06-102761 City of Federal Way Builltng - Single Family Perm#• 06- 102761-00-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: VARGHESE
Project Address: 32507 11TH AVE SW Parcel Number: 926494 0010
Project Description: Install plywood for reroof
Owner Applicant Contractor Lender
SANTHOSH VARGHESE HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
JANE VARGHESE 32705 5TH AVE SW HORIZCI11OKR 05/14/07
32507 11TH AVE SW FEDERAL WAY WA 98023 32705 5TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA 98023
98023-4911
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
:,struction Type:
'0cc s ancy Load:
,. a(sq.ft.) 0 00 0
l
al 5a w�s ga t o
New/Additions q. -3rd Floor.
.. � New Additional sq.,Feet-Basement 114.
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit
PERMIT EXPIRES Thursday, June 5, 2008
Permit Issued on Monday, June 5, 2006
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 ty of Federal Way.
Owner or agent: 't � Date: S
THIS CARD IS TOMAIN ON-SITE
4111t CITY OF ommuni Development '
ty Inspection Record
Federal Way IVR INSPECTAON REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102761-00-SF
Owner: SANTHOSH VARGHESE
Address: 32507 11TH AVE SW
FEDERAL WAY, WA 98023-4911
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 Temp.Erosion Control(4365) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
ElShear Walls(4245) .El Roof Sheathing(4220) ❑ Fire/Draft Stops (4095)
Approved to install siding Approved to install roofing Approved
By Date By .f Date 1,-, By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved.,IBC 109.3.4/UBC 108.5. By Date By Date
❑Gypsum Wallboard mailing(4130) ❑ Final- SWM(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By /ge, Date 66
❑Temp.Erosion Maintenance(4370)
Approved
By Date
0 it-5)) •
41/4
RECEIVED 0(27- — —
/ 02,7--&'
Fedewal Way
PERMS ',1 nn 'n c 0 MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES PERMIT,1
[7 ( OS
33325 EH AVENUE SWATH• BOX 9718 A P P L I C
FEDERAL WAY,WA 98063-9718. AL To / /
253-835-2607•FAX 253-835-2609 WAY
www.cituoffedemlwnu.enm tA)ift$(tQ DEPT.
The ollowing is required information-an inco •lete a•plication will not be accepted. Please •rint legibly in in or type.
■ PROPERTY INFORMATION
SITE ADDRESS 3e2 °1 (I 4., o s •13 SUITE/UNIT#
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 0 BUILDING . 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit!)
� . P f ,,,,,,a_N A,,,6G--
,
Vu
PROJECT NAME(Name of Business or Owner Last Name) r 4c
N PEOPLE INFORMATION
PROPERTYNAME ` V PRIMARY PHONE
OWNER `^^�1...\`
VO � ( ) -
MAILING ADDRESS J CITY,STATE,ZIP
3,2-(0 i i1 R,rc s.C) CitA)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
LIGM� RESS CITY,STATE,ZIP CELL PHONE
,31---)0- --rt-' S : .") 7/1) (-f3) 3..- )wiz--
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / ( ) -
CONTRACTOR'S`'REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
— -�G — T-C461) — — — / /
APPLICANT COMPANY NAME 7th APPLICANT NAME OFFICE PHONE -
)
MAILIt S R 'CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant o Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ '2-10 0a,T
SPRINKLERED BUILDING? Ci YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
s
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS LX 11110 PROPOSED
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerciai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orrub/shower combo) SHOWERS WATER CLOSETS(roues) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sathroomsinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 dny person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of th city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. //'�-� � r
NAMETITLE V‘kANIfC1--
. . lett)--4' DATE C-01"
esture) (Title)
RELATIONSHIP TO PROJECT Q Owner 0 Agent 0 Contractor 0 Architect 0 Other
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