06-104125 r
—Y'
City of Federal Way Buil ng - Single Family Perm' 06-104125-00-SF
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
Project Name: TIJERINA
Project Address: 32303 11TH AVE SW Parcel Number: 926493 0520
Project Description: REP-Tear off existing shake roofing. Over skip sheathing,install 7/16" OSB sheathing.
Comp roofing to be installed by others.
Owner Applicant Contractor Lender
ALONZO&ABIGAIL TIJERINA HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32303 11TH AVE S 32705 5TH AVE SW HORIZCI11OKR 05/14/07
FEDERAL WAY WA 98023-5555 FEDERAL WAY WA 98023 32705 5TH AVE SW
FEDERAL WAY WA 98023
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
i' t alPermit 1 atiian 't
New
Mechanical/Additional
ditial Included?q.Fet 3rd Floor 0 _Plumbing w/Aditio
dit o�S9 Feet-Basement ......... .....0
Included? No'
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Friday, August 15, 2008
Permit Issued on Tuesday, August 15, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and these will be in accordance with the laws, rules and regulations of the State of Washington
ani a Ci of Federal Way.
Owner or agent: \1't�h`- -
and
Date: I.-1-r-0('
THIS CARD IS TO MAIN ON-SITE
CITY OF t ommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104125-00-SF
Owner: ALONZO &ABIGAIL TIJERINA
Address: 32303 11TH AVE SW
FEDERAL WAY, WA 98023-5555
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.
O 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) • 0 Fire/Draft Stops(4095)
Approved to install siding Approved to install roofin / Approved
By Date By PZ/1Date 89 /�/Q� By Date
NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120)666 • 0 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 109.3.4/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 By C (j Date €;,...2.3 • O cp
El Temp.Erosion Maintenance(4370)
Approved
By Date
i
A •
L - L .6. YZ12--.' _-r
F'ecteral Wa WPERMIT \��
• COMANNITYDR9RLOPIBNlTSBRVNCES SF FCO ME EL PL DE EN FP
993?SdTMAVR1YURSOUiH.Po 9718 ApiG .154 ?PLI CATI O N
FRDRRAL WAY,WA 98069-97Id T'
159 89SY607•PAX Y53 d35 2609 /______._...._.__L_)--
wew.e$uo edetehvau.am
The oilowin• is •,,l's 4. e +.2.:::;,.:,' ' co •lete a• •lication will not be accep Please -rint legibly in in or •-.
i PROPERTY INFORMATION
SITE ADDRESS '7/.5e'5 1( J.0 / SUITE/UNIT I
ASSESSOR'S TAX/PARCEL I • l CA ( -- � - 0 '✓ v LOT SIZE(s•)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Moth eepmat.pae.la,'!WOOS/legal delaiptlay
■ PROJECT INFORMATION
TYPE OF PERMIT '4BUILDING . 0 PLUMBING 0 MECHANICAL
f DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(ProvideI1ailed description of work included on • ermit only) , '
ior) C-Lx-14_, °
*
PROJECT NAME(Name of Business or Owner Last Name) 1T cn
• PEOPLE INFORMATION
PROPERTY NAME .- PRIMARY PHONE
OWNER ' ,I I ( J /ICL ( )
MAILING1( �� CITY,STATE,ZIP
I� 2c-1
CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
(+ - t 6. ( )
MAILING ADDRE3$ 'N CITY,STATE,ZIP CELL PHONE
i?L�`L ±=tf^ C.t) (is 3) ;;� - i47Y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - • / / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/
APPLICANT COMPAr NAMES' APPLICANT NAME OFFICE PHONE
f`\ rn C,.�)fY�Li ( ) -
MAILING ADDRE CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑'.Tenant P Agent 0 Other(Describe) ( ). -
CONTACT NAME h - PRIMARY PHONE_ E-MAIL ADDRESS
�L es,s (tom, .) 3.cC , 1f71.-
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
•
M DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ i3C�C,tiV
l
SPRINKLERED BUILDING? ❑YES o NO irliE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
6 I
1
PROJECT FLOOR AREAS
i
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
mrruo nioroeso rorty.
NUMBER OF FLOORS
**NEW HOMES ONLY' NUMBER OF BEDROOMS .- MATE s ELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocat-• as part of this p •'•ct. Do not include existing futures to remain.
MEC&AMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORA 0 COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Comm. )ieWOODSTOVES
BOILERS FIREP CE INSERTS RANGES MISC(Describe)
COMPRESSORS ' ' ACES GAS WATER HEATERS
DUCTS a AS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/ShowerComeol SHOWERS WATER CLOSETS Rose MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sow VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information 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 to 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 of city,including its officers employees,upon the accuracy of the information supplied to the city as a part of
is application.
NAME/TITLE 1 )‘‘-'410,5— 1 V5.1 DATE 7.- 1, (,'
(Signature) rifle)
RELATIONSHIP TO PROJECT y 0 Agent OContractor 0 Architect 0 Other •
',Jr. 1u .
�,
Rnilotin#1 fin_Tamnary 1 7(1(1h Pave 2 of 4 k\i-Iandouts\Permit Application