10-104058 City of Federal Way •
Building - M.tti Family Community Development Services Permit #: 10-104058-00-M C
P.O Box 9718
Federal-260,WA 98063)9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
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Project Name.: BURAL
Project Address: 4724 SW 317TH LN Unit D Parcel Number: 784301 0120
Project Description: REP-Foundation stabilization per engineering.
Owner Applicant Contractor L
JACK BURAL ROBBINS&CO HOUSEMOVING ROBBINS&CO HOUSEMOVING
MAXINE BURAL INC INC
4724 SW 317TH LN#D 818 142ND ST SE ROBBICH169NQ(3/31/12)
FEDERAL WAY WA BURIEN WA 98166 818 142ND ST SE
98023 BURIEN WA 98166
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
°3fm ➢E
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
. ,,9,r•', . ffi � P"t X11 &' f 4(
i
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Wednesday, March 23, 2011
Permit Issued on Friday, September 24, 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
11l
ad the City of Federal Way.
Owner or agent: Lid •In, , Date: 41724/i&
P! 43 /3d (o
III THIS CARD IS TO RFMAIN ON-SITE
404N.S..; . '
CITY UF ~ , Construction Ins ction Record'
Federal Way INSPECTION REQUE 'TS: (253)835-3050
PERMIT#: 10-104058-00-MF Address: 4724 SW 317TH LN Unit D
. Owner: JACK BURAL FEDERAL WAY, WA 98023-2071
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) El Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) 0 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) El 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 By Date
0 Interim Erosion Control(4370) Framing(4120)
Prior to scheduling a Framing inspection; Ei
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.3 By Date
El Insulation (4150) El 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
Ei Final-Fire Department(4060) 0 Final Erosion Control (4375) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date By 9R Date 00/7
K
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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1' ��PERMIT SF((MF• CO ME E PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES O v -kPp LI CATION c 7tC ` 1.--/
253-835-2607•FAX 253,935- i-
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NAME OF PROJECT
(Tenant or Homeowner Name) ` n/J Tr(C- 0CY110166 - bi rit( ra- Va
CX BUILDING 0 PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
a (. . 0-Ilk 0 '.�,- , '( 1111.'
PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit onlyI 1 ' ) & e.('
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NAME PRIMARY PHONE
PROPERTY OWNER filiAarte_ 6i_/al
( )
MAILING ADDRESS,CITY,L7�3� �.L�T 3/7— 2._/-7 linvfrh ATE,ZIP e1-)eviciold E-MAIL
OWNER IS ALSO: 0 CONTRACTOR ❑ APPLICANT 0 PROJECT CONTACT
NAME/ PRIMARY PHONE
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CONTRACTOR
MAILING ADDRESS,CITY,STATE,ZIP FAX
Y l�' 1 �� ti%u-�tt�J i ��Ilk ( ),JL - l 1 C)
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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APPLICANT NAME 0 h Wuv n>I UC l�'UM O/ `”?3
MAILING DRES��CIT 1 STATE.St , 0 K+V ICJ . ) Y L FAX
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PROJECT CONTACT q�����s TM'
�i /h7 r� PRIMARY PHONE"],
(The individual to receive and f lta .d I' 46I9//I n 1 ,( a&) 16,)--
respond
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respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) '5I2 Nit) iqi' . btnevi1 04-cigitd,J14-9 /( (` �) ,� - g to/
ALTERNATE CONTACT NAME: t PRIMARY PHONE E-MAIL
—( ) C itZ V1t/yT &
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PROJECT FINANCING NAME
.
Required for projects with OWNER-FINANCED (Or)
valve of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY 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 a part offthis application.
SIGNATURE: I3'iLItiL/Li (. /f�� DATE
PRINT NAME: l�Cj r`l�(�i K_.�,i I AV '
Bulletin#100-4/21/2009 " 'age 1 of 4 k:\Handouts\Permit Application