10-105431 fie
Building - Single Family
Cit oWay •
rmit #: 10-105431 -00-SF
CommunityDevelopment
ment Services
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253) 835-3050
Ph
(253)835-2607 Fax (253)835-2609 p q
Project Name: EBISUZAKI
Project Address: 1220 SW 330TH PLr shakes,install new pi
ood and composition
Parcel Number: 926495 0030
Project Description: ALT-Remove cedaywshingles.
Owner Applicant Contractor Lender
GAVIN A EBISUZAKI HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
IESSI YEE PO BOX 24449 HORIZCII IOKR (05/19/11)
1220 SW 330TH PL FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA 98023 FEDERAL WAY WA 98093
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
Anti �I rmit � � ), Alk
" A#'
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement::..... .....:...0
Mechanical to be Included" No Plumbing to be Included?............. ....:."..................No
PERMIT EXPIRES Tuesday, June 28, 2011
Permit Issued on Thursday, December 30, 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 City of Federal Way.
Owner or agent:,` Date: 111-47 //d`
• • THIS CARD IS TO REMAIN ON-SITE
Construction Inspeon Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-105431-00-SF Address: 1220 SW 330TH PL
Project: GAVIN A EBISUZAKI FEDERAL WAY, WA 98023-5326
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 Shear Walls (4245) El Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date l 2..,5/, �0 By Date
'
Prior to scheduling a Framing inspection; Framing(4120) El Insulation (4150)
Approved to insulate Approved to install wallboard
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By Date By Date
0 Final-Building(4050)
Approved
By O Date to -11
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
/ID - LO 3 LI 2) /_
ir
Feder a PERMIT I MF CO ME PL DE EN FP
COMMUNITYDEVELOPMENTES APPLICATION
IIC El\I E E)
25;-835-2507•FAX 253-835-2609
�‘
mu:c,.;ill:eiRitrra:wcy.c,.m C•%b
DEC 30 2n1
SITE ADDRESS S I E/
i 'IZO 5 33U- t^ I ' CITY OF FEDE AL WNY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# CDS
TYPE OF PERMIT D BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to A" L (Cdr )1-41(4., , i*
(/I'Lno'6•1 ` p(, i _0-4,00 44. S.t..'11Lt S'
be included on this permit only
NAME ,, i --_..N - - PRIMARY PHONE
PROPERTY OWNER ' A 0,,l i v?e,�i ,'-(.6—
MAILING ADDRESS E-MAIL 1,
CITY STATE ZIP
NAME r tn !�^1 1"'C' Ac. PHONE a, Vis 3O 523'Y.t
MAILING ADDRESSn 9 E-MAIL •
CONTRACTOR
<64cX 7
CITY (�` r^, ' -r STATE ZIP 1 FAX
FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
_.1, M 1y` i` k / /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive ands ai tf(r (• 1 '11
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 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. 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: DATE
PRINT NAME: �0 011(-r C-
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permt Application
^o • 0
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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 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
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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/Utility) WATER HEATERS(metric)
HOSE BIBBS SUMPS WASHING MACHINES �. ' » LOt7:.: , :t : 3>'s»'z
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
�,,� K• < 1��
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
GARAGE 0 CARPORT 0
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E7OSTMG PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
.........................................
in Square Feet Type Stories
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ADDITION
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application