12-104316 •uilding - Single Family
City of Federal Way Permit #: 12-104316-00-S F
Community&Econ Dev
. .Services
33325 8th Ave S r-,
Federal Way,WA 98003 iInspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: ODNE
Project Address: 1110 SW 333RD PL Parcel Number: 926496 0480
Project Description: REP-Tear off shake roofing; install CDX sheathing and composition shingle roofing
system.
Owner Applicant Contractor Lender
ROBERT A ODNE HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC OWNER IS LENDER
MARY A ODNE PO BOX 24449 HORIZCI110KR (5/19/13)
1110 SW 333RD PL FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA 98023-5316 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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included9 No Plumbing to be Included? No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Tuesday, March 19, 2013
Permit Issued on Thursday, September 20, 2012
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: 9/��l�c
PIN I a/aff,
vr 411116: THIS CARD IS TO IN ON-SITE '
CITY OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104316-00-SF Address: 1110 SW 333RD PL
Project: ROBERT A ODNE FEDERAL WAY, WA 98023-5316
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) El 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
IZI Floor Sheathing(4105) 'El Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
t_,
By Date By Datek---)S— ______ Date _2 i
El Fire/Draft Stops(4095) 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
.
Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
,
o Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By ,e/e" Date 9-24,-
.
1:1Rough Electrical ' Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
121o� � t �
CITY OF • PERMIT �MF CO ME PL DE EN FP
Federal
CEIVE
COMMUNITY DEVELOPMENT SERVICES �j P P L I CAT I O N
253-835-2607•FAX 253-835-2609
r:ituoffederatwatr.0 EP 2 0 2012 69�
��yy a�
SITE ADDRESS CITY F�'CD AY�3 \ f )
SUITE/UNIT#
PROJECT VALUATION V ZONING (^'1 ASSESSOR'S TAX/PARCEL#
$ 5do 9 2 (D zt. q & _ O q- E-O
TYPE OF PERMIT k'BUILDING 0 PLUMBING 0 MECHANICAL
_
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) �nC
PROJECT DESCRIPTIONL' I'IlYI
Detailed description of wP_o'wt lA
-work to C� Cr Kl I A J4-0. ( ye) # I tilY) CO ty 03 ill 64/1 .f m5 La-
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Mar-7 Odnt
MAILING ADDRESS ,rk/{,,/ E-MAIL
v
CITY STATE ZIP
NAME Man' 24" Gn+-(�-rp n� 2S;- 8'Sf-Srs33
MAILING ADDRESS E-MAIL
CONTRACTOR 1 ' i v y�
CITYF€l rte, a 3L ZIP Pr 1401 3 FAX
V
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
W c2cs)wk / )3
NAME griik PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME LTL PONE 2;4
-2 i�
(The individual to receive and r'
respond to all correspondence MAILING 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 19.27.095) 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 - as a part of this application.
SIGNATURE: DATE
/
PRINT NAME: , (/—e&L
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit 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 PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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(orrub/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 „r', 4,P grAL F t C k
Y.e PR..O, z� � - ,... � �:��
CRITICAL AREAS ON PERTY? 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
s ,.� l ° ,,...< wl,,t>«<,.., � ,. s.�Sx.w.- �" „w.. ..�" 5�., «: ..ss .... ;.,,. ..,. ,a?;;., ,�..:.E':x,,.,• .,y.,,ffs�;1,.;.m.,.xF;,xki„�.,.�.5 ',�� �>y,„,..n,.w_.,., .-d�.z,,,._,3 azo✓_ „4_F., „sr°.�
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
+a..,. , ""`�F �`C h� .tam ,•''.`,t .:�;u .<° a„ ui,
FIRST FLOOR(or Mobile Home)
COVERED ENTRY 1111.111111.11111
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
•` .,,� � ar-F ��i ..,.,r :�� ,a,.,, ,. �•«. � £s��.,
Area Construction #of
AREA DESCRIPTION in S uare Feet Occupancy Group(s) a Stories Additional Information
ADDITION
���� �' � ,.. A� � 3 9 s i •� a•
Area Construction #of
AREA DESCRIPTION in S uare Feet Occupancy Groups) a Stories Additional Information
TENANT AREA ONLY
s A'a�'r ,�°:' 6 �
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application