23-1051094
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EDMOND
Project Address: 1928 S 289TH ST
Building - Single Family
Permit #:23-105109-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 422300 0290
Project Description: Replacing (1) patio door in a like for like sizing manner, no structural modifications to be
made. Patio door will be installed as a block install and to be installed plumb, level and square.
Head flashing as required. Caulking from unit using exterior grade caulking. Sealed to
exterior.
Owner
Applicant
Contractor
Lender
DANIEL EDMOND
KATTI UNGERNW EXTREME
NW EXTREME INSTALLERS INC
1928 S 289TH ST
INSTALLERS INC
�800 SE SUNNYSIDE RD SUITE 114:
FEDERAL WAY WA 98003-3815
3800 SE SUNNYSIDE RD SUITE 31'
CLACKAMAS OR 97015
CLACKAMAS OR 97015
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# 1
#2
#3
#4
Occu ancy 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: 2,500.87
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, 15 April, 2024
Permit Issued on Wednesday, October 18, 2023
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
F11:E:
ity of Federal Way.
Owner or agent: Date:
JDR
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 105109 00 Address: 1928 S 289TH ST
Project: MARIE EDMOND FEDERAL WAY WA 98003-3815
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.
Prior to scheduling a Framing inspection; ❑ Framing (4120) 0 Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must be signed -
off and approved. IBC 109.3.4 By Date By Date
Gypsum Wallboard Nailing (4130) JfBy
Final - Building (4050)
Approved to install mud & tape Approved
By Date I r Date I
❑
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF Building Division
Federal Way
Phone 233325 Eighth Avenue South
Federal Way, WA 98003-6325
53-835-2607 Fax 253-835-2609
VA�:�L
CORRECTION NOTICE
ADDRESS:. IclTi9 5 7,b944% 6r_ PERMIT#: 713 cos 109
0'1- ( ptl
6,115-
(+-
Pe m- R-7a3,.
IF YOU HAVE QUESTIONS CALL .(ky-- (253) 835- ZfeLI
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
Z
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE Page L of
Ak
CITY OF
Federal Way
RECEIVED
OCT I Z 2023 PERMIT APPLICATION
PERMIT CENTER + 33325 8ch Avenue South + Federal Way, WA 98043-6325
CrTY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + perrnitcenter cicityoffederalway.com
COMMUNrTY DEVELOPMENT
PERMIT NUMBER
..—. TARGET DATE
SITE ADDRESS
SUITE/UNIT #
1928 S 289TH ST
FEDERAL WAY, WA 98003
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
$ 2500,87
_
TYPE OF PERMIT
�[
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
We will be replacing (1) patio door in a like for like sizing manner, no
PROJECT DESCRIPTION
structurM In L Ica ons to be ma e. Patio door v—nll be instgMed as a Mock
Detailed description of work to
required. Caulking from unit using exterior grade caulking. Sealed to
be included on this permit only
ex or.
NAME
Marie Edmond
PRIMARY PHONE
253-250-5674
PROPERTY OWNER
MAILING ADDRESS
1928 S 289th St
E-MAIL
CITY
Federal Way
STATE
WA
ZIP
98003
NAME
NW Extreme Installers
PHONE
855-510-7827
MAILING ADDRESS
E-MAIL
CONTRACTOR
8800 SE Sunnyside Rd Suite 315
permitting@premierservicegr
CITY
STATE
ZIP
FAX
Clackamas
IOR
97015
i
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NWEXTE1882NL
8 /13 / 2024
603-229-148
NAME
PRIMARY PHONE
Katie Campos
855-510-7827
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315
E-MAIL
permitting@premierservicegr
APPLICANT
CITY
STATE
ZIP
FAX
Clackamas
OR
97015
NAME
PRIMARY PHONE
PROJECT CONTACT
Katti Unger
855-510-7827
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315
E-MAIL
permitting@premierservicegrp.c
(The individual to receive and
respond to all correspondence
CITY
Clackamas
STATE
IOR
=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 a part of this application.
SIGNATURE: DATE 10 / 10 / 2023
PRINT NAME: _Katie Campos _
M
Bulletin #100 — February 19, 2020 Page] of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
Indicate hors mAzny of each [yp,
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as
FANS
FIREPLACE INSERTS 4
FURNACES _
GAS LOG SETS
GAS PIPING
to be installed or relocated as
LAYS (Hand Sinks)
RAINWATER SYSTEMS
SHOWERS
SINKS (Kitchen/Utility) _
SUMPS
f this project. Do not it
GAS PIPE OUTLETS
HOODS (Commercial)
HOT WATER TANKS (Gas)
REFRIGERATION SYST
WOODSTOVES
f this project. Do not in
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
n Yes n No
PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes n 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 $
# 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
S uare Feet
+ Occupancy Group(s)
I
Construction
e
# 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