11-101768 �ililding - Single Family
{ City of Federal Way
Community Development Services Permit #: 11-101768-00-SF
P.O.Box 9718
Federal Way, F 98063-9718 Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: ALTMAYER
Project Address: 30941 37TH PL SW Parcel Number: 058755 0050
Project Description: REP-Remove cedar shakes; over skip sheathing install 1/2" plywood& composition
roofing system.
Owner Annlicant Contractor Lender
DANIEL&BIRGITT ALTMAYER HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
30941 37TH PL SW PO BOX 24449 HORIZCI110KR (05/19/11)
FEDERAL WAY WA 98023-2194 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
yea �� i; n NO, S �':•
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Plumbing to be Included9 No
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PERMIT EXPIRES Saturday, November 5, 2011
Permit Issued on Monday, May 9, 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.
Owner or agent: Date: 1-14 ///
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THIS CARD IS T MAIN ON-SITE
CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-101768-00-SF Address: 30941 37TH PL SW
Project: DANIEL & BIRGITT ALTMAYER FEDERAL WAY, WA 98023
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 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
o Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By ADate
❑ 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
El Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved � Approved
By Date By /,i-�/'� Date S"124
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El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF '��Ir, / -
J Federal Way �'ERMIT F CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES A P P L I C A T I O N R ECE I\/E D
253-835-2607•FAX 253-835-2609Q `
9'U2'rt1 uh
(7111,0-del r05 yr
MAY 0 9 %•O?1
SITE ADDRESS
o6/V/ 1 .37-11‘ fl W S F, a ITY OF FEDERAL WAY'#
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CDs
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 15100 0 5 O 7 S S - 0 O s )
TYPE OF PERMIT KBUEDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1
(Tenant Name/Homeowner Last Name) I4 i•<.Y Cr
PROJECT DESCRIPTION
Detailed description of work to ("r-0,t CL C rLA O/ 1\4 J4-0,i l 4f1 CoMc)� 1re
e,Yly �
be included on this permit only }
1,5
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME % PHONE
titn2r" CCW- f'c.-'O'TJ tAc 751-S 3fr-5ir33
MAILING ADDRESS �G 6,r 1 4 w+ E-MAIL
CONTRACTOR L /1
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
Kvi2i2C.3 ItaKR S / 1
/11
il ._ NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACTf /'�`% PHONE
NAME V/Crk 2-Gt -234, 2.4a'►
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Required value of$5,000 or more
IRCW 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: Alli DATE sh1II
t
PRINT NAME: kit a t/t
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application