13-104540t
City 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: CAMPUS SQUARE
Project Address: 728 S 320TH ST
� 3
Building - Commercial
Permit #: 13 -104540 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9050
Project Description: REP - Rear off cedar shake roofing; install plywood sheathing and composition shingle
roofing system.
Owner
nlicant
Contractor
Lender
CAPITOL SQUARE LLC
HORIZON CONTRACTORS INC
HORIZON CONTRACTORS INC
PO BOX 18194
PO BOX 24449
HORIZCII IOKR (5/19/15)
SEATTLE WA 98118-0194
FEDERAL WAY WA 98093
PO BOX 24449
FEDERAL WAY WA 98093
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 1 0 0 0
Additional Permit Information
Mechanical to be Included?...................................No Number of Stories ................................................. 1
Permit for Building Shell Only?............................No Plumbing to be Included? ...................................... No
New / Additional Sq. Feet - Total .......................... 0 -
No Fixtures Associated With This Permit l[
PERMIT EXPIRES Saturday, April 12, 2014
Permit Issued on Monday, October 14, 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: Date:
i
CITY OF '
Federal Way
PERMIT #:
. THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
13 -104540 -00 -CO Address: 728 S 320TH ST
Project: CAPITOL SQUARE LLC FEDERAL WAY, WA 98003-5255
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.
Rough Electrical Final Electrical Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
SWM Precon Site Mtg (4400)Initial
E]
Erosion Control (4365)
Footings/Setback (4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Rough Electrical Final Electrical Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
Foundation Wall (4115)
E]
Drainage/Downspout (4040)Re-steel
(4215)
Approved to place concrete
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
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
Date k 0 (� 13
By
Date
Interim Erosion Control (4370)
ming inspecfion;
Pri=Plumbing
Framing (4120)
Approved
aFra
Electriechanical Rough -in and
Approved to insulate
Date
Fire/Ds must be signed-ofi' anBy
BY
Hate
IBC 1093.4
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
Final - Fire Department (4060)
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
� Date W/22,113
Rough Electrical Final Electrical Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
REC,6VED
nTM. PERMITIPPLICATION
Federal Way OCT 14 2013
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER
1J _ yVy -�—q O _
TARGET DATE
SITE ADDRESS
1 Z`6 5' 3�a-I�► S�'
SUITE/UNIT A
PROJECT AL ATION
'UU
ZONING
ASSESS—VTv�(I/PAR A �
—
TYPE OF PERMIT
K5 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
�� S
PROJECT DESCRIPTION
Detailed description of work to
c `
�� ! h / 1 �i �� ��G a C1 d
(ic
be included on this permit only
PROPERTY OWNER
NAME /
(, I -' � u rL
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
'Cn L
PHONE
qs3 - OU 4'9-27
MAILING ADDRESS �� /}w
/�oI -I_1
E-MAIL
CONTRACTOR
CITY ,r �� I ("Ja
STATE
tN
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N
a cy ►o R
EXPIRATION DATE
i i
FEDERAL WAY BUSINESS LICENSE A
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
�J /
NAME 1 G 4? 6-- kre
PRIMARY PHONE ygl
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 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PRONE
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 claim4 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 apart of this application.
417 It
SIGNATURE: DATE Jq
r
PRINT NAME: Wt
Bulletin #100 — January 1, 2013 Page] of 3 k:\Handouts\Permit Application