13-101979wilding - Single Family
Commu inn & Econ.raDev. Services Permit #. 13 -101979 -00 -SF
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: BUTLER
Project Address: 34525 10TH AVE SW Parcel Number: 1321710070
Project Description: REP - Remove shake roofing & install CDX sheathing & composition shingle roofing
system.
Owner
Al2RIican
Contractor
Lender
KEVIN E BUTLER
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
OWNER IS LENDER
PAULA A BUTLER
PO BOX 24449
HORIZCI110KR (5/19/13)
34525 10TH AVE SW
FEDERAL WAY WA 98093
PO BOX 24449
FEDERAL WAY WA 98023-8415
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
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, November 2, 2013
Permit Issued on Monday, May 6, 2013
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. Date: s G //
Owner or agent: /-3
crry O{ 4Ai�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inection Record
INSPECTION REQ S: (253) 835-3050
13 -101979 -00 -SF Address: 34525 10TH AVE SW
KEVIN E BUTLER 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.
Floor Sheathing (4105) Shear Walls (4245) Roof Sheathing (4220)
Approved to install flooring Approved to install siding / Approved to install roofing
By Date By Date By - Date��
Fire/Draft Stops (4095)Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved Approved Electrical, Plumbing & Mechanical Rough -in and
By Date By Date Fire/Draft Stop inspections must be signed -off and
approved IBC 1093.4
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Insulation (4150)
Underfloor Framing (4285)
Gypsum Wallboard Nailing (4130)
Approved
Approved to insulate
To be done prior to breaking ground
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105) Shear Walls (4245) Roof Sheathing (4220)
Approved to install flooring Approved to install siding / Approved to install roofing
By Date By Date By - Date��
Fire/Draft Stops (4095)Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved Approved Electrical, Plumbing & Mechanical Rough -in and
By Date By Date Fire/Draft Stop inspections must be signed -off and
approved IBC 1093.4
Final Erosion Control (4375)
Approved
Date
Final - Building (4050)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved n Approved 1:1Approved
By Date By Date By Date
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
Date
Final - Building (4050)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved n Approved 1:1Approved
By Date By Date By Date
CITY OF
Federal Way
PERMIT APPLICATION
PERMIT NUMBER I � _ (O 1 q -7 q- 00 — TARGET DATE
RECEIVED
MAY 0 6 2013
CITY OF FEDERAL WAY
SITE ADDRESS
3�525f 0k� Av (- �'w
SUITE/UNIT # CDS
PROJECT VALUATION
560
ZONING
ASSESSOR'S TAX/PARCEL # � � � _ 0 0 �O
------ ---
TYPE OF PERMIT
[y BNLDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
'7.(M�� eC C✓ n�-}t�'1 GD Air)
be included on this permit only
PROPERTY OWNER
NAME 1 _
I n v IF /(
PRIMARY PHONE
MAILING ADDRESS Y Y _
E-MAIL
CITY
STATE
ZIP
'' ''
NAME ^ 2 G ^Ui`^�:.�i(� +4 ' L
,/�
PHONE
(�
MAILING ADDRESS
E -MAH.
CONTRACTORCITY
{"',
/gTA
A
ZIP
'r CTS
FAX
WA STATE CONTRACTOR'S LICENSE #
FAC/AC/ R22 CyA�
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS ^,I
C�
E-MAIL
CITY
STATE
ZIP
FAX
NAME
&'e
PROJECT CONTACT
t v' t -re-
v_ y 2 (i 2 N O
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
Required value of $5,000 or more
(RCW 29-27.095`
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 suppliedto the ci as a part f this plication.
6
SIGNATURE: DATE
PRINT NAME: ��-
Bulletin # 100 - January 1, 2013 Page I of 3 k.\Handouts\Permit Application
it