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09-104834N City 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: NIELSEN Project Address: 2717 S 353RD ST A3uilding - Single F Permit #: 09- 104834 -00 -SF Inspection Request Line: (253) 835 -3050 Parcel Number: 010340 0430 Project Description: REP- Install pin piles to repair settlement of foundation at garage and concrete slab repair. No plumbing or mechanical. Owner Applicant Contractor Lender DONNA 3 NIELSEN ROBBINS & CO FOUNDATION ROBBINS & CO FOUNDATION 2717 SW 353RD PL SYSTEM SYSTEM FEDERAL WAY WA 98003 -7205 818 SW 142ND ST ROBBICH169NQ (12/31/10) BURIEN WA 98166 818 SW 142ND ST BURIEN WA 98166 Census Category: 434 - Residential alt/add - no change in number of units Includes: # 1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (s q. ft. ) 0 1 0 1 0 1 0 New / Additional Sq. Feet - Mechanical to be Included? CONDITIONS: Subject to field inspection with plans. ** *STRUCTURAL CALCULATIONS ATTACHED * ** PERMIT EXPIRES Tuesday, June 8, 2010 Permit Issued on Thursday, December 10, 2009 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 r � and the City of Federal Way. Owner or agent: IX Date: a�uuM a /ems /rte e: CITY OR ederai 11a PERMIT #: Owner: THIS CARD IS TO RE AIN ON-SITE 1' Construction Ins _ ction Record INSPECTION REQUE TS: (253) 835 -3050 09- 104834 -00 -SF DONNA J NIELSEN Address: 2717 S 353RD ST FEDERAL WAY, WA 98003 -7205 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) E] Initial Erosion Control (4365) Footings /Setback (4110) Approved To be done prior to breaking ground Approved to place concrete By G g Date y.� C By Date 2! ,Z,� o By Date Rough Electrical Approved Underfloor Framing (4285) ❑ Floor Sheathing (4105) Shear Walls (4245) By Date Approved to sheath floor By Approved to install flooring By Approved to install siding By Date By Date By Date 0 Roof Sheathing (4220) E] Fire/Draft Stops (4095) Interim Erosion Control (4370) Approved to install roofing Approved Approved By Date By Date By Date 0 Framing (4120) Insulation (4150) Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Approved to insulate Approved to install wallboard - Fire/Draft Stop inspections must be signed -off and By Date By. Date approved. IBC 109.3.4 ❑ Gypsum Wallboard Nailing (4130) E] Final Erosion Control (4375) Final - Building (4050) Approved to install mud & tape Approved Approved By Date By Date By 4— Date Z 'z3 -lam Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date i ' Federal PERMIT. COMMUNMDE Wp"Iff ERVICES PPLI CAT 4 253 - 835-2607• PAX 253.835-261 CE n , h F www.dtao0@denJwau.com Ut - 10 1 s'j�� CO ME EL PL DE EN FP' SITEADMIM I 1 v I •� • •• — SUITE /UNIT ZONING ASSESSOR'S TAR /PAR EL i lo I oe�4 o- d.4 o NAME OF PROJECT (Tenant or Homeowner Name) I -PI/M AJA TYPE OF PERMIT UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION AJ iii PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME / © �t / 16U� f�ew PRIARY PHONE Gol - t z 7 Q MA�HdNGj ADDRESS, CITY, STATE, ZIP % E-MAIL 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT OWNER IS ALSO: '1�// NADIR ' y0V,J�ALIl ,VIJ �y D � ✓ T/ �� • Y .W/II -71 4 `7 `- CONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP w tt nAJ© U FAX - WA STATE CONTRACT LIICCENSE/ %� ✓VV� ICY l t�V` W&UATION DATE �G+��7� �� FEDERAL WAY BUSINESS LICENSE 0 � ` L�� {�w`7! NAME Iaw 6-[P0M PRIJUNT PHONE �ZFi3 u0-7- 07ZG APPLICANT MAILING ADDRESS 174A��,P FAX PROJECT CONTACT NAME aimh AN, PRI] ARY PHONE LP - (The individual to receive and MAILING ADDRESS, CITY, STATE, ZIP /Z, ! QJ, 1-30+Li FAX respond to all correspondence concerning this application) ALTERNATE CONTACT NAME: M 1&4- c.c.s PRIMARY PHONE E -MAIL PROJECT FINANCING NAME ��j- PDA)A A A)J& ,OWNER- FniANCED R red f or P ml ects with ✓ -A& n -7 1 Ru . c A y� �• WAY • WA Y !/' V (p5 s) / PRIMARY 92 value of $1 D00 or more (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 all applicable City of Federal Way regulations pertaining to the work authorised 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, inchading its officers and employees, upon the accuracy of the information supplied to the city as a part o lication. I SIGNATURE: DATE lz-100q PRINT NAME: Bulletin #100 – 4/17/2009 Page 1 of 4 k:\HandoutsTern►it Application ♦I Value of Mechanical Work $ A COPY OF BID OR ESTIMATE MUST BE PROVIDED Indicate number of each type of re to be ins alled 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 )commmi.4 BOILERS FURNACES HOT WATER TANKS (Ga4 COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS (or Tub /shower combo) LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS )Kitchen /utaity) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS X95, oo $ E LISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No AREA DESCRIPTION I is 3GAree Feet I " p() Construction I # of I Occupancy u s Tvne Stories Additional Information J ADDITION AREA DESCRIPTION I Area I I Construction I # of in Square Feet Occupancy Group(s) Tvne Stories Additional Information TENANT AREA ONLY Bulletin # 100 - 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application