11-100822 • ilding - Single
of Federal Way • Family
Community Development Services Permit #: 11-100822-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718F I LE Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 3)835-3050
Project Name: BACKMAN
Project Address: 1207 SW 329TH PL Parcel Number: 926494 1140
Project Description: REP-Tear off shake roofing; install plywood sheathing&composition shingle roofing
system.
Owner ADolicant Contractor Lender
JOHN BACKMAN HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
1207 SW 329TH PL PO BOX 24449 HORIZCI110KR (05/19/11)
FEDERAL WAY WA 98023-5211 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 Included9 No Plumbing to be Included? No
PERMIT EXPIRES Monday, August 29, 2011
Permit Issued on Wednesday, March 2, 2011
I hereby certify that the above i mation is correct and that the construction on the above described property and
the occupancy and the us- ,+'` Pe in accordance with the laws, rules and regulations of the State of Washington
• the City of Federal Way.
Owner or agent: Date: 3)2 )/ t
3/' /If
.4A, THIS CARD IS TO REMAIN ON-SITE ,
CITY OF • Construction hapection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-100822-00-SF Address: 1207 SW 329TH PL
Project: JOHN BACKMAN FEDERAL WAY, WA 98023-5211
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) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
.LI Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By /s Date 3/7/1/
O 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
❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date 'By N .�� Date 3,q_ `\ ,
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
/ 1 - / o o z a- �-
•
� PERMIT MF CO ME PL DE EN FP
Federal Way
COMMUNITY
VELOPPAX 2 5-SERVICES APPLICATION RE VED
2609
www.citvolTederalwau.com AR 02 2011 0I (�� 0
SITE ADDRESS CITY OF FEDERAL WAY SUITE/US
� Z
o 7 50 3241-)1% t I r 1 NIT CDs
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ .11 f&. C6 9 ig' to ` 47 (1 - i / Yo
TYPE OF PERMIT tif,BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) RAr C L_.
✓1 Gel
PROJECT DESCRIPTION Q ✓ �
Detailed description of work to (CO Cr .41-141 IAJ"1i-I( 1 (`•(VOW c" CO/101}-10•• J LiAl t.i,r
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER - L _Air k itl
MAILING ADDRESS E-MAIL
50.I- 4 A L/rl
CITY STATE ZIP
NAME tl PHONE
Hi 111.E �F,^3
MAILING ADDRESSE-MAIL'
CONTRAi • o00!` ZH Hq
CITY GI STETAfl FAX
•IP WA STATE CONTRACTOR'S LICENSES Yt
Kt1�l2c� I��kR EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE N
/ /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP TAX
PROJECT CONTACT
NAME i 1 PHONE
(The individual to receive and ` et.-- 24-2.39-L h 21
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP TAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
O 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 authorised 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 ci • a part o this application.
SIGNATURE: DATE 3 124 1(
PRINT NAME:
Bulletin#100 April 1,4,?010 Page 1 of 3 k:\Handouts\Pennit Application