07-104968 ,ommj u�nyDfeFveedloeprmaleWntaservices Building Single Family Permit {71S7-104968-00-S
F
P.O.Box 9718
Federal Way,WA 98063-9718
h:(253)835-2607 Fax:(253)835-2609 lnspction Request Line: (253) 835-3050
Project Name: MATHUR "
Project Address: 32918 6TH AVE SW Parcel Number: 926491 0660
Project Description: REP-Remove shakes,install plywood and composition
Owner Applicant Contractor Lender
VIJAY MATHUR HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32918 6TH AVE S 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
dd tional Peigitinformation
New/Additional Sq.Feet-3rd Floor.. 0 New/Additional Sq.Feet-Basement......,......
Mechanical to be Included? No Plumbing to be Included?....... . ....... .,No
No Fixtures Associated With This Permit I!
PERMIT EXPIRES Monday, September 7, 2009
Permit Issued on Friday, September 7, 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 the City of Federal Way.
Owner or agent: Date: 1/7 /G7
1111116,
THIS CARD IST MAIN ON-SITE , .
CITY OFA •Community� Developnt Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104968-00-SF
Owner: VIJAY MATHUR
Address: 32918 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) 0 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 B $ Date9-4)--,
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be.
signed-off and approved. IBC 109.3.4/UBC 108 5 4 z
By Date By Date
❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
I
By Date By Date By Date
J
'
Final-Building(4050)
El Final Interim Erosion Control(4370)
Approved Approved
By Date By Date i
i
i
For inspector reference only __
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Fwdaral Way ECEIV - 1
COMMUNITY DEVELOPMENT SERVICES
./
PERMIT �1 - -6
SF FCO ME EL PL DE EN FP
33318,11 AVENUE
EDWAY,WSOUiff 98063-97A •POBOX19 971 E P 0 7 i3PLICATION
FERAL / /
253-9352607•FAX 253-9352609
www.dttrolredendway.cenCITY OF FEDERAL WAY
LG r
The following is requirl RRii S�ct ormINaHpDoEn P-.an incomplete application will not be accepted. Please print legibly(in ink)or type.
- PROPERTY INFORMATION
SITE ADDRESS_ ;21
"1 I (11 61 A'v( >Li F edvi,) -41 SUITE/UNIT if
ASSESSOR'S TAX/PARCEL# __ __ - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT W 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)
Pf- ^Gvt 51.0a), ('4) +01 t'(1t.°cca s..) (VWSt1--e
PROJECT.NAME(Name of Business or Owner Last Name) 1,-(a'f-Awil
M PEOPLE INFORMATION
PROPERTY NAME ' PRIMARY PHONE
OWNER V I)Gy /.1.t('W/ ( ) _
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
5I
CONTRACTOR COMPANY NAME PP,LICANT NAME OFFICE PHONE
0610'1. (LcoFM, rCtt (rltTC ( )
MA3ILING ADDRESSC STATE, CELL PHONE
ut
CITY OF FEDERAL WAY BUSINESS L CE SE NUMBER w IP T EXPIRATION AE� FAX NUMBER
2.48,1
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
M‘Rrzcr (t0)cR.
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.2.7.095:
Lender information is required ijproject 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 $ (19“. °6
•
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
1
■ PROJECT FLOOR AREAS
AREA DESC• (- ON 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
st
NUMBER OF FLOORS omco se PROPOSTOTAL TOTALTA
EXISTINGSF TOLPROPOSED sr TOTAL Sr
"lVEW 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(commemiaf
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS torTub/Shower Combo) LAYS M"t roomSinlce URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS troiiet)
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 ap lication.
SIGNATURE: DATE
operty Owner and/or Authorized Agent
tjt ) s ,:
D 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.
Page2of 4 k\Hand
Bulletin#100 August 16,2007 outs\Permlt Application