10-104552 City of Federal Way
9 wilding - Single Family
Community Development Services Permit #: 1 0-104552-00-S F
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CRISOSTOMO
Project Address: 1060 SW 328TH CT Parcel Number: 926495 0480
Project Description: REP-Remove existing shakes,install plywood and replace with composition shingles
Owner Applicant Contractor Lender
ELIAS&CONCHITA HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC ELIAS&CONCHITA CRISOSTOMO
CRISOSTOMO PO BOX 24449 HORIZCI110KR (05/19/11) 1060 SW 328TH CT
1060 SW 328TH CT FEDERAL WAY WA 98093 PO BOX 24449 FEDERAL WAY WA 98023
FEDERAL WAY WA 98023 FEDERAL WAY WA 98093
l
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
, § . , ��� �� �3 A - Mtn % '.
New/Additional Sq.Feet-3rd Floor......... .........0 New/Additional Sq.Feet-Basement...................
0
Mechanical to be Included`? No Plumbing to be Included`? No
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PERMIT EXPIRES Monday, April 25,2011
Permit Issued on Wednesday, October 27, 2010
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 Ci _ f Federal Way.
___,,&
Owner or agent: Date: /G%' ho
FIHALED I) Io
i
THIS CARD IS TOAIN ON-SITE
CITY OF • Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-104552-00-SF Address: 1060 SW 328TH CT
Project: ELIAS & CONCHITA CRISOSTOMC FEDERAL WAY, WA 98023-5208
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) El Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By c_k4,..,,,, Date (,� - t 0
0 Fire/Draft Stops(4095) t 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4
El Framing(4120) El Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
El Final Erosion Control (4375) El Final-Building(4050)
Approved Approved
By Date By / / Date)/, 7 • /ti/
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
lio,„ / 0_ /0 * E 6-2._ 1
• PERMITF CO ME PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607.FAX 253-885-2609
]rur tU rl uti ,n 'i.,rm
OCT 2 7 2O10
SITE ADDRESS SUITE/UNIT#
MO
SW 2sii, t4- FrJf_ 1 Lie-) 1023 CITY OF FEDERAL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ q 2 4 qs----_ '? 4 Se' 0
TYPE OF PERMIT )6 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C hJ 0�-sp p
(Tenant Name/Homeowner Last Name)
PvV`w 4.- sl'4 il, j 11)4,1 fit-Ivo. 6-k 14.I iCr, l4. Ai ins f4 r
PROJECT DESCRIPTION /
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME L�'(�,) 0-i ds frit-' PRIMARY PHONE
MAILING ADDRESS - E-MAIL
CITY - STATE ZIP
•
NAME rip LJ'rJ 2 OA ""! (6�L 0 "L^L PHONE
MAILING ADDRESS14, E-MAIL •
ONTRACTOR d 2991
'
le 0
CITY 5O W 47 1STATE41)
4/k
-W ZIP S _ FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
RR/LIZ-6:77' for 5 II /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and �� �` 201'"21.1-"al
respond to all correspondence m6 ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.r 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 • a part of t• application.
v-,
SIGNATIIRE:
!kill I i'
LL DATE
PRINT NAME: Y h_ A Ij"L--
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Pennit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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 HIDE OUTLETS OTHER(Describe) _.
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) �-
BOiLERS FURNACES HOT WATER TANKS(cos)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST' -
DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not ' dude existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BR. •KERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER H r•TERS(Eketdc)
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER P.- •'-OR VALUE OF EXISTING IMPROVEMENTS
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EXISTING/PREVIOUS USE LOT SIZE(In Square Fe- ) EXIS .•G FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
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FIRST FLOOR(or Mobile Home)
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application