16-101499 •ilding - Single Family
City of Federal Way Permit #: 16-101499-00-SF
Community&Eco
n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: SUMMERFIELD
Project Address: 504 SW 353RD ST Parcel Number: 066231 0350
Project Description: REP-Tear off shake roofing,install plywood sheathing and composition shingle roofing
system.
Owner Applicant Contractor Lender
DAVID J SUMMERFIELD HORIZON ROOFING LLC HORIZON ROOFING LLC
MARIA G SUMMERFIELD PO BOX 24449 HORIZRL867L7(6/27/16)
504 SW 353RD ST FEDERAL WAY WA 98093 PO BOX 24449
FEDERAL WAY WA 98023-8125 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 7000.00 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!!
PERMIT EXPIRES Saturday, September 24, 2016
Permit Issued on Monday, March 28, 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 \j,.1-v. i V Date: `3 - - -1 t.
444% A
3
THIS CARD IS TO MAIN ON-SITE
CITYOF le& • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101499-00-SF Address: 504 SW 353RD ST
Project: DAVID J SUMMERFIELD FEDERAL WAY, WA 98023-8125
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) CI Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Plumbing Groundwork(4190) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to cover Approved to sheath floor Approved to install flooring
By Date By Date By Date
0 Shear Walls(4245) '0 Roof Sheathing(4220) ' ❑ Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date By 0,4 Date 3(;0(11, By Date
O Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By Date
0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 0
Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By Date
❑ Insulation(4150) El Gypsum Wallboard Nailing(4130) '❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
0 Final-Mechanical(4065) El Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date - ' Date_ k_ l C.
O Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
i` M Q C PERMIT PPLICA'TION
CITY OF MA8 2016
Federal Way art OF FEDERAL WAY
CDS
PERMIT NUMBER _ 9--_ TARGET DATE � ` )
SITE ADDRESS / SUITE/UNIT#
60it 5 w 3S3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
1,I00 0,7n)
0 6a 3 ( - O ' b
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
A
A
_PA iJoti
PROJECT DESCRIPTION r c_ SLS I (LI,,,,,d . Q
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE - - --- -
f)')kr,
PROPERTY OWNER a, L_C-c-G\
c
MAILING ADDRESS E-MAIL
�14 Sw f�
CITYSTATE ZIP
F11,30& ilk)1/5
NAMEPHONE
P-..)
MAILING ADDRESS' E-MAIL
CONTRACTOR Po eux, y
CITY STATE ZIP FAX
WA STATE C NTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE I
- _ 14oR-r2 L< .i Li / /
NAME PRIMARY PHONE - -----
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
_ NAME - ----- PRIMARY PHONE -
PROJECT CONTACT ,Ij tilkr VGA 4
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence IS'' _3 alp " i 912,
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ 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 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: `ie I DATE 3 1-2:5 140
V1PRINT NAME: C.5 1_ V-' i
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application