01-100141 • , . SUBJ T TO FIELD INSPECTION.
City of ty Development e o Building - Single Family Permit #:01 - 100141 - 00 - SF
Community Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: CHARBONEAU
Project Address: 31425 28TH PL SW Parcel Number: 150330 0240
Project Description: REMOD-Realign existing stairway.
Owner Applicant Contractor Lender
MOLLY CHARBONEAU W H WALLACE CONSTRUCTION I W H WALLACE CONSTRUCTION I NONE
P.O.BOX 24501 WHWALCI022DS(6/5/01)
FEDERAL WAY WA P.O.BOX 24501
FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 #2 #3 I #4
Occupancy Group: R-3
Construction Type: Type V-N ----�
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no, Mechanical No
Occupancy Group#1 R-3 Plumbing No
01°V
PERMIT EXPIRES July 11,2001,IF NO WORK IS STARTED.
Permit issued on
I hereby certify that t - above in •• ation is correct and that the construction on the above described property and
the occupancy and e use will be in :cco +.nce with the laws,rules and regulations of the State of Washington and
the City of Federa ay.
i Gw
Owner or agent: Date: I I 1 7— / b
POSIS CARD ON THE FRONT OF BUILDI
mfor
" EDE3ZAl_ SUBJECT TO FIELD INSPECTION. BUI ING DIVISION
uV F INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT#: 01-100141-00—SF
OWNER'S NAME: MOLLY CHARBONEAU
SITE ADDRESS: 31425 28TH SW
() FOOTINGS/SETBACKS () FOUNDATION WALL
( ) DRAINAGE: Line ( ) Connection
@0
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
() FIREiDRAFTSTOPS
'' TO R} rG P' CTI 1 m v
n..�c .. ���` �,: ? "�� j.`t! tai�� ea-a�° � N...1 fir,s
( ) FRAMING/FIRESTOPPING I/Zql � 9h‘' `✓//Ve e/e Jy,Gtt
( ) INSULATION: Floors Walls Attic
c6terN��'� ' 1k7 �"i
O WALLBOARD NAILING Z- J - 6 I G O SUSPENDED CEILING
SdtZYA: ,.�.. �� ., `vsla,.t4* :: cM �,+...�r�x o.,, .... *tr,th;!'cio: :u..a.����,�
O ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
VE S,?
cv E VED ipplIPP77-,
vNSTRUClON PERMIT APPLICATION
FDA- APPLICATION NUMBER: 0 L - ,_ 1j_ i '1 - SF
A `'' APPLICATION NUMBER: - -
OITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application._.
• PROPERTY INFORMATION
SITE ADDRESS: S(7' � �C- ASSESSOR'S TAX/PARCEL#: L5.6 bSO - O Zil o
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
: • PROJECT INFORMATION
TYPE OF PROJECT(This application): jirBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Eatic Ajou-d-r 8fr 374-Ae444-=Z..Cr
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
,11 r e/,f. C'�i. -aomee g X3)8 .s.- 3E3 8
MAT MAIgG/42REleTREEI ADDRESS' STATE,ZIP):
' 1144 /C-allif C. 011477 u/4- 9e0z3
CONTRACTOR: NAME: DAYTIME PHONE:
U1=t4-iAr asT '.. (Z )*3so-4i73
MAILING ADDRESS( EET`/ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
BUSINESS UCENSE � / 9E' 3 —,so / (s 3)9 Z4 - DSa/
CITY OF FEDERAL WAY
fAX NUMBER:
- ( ) - -/t i--"
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
1,,...--- / /
APPLICANT: NAME: DAYTIME PHONE:54w /4- - /fir 4—, ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) - 4
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: •
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: 'SsE EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 4 O6D .
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES NO
WATER SERVICE PROVIDER: L'4`11AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 4 AKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
011—;11411111N
r **NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
I
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
J
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I certify der •enalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am au+ = ' ed by the owner of the above premises to perform the work for which the permit application is made. I
further agree to ho • harmle .e City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and •efense of such im),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,b only wher• -• au ari s •ut of the reliance of the city,including its officers and employees,upon the accuracy
of the inform. ion suppli:• to the ci .. pa- of this application.
NAME/TIT : ,/� 1/ DATE: 1/ L/D
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? Cl YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129