03-100836' _.
pity of Federal Way
Commwrity• Mwelopm_ntServices
33530 lst Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
R Bui g Single le Family Pertit #:03 100836 00 S
SIn
ProjecWame: , SCARSELLA
Project Address:- 30726 43RD AVE SW
Inspection request line: 253.835.3050
- Parcel Number: 112103 9007
Project Description: REP - Repairs being done as a result of water,damage,_including insulation, drywall, painting. Work
is being done on 1st & 2nd floors.
Owner
Applicant
Contractor
Lender
Ida Scarsella
NORTHWEST RESTORATION & C(
NORTHWEST RESTORATION & C(
SAFECO INSURANCE COMPANY
I Construction Type: Type V - N
1908 92ND AVE E
NORTHRC031132 1/1/04
rOccupancy Load:
EDGEWOOD WA 98371
1908 92ND AVE E
Floor Area (Sq. Ft.):
EDGEWOOD WA 98371
Includes:
Census category: 434 - Reside #1 _ jL
#2
#3
#4
Occupancy Group: R -3
I Construction Type: Type V - N
_
rOccupancy Load:
Floor Area (Sq. Ft.):
Census Category .......... ......... .................. 434 - Residential alt/add - no Mechanical.................. ............................... No
Occupancy Group # 1 ........... ............................... R -3 Plumbing.................. ............................... No
Zoning Designation... .................. ................. SE
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject
proposal.
PERMIT EXPIRES August 26, 2003.
Permit issued on February 27, 2003
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.
Owner or agent: Date: / c�•� �r,'�
104 Ar�zj�
'D em 0 � /f/) P
Dk 1e 14sa141"e'
ti ..
POSWHIS CARD ON THE FRONT OF BUILD
CITY OF
k*,-
Federal Way BUI ING DIVISION
INSPECTION RECORD
PERMIT PERMIT #: 03- 100836 -00 -SF .
OWNER'S NAME: Ida Scarsetta
SITE ADDRESS: 30726 43RD SW
( ) FOOTINGS /SETBACKS
( ) DRAINAGE: Line
INSPECTION REQUEST PH41 -25 3,835-3050
( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING,
( ) ROUGH PLUMBING: DWV.
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
Roof
Water piping
Gas piping
Ditch Cover
Floor
() FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIORTO FRAMING INSPECTION
() FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors.
Walls
Attic
THE ABOVE MUST BE APPROVED P OK TO APPLYING SHEETROCK
O WALLBOARD NAILING Y/_/ O SUSPENDED CEILING
°THE ABOVE MUST:BE APPROVED PRIORTO TAPING
OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR, TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
CONSTRU N PERMIT APPLICATION
CITY OF \' - pp�Cq -RON NUMBER: O -
Federal V9 - -�-
PPLICATION NUMBER: -
FES 2 200 PPLICATI IN NUMBER:
* *The following i required information - Please print (in ink) or type **
Please noteCi& �rention Systems and Engineering permits may require a separate application.
�+ PROPERTY INFORMATION
SITE ADDRESS:l�°� s`),�'����E•� 7yV� ASSESSOR'S TAX /PARCEL #: 1 Z1 O g QQ
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT I14FORMATION
TYPE OF PROJECT (This application): BUILDING o PLUMBING o MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): St (Ny, >s (,g
L.� 4,
PROJECT NAME:
PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE'
4!k C R CiS ! ( ) 1 - '3
MAILING ADDRE (STREET ADDRESS; CITY STATE, ZIP):
4knn -,R ��.c�_ I b\41li-) any.
CONTRACTOR:
APPLICANT:
NAME: ! DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
t-b � \ V_P.x:m . i ( ) -
RELATIONSHIP TO PROJECT: I FAX NUMBER:
o ARCHITECT ❑ TENANT OTHER ( DESCRIBE)Ih tiyM al>P_ ( g2b) 0\-I�
i E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED USE: ���o \�N� PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
r
WATER SERVICE PROVIDER: LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION O
NUMBER OF BEDROOMS: -__ ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
o�
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
,
Q�
1�
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) 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. ( )
INTERCEPTORS) SUMP(S)
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 officers and employees, upon the accuracy
of the informatio lied to the city as a part of this application. ±±��
NAME /TITLE: DATE:av-�
❑ PROPERT)f<WNER ❑ APPLICANT CONTRACTOR
S- G
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253-6614000 • FAX: 253-6661 -4129
www.dbmffederalway.com