14-105065City 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: YZAGUIRRE
Project Address: 34501 10TH AVE SW
Oluilding - gingle Family
Permit #: 14 -105065 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 132171 0100
Project Description: REP - Tear off cedar shakes; install new sheeting and composition shingles.
Owner
A1212lica—nI
Contractor
Lender
ADAM YZAGUIRRE
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
OWNER IS LENDER
PAMELA J YZAGUIRRE
PO BOX 24449
HORIZRL867L7 (6/27/16)
34501 10TH AVE SW
FEDERAL WAY WA 98093
PO BOX 24449
FEDERAL WAY WA
FEDERAL WAY WA 98093
98023-8415
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor 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 Associated With This Permit 11
PERMIT EXPIRES Monday, March 30, 2015
Permit Issued on Wednesday, October 1, 2014
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:
CITY OF4:&
,
Federal Way
PERMIT #:
Project:
THIS CARD IS TO .MAIN ON-SITE
Construction In T ct2on Record
INSPECTION REQ S. (53) 835-305
14 -105065 -00 -SF Address: 34501 10TH AVE SW
ADAM YZAGUIRRE 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.
Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
By � Date h/�//zl- By e Date f4/f1/�
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF A 0 PERMIT 91PPLIC&WT�,,,,1eral Wa
Federal y
Ocr- 1J 201,4
PERMIT NUMBER 7" _ l �D 5 _ TARGET DATE CITY OF FEDERAL WAY
cub_
SITE ADDRESS Vir
SUITE/UNIT #
PROJECT VALUATION
ZONING
'^ � � Q
ASSESSOR'S /PARCEL # � � �
V
_
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
7-(i V 1 (•�(�
PROJECT DESCRIPTION
S P)�F 1 ) i ��
) Oj
f work to
Detailed description o
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
-
MAILING ADDRESS
E-MAIL
CITY
PT"
P
NAME Nar1Zp/1 eo h ^5
PHSE
MAILING ADDRESS (j
POB0x
E-MAIL
CONTRACTOR
CITY V14, 9 WA7
STAB
� l'1
ZIP q 171
FAX
WA STATE CONTRACTOR'S LICENSE #
bit Z121.f5��L7
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME a rL
PRIMARY PHONE �/
24,-,c-.23 y -21 a ,
PROJECT CONTACT
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
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 Iaws 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 fled 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
GA !lG
PRINT NAME:
Bulletin 4 100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application