11-102933 . 41 wilding - Single Family
City of Federal Way • ';
Community Development Services (``�� Permit #: 11-102933-00-SF
P O Box 9718
LE
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GERO
Project Address: 32823 20TH AVE SW Parcel Number: 010456 0550
Project Description: REP-Tear off existing shake roofing; install plywood sheathing and composition roofing
system.
,
Owner AooIicant, Contractor Lender
JANICE L GERO HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32823 20TH AVE SW PO BOX 24449 HORIZCI110KR(5/14/13)
FEDERAL WAY WA 98023-6439 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:
Floor Area(sq. ft.) 0 0 0 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included` No
y 4r,,' ,:t' :1 . 'I: : - •_ + atad With This,' O A t
PERMIT EXPIRES Tuesday, January 17, 2012
Permit Issued on Thursday, July 21, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.Owner or agent: 4Date: / t)i /
PINALLO• 7froft
• ' ' THIS CARD IS T MAIN ON-SITE ,
CITY OF Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-102933-00-SF Address: 32823 20TH AVE SW
Project: JANICE L GERO FEDERAL WAY, WA 98023-6439
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.
O SWM Precon Site Mtg(4400) 0 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
.0 Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By fel Date7 22, K
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) 1
Approved Approved Prior to scheduling a Framing inspection;
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
o Framing(4120) El Insulation (4150) El 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) ❑ Final-Building(4050)
Approved Approved
By Date By is-6f Date 7,- lf
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
` f 11' CITY OF /004-144
Federa l\l a PERMIT MF CO ME PL DE EN FP
COMMUNITY DEVELOP S
C'APPLICATION
253-8352607•FAX 253-835-2609 �� (I
UMW'nt (/edernhra om �� 5.
1 I IO
SITE ADDRESSCO� �oC 4 sc../ Et SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
�V tl- I —
TYPE OF PERMIT )d BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) 6-((0
PROJECT DESCRIPTION 11r
Detailed description of work to '� C s LII t C . 1 j , 1 1r'tiW� r^o i_oj�6 34.101 I�- 7
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �^^1<< (rr d
MAILING ADDRESS1v[ E-MAIL
CITY STATE ZIP
NAME \ PHONE
r vr►21./^ torri-rAtafro
MAILING ADDRESSE-MAIL
CONTRACTOR �GD 2.'1471
1
CITY � )U�1 q rP'.1 `ATEA 2Ie' ci) FAX
WA STATE CONTRACTOR'S M 1 EXP TI,,ON DATA L'SL'S FEDERAL WAY BUSINESS LICENSE M
/vTF7 JT�•+ZC•ir' V\<-R 5 (-l
NAMEPHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME eat. (ftvt. PHONE
in
(The individual to receive and r T Z U C''2:3W Z`�
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAMEEl 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 a part of this application.
SIGNATURE: DATE
PRINT NAME:
','( G-'4(L
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application