07-1045721
City of Federal Way Building
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MOORE / KIRSE
Project Address: 2525 SW 325TH PL
se
- Single Family Permit #: 07 -104572 -00 -SF
Project Description: REP - Fire damaged repair or modification to
damaged roof sheathing, felt, skngles, gutter#
in area of attached garage of elisTVg relidefi
Owner
RANDALL KIRSE
MARY MOORE
2525 SW 325TH PL
FEDERAL WAY WA 98023-2530
Census
Inspection Request Line: (253) 835-3050
Parcel Number: 638660 0020
' trusses; replace fire
I exterior T-111 siding, all
Inspection.
Lender
S 325TH PL
WA16 WAD !
- no change in number of units
Includes: I [1 q #2 I #3 I #4 I
1 00— '' ncv Class: I NU
CONDITIONS:
1. Work subject to field inspection - no plans submitted.
2. If doing a fix to trusses, provide a stamped copy of fix to fire damaged trusses from an Engineer licensed
in the State of Washington or from original truss company manufacturer to city inspector.
3. Smoke alarms required when interior alterations, repairs, or additions requiring a building permit occur.
(8313).
4. Smoke detector shall be interconnected and hard wired unless the area of work does not result in the
removal of interior wall r ceiling finishes posing the structure unless there is an attic, crawl space, or
basement ayailable whould provide bf4#ss foi the hardwiring. W 111)
PERMIT EXPIRES Sunday, August 23, 2009
Permit Issued on Thursday, August 23, 2007
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: tc Date: 2�(/ 7
'a" „ot ��
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104572 -00 -SF
Owner: RANDALL KIRSE
Address: 2525 SW 325TH PL
FEDERAL WAY, WA 98023-2530
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
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 C Date •• .. p
❑
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)
❑ Gypsum Wallboard Nailing (4130)
❑ Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date
By Date
❑ Final - Building (4050)
Approved
By Date
❑ Interim Erosion Control (4370)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
N►.
ctry of !RSCS�\l D
Federal way {� 1 PERM I
Ct)MMUNITY DEVELOPMENT SERV (� �v� -
33J?F D AVENUE SOUTH • 63 97 j���,J RAS , p L I T I C
FEDERAL WAY, WA 98063-9718 t,� C
253-835-2607- FAX thdFR253-835-2609,
i»u31d�6 �or- ^`IY ` 7 •
V W G pEP
The following is required information - an incomp ete applicatiots.
p1A��-����
—, 4–F�MF CO ME EL PL DE EN FP
IV Iy4J." �?/" 1-101
ted. Please print legibly (in ink) or type.
SITE ADDRESS p7- 5„2Su% `T /�,,; SUITE/UNIT N
ASSESSOR'S TAX/PARCEL # -40. - 9 o Q LOT SIZE (s_0 / Q
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AH—A —p—to page/- lengthy regal d--pnnn)
/ PROJECT•- •
TYPE OF PERMITr� BUILDING ❑ PLUMBING ❑ MECHANICAL
�❑\bEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit o 40g, V -'t;-• f�'/
t -01C T//' pG'd-1 `f I i�// I Alehl &4M s. . T—,1!411 W&KI 11Z CDl- P/I
g1� •37x �'t. /7r�"�/l&ewr[na�� 5� aAbn/n
lW eC1 wt�d / Q% t 77P't, S 1 b4 ✓ W% -a ')
A / / L/� .,C,vl � f
1
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•- •
PROPERTY
OWNER
NAME ,,JJ
PRIMARY PHONE
:2// /��� ��
(2. )353 - �/
MAILING A RESS C�Y/JSTATE, ZIP
Zfzf +J V3" !r�/ kid- 9�f12
-MA ADDRESS
RELATIONSHIP TO PROJECT
o Architect o Tenant ❑ Agent o Other
o/ld�iste a.�
CONTRACTOR
COMPAN!
MAILINr. annv�cc , i .i
APPLICANT -eur
OFFICE PHONE
`r
CITb -QT.—
CELL PHONE
RELATIONSHIP TO PROJECT
o Architect o Tenant ❑ Agent o Other
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
( )
COPY otnrd rogolred
vfth each appl"tioa
CONTRACTOR'S REGI-TPAT)ON NUMBER EXPIRATION DATE
E-MAIL ADDRESS
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COM N
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
o Architect o Tenant ❑ Agent o Other
FAX NUMBER
NAM PRIMARY PHONE E-MAIL ADDRESS
NAME
jj
Per RCW 19.27.095:
1, — aC ( It
Lender information is required if project value exceeds $5,000
MAIL( G A p ESS
CITY, STATE, ZIP -
PHONE
�
VC. 1w '4vj-'n6('� �
( &" ))1.- 3 z g�
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WO $ �Si 4�CJ
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? o YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . F
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o YES )§*0
BASI.0 PLAN? o YES
V NO
STSe r
. "Z_
'
O
.SECOIqD
o YES )"O
UP/SEPA/SU? o YES
O
THIRD
093�ES o NO
DEMO PERMIT REQUIRED? o YES k
p4O
ADDITIONAL FLOORS (DESCRIBE)
DECK (0 COVERED OR 0 UNCOVERED?)
GARAGE O CARPORT 0
NUMBER OF FLOORS
PRODOSLO
TOTAL TOTAL SJ
TOTAL PROPOSED Sr
Toms. Sr
"NEW HOMES ONLY" NUMB OF BEDROOMS
ESTIMATED SELLING P
E $
Indicate number of each type of -fixture
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
UMBING
BATHTUBS for Tub/shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE B1BBS
installed or relocated as part of this project. Do not incl}rde existing fixtures to remain.
(A PY OF BID OR ESTIMATE MUST BE IN DED WJTH APPLICATION)
EVAPO VE COOLERS AS PIPE OUTLETS WO
FANS GAS WATER HEATERS MIS
FIREPLACE INSE HOODS (commercial)
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Ba oom Si�ks) ALS M1SC (Describe)
RAIN TER SYST VAC" REAKERS
WATER CLOSIVS iroileq
WASHING MAC ES
I certify under penalty of per, jury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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 part of
this application.
NAME/TITLE "V\t,tii�L_ ,x�n 1 ((�i — DATE jrf;1 h7
(SignaturI (Title)
RELATIONSHIP TO PROJECT J Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
❑ NEW o ADDITION
ODSTOVES
REPAIR C TENANT IMPROVEMENT
C (Describe)
BUILDING SHELL ONLY?
o YES )§*0
BASI.0 PLAN? o YES
V NO
ZONING DESIGNATION
. "Z_
WATER CLOSIVS iroileq
WASHING MAC ES
I certify under penalty of per, jury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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 part of
this application.
NAME/TITLE "V\t,tii�L_ ,x�n 1 ((�i — DATE jrf;1 h7
(SignaturI (Title)
RELATIONSHIP TO PROJECT J Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
❑ NEW o ADDITION
o ALTERATION
REPAIR C TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES )§*0
BASI.0 PLAN? o YES
V NO
ZONING DESIGNATION
. "Z_
CHANGE OF USE? o YES
O
NEW ADDRESS REQUIRED?
o YES )"O
UP/SEPA/SU? o YES
O
PLATTED LOT?
093�ES o NO
DEMO PERMIT REQUIRED? o YES k
p4O
Bulletin #1100 — April 2, 2007
Page 2 of 4
k\Handouts\Permit Application