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04-102329J f City ofFederalevel Way Building - Multi Family Permit #: 04 - 102329 - 00 - MF Community Development Services 33530 16t Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: WESTBORO FIRE DAMAGE Project Address: 137 S 330TH ST Parcel Number: 172104 9131 Project Description: Fire Damage: repair charred framing members, rafters, drywall and possibly insulation in Unit D19; Drywall and insultion, ceiling in Unit B19; repair framing members in party wall, and drywall and insulation in Unit C19. Work in Units B19, C19 and D19. , Owner Applicant Contractor Lender Joann E Moore NORDIC SERVICES INC NORDIC SERVICES INC NONE 6077 RIDING CT 9618 MIDVALE AVE N NORDISI180QA 01/01/06 SAN JOSE CA SEATTLE WA 98103 9618 MIDVALE AVE N 95124-6522 SEATTLE WA 98103 NONE Includes Census category: 434 Occupancy Group: — _— - Construction Type: ~� Dcaupancy Load: Floor Area [Sq Ft.)_ _` Census Category... .... .. .... .. ... ---- .... ... 434 - Residential alt/add - no, Mechanical ... .......... --- ............ ................ No Plumbing................................................ No PERMIT EXPIRES December 7, 2004. Permit issued on June 10, 2004 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. dal. Owner or agent: Date: COMMUMTYDEVELOPMEWSERVICES % 33530 FIRST WAYSOUTH • PO BOX 9718 CITY o F FEDERAL WAY, WA 98063-9718 Federal way PERMIT APPLICATIOO 253fi61-4115•FAX 253-6614129 I ut I x ucllllOi!'[:C14'rC+il n[+t r.rxlrl I For 011ice Uee (hdy. FW File Number. Y TD The following is required Wormation - an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS: 1 A I .4�;' 3 0-�q P I SUITE/APT #A ASSESSOR'S TAX/PARCEL #: — _ _ _ _ _ _ _ _ _ SQUARE FOOTAGE OF LOT: w Sv,Jc LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1) (Attach separate page for lengthy legal description) 0 PROJECT INFORMATION TYPE OF PERMIT (This application): BUILDING C PLUMBING C MECHANICAL C DEMOLITION 11 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu): rwq— �G�yitl� r rpp cir i,J° (, tun;.. `,J {" DACE C_,%t;rr'24 ock 1a I-C, "'- PROJECT NAME (Name of Business/Owner Last Name): V V e s+6-0 k - PROPERTY OWNER: CONTRACTOR: LENDER: (If Proposed Value > $5.000) APPLICANT: 0 PEOPLE INFORMATION I NAME: PRIMARY PHONE: �ec�o►� CGS p�.� ��, (�a� �y -yloo MAILING ADDRESS (STREET ADDRESS;): CITY. STATE. Zl P NAIVE COMPANY OFFICE PHONE: MAILING ADDRESS (STREET ADDRESS* ��g ��t��(�z✓ �� CITY, STATE, ZIP C4k LEA CELL PHONE: -5 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: a0-0 1- 1 0 1 9 03-() C3 XPIRATION DATE: FAX NUMBER: 41 V COM'RACTOR'S REGISTRATION NUMBER: (copy of card required with each application) if Cl SJ I A yvEXPIRATIION DATE: y L 1 / 1 / V NAME: DAYTIME PHONE: N MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP NAME: //�� qq Aetcc 1i��lS COMPANY ��,f�'L �fZ�'�7,t ES :Inc OFFICE PHONE: ('=)m g� 15:10 L MAILING ADDRESS (STREET ADDRESS): �t A). CITY, ATE, ZIP SC le BOA c� E v-3 EVENING PHONE: - �3 RELATIONSHIP TO PROJECT. L C Architect Tenant � Other (Describe): COi1%TFsi Jo l_ - FAX ER: (c�ir'"�)5ZAL) - Cio l y 'r011 CONTACT PERSON FOR THIS PROJEC' -1 Property Owner sIicant F.MMLADDRESS: mods D 1AS 'D ncrj, C �ycd' tS e-n 'AA t EXISTING USE: EXISTING ASSESSED/APPRAISED VALUE $ PROPOSED USE:�� VALUE OF PROPOSED WORK: $ J goo SPRINKLERED BUILDING? 11 YES 11 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES El NO WATER SERVICE PROVIDER: CILAKEHAVEN ❑ HIGHLINE OTACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Bulletin #100 — January 13, 2004 Page 2 of 4 k:\Handouts — Revised\Permit Application AREA DESCRIPTION EXISTING S . FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK (COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL FXSTI a TYII'AL PROPOSED WTAL MIMING AIM 14ffXWYMU 1*1VEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (orTub/Shower combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathroom Sink EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (Commercial) RANGES GAS WATER HEATERS WATER CLOSETS pbuet) DRINKING FOUNTAINS RAINWATER SYS HOSE BIBBS ELECTRIC WATER HEATERS 0 DISCLAIMER/SIGNATURE BLOCK REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city, including its of and employees, upon th accuracy of the information supplied to the city as apart of this application. (— NAME/TITLE: DATE - (Signature) Mtle) RELATIONSHIP TO PROJECT: []Property Owner ❑ Applicant Contractor ❑ Architect ❑ Bulletin #100 - January 13, 2004 Page 3 of 4 k:\Handouts - Revised\Permit Application THIS CARD IS TO REMAIN ON -SITE , CITY OF ,".� community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102329-00-MF Owner: NORDIC SERVICES INC Address: 137 S 330TH ST FEDERAL WAY, WA 98003 This card is part of your required inspection documents. 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. ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re -steel (4215) ❑ Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ Shear Walls (4245) Floor Sheathing (4105) ❑ Underfloor Framing (4285) Approved to sheath floor Approved tc install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing (4220) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Approved to install roofing Approved inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be By Date By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Framing (4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date 7 w 2 O ' ' ByR-f'Date 7 =• By Date ❑ Suspended Ceiling Grid (4265) ❑ Final - Fire Department (4060) ❑ Final - Planning (4070) Approved to drop tile Approved Approved By Date By Date By Date ❑ Final - Public Works (4080) ❑ Final - Building (4050) Approved Approved By Date By C Date 93 INSPECTION LOG DATE INSPECT R OK CORR/REJ AREA AND TYPE OF INSPECTION ( J ,A 17