15-102304' -4 4
My 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: YATES
Project Address: 33118 13TH AVE SW
4--- ,
wilding - Single Family
Permit #: 15 -102304 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 9264951040
Project Description: REP - Tear off shake roofing & install CDX plywood sheathing and composition shingle
roofing system.
Owner
ARlip cant
Contractor
Lender
JANE S YATES
HORIZON ROOFING LLC
HORIZON ROOFING LLC
OWNER IS LENDER
3311813TH 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:
R-3
Construction Type.
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Occupancy # 1- Construction Type.......................Type V - B Mechanical to be Included? ................................... No
Occupancy # 1- Class.............................................R-3 Plumbing to be Included?......................................No
Occupancy # 1- Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Tuesday, November 10, 2015
Permit Issued on Thursday, May 14, 2015
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 OF
Federal Way
PERMIT #:
Project:
TMS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -102304 -00 -SF Address: 33118 13TH AVE SW
JANE S YATES FEDERAL WAY, WA 98023-5324
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)I IoFinal - Building (4050)
Approved to install roofing Approved
By PA - Date s Imo— (� k / ` � Date
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
i
Crry OF.
Federal Way
PERMIT NUMBER l S
PERMIT PPLI N
z MAY 13 2015
TARGET DATE CIT
_ �'!� Y OF FEDERAL WAY
eDs-
SITE ADDRESS 33 )) S )'qn AVL 5W Ff6' ' I O'k, l r" F
SUITE/UNIT
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAB/PARCEL O
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
/
PROJECT DESCRIPTION
Detailed description of work to
W �' C e f koG`d I /� h I,✓p LG/li/�6) ► 0�
be included on this permit only
PROPERTY OWNER
NAMEPRIMARY
�vRtl Y�11
PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME O r 1 2,c A 6
\1 � G F�
PHONE
-SV-520,3
CONTRACTOR
MAILING ADDRESS
GQv� �yyy 9
E•MAH.
CITY
►W- /
ZiP
FAX
WA STATE CONTRACTOR'S LICENSE #
W9372? -L SOL")
F"IRATION DATE
5i X11.
FEDERAL WAY BUSINESS LICENSE @
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
r�
PRIMARY PHONE
7-e(1 '2P1-2 i9 -8r'
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 ty as a t of this application.
SIGNATURE: DATE
PRINT NAME: f(.—e— e-rL
Bulletin 4 100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application