11-102729+ City of Federal Way
Afanlicant
Community Development Services
Lender
P.O. Box 9718
FILE
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
PO BOX 24449
Project Name: WALKER
Project Address: 30227 17TH AVE SW
&ilding - Single Family
Permit #: 11 -102729 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 005070 0040
Project Description: REP - Tear off shake roofing; install 1/2" CDX plywood and composition shingle roofing
system.
wn r
Afanlicant
Contractor
Lender
BRIAN WALKER
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
30227 17TH AVE SW
PO BOX 24449
HORIZCI110KR (5/14/11)
FEDERAL WAY WA 98023-3454
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 Areas . ft. 0 0 0 0
PERMIT EXPIRES Saturday, January 7, 2012
Permit Issued on Monday, July 11, 2011
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!C� / Date:
carr CW ,
Federal Way
PERMIT #:
Project:
11 -102729 -00 -SF
BRIAN WALKER
THIS CARD IS T EMAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 30227 17TH AVE SW
FEDERAL WAY, WA 98023-3454
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.
rl
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
E]
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
11 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date
Floor Sheathing (4105)Shear
Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
. By
Date
By Date _ vr)- \
Fire/Draft Stops 4095
p (
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 109.3.4
E]
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
11 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
cera
Federal way
COMMUNITY DEVELOPMENT SERVICES
253-8352607• FAX 253-835-2609
www. dt wffederalwau. cpm
*PERMIT—/ I - 10 A --] -a 1�
CEfftDo ME PL DE EN FP
APPLIC T
A IN
JUL 1 12011
SITE ADDRESS I W CITY p F F
3 0 Z Z � l� 1„�/N A�L s
CDS
SUITE/URIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAS/PARCEL #
a
TYPE OF PERMIT
VBUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
`1
W A e -(J
PROJECT DESCRIPTION
Detailed description of work to
S, `
eo
be included on this permit only
p lJ � 1- ” -
PROPERTY OWNER
xAP
g n C^'
PRDdARY PHONE
MAtLENG ADDRESS
S�''rC cv /a(4r1/t
CITY
STATE I
ZIP
NAME
�vftZri^ C6I1'r�hC�"0'� �n.G
PHONE
NAILING ADDRESS , /� /�� ^
E•MAH.
CONTRACTOR
CrTY
lE
WA ATE r CT�BI LIC $pSS #
rvJ_ S , r<
MRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAM eqt- Art
PHONi0 G- Z 3 y- Z h 0
APPLICANT
MAILING ADDRESS
E -PL
CX"
I STATE
ZIP
FAR
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
Z-NAH,
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT MANE:
PHONE
E-KAM
PROJECT FINANCING
Required value of $5, 000 or more
NAME
OWNER-FENANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of peOP" that I ami the property owner or authorised agent of the property owner. I cert{fy 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 authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responalblUty jor compliance with local, stats, or federal Laws regulating
construction or environmental laws
I further agree to hold harmless the City of Foderal 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
in formation supplied to ci as apart of this application.
SIGNATURE: DATE
PRINT NAME: �' %; ATC
Bulletin # 100 — April 14, 2010 Page 1 of 3 k:\Handouts\Permit Application