07-106102 city6eFederalveloway
pmentServices Building Single Family Permit .07-106102-00-
Community De
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: CLEAR
Project Address: 32817 20TH AVE SW Parcel Number: 010456 0540
Project Description: REP-Remove shakes and install plywood and composition roofing
Owner Applicant Contractor Lender
JOHN CLEAR HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32817 20TH AVE SW 32705 5TH AVE SW HORIZCI11OKR (05/14/09)
FEDERAL WAY WA 98023-6439 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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit I!
PERMIT EXPIRES Saturday, November 7, 2009
Permit Issued on Wednesday, November 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: // /'/ -
` ` • THIS CARD IS T MAIN ON-SITE
CITY OFA ,.- Community Developp nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106102-00-SF
Owner: JOHN CLEAR
Address: 32817 20TH AVE SW
FEDERAL WAY, WA 98023-6439
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 Bye ' .` Date 1 t_,,.,,5 -c(1-1
•
❑ 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 E
By Date By Date
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
❑ Final-Building(4050) ❑ Interim Erosion Control(4370)
Approved Approved
By Date By Date
.
1
1
For inspector reference only
—I-
_________
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Federal VVay RECEIVE
CITY Of 9\ ' ?Li
CI MF CO ME EL PL DE EN FP'P'PERMIT
- - - -
COMMUMTY DEVELOPMENT SERVICES
333158 •PO BOX 9718
FEDERALWAY,WA 933.9718 V 0 V 0
A2PpLI CATI O N
TD
753.835- 607•FAX 153-835.1609 / /
unow.a ijof Fede rolwa y.colrl
F FEDERAL WAl
The following is requi On=out incomplete application will not be accepted. Please print legibly(in ink)or type.
• ■ PROPERTY INFORMATION
SITE ADDRESS ?2-- .1-1 24 41- / L 5( rf�✓c, (.4.14"( SUITE/UNIT ti
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 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)
piivvtx 5(.p, lc% I'^)1. ) i 10 Iy ,e tcc) tet) cot"s,'+i -,
PROJECT.NAME(Name of Business or Owner Last Name) Cl e cv ____
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER 30k Cita/ ( , ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
54/"4.
CONTRACTOR COMPANY NAM APPLICANT NAM; OFFICE PHONE
f'(0 rl lc-. &n f -AC-4-c rt r^c ft 4-/ Eft-
( )
MAILING ADDRESS CITY,STATE. CELL PHONE
3� 5
41 5W < 4 iIb(Z3
(2G& )Z3(-1 - 24£S I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE - E-MAIL ADDRESS
ticRm2 Cr i to K(Z
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP �ELL PHONE
/ 1
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
r
LENDER NAME Per RCW 19.27.095:
Lender information is required if project 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 $ -7 0"
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
, A PROJECT FLOOR AREAS
AREA DESC'e • ION EXISTIN 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
NUMBER OF FLOORS EMT= PROPOSED TOTAL TOTAL EXISTLvo ST TOTAL PROPOSED ST TOTAL ST
"NEW HOMES ONLY.. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
MI FIXTURES •
Indicate number of each type offuture to be installed or relocated as part of this project. Do not include existing futures 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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/Shower Combo) LAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rode)
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 application.
SIGNATURE: DATE ( 1 G t 7
ope • ner and/or Authorized Agent
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES Cl NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO.
Bulletin It 100-August 16,2007 Page 2 of 4 . k\Handouts\Permit Application