08-102870City of Federal Way Building - Single Family Permit #• 08- 102870 -00 -SF
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: NOE
Project Address: 37136 4TH AVE SW Parcel Number: 218820 2755
Project Description: REM - Remove existing chimney; install with ba dow d repair floor as needed
Owner Applicant
DIANA NOE DIAT V
37136 4TH AVE SW 371364 AV
FEDERAL WAY WA 98023 -7380 FEDERAL WA
Includes:
Construction TAtw
O$, lx ancy Load:
F, ea (sa. ft.
Subject to field inspection with plans.
IAY A9N 3 -7380 J Eiz W AAA098023 -7380
- no
J
0
CONDITIONS:
num -bet of units
1 #4
PERMIT EXPIRES Wednesday, December 10, ��J'
Permit Issued on Friday, June 13, 2008
I hereby certify that the above information is correct and that the construction on the a ve escribed property and
the occupancy and the use will be in accordance with the laws, rules and regulations the State of Washington
and the City of Federal Way.
Owner or agent - '� Date: 4 h3�4�'
tiIlil3 4 7 qj91 3030
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102870 -00 -SF
Owner: DIANA NOE
Address: 37136 4TH AVE SW
FEDERAL WAY, WA 98023 -7380
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.
❑ 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 B� Date
—0
❑ Framing (4120)
Floor Sheathing (4105)
❑
Shear Walls (4245)
Approved to install flooring
By
Approved to install siding
❑ Final Erosion Control (4375)
By
Date
Approved
By
/ Date
❑
Fire/Draft Stops (4095)
By
❑
Interim Erosion Control (4370)
Approved
Approved
By
Date
By
Date
- U r i r- %)
Insulation (4150)
Approved to install wallboard
Date
Final - Building (4050)
oki� P "K
Approved
Date
e "> 6_ 71I-09
For inspector reference onl
O Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
❑ Framing (4120)
❑
Approved to insulate
�},
Bya� Date �— —00
By
❑ Final Erosion Control (4375)
0
Approved
By Date
By
- U r i r- %)
Insulation (4150)
Approved to install wallboard
Date
Final - Building (4050)
oki� P "K
Approved
Date
e "> 6_ 71I-09
For inspector reference onl
O Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
eerorA
Fedm"WCEIVED OPERMIT SF MF CO ME E PL DE EN FP
COMMUNITYDEVELOPM W SERVICES
33325 8rm ENUE, WA 9• PO BOX 9718 APPLICATION
P LI C AT I O N
FEDERAL WAY, X , .1 3 2008= (7 /
X53.8952607• FAX ZS L 1�(J�'
www'Chwffb* oTw U-00m
The follow r� iIis bMlfion - an incomplete application will not be accepted. Please p t legibly (in ink) or type.
PROPERTY •. •
6
SITE ADDRESS 7l <i � t-TGf/ SUITE /UNIT
ASSESSOR'S TAX /PARCEL !1 ,( - % 5� s LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT )< BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit on(ul
W— IAN 1111111!j
PROJECT NAME (Name of Business or Owner Last Namel
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
!
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME ��)
�%
PRI�M�AyRY PHONE
(ate) -:?7/ - 777
MAILING ADDRESS
"Pg S W
CITY, STATE, ZIP
D
E -MAIL ADDRESS
e�ficn� noe�'boe!�
COMPANY NAME
u�NZS A—
APPLICANT NAME
OFFICE PHONE
( -
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REOISTRATION ROIMR EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
i•
7
NAME PRIMARY PHONE E MAILADDRESS
/ PWA /V o 'g: ems% 37 - d�a,Ia. ' , noe t4loeii •�
NAME ,p .,
l � � /v /�
Per RCW 19.47.095.
Lender informatton is required i f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
.9
PHONE
204 )37/ -77;7
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM
WATER SERVICE PROVIDER HAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 7MMUERAVEN 13 HIGHLINE RIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
8 . FT.
PROPOSED
S . FT.
TOTAL
80. FT.
BASEMENT
SHOWERS
ELECTRI ATER HEATERS
SINKS
FIRST
SUMPS
ZONING DESIGNATION
SECOND
CHANGE OF USE?
o YES
a NO
THIRD
a YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
M"O
PROrosm
TOTAL
wt sin "M er
TorAL PROPOSED Sr
TOTAL er
"'NEW HOMES ONLY" NUMBER OF BEDROOMS MATED SELLING PRICE $
Indicate number of each type of fixture to be installedtir relocated as part of this project. Do not include existing fixtures to remain.
Add__ wAL
Value of Mechanical Work $ (A C Y OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS VAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commemo
COMPRESSORS FURNACES RANGES
DUCTS A—GASLOOSETS REFRIG. SYSTEMS
BATHTUBS(atub/ C..Jbo)
LAVS(B.woomshdo
DISHWASHERS
RAINWATER SYST
DRINHING F AIN3
SHOWERS
ELECTRI ATER HEATERS
SINKS
HOSE BIBBS
SUMPS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS (oneq
WASHING MACHINES
I coil{ fg under penalty of perjury that I am the property owner or authorised agent of the property owner. I cart{ fy that to the best of my
knowledge, the Worn —Ion submitted in support of this permit application is tree and correck I cerft 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 chin), which may be made by any person, including the undersigned, and filed against the city, but only
when 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 part of this application.
SIGNATURE.
Authorized
o NEW a ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SSELL ONLY?
o YES o NO
BASIC PLAN?
o. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
a YES
o NO
Bulletin #100 —January 1, 2008 Page 2 of 4 k\Iandouts\Permit Application