13-101337City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MULLEN
Project Address: 33620 4TH AVE SW
*ilding - Singre Family
Permit #: 13 -101337 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 729805 0280
Project Description: REP - Remove shake roofing & install OSB sheathing & composition shingle roofing
system.
Owner
Aonlicant
Contractor
Lender
GERALD MULLEN
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
MULLEN ENTERPRISES
PO BOX 24449
HORIZCII IOKR (5/19/13)
33620 4TH AVE SW
FEDERAL WAY WA 98093
PO BOX 24449
FEDERAL WAY WA 98023
FEDERAL WAY WA 98093
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Loa&
Floor Areas . 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 T i s Permit !!
PERMIT EXPIRES Wednesday, September 18, 2013
Permit Issued on Friday, March 22, 2013
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: Dater ?
CITY OF 4:&!�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -101337 -00 -SF Address: 33620 4TH AVE SW
GERALD MULLEN FEDERAL WAY, WA 98023-8302
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)Initial
Erosion Control (4365)
0
Underfloor Framing (4285)
0 Gypsum Wallboard Nailing (4130)
Approved
Approved to insulate
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 By Date .2
0 Fire/Draft Stops (4095)
Approved
By Date
0 Interim Erosion Control (4370)
Approved
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 1093.4
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date `5 _ a!a,r
Framing (4120)
Insulation (4150)
0 Gypsum Wallboard Nailing (4130)
Right of Way
Approved
Approved to insulate
Date
Approved to install wallboard
Date
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By Date `5 _ a!a,r
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY of
Federal Way
PERMIT NUMBER l
PERMIT RPPLICATION
RECEIVED
MAR 2 2 2013a`�
�O TARGET DATE
CM OF FEDERAt VVAY-
SITE ADDRESS �
SUITE/UN
PROJECT VALUATION
$ '7100
ZONING
ASSESSOR'S TAX/PARCEL A
-:7- 2 q 'j53 Q _ E�
TYPE OF PERMIT
BUILDING D PLUMBING D MECHANICAL D DEMOLITION D ENGINEERING D FIRE PREVENTION
NAME OF PROJECT
1 v J 1 e -n
PROJECT DESCRIPTION
Detailed description of work to
G C ko 4 /
<� F
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
P%4.
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
NAME f40ri2a, CoA-�Ac�rs T r e-
25' 3 �s3F 58 3
MAILING ADDRESS nX u
E -MAH.
CONTRACTOR
CITY `C'
STEITE4
/VV __'"'mow
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N
(/)2T 41 Q
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME�G�G V 'G ��
PRIMARY PHONE
6 - 2 33'Jf21
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
(RCW f 9.27. 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 taws 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 city as a part ofth's application.
SIGNATURE: DATE ) 122 I
PRINT NAME:
Bulletin # 100 -January 1, 2013 Page I of 3 k:\Handouts\Permit Application