11-103900 4
uilding - Single- Family
City of Way Permit #: 11-103900-00-S0F
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
F ILE
Project Name: BURTON
Project Address: 1115 SW 333RD PL Parcel Number: 926496 0570
Project Description: REP-Remove existing cedar shakes,reinstall with plywood and composition shingles.
Owner • Applicant Contractor Lender
PATRICK M&CAROLE D HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC PATRICK M&CAROLE D BURTON
BURTON P0BOX 24449 HORIZCI110KR (05/19/13) 1115 SW 333RD PL
1115 SW 333RD PL FEDERAL WAY WA 98093 PO BOX 24449 FEDERAL WAY WA 98023-5315
FEDERAL WAY WA 98023-5315 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
a ei
W \�.�:'. ✓%;,,. ... ... a, ,fir.$'"� x:�' `.:bi.n ��. sf. 3.,, �. ..
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included9 No
Zoning Designation RS 7.2
PERMIT EXPIRES Sunday, March 25, 2012
Permit Issued on Tuesday, September 27, 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 with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: P/V/ Date: /12,10
•
�� �� 1-0 q /30//1
THIS CARD IS TO MAIN ON-SITE
CITY OF i Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103900-00-SF Address: 1115 SW 333RD PL
Project: PATRICK M & CAROLE D BURTON FEDERAL WAY, WA 98023-5315
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) El 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
Floor Sheathing(4105) El
Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By3--C Date�'j Z C f '
•
❑ Fire/Draft Stops(4095) to
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)s
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•
El Final Erosion Control(4375) Final-Building(4050)
Approved pproved
By Date C5 Date5 -30.(/
•
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I ) - L0 ,300
CITY OF * ,PERMIT VIF CO ME PL DE EN FP
Fed /1111)4FET�C
COMMUNITY DEVELOPMENT SERVICES '1 c�p p L I C A T I O N
253-835-2607•FAX 253-835-2609
www.rituoITeaeralwai p 2 7 2611 3 i77°
SITEAciU OF IFJ)E Q � � ) SUITE/UNIT N
DS
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL 8 496 _
TYPE OF PERMIT [BUILDING 0 PLUMBING Y� 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) I r-�'M
PROJECT DESCRIPTION I -
Detailed description ofwork to 12vt ceder f 1-c k1, I 01 1 / yl I' WO) (0/1011na' sq-A5 [ii
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER 1°A7 $"(4-6 n
MAILING ADDRESS E-MAIL
S APA
CITY STATE ZIP
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NAME
YIP n
w`(l ZG'i Le A-trAcT-0, c PHONE
1 MAILING ADDRESS
60.)C
I^,x Z/111/ E-MAIL
C f NTRACTOR J �j'✓
CITY c I till STATEa ZIP_ ) FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
*I/PPT26T110 kR 5 )4
NAME PHONE
5API
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME ft
tL �t�C PHONE
(The individual to receive and T` 2G1—23 Z��
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAMEEl 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 ci as a -• of - - , -plication.
A.
1/Z, 1
SIGNATURE: /^ DATE
1
PRINT NAME: r / "( \U4.-
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application