13-1019960 louilding - Single Family
City of Federal Way Permit #: 13-101996-00-S F
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KEENS
Project Address: 34533 10TH AVE SW Parcel Number: 1321710060
Project Description: REP - Remove shake roofing & install sheathing & composition shingle roofing system.
Owner
Anolicant
Contractor
Lende.0
SCOTT KEENE
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
OWNER IS LENDER
CHRISTINE KEENE
PO BOX 24449
HORIZCII l0KR (5/19/13)
34533 10TH AVE SW
FEDERAL WAY WA 98093
PO BOX 24449
FEDERAL WAY WA
FEDERAL WAY WA 98093
98023
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 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
No Fixtures Assoclated,:With This Permit 11
PERMIT EXPIRES Sunday, November 3, 2013
Permit Issued on Tuesday, May 7, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
� 1 � p anti the City of Federal Way.
,�1 Owner or agent: t'" Date:
Fir,,,{�
Circ CW
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -101996 -00 -SF Address: 34533 10TH AVE SW
Project: SCOTT KEENE FEDERAL WAY, WA 98023-8415
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.
Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
Date —�
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
0
Underfloor Framing (4285)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
Date —�
Floor Sheathing (4105)Shear
Walls (4245)
Roof Sheathing (4220)
1:1Approved
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
Dates--
ateFire/Draft
Fire/DraftStops (4095)
Interim Erosion Control (4370)
prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
FireWraft Stop 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)
Approved
By Date
Final - Building (4050)
Approved
Date —�
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way —^
By
Date
By
Date
By
Date
V.FW-e-d
eral Way
PERMIT tPPLICATION
RECEIVED
PERMIT NUMBER 1�_ 10 1 q C( (1--17 _ co
- TARGET DATE
MAY 0 7 2013
1^TTV !11--'
SITE ADDRESS
SUITE/UNITrfinS
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #$
1
C v o
4 00tro
-,3- - _
-
—
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
K 6-
s�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
3LR
MAILING ADDRESS
- (b,
E-MAIL
y ,
CITY
STATE
ZIP
NAMEi��,
PHONE
MAILING ADDRESS,/ w
&x(�
E-MAIL
CONTRACTOR
0
CITY /vi
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
I ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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 reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the cI as a part of this application.
\�i�.-1 �
V 1 � , S -
SIGNATURE: V DATE
PRINT NAME: V firm- V C`'
Bulletin #100 - January 1, 2013 Pagel of 3 BI-IandoutsTermit Application