19-104217 Building - Single Family
City of Federal Way Permit #:19-104217-00-SF
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WEISS
Project Address: 35213 5TH AVE SW Parcel Number:066231 0330
Project Description: REP-Remove cedar shakes and install 1/2" CDX plywood and composition shingles.
•
Owner Applicant Contractor Lender
GARY JOSEPH WEISS PETE GIEREHORIZON ROOFING HORIZON ROOFING LLC OWNER IS LENDER
35213 5TH AVE SW LLC PO BOX 24449
FEDERAL WAY WA 98023 PO BOX 24449 FEDERAL WAY WA 98093
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.)
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation:10,400.00
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PERMIT EXPIRES Sunday, 1 March,2020
Permit Issued on Tuesday,September 3,2019
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: /b
3 I/
r(filA
THIS CARD IS TO REMAIN ON-SITE
CITY OF 4101/41141111 . Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104217 00 Address: 35213 5TH AVE SW
Project: CANDACE ANN WEISS FEDERAL WAY WA 98023-8122
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) 0 Final-Building(4050)
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Approved to install roofin Approved
Bi/(041 S Date 7 y 7 ,.BY1 4/S Date 77,4 .
•
0 Rough Electrical C3 Final ElectricalElRight of Way
Approved Approved Approved
By •
Date By Date By Date
RECEIVED
CITY OF SEP 03 2019 PERMIT APPLICATION
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 9 - I 0 d- ( 1 - S TARGET DATE NL
SITE ADDRESS SUITE/UNIT#
3 5 213 S 4'I Arc Ski Fd<!-l Al 16123
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1011/,.�fi o Co fo 3 I _ O 3 3 a
TYPE OF PERMIT 'J BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Lit I Sj
DDRO ed deME OF PRO
JEC
to M, L e A' .5i14 kI) G✓W 1 Iwo,)( IZ�� 0:pc (J7 vote)
be included on this permit only
01I1414n 05I1T
NAME PRIMARY PHONE ..
Ca4A �Iss
PROPERTY OWNER MAILING ADDRESS c�. E-MAIL
N
CITY STATE ZIP
-
PHONE
NAME .I1
1 V r)Z(/1 (LGo pj --- -- - 2.45 -13x v-5013
MAILING ADDRESS E- AIL
CONTRACTOR ���i►X 2.1441
M
CI
STATE ZIP FAX
CITY
W .1 (✓4 /09)
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
til o>2SZg L 84-7 1:7 /2-1
NAME PRIMARY PHONE
S�-
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PR
Y PHONE
PROJECT CONTACT NAME Phi 1 L 0---)e.re 20C-'231-218")
(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 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 suppl d the c' as a pa of this on.
SIGNATURE: DATE bb
PRINT NAME: 1 k 're
Bulletin#100—January 29,2016 Page 1 of 2 k:\l-landouts\Permit Application