02-105155City 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:
Project Address:
Project Description
COE
0
Buildin lti Family
1003 S 308TH ST Unit19
'
Permit #: 02 - 105155 - 00 - MF
Inspection request line: 253.835.3050
Parcel Number: 259590 0190
MF - Remove and replace floor joists, framing, floor walls, carpet, and vinyl damaged by rot.
Owner
Applicant
Contractor
Lender
Rachelle L Coe
QPM INC.
QPM INC.
NONE
1003 S 308TH ST #19
QPM INC.
QPMIN* *0880W
FEDERAL WAY WA
10310 AURORA AVE N
QPM INC.
98003 -4753
SEATTLE WA 98133
10310 AURORA AVE N
NONE
Includes:
Census category. 434. - Reside
#2
#
#4
ri Occu cy pan Group
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-�
Constntction Type:
Occupancy Load —:_ --
Floor Area (Sq Ft.):--
t)
_
-- — - -—
Census Category .................. ............................... 434 - Residential alt/add - no, Mechanical .......... ........................... ......... — No
Plumbing.................. ............................... No
PERMIT EXPIRES May 17, 2003, IF NO WORK IS STARTED.
Permit issued on November 18, 2002
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
Date: 1 / — l Y —41�5 -C,-
Cff Y°f c CONSTRHON PERMIT APPLICATION
s I FED VV FiY r--= PPLICATION NUMBER:
APPLICATION NUMBER: - -
PPLICKHON NUMBER: - -
* *The following is required information - Please print (in ink) or type ** (' WG
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
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SITE ADDRESS: /00 3 5 • 3c, Y 7-4 5
_ /- % % ASSESSOR'S TAX/ ARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- PRO]ECT INFORMATION .;. ,
TYPE OF PROJECT (This application): 91 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
W ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
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CONTRACTOR'S REGISTRATION NUMBER:
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PROJECT NAME: �d�PS � /��'
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PEOPLE
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PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
Ax,�3 S. '30 6- It 5/ & /7 - � tiJgio� -L G.s� 7-
NAME:
DAYTIME PHONE:
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(ZaG ) 7,37
MAID G ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
/a3 /v ,gr1.2 dti� /-me- /,/ 5,t
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:f
�7
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME: DAYTIME PHONE:
Al r . (Ze 6) S4 s� - -7 J3 7
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 4&ENNIG PHONE: L
/03/0 /,./ (t06)
RELATIONSHIP TO PROJECT: FAX NUMBM
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): (706 ) '5- - -7 Z r-Z
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR]
DETAILED 13UILDING INFORMATION,
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ YES
EXISTING BUILDING ASSESSED /APPRAISED VALUATIO
PROPOSED VALUATION FOR IMPROVEME S:
❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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)
FIXTURES KXN<;:
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. ( 1
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
■ DISCLAIMER /SIGNATURE BLOCK
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 spppiied to the dW as a part of this application.
NAME /TITLE:r��w /- / - --��Y O�/1 /�/i�9�ili� f�rGL DATE: //
❑ PROPERI`Y �1NNER 0 APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 2S3- 661 -4129
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