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04-103271 ' Building - Single Family City of Federal Way + ,{{.�� /� Community Development Services Permit #: 04-103271-00-S F P.O.Box 9718 Federal-260,WA Fax (253)8835-2609 98063-9718pq Ph (253)835-2607 Fax Inspection Request Line: (253)835-3050 : : 35- Project Name: PERRIN Project Address: 103 S 297TH PL Parcel Number: 776420 0150 Project Description: ALT-Create a dormer wall for window off existing second floor room Owner Applicant Contractor Lender NEIL PERRIN NEIL PERRIN 103 NW 297TH PL KAY PERRIN 103 NW 297TH PL FEDERAL WAY WA 98003-3629 103 S 297TH PL FEDERAL WAY WA 98003-3629 FEDERAL WAY WA 98003-3629 Census Category: 434 -Residential alt/add-no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-N Occupancy Load: Floor Area(sq.ft.) 0 0 0 0 10 ,„ a' k r x�s„,tea•.. a:,��3, a g„ . ,,. r� n;'New/Additional Sq.Feet-Basement........ 0 Mechanical to be Included ...................... .........Na Occupancy#1 -Class R-3 Plumbing to be Included9 No I,semYr 1a s PERMIT EXPIRES Saturday, July 4, 2009 Permit Issued on Wednesday, August 18, 2004 5crotolvvito 5.5 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the, will be in accordance with the laws, rules and regulations of the State of Washington / and the Cityof F deral Way.. � Q L G Owner or agent: , -- G Date: — 5-—® / 7 , f I'r j/(.\. ‘ It - iI,i,0---0''1- _ 6 • r Ilk THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Way Vyay IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103271-00-SF Owner: NEIL PERRIN Address: 103 S 297TH PL • FEDERAL WAY, WA 98003-3629 This card is part of your required inspection documents. 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. 0 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285) Approved To be done prior to breaking ground Approved to sheath floor By Date By Date By Date - 0 Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date El Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) NOTE: Prior to scheduling a Framing(4120) Approved Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Framing(4120) ❑ Insulation (4150) 1 ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape ..--- By r-j / � l Date )/w(� 0 S By/, Date /f' .2 10 c By JS Date ,-)-I /01/4) 0 Final Erosion Control(4375) 0 Final-Building(4050) Approved Approved By /S�'I. Date lib O i By d(5 Date 1/'( . (.n For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By . Date 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: PERRIN ' - it Permit #: 04 - 103271 - 00 - SF Building Single Family Inspection request line: 253,835.3050 Project Address: 103 S 297TH PL Parcel Number: 776420 0150 Project Description: ALT - Creater dormer wall for window off existing second floor room Owner Applicant Contractor Lender R Neil Perrin & Kay A Perrin R Neil Perrin R Neil Perrin NONE 103 S 297TH PL 103 S 297TH PL Construction Type: Type V - N FEDERAL WAY WA FEDERAL WAY WA 103 S 297TH PL Occupancy Load: 98003 -3629 98003 -3629 FEDERAL WAY WA NONE Includes: Census category: 434 - Reside #1 #2 #3 #4 Occupancy Group: R -3 Occupancy Group #1...... .. ......................:..::.R -3 -a — Construction Type: Type V - N — Occupancy Load: Y Floor Area (Sq. Ft.): PERMIT EXPIRES February 14, 2005. Permit issued on August 18, 2004 I hereby certify that the above information ' correct and that the construction on the above described property and the occupancy and the u will za ance with the laws, rules and regulations of the State of Washington and the City of Federal W1, Owner or agent: Date: �/ r� L 5• No Census Category ........:......... ............................... 434 - Residential alt/add - no, Mechanical.................. ............................... Occupancy Group #1...... .. ......................:..::.R -3 Plumbing....................... ......... No PERMIT EXPIRES February 14, 2005. Permit issued on August 18, 2004 I hereby certify that the above information ' correct and that the construction on the above described property and the occupancy and the u will za ance with the laws, rules and regulations of the State of Washington and the City of Federal W1, Owner or agent: Date: �/ r� L 5• THIS CARD IS TO WAIN ON -SITE Cl" of Pommunity Developme7ht Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 04- 103271 -00 -SF Owner: R NEIL PERRIN Address: 103 S 297TH PL FEDERAL WAY, WA 98003 -3629 This card is part of your required inspection documents. 