15-103011 r
lit
ilding - Single Family
City of Federal Way .{.�
Community&Econ.Dev.Services Permit #: 15-103011-00-SF
33325 8th Ave SF11.-E
Federal Way,WA 98003 Request Inspection Line:
Ph:(253)835-2607 Fax:(253)835-2609 p (253)835-3050
Project Name: THOMAS
Project Address: 37108 22ND AVE S Parcel Number: 721265 1530
Project Description: REP-Re-roof shake to composition with plywood
Owner Applicant Contractor Lender
PAMELA A THOMAS HORIZON ROOFING LLC HORIZON ROOFING LLC OWNER IS LENDER
BRETT C THOMAS PO BOX 24449 HORIZRL867L7(6/27/16)
37108 22ND AVE S FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY 98023 FEDERAL WAY WA 98093
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 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Occupancy#1 -Construction Type. Type V-B Mechanical to be Included? No
Occupancy#1 -Class R-3 Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, December 19, 2015
Permit Issued on Monday, June 22, 2015
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. f/
Owner or agent: Date: 4�- ,r
. THIS CARD IS TMAIN ON-SITE -
CITY OF •
Construction I ection Record .
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-103011-00-SF Address: 37108 22ND AVE S
Project: PAMELA A THOMAS FEDERAL WAY, WA 98003-7584
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.
O SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Underfloor Framing(4285) 0 Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
O Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By v.44 Date V'23 r 1 r By Date By Date
'
Prior to scheduling a Framing inspection; E Framing(4120) 0 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375) 0 Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By 1 at.... Date 6 —at, 1
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY of
PERMItkEPLICATION
Federal Way q g
JUN 2 2 2015
PERMIT NUMBER { 5 — I �/ 3 o 1 l - 0 CI 1 , OFFEDERAL W4� 11 1 15
TARGEmsrE
SITE ADDRESS SUITE/UNIT#
3�1 o? Z2,11) Avc 5 ft(i2
2
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5 ea, G6 1 2- i 2 (o J _ 1 0
TYPE OF PERMIT BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1-)1.0/v‘65
PROJECT DESCRIPTION
Detailed description of work tof JG�f�� �// F^ 4)1-4,)( x'71" G4 toye› (ccs;,S
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 6((, )' f/d/ti LTJ
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME H PHONE
MAILING ADDRESS /' t�1 E-MAIL,
CONTRACTOR rV Ny 2 /441 P�jl 0 Mo ( G1?`"
CITY `�� 041ST-ATE ZIP 7) FAX
or
WA STATE CONTRACTOR'S LICENSE# 1V"H EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
hG17 RL 150 L7 SAL
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME Dc .- 61,
/It PP�RIMARY PHONE
PROJECT CONTACT GAG C -23'1-2110
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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
GlzzIIr
/
PRINT NAME: y€ k. " "�t-
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
"11
• • .
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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(Gs)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type o f 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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
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 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT X.4
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DECD
GARAGE ❑ CARPORT ❑
�1. d'es�c:ribe)
EXISTING PROPOSED TOTAL —..—_..._.___.—
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
�17INt3 //✓
TENANT AREA ONLY
/ '/i •
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application