07-104967 4
City of Federal Way Buildii- Single Family Permit .07-104967-00-SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 F- r Inspection Request Line: (253) 835-3050
.'a
Project Name: ZIEGLER ' A e '
Project Address: 32320 11TH AVE SW Parcel Number: 926493 0220
Project Description: REP-Remove shakes,install plywood and add composition
Owner Applicant Contractor Lender
PATRICK ZIEGLER HORIZON CONTRACTORS INC HORIZON CONTRACTORS INC
32320 11TH AVE SW 32705 5TH AVE SW HORIZCI110KR (05/14/09)
FEDERAL WAY WA FEDERAL WAY WA 98023 32705 5TH AVE SW
98023-5554 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
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 Monday, September 7, 2009
Permit Issued on Friday, September 7, 2007
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: 7/7 /67
• THIS CARD IS TMAIN ON-SITE •
CITY OF Community DevelopAnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-104967-00-SF
Owner: PATRICK ZIEGLER
Address: 32320 11TH AVE SW •
FEDERAL WAY, WA 98023-5554
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date Date C1.-1/-0 7
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
❑ Final-Building(4050) ❑ Interim Erosion Control(4370)
Approved Approved
1
By Date By Date
• •
• For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
� r
al
C� - /0 � 7
Raerai Way
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CONNUMTYDEVELOPMENT SERVICES R PERMIT 40 MF CO ME EL PL DE EN FP
93325 8i AVENUE SOUTH•PO BOX 9718
FEDERAL
WAY,
7 PAX 253-83-2609 SEP 0 p L I C AT I O N �° / /
www.analfederahvay.copt
OaRA1.WA`s
MEM llowing is requirect lat111 fficomplete application will not be accepted. Please print legibly(in ink)or type.
��LNu PROPERTY INFORMATION
SITE ADDRESS_ 3232-V 10 Is A`rC swFejt/o.I Wen SUITE/UNIT#-
t ASSESSOR'S TAX/PARCEL# — —_ _ - — _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
p •Pro.Imr sessaiPdeog
■ PROJECT INFORMATION
I TYPE OF PERMIT kr BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1 I?(MCvC S.akO/ 1'Astc,.1,A y1ylrr4W Ond CG/10C.$;44'^
PROJECT.NAME(Name of Business or Owner Last Name) Z l P e
Wt
U PEOPLE INFORMATION
PROPERTY NAME pA}
,p PRIMARY PHONE
OWNER 1 Z( 15‘C/ ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPAVY NAME APPLICANT NAME OFFICE PHONE
NCr,zG' .ccci,5 ( ) -
MAILING ADDRESS AELL PHONE
3210r S-A. Awl $W CITY�`IwTE,ZIP(.41 lfOZ3 C(?.f°C )23y 24fr1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
1109X2 Cr )1GKR
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.2.7.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -.
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE u
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ "1 i G`t
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESO`- ON KRISTIN' PROPOSED TOTAL
SQ:FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE❑ CARPORT ❑
NUMBER OF FLOORS ICLISTING rsoroezo TOTAL TOTAL zmMV
OS=JreF TOTALeas ar TOTAL S,
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number ofeach type o re to be installed or relocated aspart ofthis project. Do not include existing yP of fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commeroias
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(orTrb/Shower combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roses)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised by the issuance of a permit. I understand that the issuance of this permit
doss 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 Wag 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 •:•1i ation.
SIGNATURE: /'/ DATE (7 lo-)
. .perty Owner and/or Authorized Agent .
o NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? DYES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—August 16,2007 Page 2 of 4 . k'.Handouts\Permit Application