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12-1033931• • f uilding - :Singl`e Family City of Federal Way Community & Econ. Dev.Services ' Permit #: 12- 103393 - 00 -SF 33325 8th Ave S Federal Way, WA 98003 253 t Li R ti Ins econ Request Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q ( ) 835 -3050 Project Name: AGODOA Project Address: 514 S 288TH PL Parcel Number: 515293 0230 Project Description: REP - Rebuild structural wall due to structural damage to residence from RV trailer driven into Owner Applicant Contractor Lender LAWRENCE AGODOA TERRY JENSEN CONSTRUCTION TERRY JENSEN CONSTRUCTION OWNER IS LENDER SHIRLEY AGODOA CORP CORP 13217 GLENHILL RD PO BOX 1326 TERRYJC0160Z (5/28/13) Occupancy Load: SILVER SPRING MD ISSAQUAH WA 98027 -0053 PO BOX 1326 20904 0 ISSAQUAH WA 98027 -0053 0 Census Category: 434 - Residential alt /add - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Areas . ft.) 0 0 0 0 Additional Permit Information New / Additional Sq. Feet - 3rd Floor ....................0 Mechanical to be Included? ....... .............................No New / Additional Sq. Feet - Basement ...................0 Plumbing to be Included? .......... .............................No No Fixtures Associated With This Permit 11 CONDITIONS: ENGINEERING TO BE PROVIDED TO INSPECTOR AT TIME OF INSPECTION PERMIT EXPIRES Saturday, January 19, 2013 Permit Issued on Monday, July 23, 2012 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: e4 Date: ZZ' J� —ld—ll 11 /c/12. i HIS CARD IS TO REMAIN ON -SITE ary of • W � I , . Construction Injection Record Federal Way INSPECTION REQUE TS: (253) 835 -3050 5114 PERMIT #: 12- 103393 -00 -SF Address: 5-" S 288TH PL Project: LAWRENCE AGODOA FEDERAL WAY, WA 98003 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. SWM Precon Site Mtg (4400) Right of Way Approved Initial Erosion Control (4365) ❑ Underfloor Framing (4285) Date Approved By To be done prior to breaking ground Approved to sheath floor By Date By Date By Date Floor Sheathing (4105) Shear Walls (4245) E] Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By IA: Date By Date ❑ Fire/Draft Stops (4095) Interim Erosion Control (4370) Prior to Framing inspection; Approved scheduling a Approved Electrical, Plumbing & Mechanical Rough -in and By Date By Fire/Draft Stop inspections must be signed -off and Date approved. IBC 109.3.4 Framing (4120) Insulation (4150) E] Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date By Date Final Erosion Control (4375) inal - Building (4050) Approved Approved By Date y Date ❑ Rough Electrical Approved El Final Electrical Approved Right of Way Approved By Date By Date By Date FedA6a CEIVED * PERMIT COMMUNITY DEVELOPMENT SE.$,� 3 Zot2 APPLICATION 253 -835 -2607• FAX 253 -835 9 Wu�u ".- o erleralwa�og� CITY OF FEDERAL WAY #)MF CO ME PL DE EN FP aq4�() SITE ADDRESS SUITE /UNIT N S t I S0q'- " M k p"e /-//Z.S (,c�4 PROJECT I VALUATION S ()O ZONING ASSESSOR'S N � - E `�T 2 0 TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name /Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to / 2 C GvQ C- (, QQ -t O CAA g be included on this permit only PROPERTY OWNER NAME _ �AKRV j O PRIMARY PHONE MAILING ADD S S I -5o ttiTK M A 41 tig A0,ccs E -MAIL C ST(ATE I w77 ZIP 0 O NAME T '`�n1�S/ ic.i CO 0-� 5-r PHONE y_2 S SS S© C) MA; I4 ADDRESS � � 137 ?© SLN5'e"J CC) m(� CONTRACTOR CITY S 2 STATE w ZIP cis o e2- FAX I /V WA STATE CONTRACTOR'S LICENSE 0 eKR p 60 EXPIRATION DATE 2-0141/ l FEDERAL WAY BUSINESS LICENSE M NAME PHONE MAILING ADDRESS E -MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive and NAME :!-�0-A -Z AjSiati PHONE MAILING ADDRESS E -MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX ALTERNAT$ CONTACT NAME. PHONE EMAIL PROJECT FINANCING Required value of $5,000 or more NAME S 0-1- � ❑ OWNER - FINANCED 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 wiR comply with all 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 rnnstruction 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 to the city as a of this application. ? SIGNATURE: DATE 7" 2 7—/ L , Q PRINT NAME: Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application r VALUE OF MECHAMCAL WORK $ (a copy o r estimate must be provided) Indicate how many of each type of fixture to be installed or relo as part of this project. Do not incl ]ng fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLE OTHER (Describe) AIR CONDITIONER FI ACE INSERTS HOODS emlal) BOILERS FURNACES WATER TANKS (Gaa) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existiV fixtures to remain. BATHTUBS (ar Iub /sho— comno) S (Hand Sinks) OILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM �BRERS DRINKING FOUNTAIN SINKS (]titchen WATER Electric) HOSE BIBBS SUMP WAS ING MACHINES Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application