03-101697It
r
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: YOUNG
Building - Single Family Permit #:03 - 101697 - 00 - SF
Inspection request line: 253.835.3050
Project Address: 30513 5TH AVE SW Parcel Number: 178890 0190
Project Description: ALT - Insulate and re -cover all interior walls with gypsum board.
Owner
Applicant
Contractor
Lender
ROGER YOUNG JR.
ROGER YOUNG JR.
ROGER YOUNG JR.
NONE
4323 NASSAU AVE NE
4323 NASSAU AVE NE
Construction Type:
Type V - N
TACOMA WA
TACOMA WA
4323 NASSAU AVE NE
Occupancy Loads
TACOMA WA
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
Construction Type:
Type V - N
Occupancy Loads
Floor Area (Sq. Ft.): ,
Census Category., ...... , . ...........................— 434x- Residential alt/add - no c Mechanical ........................ ...............
Occupancy Group #1..... ............................... R -3 Plumbing ......... .......................................
Zoning Designation ........ .. .............................RS 7.2
PERMIT EXPIRES October 27, 2003.
Permit issued on April 30, 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 Cit f F'a2 : °a: `o oiro . _ 1 l
Owner or agent: Date:
7
0 0
INSPECTION LOG
v
• PO
THIS CARD ON THE FRONT OF BUIL
'.FTY"s.F r � 0 Federal Wa BU ING DIVISION
-y INSPECTION RECORD
PERMIT #: 03- 101697 -00 -SF
OWNER'S NAME: ROGER YOUNG JR.
SITE ADDRESS: 30513 5TH SW
( ) FOOTINGS /SETBACKS
INSPECTION REQUEST PHONE #: 253 - 835 -3050
( ) FOUNDATION W.
() DRAINAGE: Line () Connection
() UNZ ERFLOOR FRAMING
O RC UCA PL-'J>v1BING: DWV Water piping
O F.�-- J- - M'SCHANICAL Gas piping
(. S ooi F ?oor
1; itch Cover
() F�'AMIT.- r/FIRE3TOPPING
IC
() INSULATICN: Floors Wars (0 3 —fl 3 �S Attic
O FIRE FINAL
( ) BUILDING FINAL ® + CCI
CITY OF
Federal Way
CONSTRUCT16 PERMIT APPLICATION
PPLICATION NUMBER: - 1 Q1 6717 -
PPLICATION NUMBER:
PPLICATION NUMBER: - -
* *The following is required information — Please print (in ink) or type ** l
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: ) L i �`�Cr �i L ASSESSOR'S TAXIPARCEL - r
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT • •
TYPE OF PROJECT (This application): BUILDING o PLUMBING ❑ MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
! NAME: DAYTIME PHONE:
i MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 1
REGISTRATION NUMBER:
(c)py of card
NAME: .I DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: i FAX NUMBER:
L ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E -MAIL ADDRESS: I
i
CONTACT PERSON FOR THIS PROJECT: C1 PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING OSE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER:
❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE
0 LAKEHAVEN O HIGHLINE
TACOMA o PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ON
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
.. ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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 information supplied to the city as a part of this application.
NAME /TITLE: C DATE:
PROPERTY OWNER ❑ AP LI T ❑ COTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 2S3 -661 -4129
www.cttvofederalway.com