15-104180 • iuilding - Single Fa miiy
City Federal Way Permit #: 15-104180-00-S F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 96003 FI E
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: OSBORN
Project Address: 308 S 302ND PL Parcel Number 795450 0220
Project Description: REP-Re-roof shake to composition with plywood
Owner Applicant Contractor Lender
NANCY L OSBORN PETE GIERE HORIZON ROOFING LLC OWNER IS LENDER
RICHARD H OSBORN HORIZON ROOFING LLC HORIZRL867L7(10/14/16)
308 S 302ND PL PO BOX 24449 PO BOX 24449
FEDERAL WAY WA 98003 FEDERAL WAY WA 98093 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 Monday, February 15, 2016
Permit Issued on Wednesday,August 19, 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 • be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. l
Owner or agent: Date: ;/�4//
r
aLJ� <._. LED
THIS CARD IS TO
IN ON-SITE E
' 1CITYOFConstruction Insect n Record oid
Federal Way INSPECTION REQU
TS: (253)835-3050
PERMIT#: 15-104180-00-SF Address: 308 S 302ND PL
Project: NANCY L OSBORN FEDERAL WAY, WA 98003-4078
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.
❑ Roof Sheathing(4220) -❑ Final-Building(4050)
Approved to install roofing Approved
By Date <191 'Lo [ � cs
Date
0 ,1,-- tom"
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r— OCEIVED
CI rf OF AUG 19 2015 PERMIT SPLICATION
Federal Waya.
CITY OF FEDERAL WAY 44i
CDS L
iPERMIT NUMBER 1 _ I ` IT
\\
TARGET DATE
&DI? s 301.4 fq
SITE ADDRESS SUITE/UNIT#
if$ k (1 F�/4 ) w41 V00)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ GLG'. OU '79 5 LI 50 _ 0 ZZ 0
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT `•SFin
PROJECT DESCRIPTION , r /
Detailed description of work to 1,1 tf)P/AIC 4) L&) I"Fk)( /✓17 tv� Mi (Fy�Jthe"JN/Alttl
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 121d/14f) 40 r, Z53 -, -5$'J
MAILING ADDRESS E-MAIL
CITY STATE ZIP
5.4,44
NAMEPHONE
ll,nc� pec�n5
MAILING ADDRESS Aro x �7 11 E-MAIL
CONTRACTOR
CITY SZIP FAX
YIJI ? (-141 �f AK
93
-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
HOU 2 nL 51/L7 / /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
ONE
PROJECT CONTACT NAMEeL 6rtf � PRIMARY
!` r�34-Z il'f /
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 Nance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city •- • part of s application. l
SIGNATURE:
.....
DATE ' dM" ff
PRINT NAME: eh, 6-7ert
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
M �
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 OTH ' (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
V'I UE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do n.' 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 BRE.1 ERS
DRINKING FOUNTAINS SINKS(K tchen/Utility) WATER HE ERS(Electric)
HOSE BIBBS SUMPS WASHING, CHINES 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-.•RINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ es ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPO D TOTAL FOR OFFICE USE
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•
+( f / t" r , s / ,y ,.w .� �` :. .,';3yr
v' �f ,r$,�,'�� "�..:�, �'{`� ,..l4 "�` �Vit'«; ar„ n'�¢„r
FIRST FLOOR(or Mobile Home)
COVERED ENTRY��r
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GARAGE ❑ CARPORT 0
<a%�ri1 F" , ,u
EEE- ''O PROPOSED TOTAL
Area Totals 'rr.
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITIO
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Fe t Type Stories
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c„`F,lh/'��, 1L ` II 'f .; / r /rr / " -.i/.i //� -
0” fr / y
,/r77ir, ,..
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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i 12.4' %/4', 4,1,PA
',/,:./;!
TENANT AREA ONLY
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7`i`7,),``
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application