16-101984 1111
Silding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-101984-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: BREWER
Project Address: 417 SW 353RD ST Parcel Number: 066231 0410
Project Description: REP-Remove shake roofing and install CDX plywood sheathing and composition roofing
system.
Owner Applicant Contractor Lender
JOHN A BREWER HORIZON ROOFING LLC HORIZON ROOFING LLC
SHARON K BREWER PO BOX 24449 HORIZRL867L7(6/27/16)
2231 233RD AVE NE FEDERAL WAY WA 98093 PO BOX 24449
SAMMAMISH WA 98074 FEDERAL WAY WA 98093
Census Category: 434-Residential alt/add-no change in number of units
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
Calculated Structure Valuation 6100.00 Occupancy#1-Construction Type. Type V-B
Mechanical to be Included? Yes Occupancy#1-Class R-3
Plumbing to be Included? Yes Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit H
PERMIT EXPIRES Saturday, October 22, 2016
Permit Issued on Monday,April 25, 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 Ci if Federal Way. )
Owner or agent Date: /Z)--//4
i
Pik‘S°Xt4
THIS CARD IS TO MAIN ON-SITE i 1111
'
CITY of .0, •
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101984-00-SF Address: 417 SW 353RD ST
Project: JOHN A BREWER FEDERAL WAY, WA 98023-8127
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.
0 Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
.By / Date G f/Z6 j/62 By toL4 Date 14(1-0 ts. ,
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• PERM APPLICATION
CITY OF
Federal Way RECEIVED
(� c�
PERMIT NUMBER /r /(0 _ ( 0 / C781 APR 252016_ 1
TARGET DATE CITY OF FEDERAL WAY
SITE ADDRESS � 1 5� �53r) �� v � 3SUITE/UP5)-' ���U f'1 A '2 3
$
PROJECT VALUATION
Vt ATION ZONING ASSESSOI Jj TA$/PARCy�L#, 3 / _ / O
TYPE OF PERMIT EXBUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Kj(t(,Jcf
PROJECT DESCRIPTION n C J eC S 1 i j cd i i)Jam?( ` 17�_ J to/_ 4 r
Detailed description of work to )'^�_' [U h� /7IF iDj�� �/ !/ F�1 f/
be included on this permit only &freir f/L,'i'
__
- - -- -- -- NAME — PRIMARY PHONE
0 A#1 e,rew(i
PROPERTY OWNER MAILING ADDRESS , E-MAIL
/"fi
�
CITY STATE ZIP
NAME PHONE
Hon Z.., �L �nS 2,3,8-)5 #s833
MAILING ADDRESS /2 A E-MAIL
CONTRACTOR ( 9 yy
CITY
/� c 1A/67 STATE ZIP w iG/3 FAX
WA STATE CONTRACTOR'S LICENSE# /W'r//� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I�GfL�ZfLL06,1.7 �i /It
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
-- NAME I --- I - . . .-_ PRIMARY PHONE
/�
PROJECT CONTACT 1 CA& Viet- 2OC-23'7- yam,
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
•
NAME
PROJECT FINANCING 0 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 of Federal Way regulations pertaining to the work authorised 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 It 114
PRINT NAME: AA V'et_
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application