11-103774 r ` City of Federal Way • •uilding - Single Tamily
Community Development Services Permit #: 11-103774-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609F ILE Inspection Request Line: (253)835-3050
Project Name: STROM
Project Address: 33126 2ND PL SW Parcel Number: 729800 0210
Project Description: REP-Tear off shake roof and install OSB plywood sheathing and composition shingle
roofing.
Owner Applicant Contractor Lender
BARRY&MARLENE STROM HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
33126 2ND PL SW PO BOX 24449 HORIZCII IOKR(5/14/13) •
FEDERAL WAY WA 98023-6171 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
" �''" '"< '� Eis ,.,�;. , i • �_•..
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
PERMIT EXPIRES Saturday, March 17, 2012
Permit Issued on Monday, September 19, 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 wi . •- laws, rules and regulations of the State of Washington
-•= e City of Federal Way.
Owner or agent: Date: '
41.4•
• V� ''
THIS CARD IS TO MAIN ON-SITE `
CITY OF401/
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103774-00-SF Address: 33126 2ND PL SW
Project: BARRY & MARLENE STROM FEDERAL WAY, WA 98023-6171
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 SWM Precon Site Mtg(4400) ❑ 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
El Floor Sheathing(4105) ❑ Shear Walls (4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By �r�`�/C Date 9,00-1/
El 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
CI Framing(4120) CI 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) CI Final-Building(4050)
Approved Approved
By Date elipp. Date 6-1—Z 3. /
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
f l b 2 7 7 `(
,/ CITY OPS 'PERM ,
+RECEIODAF CO ME PL DE EN FP
Federal Way V(
COMMUNITY DEVELOPMENT SERVICES A P P L I CAT I QK ;II
253-835-2607•FAX 253-835-2609 f
u!WW at a 1erulu'a_MIR 1
CITY OF FEDERAL WAY
SITE ADDRESS
C
3 3 ) 2 C 2nd () S� Fe a'/ t,•fi:•l r4§-023
SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL
$ 6I yv -7 9 8 0 0 _ 0 0)-- ( 0
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) r0/1
PROJECT DESCRIPTION L- (
Detailed description of work to Ni l' f Lti KJI I+) ( t 4 /!1t i► coty4I'hPn
be included on this permit only 5."1",kr
NAMEPRIMARY PHONE
PROPERTY OWNER ry /Pi
MAILING ADDRESS E-MAIL
CA,," r1J Alnf l
CITY STATE ZIP
NAME Ili 02f." (0-,,40,c47,19 t
PHONE
MAILING ADDRESS ./O�x 21u yd E-MAIL
CONTRACTOR J r LI TE ZIP�/y
CITY rrV rp 1 "i LA 4 - 1 O"2) FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
1Ifi2C7 0. lip VIZ 5 / A`'1
NAME 14-IL 631N1 k- PHONE
20/. 234-24r)
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and cr.h 4? "i S'"(
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
(RCW 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 oft application.
SIGNATURE: � /�, DATE 1
PRINT NAME: f I/ V 'ct-
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application