16-100052__ t
City 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: CURTIS
Project Address: 912 SW 295TH ST
FILE
Gilding - Single Family
Permit #: 16 -100052 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 2680
Project Description: REP - Tear off existing cedar shake roof and install OSB and composition shingles.
Owner
ARRlicant
Contractor
Lender
EVAN CURTIS
PETE GIERE
HORIZON ROOFING LLC
912 SW 295TH ST
HORIZON ROOFING LLC
HORIZRL867L7 (6/27/16)
FEDERAL WAY WA 98023-8213
PO BOX 24449
PO BOX 24449
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 T
Type V - B
Occupancy Load
Floor Area . R
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 # 1 - Class.............................................R-3 Plumbing to be Included? ...................................... No
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Monday, July 4, 2016
Permit Issued on Wednesday, January 6, 2016
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:
I'1 r -'' `r\
THIS CARD IS TOIN ON-SITE
FOF r Construction In ection Record
edea ay INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 16 -100052 -00 -SF Address: 912 SW 295TH ST
Project: EVAN CURTIS FEDERAL WAY, WA 98023-8213
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 (4220)Final - Building (4050)
Approved to install roofing Approved
By Date t 17 16 By A yJ Date 1 l t 1
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way ----.
Approved
By
Date
By
Date
By
Date
A
AL
cm of
Federal Way
PERMIT NUMBER l (/� _ t
*ECEIVED PERM IT*PPLICATION
JAN 0 6 2016
r� CITY 01 FEDERAL WAY C--- - � � TARGET DATE
15
SITE ADDRESS
SUITE/UNIT #
Gl 12 SW 2� S � ►, f-1' �i��,l W � 0)�O 23
PROJECT VALUATION
ZONING
ASSESSOR'S TAIL/PARCEL #
I
$ S 311/ , oa
1 q ('-, C) o_ 2
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Cvr li f
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
DD V41 �r �,
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAMEPHONE
-,6-3 ss31
MAILING ADDRESS'/
E-MAILCONTRACTOR
�(/DG% LyHNP)
CITY /4
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
U1ZT R L 867 L
t/ /X
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZD'
FAX
NAME p
�G�G �"
PRIMARY PHONE
PROJECT CONTACT
246 -Z3 1 2 Lit 1
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
When value is $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 pf 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 pof this application.
SIGNATURE: DATE
/
At k yc-
PRINT NAME:
Bulletin #100 — January 4, 2016 Pagel of 3 kAHandoutsTermit Application