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11-102926City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: LEWIS Project Address: 436 S 305TH ST Wilding - Single Family Permit #: 11- 102926 -00 -SF Inspection Request Line: (253) 835 -3050 Parcel Number: 232950 0290 Project Description: REP - Intial inspection and assessment of fire damage. * * *NO CONSTRUCTION WORK TO BE DONE ON THIS PERMIT * ** Own r Analicant Contractor Lender JAY W MORRISON LLC KENCADE CONSTRUCTION INC KENCADE CONSTRUCTION INC 28220 28TH AVE S 8502 RIVERSIDE DR E KENCACI093NN (8/6/11) FEDERAL WAY WA 98003 -3309 SUMNER WA 98390 8502 RIVERSIDE DR E 2ancy Load: 2gcu SUMNER WA 98390 Census Category: 434 - Residential alt /add - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: 2ancy Load: 2gcu Floor Areas . ft. 0 0 0 0 PERMIT EXPIRES Monday, January 16, 2012 Permit Issued on Wednesday, July 20, 2011 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 a d th ity of Fed al Way. Owner or agent: / G��fy Date: PINA"2> 8/I6/11 • THIS CARD IS T MAIN ON -SITE F ' crrrOF Construction I ection Record Federal Way INSPECTION REQU TS: (253) 835 -3050 PERMIT #: 11- 102926 -00 -SF Address: 436 S 306TH ST Project: JAY W MORRISON LLC FEDERAL WAY, WA 98003 -4020 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. Final - Buildii Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way -� Approved By Date By Date By Date • 4k DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South CITY OF PO Box 9718 Fedela' -way Federal Way 98063 -9718 y 253- 835 -2607; Fax 253 - 835 -2609 www.cityoffederalway.com INCIDENT DAMAGE CHECKLIST Case # Ir _/l)z--12Z, 6,1d SF Owner's Name: �'eD'�✓OS Phone: _ Date of Incident: Date of Inspection: 'y 77r Site Address: -3G J7 `7v Nature of Incident /Scope of Damage: (If the value of the damage is greater than 75 percent of the assessed value of the structure, a site plan is required.) Building Posted: ❑ NO OCCUPANCY ❑ DANGEROUS BUILDING ❑ OTHER Permits Required: BUILDING PLUMBING MECHANICAL _ELECTRICAL ❑ DEMOLITION '5 NOT POSTED P O/< 7z' LSst✓c `'e?7ILs f-ITF1 q G/'f IT A,�)X/k InVAMr % _J ,0�e�mt:�i Engineering Required: ❑ Yes No Specifically: Demolition Complete: Yes C3 No ❑ N/A 2 "d Inspection Required: ❑ Yes,/6.No Permit Application Information Provided to Applicant: ❑ Demolition Permit Application ❑ Building Permit Application ❑ Submittal Checklist ❑ Electrical Permit Application ❑ Other 48 A,41 /,/W (253) 835 - Inspector Phone Number "APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS" CITY OF E RM I T Feder \/ E1.J�j COMMUNITY DEVELOPMENT SERVICES ,APPLICATION 253 - 835 -2607• FAX 253- 835 -2609 i ; wwur.rit o�ederglu�nl.wm 1UL 2Q 1'' J .,. _ -• n A 1 WAY ! -i - -L L � ___L (I�AF CO ME PL DE EN FP ajj';0 SITE ADDP#M ' SUITE /UNIT # 3 c � o S L FL.��2 PROJECT VALUATION ZONING ASSESSOR'S TAR /PARCEL # $ O- o Z. TYPE OF PERMIT 9-9 ILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name /Homeowner Last Name) `C•( PROJECT DESCRIPTION � Detailed description of work to O G G/t V e- be included on this permit only PROPERTY OWNER NAME �©�'T PRIMMARY PHONE Zs3- MAILING ADDRESS ag �v V E7 � Z 2 E -MAN IL 3T#TE ZIP s (-) ft _ NAME ? PHONE O Z LING ADDRESS '/1 S Z L V E(2. S 1 b b E- McA'AII.' �C/ ,1 J'AWMS �' 1 �CAbe CONTRACTOR CITY ZIP O Z.S3 • !g Z-02 WA STATE CONTRACTOR'S LICENSE # c4 EXPIRATION DATE CAI FEDERAL WAY BUSINESS LICENSE # -C-AiC 02:1 N i z0— NAME 1r� u LQL'C� b �t.S 7� 7-S 3 --Z V- O 2O LING ADDRESS SDZ t VEVt r1 t E 2 E -MAIL �S@ APPLICANT CITY V M ge(t STATE I 6-330 TAk 2S'3•• 1963 ` PROJECT CONTACT NAME � � t C) J� V PHONE 1 (The individual to receive and MAILING ADDRESS ��ZJ VEnS (L f �, ` E-KAIL '/ respond to all correspondence concerning this application) J lµE� �l CITY I V U :^t n+'�.:.i L e W STATE ZIPS 00 FAX 3- -9 102 ALTERNATE CONTACT NAME: j —CAA K c tit it L PHONE ZS3 3sS•�3? E-MAIL .11t�1@ - PROJECT FINANCING NAME S� OWNER - FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with ail applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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, 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 t he city as apart of this application. SIGNATURE: DATE Z© 4-o �� PRINT N� ✓.T'Lr'L 0- (_ f11-Y� Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application 21 9 VALUE OFMECHAMCAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type BATHTUBS (or Tub /shower combo) DISHWASHERS _ DRAINS _ DRINKING FOUNTAINS HOSE BIBBS to be installed or relocated as part of this project. Do not include existing futures to remain LAVS (Hand Sinks) TOILETS WATER PIPING RAINWATER SYSTEMS URINALS OTHER (Describe) SHOWERS VACUUM BREAKERS SINKS (Kitchen /utiiiry) WATER HEATERS (Electric) SUMPS WASHING MACHINES CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING /PREVIOUS USE LOT SIZE )In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No Bulletin #100 —January 1, 2011 Page 2 of 3 k:Wandouts\Permit Application