12-104500City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: STANFORD
Project Address: 33244 2ND PL SW
Building - Single FAmily
Permit #: 12 -104500 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number. 729800 0100
6513
Project Description: REP - Tear off shake roofing; install -OW sheathing and composition shingle roofing
system.
Owner
ARRIicant
Contractor
Lender
JACK L STANFORD
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
OWNER IS LENDER
33244 2ND PL SW
PO BOX 24449
HORIZCI110KR (5/19/13)
FEDERAL WAY WA 98023-6161
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
oadFloor Areas . 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 Fhctures Associated With This Permit 11
PERMIT EXPIRES Sunday, March 31, 2013
Permit Issued on Tuesday, October 2, 2012
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:
5 clr
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -104500 -00 -SF Address: 33244 2ND PL SW
, Project: JACK L STANFORD FEDERAL WAY, WA 98023-6161
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Shear Walls (4245)
E] Roof Sheathing (4220)
Approved
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
ByE�L Date le —3- /Z—
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
prior to scheduling a Framing inspection;
Approved
Approved
lectrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
[Fire/DraftStop inspections must be signed -off and
approved. IBC 109.3.4
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
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I z—
��=.oF RECEIVED* PERMIT bMF
Federal Way/jj((
COMMUNITY DEVELOPMENTS IR"ST 02 2012A P P L I C AT I O N
253-835-2607• FAX 253-835-2609
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Y OF FEDERAL WAY
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SITE ADDRESS 33 ^ 1"2-n j (' �( `
SUITE/UNIT #
PROJECT VALUATION
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ZONING
ASSESSOR'S TAX/PARCEL #
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TYPE OF PERMIT
KI BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
r
��
PROJECT DESCRIPTION
Detailed description of work to
V �- ``CTJ n, o,5
s'4n t'f
be included on this permit only
PROPERTY OWNER
NAME'4 (�'�`�
SSG S �G✓� IAV
PRIMARY PHONE
MAILING ADDRESS ! � _ t �
E-MAIL
CITY
STATE
ZIP
NAME1 IGri2ww (.kAi 1 kc io !,%C..
PHONE
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CONTRACTOR
MAILING ADDRESS,®�/� v� �, Aj A
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E-MAIL
CITY `' f Lit-7
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FAX
WA STATE CONTRACTOR'S LICENSE #
aR t �e 2
s
EXPIRATION DAT
S
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
NAME�A
� ��
ZG(�
MAILING ADDRESS
E-MAIL
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 1 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 application.
SIGNATURE: DATE tG12- 2-
PRINT NAME:
Bulletin #100 —January 1, 2011 Pagel of 3 k:Wandouts\Permit Application
VALUE OFMECHAMCAL WORK $
(a copy of bid or estimate must be provided)
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 OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not ' clude existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREERS
DRINKING FOUNTAINS
SINKS (Kitchin/utility)
WATER HEAT RS (Electric)
HOSE BIBBS
SUMPS
WASHING ACHINES ?3�Fl�t`te4T'.
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet)
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Z
EXISTING FIRES NKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Y s ❑ No ❑ Yes ❑ No
EXISTING ) PROPOGRD I TOTAL
AREA DESCRIPTION I/ Square Feet Occupancy Groups)
Area
Construction# of
,., ,.� I Additional Information
TENANT AREA ONLY
Bulletin #100 — January 1, 2011 Page 2 of 3 kAHandouts\Permit Application