15-104561 • ilding - Sing1 ?amily
City
°`Fcon.D v.Services Permit #: 15-104561-00-SF,
Community b Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003FILE" .
Ins Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
•
Project Name: WILSON
•
•
Project Address: 518 SW 352ND ST Parcel Number: 066230 0140
Project Description: REP-Remove existing shake roofing and replace with composition and OSB
.
Owner Applicant Contractor Lender
KEITH M WILSON PETE GIERE HORIZON ROOFING LLC OWNER IS LENDER
SHELLY R WILSON HORIZON ROOFING LLC HORIZRL867L7(10/14/16) •
518 SW 352ND ST PO BOX 24449 PO BOX 24449
FEDERAL WAY WA 98023-8111 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:
Floor Area(sq.ft) 0 0 0 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!I
PERMIT EXPIRES Monday, March 7, 2016
Permit Issued on Wednesday, September 9, 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: //7
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[FIN *f
• THIS CARD IS TO IN ON-SITE
CITY OF
Construction In ction Record ,
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-104561-00-SF Address: 518 SW 352ND ST
Project: KEITH M WILSON FEDERAL WAY, WA 98023-8111
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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
ByQ.A...4% Date ‘,ct _ Date _ l S , (--"---
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
•
CITY OF4A !EP 09 2015 PERMIIAPPLICATION
Federal Way
CITY OF FEDERAL WAY 4�s1
CDS 3
PERMIT NUMBER 1 5 _ 1 C 5 cO ' - S P 1 4 I j ,J/
TARGET DATE
SITE ADDRESS SUITE/UNIT#
51 '6 5w 35 7,1 ii- F dtrAl W til VA' /I3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT EXBUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT cri I SGn
PROJECT DESCRIPTION 1
Detailed description of work to 4'G Lia t sLI. I n )) ass U J(G V5 ( r 1OJ awe),17 C"1
be included on this permit only
aCel
(15
_ -
NAME f _ , PRIMARY PHONE
PROPERTY OWNER j►' w1 )Jtn
MAILING ADDRESS E-MAIL
CITY (�'� STATE ZIP
NAME J4r un 2. 1 ' 25)-Fig-5$3)
MAILING ADDRESS .A_ �y E-MAIL
lie
CONTRACTOR iC 2 / /�
CITY �JUA) Wm / ,�TE ZI�� l5 FAX
WA STATE CONTRACTOR'S/LICENSE# {/1/ EXP TION DATE FEDERAL WAY BUSINESS LICENSE#
{�/,(,2 R 8G�L.) G 1/r
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS Sties E-MAIL
•
CITY STATE ZIP FAX
NAMEPOG- PRIMARY PHONE
PROJECT CONTACT icf- 206-2311-291r)
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) cI'rY STATE ZIP FAX
NAME ❑
PROJECT FINANCING 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
information supplied to the •ty as a p• - this application.
-
SIGNATURE: DATE 1)9I,r
PRINT NAME: edP7 VC
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application