18-101957f
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Building - Single Family
Permit #:18 -101957 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: PELTON
Project Address: 506 SW 352ND ST Parcel Number: 066230 0150
Project Description: Remove cedar shakes and install CDX plywood with composition shingles.
Owner
Applicant
Contractor
Lender
HELEN I PELTON
PETE GIEREHORIZON. ROOFING
HORIZON ROOFING LLC
OWNER IS LENDER
506 SW 352ND ST
LLC
PO BOX 24449
FEDERAL WAY WA 98023
PO BOX 24449
FEDERAL WAY WA 98093
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.)
PERMIT EXPIRES Saturday, 3 November, 2018
Permit Issued on Monday, May 7, 2018
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. J
Owner or agent: Date: s/ ? hir
C��' n' � - � � C -))
' THIS CARD IS TO REMAIN ON-SITE
C�e� THIS
Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1810195700 Address: 506 SW 352ND ST
Project: HELEN I PELTON FEDERAL WAY WA 98023-8111
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.
Q Roof Sheathing (4220) 0 Final - Building (4050)
Approved to install roofing Approved
By 4t4 Date 61$ �� By Date
Dough Electrical
Final Electrical.
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED PERMIT APPLICATION
CITY OF 1 A p
Y O 201g PERMIT CENTER + 33325 811,Avenue South + Federal Way, WA 98003-6325
Federal Way MA
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CfTI` OF FEDERAL WAY
COMMUNrN DEvE-LOPMENT
PERMIT NUMBER 1 9_. 1 () 1 / S 6 _ TARGET DATE I A
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
161"
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF -PERMIT-
)(BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ D6EMOLITION ❑ ENGINEERING 0FIREPREVENTION
NAME OF PROJECT
6,-ear5c
PROJECT DESCRIPTION
Detailed description of work to
M,. ry x4ior C 1 ^� G 1p� ' -0
p �-v"� �✓�' C (,9�f I
16
�)
be included on this permit only
NAME
H1,161
PRIMARY PHONE.
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME 9 4 n
S[ 3
PHONE
3 -W-5833
MAILING ADDRESSD! I ^
(� •AGI' G
E-MAIL
l.iC LP I.
CONTRACTOR
CITY rcAv,,, W �7
SGra
ZIP 3
/.i�a,oy
F
ON; RACTO R'S LI ENSE #
WA STA CONTRACTOR
IZ377,, L IL
EXPIRATION DATE
Z /,g
FEDERAL WAY BUSINESS LICENSE #
00-101911
NAME
PRIMARY PHONE
APPLICANT-
MAILING ADDRESS Y -
E-MAIL
-
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME � ��
Y ���-
PRIMARY PHONE
G G -1 3''%' Z'9 Q'1
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP -
"
PHONE
I certify under penalty ofperjury 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 apart of this ap 1 n. �f
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application