14-105253City 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: CHURCH
Project Address: 902 SW 344TH PL
Building - Single Family
Permit #: 14 -105253 -00 -SF
Inspection Request Line: (253) 835050
Parcel Number: 1321710220
Project Description: REP - Tear off shake roofing & install CDX plywood sheathing and composition shingle
roofing system.
Owner
AORicant
Contractor
Lender
CHRISTINE K CHURCH
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
OWNER IS LENDER
MICHAEL CHURCH
PO BOX 24449
HORIZRL867L7 (6/27/16)
2618 SW 308TH ST
FEDERAL WAY WA 98093
PO BOX 24449
FEDERAL WAY WA
FEDERAL WAY WA0
98023
Census Category: 555 - Non-structu� per is 46 -'
Includes. #1 #2 # #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0
it! _ —PrMumbing
on---- .
New / Additional Sq. Feet - 3rd Floor... tional Sq. Feet - Basement .................0
Mechanical to be Include i ........................4& ......o be Included? ...................................... No
Fi Associated #01th This Permit 11
Ir
PERMIT ES Tuesday, April 7, 2015
Permi on Thursday, October 9, 2014
1 hereby that t above information is correct and that the construction on the above described property and
o an a use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
r age Date:
THIS CARD IS TO REMAIN ON-SITE
CITYConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -105253 -00 -SF Address: 902 SW 344TH PL
Project: CHRISTINE K CHURCH FEDERAL WAY, WA 98023-8420
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.
(thing (4220) 110 Final - Buildii
install roofing Approved
ate��{ �� By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER I
� PERMIT91PPLICATION
10 G 25.E .sF
OCT 0 92014
TARGET DATE CITY OF FEDERAL WAY
SITE ADDRESS
X10 2 Sw 3��� i � �c��h l � �7 �✓�1- ol�v�3
SUITE/UNIT #
PROJECT VAL LG ION
ZONING
ASSESS � '3 TAX/PARCEL # 1 7 1 D A
7 Z7 0
TYPE OF PERMIT
>BUILDING ElPLUMBING 1-1MECHANICAL ❑ DEMOLITION 1:1ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
AV r,-
LPROJECT
PROJECTDESCRIPTION
Detailed description of work to
`� C /,� F1% in' 4 t ' wed AA �
be included on this permit only
PROPERTY OWNER
NAME ! I_ f
M (G ^ FL l C'�✓ �C
PRIMARY PHONE
MAILING ADDRESS / -
E-MAIL
CITY
STATE
ZIP
-
NAME , AO 1 1 �Z n [ ,
V l�
PHONE
c
MAILING ADD
E-MAIL
CONTRACTOR
CITY 1
,f
STATE
ZIP
FAR
WA TATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
et C ��G
PRIMARY PHONE
G - vl 2 ti
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
(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 city as apart of this application.
/ l
SIGNATURE: DATE
/
PRINT NAME:
Bulletin 4 100 - January 1, 2013 Page 1 of 3 k:\-landouts\Permit Application