06-102183 .^s
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City of Federal Way BuilPng - Siln"gle Family Permi #• 06-102183-00-SF
Community Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609FILE Inspection Request Line: (253)835-3050
Project Name: COLLART
Project Address: 32239 11TH AVE SW Parcel Number: 926493 0530
Project Description: Reroof; removing shakes,install CDX and install comp
Owner Applicant Contractor Lender
MELVIN D COLLART HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
LINDA W COLLART 32705 5TH AVE SW HORIZCII 1OKR 05/14/07
32239 11TH AVE SW FEDERAL WAY WA 98023 32705 5TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA 98023
98023-5553
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
'Additional Permit Information
New/Additional Sq.Feet 3rd Floor ' 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Friday, May 2, 2008
Permit Issued on Tuesday, May 2, 2006
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
1 anthe City of Federal Way.
Owner or agent: 1 r S I^--Il-� Date: --5-12)6NN (�
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'NIL. THIS CARD IS TOMAIN ON-SITE
CITY OF lit ommunity Development Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102183-00-SF
Owner: MELVIN D COLLART
Address: 32239 11TH AVE SW
FEDERAL WAY, WA 98023-5553
This card is part of your required inspection documents. 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 Temp.Erosion Control(4365) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Shear Walls(4245) ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding ,Approved to install roofing Approved
By Date By ( v�" Date 6-A/Q(0 By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved IBC 1093.4/UBC 108 5.4'
By Date By Date
❑Gypsum Wallboard Nailing(4130) 0 Final-SWM(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved ,/
By Date By Date By4611 Date ld
['Temp.Erosion Maintenance(4370)
Approved
By Date
4\II 03
crop+ �p06 l$ a / - / 2 �_5
Federal Way M� —f-
COMMUNTTYDEVELOPMENT SERVICES FEpERA �'"'IT F F CO ME EL PL DE EN FP
33325 D AVENUE SOUTH•PO BOX 9718 v of A L I C AT I O N
FEDERAL WAY,WA 98063-9718 G�� gVk�-p / /
253-835-2607•FAX 253-835-2609
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The oilowi • is re• ired in ormation-an c•m•lete a•plication will not be acce•ted. Please •tint legibl in in or • .
m PROPERTY INFORMATION
SITE ADDRESSZ 1 1 I
3� � � (4-L,- ' SUITE/IINTIT#
ASSESSOR'S TAX/PARCEL# - — _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
1: PROJECT INFORMATION
TYPE OF PERMIT iliBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONe detailed des o,f work included on this permit only)
. ,i .
-210-1 t&S6k Imo,
Co((PROJECT NAME(Name of Business or Owner Last .e e) a>-c)---
MI PEOPLE INFORMATION
PROPERTY NAME ` PRIMARY PHONE
OWNER ('�(1l (.i7` 64 ( )
MAILING AD S CITY,STATE,ZIP
31''- 1 11-K c.t
CONTRACTOR COgA AM� Co AP .`N E V Q,y OHO P�ONE 4........cf -
MAILING AD ESS CITY,STATE,ZIP CELL PHONE
3-)-1d5— A1,13 v`, (t.2(27) 3N--,-) - 1/12-
C OF FEDERAL WAY BUSINESS LICENSE NUMBER PIRATION DATE FAX NUMBER
B L . / / ( )
CONTRACTOR'S REGISTRATION NUMBER loopy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMP NA1 d5r.... APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ). -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER ,. NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WO. $ •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED./• . - D? I(YES 1., 0
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) II
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED
SQ.FT. SQ.FT. S .
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =sum �aorosan corm Z'.
"NEW HOMES ONLY** NUMBER OF BEDROOMS STIMATED ` LUNG PRICE $
FIXTURES
Indicate number of each type off Lure to be installed or relocate• as part o is project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPO•. VE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FAN HOODS(comm. • WOODSTOVES
BOILERS ' '41 PLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATE'
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(scrub/shows ombo) SHOWERS WATER CLOSETS tram MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OU S SUMPS RAINWATER SYST
WASHINACHINES U. ALS HOSE BIBBS
LAVS(Bathroom sinks) VA' M BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the t o ,•tion furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises • perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliance oft city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
.-/-2-1°
ITLE (i1� I z DATE J
NAME/T �
ignature) (Title)
RELATIONSHIP TO PROJECT ci Owner ❑Agent 0 Contractor o Architect U Other •
n..11..a:.,441 M.....T...........1 9AA4 DOM.9 nfA lAN9tn1nrlto PPrttlkt Annliaotunn