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. 0 Temp. Erosion Control (4365) ❑ Plumbing Groundwork (4190) ❑ Underfloor Framing (4285) Date To be done prior to breaking ground Approved to cover ❑ Approved to sheath floor By Date By Date By Date ❑ Shear Walls (4245) ❑ Floor Sheathing (4105) ❑ Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Framing (4120) Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate Rough -in and Fire/Draft Stop inspections must be By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 By Date ❑ Insulation (4150) Approved to install wallboard By Date ❑ Final - Building (4050) Approved By Date psum Wallboard Nailing (4130) Approved to install mud & tape B L Date — Z: ❑Temp. Erosion Maintenance (4370) Approved By Date ❑ Final - SWM (4375) Approved By Date Federal PERMIT C0MMU1t7Y DEVELOPMENT SERV2CES 33530 FIRST WAY SOUTH • PO 6 BOX 9728 a u� g , I, L I C AT I ON FEDERAL WAY, WA 98063 -9718 253- 66141IS•FAX2S3- 66I -Xf. �� w uwu,.dtuoffeder&woy.co EDERAL The following is require ",kil$?o'T— an incomplete application will not be SITE ADDRESS 1 S. ?'9^7 ^ V `/ MO UA(— ASSESSOR'S TAX /PARCEL # ( i 6 q — 0�5�) _ rS LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) �111�x3 kF CO ME EL PL DE EN FP Pteaseprint legibly (in ink) or SUITE /UNIT # LOT SIZE (sj) (Attach sepamte page for lengthy legal desc iptiarq - - - PRO=T INFORMATION TYPE OF PERMIT V" BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on Ci4 AOVUA�eto LJO —R 1 11 s (" lrA/ e PROJECT NAME (Name of Business or Owner Last Name) PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE �� ��) � PRIMARY PHONE 6 Q 3 ADDS CITY, STATE, ZIP - :(—: COMP NNA/M�E 1q! W k) � APPLICANT NAME /OFFICE PHONE l - MAILIRr, ADDRESS CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER — — -- B L CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application( EXPIRATION DATE COMPANY NAMF„ ,..� W APPLICANT NAME OFFICE PHONE - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE - RELATIONSHIPTO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER ( - NAME PRIMARY PHONE - E -MAIL ADDRESS ( l - Per RCW 19,27.095: Lender information is required if project value exceeds $5,000 NAME r t,�+�✓ MAILING ADDRESS CITY, STATE, ZIP EXISTING ASSESSED /APPRAISED VALUE $ PROPOSED USE VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT FANS HOODS WOODSTOVES FIRST L( t,f(c> RANGES (�© SECOND FURNACES GAS WATER HEATERS CHANGE OF USE? o YES THIRD GAS PIPE OUTLETS UP /SEPA /SU? o YES FOURTH PLATTED LOT? o YES c NO DEMO PERMIT REQUIRED? a YES ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE /CARPORT HOW MANY FLOORS? TOTALtGSTDfG TOTAL PROPOSED TOTAL =sTixGAxDPxoPOSeo "'NEW HOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICEE) $ number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ v AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS CHANGE OF USE? o YES DUCTS GAS PIPE OUTLETS UP /SEPA /SU? o YES BATHTUBS (-Tab /Sho—Combo) SHOWERS WATER CLOSETS )Toneq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS pa�si VACUUM BREAKERS ELECTRIC WATER HEATERS 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 1 am authorized by the owner of the ove premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as o ny cIaim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be ma by a p son, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the re a e of city, i c ing its officers and employees, upon the accuracy of the information supplied to the city as a part of this app[icatiort. NAME /TITLE DATE (Signaturef (Title) RELATIONSHIP TO PROJECT pk_OWner ❑ Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION ❑ ALTERATION o REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES d NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? o YES o NO PLATTED LOT? o YES c NO DEMO PERMIT REQUIRED? a YES o NO Bulletin # 100 — March 30, 2004 Page 2 o(4 k\[-Iandouts — Revised \Permit Application