15-104255JA Q
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 imp I LE
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GESINGER
Project Address: 501 SW 295TH PL
uilding - Single Family
Permit #: 15 -104255 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 4062
Project Description: REP - Remove existing shake roofing and replace with composition and plywood
Owner
An1211cant
Contractor
Lender
RICHARD E GESINGER
PETE GIERE
HORIZON ROOFING LLC
OWNER IS LENDER
CHERIE A GESINGER
HORIZON ROOFING LLC
HORIZRL867L7 (10/14/16)
501 SW 295TH PL
PO BOX 24449
PO BOX 24449
FEDERAL WAY WA 98023-3531
FEDERAL WAY WA 98093
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:-
oad:Floor
FloorAreas . ft.
0 0 1 0 1 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 # I - Class.............................................R-3 Plumbing to be Included? ...................................... No
Occupancy # I - Use ............................................... Residence (1 or 2
family)
No Fixtures: Associated With This Permit 11
PERMIT EXPIRES Saturday, February 20, 2016
Permit Issued on Monday, August 24, 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:
A�CITY OF r
Federal Way
PERMIT #:
Project:
THIS CARD IS TO IN ON-SITE
Construction InMection Record
INSPECTION REQUESTS: (253) 835-3050
15 -104255 -00 -SF Address: 501 SW 295TH PL
RICHARD E GESINGER FEDERAL WAY, WA 98023-3531
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 (4 0) Final - Building (4050)
pproved to install roofing Approved
By // '7 Date By J Date
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
PERMIT #PPLWqjE0N
Federal Way D
PERMIT NUMBER Is- (04- Z S -S- _ SF
AUG 2 4 2015
TARGET DATE CITY OF FEDERAL WAY
CDS
� 1 �� � � � � ��� �
SITE ADDRESS � � � � t� C1
SUITE/UNIT #
PROJECT VALUATION
W
ZONING
ASSESS TAX/PARC# � 00-
� O
( W0 1
—
— —
TYPE OF PERMIT
EXBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
lj �� 1 1
v `'
PROJECT DESCRIPTION
Detailed description of work to
,LL
t CL �` �` 1 A )44 LV-4,41CG J 1
1 /1
be included on this permit only
PROPERTY OWNER
NAME ,n a
11/ JG 6- t15\ A5 el
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME Gr') 2_C,7R��^
PkLONE —53��53g
MAILING ADDRESS Uq
/���� Z y� I l
E-MAIL
CONTRACTOR
CITY I r V F � U
ATE
3TVA
ZIP !„ !� �
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIIRAATION DATE
FEDERAL WAY BUSINESS LICENSE #
11 0 L!SG7L"�
i
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME f,.,,�
ie
PRIMARY PHONE
Zo G
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
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
iiforination supplied to the _,ty as a part o this application:.... _.
t')2`1 / 15—
SIGNATURE: DATE
NAME:
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