09-104502' City of Federal Way 0
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 FILS
Project Name: NEIGHBORS
Project Address: 1515 S 372ND ST
*Building - Sing* Family
Permit #: 09- 104502 -00 -SF
Inspection Request Line: (253) 835 -3050
Parcel Number: 322104 9011
Project Description: REP - Replace fire damaged non -load bearing interior wall framing, sheetrock, and
insulation.
caner
Applicant
Contractor
Lender
LOREN W NEIGHBORS
LOREN W NEIGHBORS
1515 S 372ND ST
LOREN W NEIGHBORS
1515 S 372ND ST
1515 S 372ND ST
FEDERAL WAY WA
1515 S 372ND ST
FEDERAL WAY WA
FEDERAL WAY WA
98003 -7504
FEDERAL WAY WA
98003 -7504
98003 -7504
98003 -7504
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 1
0
1 0
'K�x d
a F LS
PERMIT EXPIRES Sunday, May 16, 2010
Permit Issued on Tuesday, November 17, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t e use will be in Ua n e with the laws, rules and regulations of the State of Washington
�A) he City of Federal Way. f
Owner or agent: "v Date:
1�Ngbls'D I
C" OF
Federal Way
PERMIT #:
Owner:
• THIS CARD IS TO AIN ON -SITE
Construction Ins ction Record
INSPECTION REQUE TS: (253) 835 -3050
09- 104502 -00 -SF Address: 1515 S 372ND ST
LOREN W NEIGHBORS FEDERAL WAY, WA 98003 -7504
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)
E]
Underfloor Framing (4285)
E]
Approved
By
To be done prior to breaking ground
By
Approved to sheath floor
By
Date
By
Date
By
Date
0
Floor Sheathing (4105)
Shear Walls (4245)
E]
Roof Sheathing (4220)
By
Approved to install flooring
By
Date 11 _ o
Approved to install siding
By
Date
Approved to install roofing
By
Date
E]
By
Date
Approved
By
Date
Fire/Draft Stops (4095) Interim Erosion Control (4370)
Approved Approved
By Date `1 ,Z By Date
0
Framing (4120)
Insulation (4150)
Approved to insulate
Right of Way
Approved
By
Approved to install wallboard
By
Date 11 _ o
Date
By
Date
Date
Final Erosion Control (4375)
E]
Final - Building (4050)
Approved
Approved
By
Date
By
_005��
Date
x /'Z10
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By 0 Dater 2 a^
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Z�3�q
Federal Way PERMIT
C 253-8 5.260 DEVELOPMEW
,2534 SERVICES APPLI CATI O N
253 - 835.2607• FAX 253 - 835 -2609 �/,
www.cffiwffederalwau.com federalwau.com �..,, . _, �.�. . .n ..., 'L 1/
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SiTEADaRESB So, S 7Q_& Fekrd W - �W aAYQ
SiLI E /UNIT # ZONING ASSESSOR'S TAX /PARCEL #
R a �l_qot
NAME OF PROJECT
(Tenant or Homeowner Name)
BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING
❑ FIRE PREVENTION
PROJECT DESCRIPTION
A
I
Detailed description of work to
S '
1 1^
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
J.„pr� �' ,r�
() 7 - x.357
MAILING ADDRESS, CITY, saftz, ZIP
EMAIL
.3 73.a
I (Noy,
a
ft7
o
/
1
OWNER IS ALSO:
CONTRACTOR CANT
PROJECT CdNTACT
NAME
PRIMARY PHONE
CONTRACTOR
MAILING ADDRESS, CITY, STATE, ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
RAMS
PRIMARY PHONE
(The individual to receive and
-
respond to all correspondence
MAILING ADDRESS, CITY, STATE, ZIP
FAX
concerning this application)
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAD:
PROJECT FINANCING
NAME
OWNER- FINANCED
Required for projects with
value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
�RCW 19.27095)
( 1 -
I certify under penalty of perjury that I am the property owner or authorised 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 w ch claim arises t oft m ante of the city, including its officers and employees, upon the accuracy of the
information aupp ed the city as a of this I anon.
(k
C
SIGNATURE: DATE J 1 ✓ 1 '� O /
PRINT NAME. d Qi h t •Q,^ t'.S
Bulletin # 100 — 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
Vom
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 (HandSinka)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS patcbm /uvury)
WATER HEATERS (Elecaie)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FACTURES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes o No
o Yes o No
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Tvue I Stories Additional Information
ADDITION
AREA DESCRIPTION I Area Occupancy Group(s) Construction # of Additional Information
is Square Feet Type I Stories
TENANT AREA ONLY
Bulletin #100 — 4/17/2009 Page 2 of 4 k:\Iandouts\Permit Application