00-104641•
cl � Federal
antservices
Applicant
Building - Single Family Permit #:00 - 104641 - 00 - SF
elop
NONE
Matthew L & Lisa M Siverly
33530 1st Way S
NONE
Inspection request line: 253.661.4140
P q
- Federal Way, WA 98003 -6210
Fe&r
Construction Type:
Type V - N
Ph: 233.661.4000 Fax: 253.661.4129
FEDERAL WAY WA
(3:30pm cut -off for next day inspections)
Occupancy Load:
NONE
98023 -3571
FEDERAL WAY WA
Project Name: SIVERLY
Project Address: 29920 2ND PL SW Parcel Number: 720530 0070
Project Description: RES REPAIR - repair corner of deck
Owner
Applicant
Contractor
Lender
NONE
Matthew L & Lisa M Siverly
Matthew L & Lisa M Siverly et al
NONE
29920 2ND PL SW
Construction Type:
Type V - N
FEDERAL WAY WA
29920 2ND PL SW
Occupancy Load:
NONE
98023 -3571
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
No
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category .................................................
434'- Residential alt/add - no .
Mechanical.................................................
No
Occupancy Group #1 ...........................................
R -3
Plumbing........ ..............................
No
V I-
1. No building shall encroach onto any building setback line or easement shown or not shown.
2. Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
3. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES March 5, 2001, IF NO WORK IS STARTED.
Permit issued on September 20, 2000
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 r agent: Date: a
POS IS CARD ON THE FRONT OF BUILDI*
Cr! or G
- � EDEPWL_
V AY
PERMIT #: 00- 104641 -00 -SF
OWNER'S NAME: Matthew L & Lisa M Siverly
SITE ADDRESS: 29920 2ND SW
( ) FOOTINGS /SETBACKS
( ) DRAINAGE: Line
BUILIDNG DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253 - 6614140
Request must be received by 3:30 PM for next day inspection
( ) FOUNDATION WALL
( ) Connection
( ) UNDERFLOOR FRAMING.
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
( ) SHEATHING_
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
Roof
Water
Gas piping
Ditch Cover
Floor
( ) INSULATION: Floors
Walls
Attic
( ) WALLBOARD NAILING.
( ) SUSPENDED CEILING.
O ELECTRICAL FINAL
() PLANNING FINAL_
O PUBLIC WORKS FIN
() FIRE FINAL
( ) BUILDING FINAL.
V FAY
BUILDING
DrVmoN
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
ebu
,MIX Rill �U Fax (253) 661-4129
v
APPLICATION FOR BAMNVOPERMIT
I 4G
PLEASE PRINT APPLICATION # 0,
/ 1
M, Site address 2-99,ZO Zn&,,
Tenant name I Lot # AssessSib #
MWTT, � LkSlk -Sl\je-vk�j 0-+ 172G)-00-10-07
Building Owner's Name Address,2,qq,, .1nd PL <&W •Cit
gz- A i %AAJ I state \A) A -7.n Phone
Description of Work (?epAl \'Z-
M 01
00
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Company Name
OW Q C
Name (F,M,L)-
City
Address 2-cl C1
Zip
city Pe—d -e-(NCk&
Phone
State W F\
zip q -Lf>
Contact Person MWITT
Verified ❑ Yes ❑ No
I Day Phone n 1 S
Other Phone
Fax
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C .4 1 W.- M.c;nacc I irancp ft
Company Name
OW Q C
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
LEGAL DESCRIPTION
L p4tD 0 N.'s � o 5-
Please Complete Reverse Side
L
Permit includes:
Address
Type of Work:
❑ Residential
Zi
❑ Commerci
Enter 1 st Floor
sq ft
Area Basement
sq ft
Water Availability ❑ Sewer
Existing Use
• Building
• New
❑ Addition
2nd Floor _
Decks 10
❑ On-S
Proposed Use
❑ Remodel ❑ # of bedrooms XDeck
19 Repair ❑ Garage ❑ Shed
sq ft 3rd Floor sq ft Existing Floor Area sq ft
sq ft Garage sq ft Pro osed Total Area sq ft
ptic System Availability ❑ G11 Project Valuation $
For new residential on /y - Proposed selling cost: $
��: :<.: syf;:ac.�`c:i. ': .:; u.: a�G •ad,`:�a�S.,••ry:•,9�•:,•;•v+,c •:+%i:'il•'i+iff, _
Name Address
City State Zi
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Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
m>
AI
Contractor Name
Address
City
State
Zi
Contact NIP
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets Sinks Urinals Lawn
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Tetii3f€
DISCLAIMER: I certify under penalty of perjury that the information famished 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 permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and
attorneys' fees incurred in 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 information supplied to the city as a part of this application.
c 5Owner /Agent: KX" et- Date:
Ruituirq.nry
RE—Eo 51111199