14-104116Oiuilding * Sinele Family
City of Federal Way
Community & Econ. Dev. Sewices Permit #. 14 -104116 -00 -SF
33325 8th Ave 5
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609' p Q
Project Name: KLEINHEN
Project Address: 32234 11TH AVE SW Parcel Number: 926493 0170
Project Description: REP - Tear off shake roofing; install CDX sheathing and composition shingle roofing
system.
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 Fixtures AssociatedWith This Permit 11
PERMIT EXPIRES Monday, February 9, 2015
Permit Issued on Wednesday, August 13, 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: i%// Date:
Owner
Applican
Contractor
Lender
BARBARA KLEINHEN
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
32234 11TH AVE SW
PO BOX 24449
HORIZRL867L7 (6/27/16)
FEDERAL WAY WA 98023
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 Fixtures AssociatedWith This Permit 11
PERMIT EXPIRES Monday, February 9, 2015
Permit Issued on Wednesday, August 13, 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: i%// Date:
CITY OF 14A
Federal Way
PERMIT #:
14 -104116 -00 -SF
THIS CARD IS T, MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 32234 11TH AVE SW
Project: BARBARA KLEINHEN FEDERAL WAY, WA 98023-5552
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.
Approved to install
Date
El Final - Buildii
Approved
Bytl!)&M Date at —g _ )
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved Approved
By Date By Date By Date
,r
CITY OF
Federal Way
AIVED PERMIT *PPLICATION
AUG 132014
PERMIT NUMBER_ f - � I _W _ _F TARGET DATE
yqo
19
SITE ADDRESS
32�3l (14 ,qvt Su Ft r,\ W�,
SUITE/UNIT #
PR ECT VALUATION
$ 7�OG IDa
ZONING
ASSESSOR'S TAX/PARCEL #
_!11 of &_ -
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
Phi, ( (tlw- sl 4 i j � / � � � cox e 1 c,/" CiAl
IK
((N
C o l Fn Sn 1r
be included on this permit only
PROPERTY OWNER
NAME
i✓�h �%4(�/!r"r"l ,(�i
PRIMARY PHONE
MAILING ADDRESS ln..
E-MAIL
CITY
PTA"P
PHONE
t31 .5 ?
CONTRACTOR
MAILING ADDRESSE-MAIL
oP:�h Z Ll
CITY /-tl
ZIP(IP913
FAX
TATE CONTRACTOR'S LICENSE #
rw-
EEXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME Pt
kG � �
PRIMARY PHONE
- .2 f1
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
El 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 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 apart of this application.
SIGNATURE: DATE
PRINT NAME: �(� br� ilL
Bulletin # 100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application