19-104677 Building - Single Family
City of Federal Way Permit #:19-104677-00-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: SHELSTAD
Project Address: 224 S 317TH PL Parcel Number:337530 0380
Project Description: Remove cedar shakes and install 1/2 inch CDX plywood and composition roofing
•
Owner Applicant Contractor Lender
KIM SHELSTAD HORIZON ROOFING LLC HORIZON ROOFING LLC
224 S 317TH PL PO BOX 24449 PO BOX 24449
FEDERAL WAY WA FEDERAL WAY WA 98093 FEDERAL WAY WA 98093
98003-5242
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1 -Construction Type Type V-B Mechanical to be Included9 No
Is this an Online or O.T.C.application9 Yes Plumbing to be Included9 No
Occupancy#1-Use Residence(I or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Total Valuation:7,000.00
7,44 j m e a 4 5 4 & % F f k
PERMIT EXPIRES Saturday,28 March,2020
Permit Issued on Monday,September 30,2019
I hereby certify that the above information is correct and that the construction on the above described pr.perty
and the occupancy and the use will be in accordance with the laws, rules and regulations of the St- e of
Washington and the City of Federal Way.
Owner or agent: Date: 1/1,1 f
t r ,
THIS CARD IS TO REMAIN ON-SITE
CITY OF
•At' Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
•
PERMIT#: 19 104677 00 Address: 224 S 317TH PL
Project: KIM P SHELSTAD FEDERAL WAY WA 98003-5242
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.
,® Roof Sheathing(4220) `'® Final-Building(4050) '
Approved to install roofing pproved
,BYeGtil Date (a/i/i, , to
/ By (� 3I� •
•
•
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED PERMIT APPLICATION
CITY OF
Federal Way SEP 3 0 2019 PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OFTMF ERAL WAY
PERMIT NUMBER _ E11-077. _ ✓
/ TARGET DATE ki//1-
SITE
ADDRESS SUITE/UNIT#
224 5, 3MI (I Fe)Uz 1 W 18-023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT LSF$UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Ski/h)
PROJECT DESCRIPTION ��M 1 ,L „
Detailed description of work to 1"� '/ t Cl0 f A loot AN J n!'r A)l 1'1 Cox 1110101 ^"1
be included on this permit only OHO$14 0" fitlIA#L1
NAME ";k) cL i)4T'AJ I PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEPHONE
)ori yon rz"t i 253 -936-5833
MAILING ADDRESON x E-MAIL
CONTRACTOR 0117/
CITY F(�v^ IAFi STATE�A ZIP 1801' FAX
WA STATE CONTRACTOR'S LICENSE# �// EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NOR 7(t Ws67 L7 G /20
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS /-•- - E-MAIL
CITY STATE ZIP FAX
NAME 1) I PRIMARY PHONE
PROJECT CONTACT &'1 eL 201-234-2181
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
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 19.27095)
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: DATE /Iso h
PRINT NAME: 't 3t 6-;‘t,
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe),
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(coo)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
Sinks)BATHTUBS(or Tub/Shower Combo) LAVS(Hand TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
AB .':, I f..
1 40 -
FIRST FLOOR(or Mobile Home)
vi v.-
COVERED ENTRY
Vii%".� .-,_,:r..«.,rv,.w�tt...,.e�.,.a,..,ru,.,..,.�i;..•.k'v,.«,�;,,..�.,w_,.:, . ..u-a�r`tlFs� ', _fz :.
GARAGE ❑ CARPORT ❑
� ` f f�
{1THER(descnbe� „7„."-4.,:,7,-
Area Totals EXISTING PROPOSED TOTAL
*%*. WHo s O11LY 2
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
ttt'BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
_ av,.r , '1:4!;g547-1;K.? 4'01'
. f
,T'4TAL BUILDING ,It.taWf:
TENANT AREA ONLY
`74/ PROJE '0. F ONLY 1 jf „�r
� i
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application