10-102071 �uilding - Single Family
c7ty of Way
Community DevelopmeFederal nt Services Permit #: 10-102071 -00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: NOH
Project Address: 31713 4TH AVE S Parcel Number: 337530 0680
Project Description: REP-Entire house window replacement.
• I
Owner Applicant Contractor Lender
PETER H NOH BURNHAM INSULATION/SHLVNG BURNHAM PETER H NOH
31713 4TH AVE S 5201 EDEN AVE SPACE 345 INSULATION/SHLVNG 31713 4TH AVE S
FEDERAL WAY WA MINNEAPOLIS MN 55436 BURNHII020C7(6/15/12) FEDERAL WAY WA
98003 5201 EDEN AVE SPACE 345 98003
MINNEAPOLIS MN 55436
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
New/Additional Sq.Feet-3rd Floor ' 0 New/Additional Sq.Feet-Basement.........;........0
Mechanical to be Included? No Plumbing to be Included? No
PERMIT EXPIRES Sunday, November 14, 2010
Permit Issued on Tuesday, May 18, 2010
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
he City of Federal Way.
Owner or agent: Date:
K 6. 2'o/lb
AIL
THIS CARD IS TO IN ON-SITE
0 CITY OF
Construction Ins ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-102071-00-SF Address: 31713 4TH AVE S
Owner: PETER H NOH FEDERAL WAY, WA 98003-5235
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) 0 Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
1
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) 0 Interim Erosion Control(4370) prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
1 By Date By Date approved. IBC 109.3.4
El Framing(4120) El Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
,
,0 Final Erosion Control(4375) Final-Building(4050)
Co
Approved Approved
By Date `By Date S 2 O../b ,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
RECEIVED , _ - 4 Z o 7L
Federal Way mAy 1 8
i CITY Of I. PERMIT s-pgr MF CO ME EL PL DE EN FP
,-,,,,,,,'
COMMUN/TY DEVELORIONT SERVICES ICATION . .
----"- i /i
.„ _ ...
253-835-26074=6-
mum atm corw FEDERA!/1/Rlif Griiol
maimmegggi.:gfamamagoidgkommagagatmasm...................:: .....,- ,:.gm:::%:gkgmogg:Edgggw$;:,y,m::s,?mks:ggsmggmgmoom:
SITE ADDRESS 3,c-i t.---s
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
rs 7 -
mostionsassomaristammatoorx0::1•i:::*:as.. sionorigigamov:kakilasstemovii
NAME OF PROJECT
(Tenant or Homeowner Name) C -- INIC)VA
r(BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
VvEN.LiV-L15-AA \- 1,3‘0 1 ,-C3ZAD S tAPYTI RAS /14 MS.k.
PROJECT DESCRIPTION P- \9'a-Yr I A-L. SF
Detailed description of work to
be included on this permit only
ligabli inalla BlaiiillMaktaintlit*ttinitialiONOMBRIVE:62111111111111111 11121.1 I
NAME PRIMARY PHONE
PROPERTY OWNER \)1 .- et IC)\--k ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
3n 13 Lt-v Ave. g . 93
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
I-°IT L . NAME o
IM.Al2.1.-A kl■A '. .4.3-S Lt LAMOt PRIMARY PHONE
(1-1Z5 )8e i - 2146'4°
U_ IA,
SP NTRACTOR MAILING ADDRESS,CITY,STATE,ZIP. ,-,
22X-7;1 FAX
Akax- V2KIkat-cet,21 (
) FAX
-
arl WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Mi 11/112 Zst.tilIIA II 02-007 40 / 15 / 70
NAME PRIMARY PHONE
APPLICANT L
,L-.. 1=k1-44A NZ-
-"C" 5 )54 I - Lilo Li 3
MAILING ADDRESS,CITY,STATE,ZIP FAX
_
A-.5 Algart,1)1Z ( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and c.4...ro...)ts. Ligicti.i ...:7_
(WS )55/ - t/&Y 3
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application)
( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
■
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with (510)1■)L-7 -' 16
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(Rcur 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
!further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied ••I city as a part o • ••lication.
r I,lir
SIGNATURE: DATE 6 l e
",..
PRINT NAME:
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed 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(commeIu.q
BOILERS FURNACES HOT WATER TANKS(Oan)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
.............
• :::itI . UR:: . > » > I s IIIIII>> > INEgt g :::
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•mb/showercombo) LAVS(Handsel.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS med./utility) WATER HEATERS(mew
HOSE BIBBS SUMPS WASHING MACHINES IOTAL FF7ITU 8... .
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTMO IMPROVEIIENTS
$ 2O $
EXISTPJQ/PREVIOUS USE LOT SIZE(In Square Feet) =STING SPRDIELER SYSTEM? PROPOSED FM SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
•
HASEME 1'1`
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
O ER deb bek.:.
smear rxorossn
TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
NEW UUII DWG
ADDITION
AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Tyke Stories
•
•TaTAL..B132t.DII :
TENANT AREA ONLY
l4Ft3iA O$I.Y
Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Pelmit Application