22-101545City of Federal Way
Community Development Dept-
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GEIMER
Project Address: 30158 25TH AVE SW
Project Description: Replace (2) windows and (2) entry doors.
Building - Single Family
Permit #:22-101545-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 893760 0080
Owner
Applicant
Contractor
Lender
RICHARD GEIMER
MEGAN CHAMPAGNEPREMIER
NW EXTREME INSTALLERS INC
30158 25TH AVE SW
SERVICES GROUP
;800 SE SUNNYSIDE RD SUITE 114:
FEDERAL WAY WA 98023
:800 SE SUNNYSIDE RD SUITE 114
CLACKAMAS OR 97015
CLACKAMAS OR 97015
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.)
Additional Permit Information
Mechanical to be Included? ..................................... No Is this an Online or O.T.C. application?.................. Yes
Plumbing to be Included? ........................................ No
Total Valuation: 12,371.00
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, 15 October, 2022
Permit Issued on Monday, April 18, 2022
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the u will be in accordance with the laws, rules and regulations of the State of
FlhLE
the City of Federal Way.
Owner or agent: Date:
r i itiC��
.
_�k,
CITY OF `•
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNHT #: 22 101545 00 Address: 30158 25TH AVE SW
Project: RICHARD GEIMER FEDERAL WAY WA 98023-2354
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CA RD. 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.
[Flectrical,
rior to scheduling a Framing inspection; Framing (4120) 0 Insulation (4150)
Plumbing & Mechanical Rough -in Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed -
off and approved. IBC 1093.4 By Date By Date
0 Gypsum Wallboard Nailing (4130) 0 Final - Building (4050)
Approved to install mud & tape Approved
By Date By 7 I}ate
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
[IV
Date
By
Date
By
Date
RECEIVED PERMIT APPLICATION
CITY Of -
APR 0 6 2022 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
Federal Wad 253-835-2607 + FAX 253-835-2609 + per-mitcenter@cityoffederalway.com
COM UNTTYFDEV OPM cd
NT
PERMIT NUMBER 4_� A _f� r`
_ I TARGET DATE
SITE ADDRESS
SUITE/UNIT #
30158 25th Ave SW Federal Way WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 12,371.00
RS9..6
8 9 3 7 6 0 - 0 0 8 0
TYPE OF PERMIT
V BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
GEIMER- (2) Entry doors & (2) Windows like for like replacement
PROJECT DESCRIPTION
Detailed description of work to
Windows will be installed as a nail flange application and to be plumb, level and square.
e lacin 2 entry door in a like for like sizing manner, no structural modifications to be made.
be included on this permit only
Entry door will be installed as a pre -hung unit. Door to be installed plumb, level and square.
NAME
PRIMARY PHONE
Richard Geimer
209- 954- 6030
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
30158 25th Ave SW
GEIMER XMETA.COM
CITY
Federal Way
STATE
WA
ZIP
98023
NAME
NW Extreme Installers INC
PHONE
971-348-3058
CONTRACTOR
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315 S
E-MAD.
permitting@premierservicegrp.c
CITY
Clackamas
STATE
OR
ZIP
97015
FAX
WA STATE CONTRACTOR'S LICENSE #
NWEXTE1882NL
EXPIRATION DATE
/
UBI #
603-229-148
NAME
Megan Champagne
PRIMARY PHONE
971-348-3058
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315 S
E-MAIL
permitting@premierservicegrp.c
APPLICANT
CITY
Clackamas
STATE
OR
ZIP
97015
FAX
PROJECT CONTACT
NAME
Megan Champagne
PRIMARY PHONE
971-348-3058
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315 S
E-MAIL
permitting @premierserviceg rp.c�
(The individual to receive and
respond to all correspondence
CITY
Clackamas
STATE
OR
ZIP
97015
FAX
concerning this application)
PROJECT FINANCING
NAME
NA
❑ 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 a part of this application.
SIGNATURE: 1`IF.Rz ast, C.i!t �h AKA__ DATE 04/06/2022
PRINT NAME: Megan Cha Daane
n1
Im
im
Bulletin #100 — February 19, 2020 Page I of 2 k:\Handouts\Pemut Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each e of fixture to be installed or relocated as part 2L this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS .,GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT s
Indicate how many of each =e of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/ShmerCombo) LAVS (HandSiriks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$12,371.00
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
.. ... ...............
.......... .... ................. .......... . .....
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ .
I # OF BEDROOMS
COMMERCIAL —NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groups)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application