08-102370 •
City of Federal Way Builing — Single Family Perm! #: 08-102370-00—SF
Community Development Services
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: DIENER 9 0.04)
Project Address: 33313 12TH AVE SW Parcel Number: 926496 0020
Project Description: REP-Tear off existing roofing; install plywood sheathing & composition shingle roofing.
Owner Applicant Contractor Lender
GREG&JOANNE DIENER HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
33313 12TH AVE SW PO BOX 24449 HORIZCI110KR(5/14/09)
FEDERAL WAY WA 98023-5301 FEDERAL WAY WA 98093 PO BOX 24449
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
Additional Permit Information
New i 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 !!
PERMIT EXPIRES Sunday, November 9, 2008
Permit Issued on Tuesday, May 13, 2008
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: ',/j L S �1 - Date:_
F/ ffi. $ 5
' ' 44k. 0 THIS CARD IS TO&MAIN ON-SITE .. .
CITY OF slrl*4'
• Community Developm .nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102370-00-SF
Owner: GREG & JOANNE DIENER
Address: 33313 12TH AVE SW
FEDERAL WAY, WA 98023-5301
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.
e❑ SWM Precon Site Mtg(4400) ❑ 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
❑ Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /Date 5//11/0/6
❑ ) ❑ ( ) NOTE: Prior to schedulinga Framing
Fire/Draft Stops s(4095 Interim Erosion Control 4370 Framing(4120) �
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date 'tsigned-off and approved. IBC 109.3.4/UBC 108 5.4
0 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
❑ Final Erosion Control(4375) ❑ Final-Building (4050)
Approved Approved
By Date By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CItYOF RECEI D • _
Federal Way �)-ita f� -L- - d
COMMUNITY DEVELOPMENT SERVICES IA 1 1 J 2008 PERMIT SF F CO ME EL PL DE EN FP
33325 D AVENUE WAY,SOUTH•98063-9718 WA BOX9718 f��T
253-835-2607. AX 253-835-260 ,i�F F E D E jJ(,,.,J`�{NJ/ I C A T I O N
www.cittloflerlernlwau corn
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3 3-5 131,-- 'Q v-C ,VJ
SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 7 (.P v- 94 _ 00__ ___0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
•
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work include this permit onlq)
Pt L``, `E k
o Ytaci .'y t—v' Fo o
PROJECT NAME(Name of Business or Owner Last Name) 1 -''t ()-4/U2 A
• PEOPLE INFORMATION
PROPERTY NAMEsk ` PRIMARY PHONE
OWNER (.r;e 1 L1t1+ t. ( ) -
MAILING ADD SS11 � CITY,STATE,ZIP E-MAIL ADDRESS
35.')) ' — civ-- TA/3 k /i,_
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
14(1,-,t-2)A C.-+4.- ( )
MAILING ADD!IESS CITY,STATE,ZIP CELL PHONE
? ;, 1411-461 r / , ( , ) , _ - ; ,y
(T CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
:)(... i ( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
1
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ (3Z f
11
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
••• ss• i
AREA DESCRIPTION EXISTING 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 EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED Sr TOTAL SP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures 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(or Tub/shower Combo) LAVS(Bathroom sb,xa) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
. SIGNATURE •
I certify under penalty of perfury 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: t U r
DATE 1
Property Owner and/or Authorized Agent
o NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application