11-100086 Building -Single Family
City of Federal Way 411
Community Development Sean '�"
Services � "1
filermit #: 11-100086-00-SF
P.O.Box 9718F ! ,
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax:(253)835-2609 � +�
Project Name: BAUER
Project Address: 33509 11TH PL SW Parcel Number: 926496 0180
Project Description: REP-Tear off shake roofing and install plywood sheathing and composition shingle
roofing.
Owner Applicant Contractor Lender,
FRED&LAVERNA BAUER HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
33509 11TH PL S PO BOX 24449 HORIZCI11OKR (05/19/11)
FEDERAL WAY WA 98023-5310 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:
Ploor,Apa(sq.ft.) 0 0 0 0
M,
7:7111.111140,A11111MINIMHIligiffillki- ,11111 r221111
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basetnent 0
Mechanical to be Included? No Plumbing to be Included? No
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PERMIT EXPIRES Saturday, July 9, 2011
Permit Issued on Monday, January 10, 2011
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.
, /IO /i 'Owner or agent: Date:
F I e u4 1 /12(11
THIS CARD IS TO REM ON-SITE •
CITY OF • Construction Inspon Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-100086-00-SF Address: 33509 11TH PL SW
Project: FRED & LAVERNA BAUER FEDERAL WAY, WA 98023-5310
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.
Ei SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
O Floor Sheathing(4105) El
Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date �/r
0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
\, Fire/Draft Stop inspections must be signed-off and
By Date By Date
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
,
O Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved
By Date By Date 0z/i/
•
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
% ,,,,. .:: . . • PERMIT6 _ i 0 6 0 ?_6
Federal Wad • F CO ME PL DE EN FP
CO•MM(NITY DEVELOPMENT SERVICES APPLICATION
253-835-2607-FAX 253-8 35-2609
A.O a 7 3
SITE ADDRESS SUITE/UNIT#
125#9/ I 14" P 1 5 w
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 6top ,1.-0 47 A G I( q G - O / - g b
TYPE OF PERMIT !'BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) J'V V/
PROJECT DESCRIPTION n���,V
Detailed description of work to 1""'4' C 4)d/&e kei, 1',.-t o? I/14 L!`ed c-,d trii yve)t+I,u^ 5�1�tir
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER CA VP,'"4 t 4„u-
NAILING ADDRESS E-MAIL
Se” 4! A(,s, -t.
CITY STATE ZIP
NAME PHONE
// �Gh�� 2HHyq Homo" (4 A+-r4C •c
-oo /.t:
MAILING ADDRESS E-MAIL
off _J, ,
,
CITYSTATE ZIP FAX
I=Jvr. Ute., (OVA 7 P'i3
WA STATE CONTRACTOR'S LICENSE:1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
NclZT 2 LT 1%, k R GT / / 1 1
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME , PHONE
(The individual to receive and �� tit, 2t� 23N Z c7$'1
respond to all correspondence ICAILINGADDRESS E-MAIL
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
(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 flied 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 a part of this application.
• 1 /I P / Il
SIGNATURE: / DATE
PRINT NAME: (I- 61(Pt
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application