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12-105044City 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: FREET Project Address: 31204 44TH AVE SW wilding - Single Family Permit #: 12 -105044 -00 -SF Inspection Request Line: (253) 835-3050 Parcel Number: 112103 9016 Project Description: REP - Tear off shake roofing; install OSB sheathing and composition shingle roofing system. Owns ARRIlcan Contractor Lender KIMBERLY FREET HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC OWNER IS LENDER MARTIN FREET PO BOX 24449 HORIZCI110KR (5/19/13) 31204 44TH AVE SW FEDERAL WAY WA 98093 PO BOX 24449 FEDERAL WAY WA 98023 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 Fixtures Associated With This Permit 11 PERMIT EXPIRES Saturday, May 4, 2013 Permit Issued on Monday, November 5, 2012 I hereby certify that the above information is correct and that the construction on the above described properly and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington —and th-eQty of Federal Way. Owner or agent: Date: It /8/1z' • THIS CARD IS TO MAIN ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQ TS: (253) 835-3050 PERMIT #: 12 -105044 -00 -SF Address: 31204 44TH AVE SW Project: KIMBERLY FREET FEDERAL WAY, WA 98023-2141 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. eathing (422U) I I to install roofing Date Approved . EJ Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date �,o' A RECEIVED Federal way •PERMIT NOV 0 5 203kPpLICATION COMMUNITY DEVELOPMENT SERVICES 253-835-2607• Fnx 253-8� OF FEDERAL WAY unl.mi ,: rt�nffeuernl u �p�._____ CDS I2- 4-(f 4�F CO ME PL DE EN FP aq go, t SITE ADDRESS SUITE UNIT M I �(? q �' a v e. S Li/ PROJECT VALUATION Q� ZONING ASSESSOR'S �AR/PAR N t C) — _-3 6`1 — TYPE OF PERMIT )eMUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT rrenant Name/Homeowner Last Name) l r lrc e:� PROJECT DESCRIPTION Detailed description of work to E? COLn �S,I`KS TOQ� be included on this permit only PROPERTY OWNER NAME .- rt PRIMARY PHONE MAILING ADDRES3 ' L 31 !moi CAL/ - s Lv E-MAIL CITY r--,gc cx ✓� STATE ZI oa3 NAMEPHONE Pekes _ ;err GADDRESS tjo E-MAIL CONTRACTOR CITY1STATE V I/ A qW! ZI go FAX W STATE CONTRACTOR'S 4CENSE 9 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8 IIA jl r ; ©'t✓5K PHONE APPLICANT MAILING ADDRESS 0 Q >r S L✓ E-MAIL C STATE e er� L✓ 'I-✓� ZIP �U q FAX PROJECT CONTACT (The individual to receiand J E ;! r itry2, 1ve PHONE MAILING ADDRESS © v E-MAIL respond to all correspondence concerning this application) CITY � Zjl' � � FAX ALTERNATE CONTACT PHONE E -MAH, PROJECT FINANCING NAMEOWNER -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 city as a part of th' application. SIGNATURE: ! DATE '� I PRINT NAME: 0\41 ^ 2_lkal!t5i Z Bulletin #100 —January 1, 2011 Page 1 of 3 kAHandoutsTermit Application