20-100631 Building - Single Family
• City
dyDFederal
opment Permit #:20-100631-00-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: JOSE
Project Address: 32529 11TH AVE SW Parcel Number: 926494 0210
Project Description: Remove ceder shakes and install 1/2" CDX plywood and composition shingles.
Owner Applicant Contractor Lender
CAROLINA JOSE PETE GIEREHORIZON ROOFING HORIZON ROOFING LLC OWNER IS LENDER
32529 11TH AVE S LLC PO BOX 24449
FEDERAL WAY WA 98023-4924 PO BOX 24449 FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
AdditionalPermit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation: 12,500.00
PERMIT EXPIRES Tuesday, 11 August,2020
Permit Issued on Thursday,February 13,2020
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: Z 113 /26
THIS CARD IS TO REMAIN ON-SITE
CITY OF 044 Construction Inspection Record
Federal Way • INSPECTION REQUESTS: (253)835-3050
PERMIT#: 20 100631 00 Address: 32529 11TH AVE SW
Project: CAROLINA T JOSE FEDERAL WAY WA 98023-4924
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) I:1 Final-Building(4050)
Approved to install roofing Approved
.By`G(LS Date y2 , W ,.By j ( Date /.21.1,2a,24,
❑ Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
PERMIT APPLICATION
CITY OF �•...i FEB 13 2020 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 DEVELOPMENTr q
PERMIT NUMBER O _. ' O v _ S ` �i/
TARGET DATE
SITE ADDRESS )25 211 II ii Av _ 1 ( SUITE/UNIT#
,S�,J F`)U ( tic.,c.j 1 02 3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# / o / O
TYPE OF PERMIT ,BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT SGS C
PROJECT DESCRIPTION �-_y' l ,I I ,l_ ,. ��
Detailed description of work to 1 liMe � C It c/ S�^h 4s cod 1 k)J 'l k 12 CO( j
be included on this permit only ('IW(,f i}1 Pi 51,1,511.,
NAME , ` PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS ` � E-MAIL
CITY J STATE ZIP
_.. NAME _ PHONE
110x12,, (ZOCe;nS
MAILING ADDRESSh E-MAIL
CONTRACTOR Pbo7 2911g1 2.S)'838' -Seg)3
CITY Yt (141 4-7 5TATEte1� ZIP G l FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I1`I2T2 (Z�..fG)L? ` d i /24
NAME PRIMARY PHONE
APPLICANT, MAILING ADDRESS �+� E-MAIL
CITY 7 STATE ZIP FAX
NAMEPch �`f PRIMARY PHONE
PROJECT CONTACT f Ze 4-231-2 y 81
(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 arty 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.
7
SIGNATURE: / DATE 2 13 1 Z d
PRINT NAME: Rh 6I6L
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application