10-102895 • 3uilding - Single Family
City of Federal Way
Community Development Services Permit #: 10-102895-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: NGUYENtw �'` a
� g65
Project Address: 30915 37TH PL SW Parcel Number: 058755 0010
Project Description: ADD-Extending roof over(2)existing rear decks
Owner Applicant Contractor Lender
KHOA NGUYEN MULLEN ENTERPRISES INC MULLEN ENTERPRISES INC
30915 37TH PL SW 3831 SW DASH PONT RD MULLEEI902MF (7/6/12)
FEDERAL WAY WA 98023-2194 FEDERAL WAY WA 98023 3831 SW DASH PONT RD
FEDERAL WAY WA 98023
Census Category: 434 -Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor.....: . ........0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement......... .......0
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No New/Additional Sq.Feet-Other 0
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
PERMIT EXPIRES Monday, January 31, 2011
Permit Issued on Wednesday, August 4, 2010
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: k 5%/c7
O d
• THIS CARD IS TO AIN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 10-102895-00-SF Address: 30915 37TH PL SW
Owner: KHOA NGUYEN FEDERAL WAY, WA 98023
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) El Footings/Setback(4110)
Approved To be done prior to breaking ground ApprovedAto place concrete /I
By Date By Date By `C_� Date s�1V%
o Foundation Wall(4115) 0 Drainage/Downspout(4040) El Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date By Date By Date
• Underfloor Framing(4285) 0 Floor Sheathing(4105) El Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
El Roof Sheathing(4220) • Fire/Draft Stops(4095) Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By (D Date 9_ 3.. ( p By Date y zsrfr By Date
Prior to scheduling a Framing inspection; Framing(4 20) El Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 .By ���/� Date icf v By Date '
El Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date Bye J Date A`C1...-1 s.'t
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
illPi'
c.Y„} :: :::::_::::: PERMIT
Federal : , ;• � � F CO ME PL DE EN FP
COMMIUNITY DEVELOPMENT SERVICESE1 VkPLIATI
25 3-835-2607•FAX 253-R.',5-2`609 C O N /6PIP//ID ostpt
L 0 8 2090 913 •
SITE ADDIgITY OFFEaERq SUITE/UNIT#
09 1 s- c 7th- w� rl i 6 \X
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ,��7.�� - - - -
J(/V
TYPE OF PERMIT UILDING 0 PLUMBING CI MECHANICAL
///❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) nic e-A) Wt/5
PROJECT DESCRIPTION Kw"� Roc.F c -►?ham a/ciSTI NFa .bi s e Rig
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER riiip' oL iJ /4L,,A f�et,l,J ki P-1 N t 310)
MAILING ADDRESS ! ® ,V /y E-MAIL
CIT 1 .051 1,4'. 'a h A/ ,/n1 r 4 ee
F I:�ZU' ... 144//
STATE ZIP 0/
NAME , 1a(,�. ) Eiticcppcs&J /u PHONEAZ :0? 2
MAILING ADDRESS E-MAIL •
CONTRACTOR 'W(3/ 50 .DPfs 9 prathrr n,�� c-MI 1-19110 c90f /95'rl157
CITY STA ZIP FAX
r;� 4404-/ W 3
WA STATE CONTRACTOR'S LICENS EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ifnVLL Ea 1 aO2. nl7rr )/ 6 / 0_,
NAME /,., PHONE
APPLICANT MAILING ADDRESS E-MAIL
3S) Stty ,P/Vo- 4?r,i17`. 4b9p es-V)f aryt 0 cof-iv
CITY STATE ZIP FAX
is—a 4�g j/ AA- ? -23
PROJECT CONTACT NAME PHONE
(The individual to receive and 64F1,11 . 2O6 39? E7
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) •
•
1301 I
TY I -.111 11. it FAx
eALTE- •• CT NAME: PH•V E-MAIL
PROJECT FINANCING NAME
/�
OWNER-FINANCED
Required value of$5,000 or more 0 A.14..2_A.14..2_(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 city as a part of this application.
SIGNATURE: ��� r;'�.i��,,.I DATE 46/-4 //i:?
PRINT NAME: ��7jioj,ciZ!, %dte..Pyl/J
Bulletin#100-April 14,2010 Page 1 (4'3 k:\Handouts\Permit Application
: .................................. :...::::: ...... .111.......... .. . . . . .
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1.I
011 117.1
VALUE OF HANIL WORK
$ (a copy of bid or estimate must be provided)
ft I %te how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITSFANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commeresl) —
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
. .......... :::: .•.•
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
WASHING MACHINES =# ':1' :`1`A7i ? ffii
HOSE BIBBS SUMPS "'`''' "''
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF.EXISTING IMPROVEMENTS
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EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
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Bulletin#100–April 14,2010 Page 2 of 3 k:\Handouts\Permit Application