03-103955City of �ederal
Comm p unity Develo a tServices Building - Single Family Permit #:03 - 103955 - 00 - SF
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: TAYLOR
Project Address: 32864 40TH CT SW Parcel Number: 873204 0660
Project Description: REP - Shoring of garage header & supports of floor joists; work is to be done for temporary support
purposes only. Any other work must be done on a seperate permit.
Owner
Applicant
Contractor
Lender
Peter N Taylor
THE HIRSCH GROUP LLC
RANDY LARKIN
NONE
3712 N 10TH ST
THE HIRSCH GROUP LLC
LARKlr*991 MO
TACOMA WA
PO BOX 905
308 123RD ST E
98406 -5002
PUYALLUP WA 98371
TACOMA WA 98445
NONE
Includes:
CONDITIONS:
No building shall encroach onto any building setback line or easement shown or not shown.
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject
proposal.
Further work beyond the scope of this permit requires an additional and seperate permit.
All electrical work must be done on a seperate permit
PERMIT EXPIRES February 22, 2004.
Permit issued on August 26, 2003
I hereby certify that the ab -v information is correct and that the construction on the above described property and
the occupancy and the us 1 be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. T
Owner agent: Date: �� �>
POSWIS CARD ON THE FRONT OF BUILDI .
"� BUI ING DIVISION
�' INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 03- 103955 -00 -SF
OWNER'S NAME: Peter N Taylor
SITE ADDRESS: 32864 40TH SW
() FOOTINGS /SETBACKS () FOUNDATION WALL
() DRAINAGE: Line () Connection
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH -IN Ditch Cover
() FIRE/DRAFTSTOPS
( ) INSULATION: Floors Walls Attic
() WALLBOARD NAILING () SUSPENDED CEILING
O ELECTRICAL FINAL
() PLANNING FINAL
O PUBLIC WORKS FINAL
() FIRE FINAL
!'l=
CONSTRUCTION PERMIT APPLICATION
C11' OF PPLICATION NUMBER: > -
Federa Way APPLICATION NUMBER; - - - - - - - -
APPLICATION NUMBER: - -
* *The following is required information — Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ff II r /! PROPERTY INFORMATION
SITE ADDRESS: �' ( `"1 CT S `—' 1 ASSESSOR'S TAX/ PARCEL #:B-7 3 P o4 - o (O C�
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
O} (D Lo 0 � 1 w\, L cd o s no, i (�
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): to c-) �[ S �D,Jdei'
YY1
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
EXISTING USE:
PROPOSED USE:
ME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
-bD"' lD O c.�
�a Lo
w �SDa
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY(, STATE, ZIP):
10'K � r� S-F
<A (Ai,,q
. S
EVENING PHONE:
)
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
' [
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required) L iq
�1 V
2 k oL
V
EXPIRATION DATE:
04 l/ a
1-2004
NAME: _
MAILING ADD STREET ADDRESS; CITY, STATE, ZIP):
f c
%moo LCC-
DAYTIME PHONE:
(--,S3 ) C/3
- 3
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT THER ( DESCRIBE):
1 I t
FAX NUMBER:
(x753) 91to
- I
E -MAIL ADDRESS:
:OR THIS PROJECT: ❑ PROPERTY OWNER
X APPLICANT
❑ CONTRACTOR
EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ I lJ
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION ONLY **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FAN(S)
HOOD(S)
WOODSTOVE(S)
FIRST
FIREPLACEINSERT(S)
RANGE(S)
MISC.(
SECOND
FURNACE(S)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
FOURTH
PLUMBING
OTHER FLOORS (DESCRIBE)
LAVATORY(S)
URINALS)
WATER HEATER(S)
DECK
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
GARAGE
HOW MANY FLOORS?
SHOWER(S)
WASH MACHINE OUTLET
TOTAL:
SINK(S)
WATER CLOSET(S)
MISC. ( )
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACEINSERT(S)
RANGE(S)
MISC.(
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINALS)
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
I certify under penalty of perjury that the inf mation furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the aVVe premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal pay as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such clRIVhis y be made by any person, including the undersigned, and filed against the City of
Federal Way, but o ly wh re ch clof the reliance of the city, including its officers and employees, upon the accuracy
of the informat. ry y Plj�d h,�ci application.
vo DATE:
❑ PROPERTY OWNER ❑ APPLICANT ( JiCONTRACTOR
❑ NEW o ADDITION ❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES I ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES °' ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 253- 661 -4129
www.citvoffederalway.com