19-101113Owner
Applicant
Building - Single Family
City otFede
...�,-,
Permit #:19 -101113 -00 -SF
Community Developmentopment Dept.
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35222 5TH AVE SW
33325 8th Ave S
Federal Way, WA 98003
PO BOX 24449
Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835.2609
PO BOX 24449
FEDERAL WAY WA 98093
Project Name: CULLINAN
FEDERAL WAY WA 98093
Project Address: 35222 5TH AVE SW
Parcel Number: 066231 0470
Project Description: REP - Remove cedar shakes and install CDX plywood and composition shingles.
Owner
Applicant
Contractor
Lender
PAMELA CULLINAN
PETE GIEREHORIZON ROOFING
HORIZON ROOFING LLC
OWNER IS LENDER
35222 5TH AVE SW
LLC
PO BOX 24449
FEDERAL WAY WA
PO BOX 24449
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
98023-8122
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
Mechanical to be Included? ..................................... Yes
Plumbing to be Included? ........................................ Yes
Total Valuation: 9,000.00
Is this an Online or O.T.C. application? .................. No
PERMIT EXPIRES Saturday, 7 September, 2019
Permit Issued on Monday, March 11, 2019
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. )/,5Owner or agent: Date:3/��
THIS CARD IS TO REMAIN ON-SITE
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Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19101113 00 Address: 35222 5TH AVE SW
Project: KEVIN J CULLINAN FEDERAL WAY WA 98023-8122
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.
® Roof Sheathing (4220) Q Final - Building (4050)
Approved to install roofing Approved
By Date By YA4 Date ���.►
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY OF MAR 1 1 2019 PERMIT APPLICATION
CITY OF FEDERAL PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way R- WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY
DEVELOPMENT
PERMIT NUMBER ! _ 1 V l — .5F
`� _TARGET DATE
SITE ADDRESS
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SUITE/UNIT #
35 a i i 5�, �� 5� � � f�rt�
PROJECT VALUATION
$ 16
ZONING
ASSESSOR'S TAX/PARCEL #
6,
9 vw,
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TYPE OF PERMIT
X UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
jL,
I it e/ s ��U r IPA)A J k! ( CAK
Detailed description of work to
be included on this permit only
NAME ^
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAMEPHONE
/ / O r) G^ �dL�
15
ZS3-1538 -5833
MAILING ADDRESS
�`�� 2 I'M y
E-MAIL
CONTRACTOR
CITY
U
STATE
ZIP
FAX
F�F 1
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WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
H637 1ZG7 C 7
G e
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS �!
E-MAIL
CITY
STATE ZIP
FAX
NAME ♦
PRIMARY PHONE
6,2Jy, 2'1 V7
PROJECT CONTACT
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
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 apart of this application.
3 ) 1 l N
SIGNATURE: DATE
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Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application