12-103956City 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: THOMAS
wilding Single Family
_ Permit #: 12 -103996 -00 -SF
F
�- Inspection Request Line: (253) 835-3050
Project Address: 30215 17TH AVE SW
Parcel Number: 005070 0050
Project Description: REP - Tear off shake roofing; install CDX sheathing and composition shingle roofing
system.
Owner
ARRIicant
Contractor
Lender
FRED THOMAS
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
30215 17TH AVE SW
PO BOX 24449
HORIZCI110KR (05/19/13)
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 1 0 1 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 Fbftm Assmkftd VM This Penn it It
PERMIT EXPIRES Saturday, February 23, 2013
Permit Issued on Monday, August 27, 2012
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: .V,/ Z'� �l ?
Fit-"'ro q/;F/m
CITY to 411�&
Federal Way-
PERMIT
ay
PERMIT #:
12 -103956 -00 -SF
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 30215 17TH AVE SW
Project: FRED THOMAS 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.
11 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date _ 7 t
El
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)Underfloor
Shear Walls (4245)
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 Date _ 7 t
El
Floor Sheathing (4105)
Shear Walls (4245)
0 Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date 4p- Te /L
prior to scheduling a Framing inspection;
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
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
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
11 Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date Date _ 7 t
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
. CITYOF PERMIT
Federal waIRECEIVE�
COMMU3SERVICES
253 -85 -2607 - FAX 253-835-260APPLICATION
wmw.dtuoffederalmau.rom AG
2 7 2012
-aL-/0— 3 S -Z:9
MF CO ME PL DE EN FP
SITE ADDRESS
Ave-
ry`PROJECT
SUITE/UNIT I
PROJECTVALUATION
$
ZONING
ASSESSOR'S TAR/PARCEL i
o� 0
--ULD
a C
TYPE OF PERMIT
l$UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/HomeoumerLast Name)
li.pM�
PROJECT DESCRIPTION
Detailed description of work to
r +
6vL C l l� k!I �� �� C p X C+rY i
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
st.w� �u bwt
E-MAIL
CITY
STATE
ZIP
NAME �ortZo� C.^fr^c4-®Cj
73-�s3£s-SSSS
MAII.IIiG ADDRE88
g�L
CONTRACTOR
��� � � Ll y 7
CITY l
F.) ..1 Lit,)
STATE
ZIP
IIIS; 1 3
FAX
WA STATE CONTRACTOR'S LICENSE 9
HG? k
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
-E _ ,o
13
NAME
PHONE
NAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME r,nPHONE
,
�/1
(The individual to receive and
MAILING ADDRESS
E-MAII
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
0 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 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 ct as apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 1, 2011 Page] of 3 k:U3andouts\Permit Application