05-102249r
T.
City of 1 d ay
Community Development Services
Building - Single Family Permit #: 05 - 102249 - 00 SF
evel
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 • Inspection request line: (253) 835-3050
Project Name: MAXWELL
Project Address: 30135 12TH AVE SW Parcel Number:515320 0353
Project Description: REP-Replace water damaged wall in existing detached garage.Replace roofing and reface shakes on
mansard facia.
Owner Applicant Contractor Lender
Charles E Maxwell Jr. Charles E Maxwell Jr. Charles E Maxwell Jr. NONE
30135 12TH AVE SW 30135 12TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA 30135 12TH AVE SW
98023-3409 98023-3409 FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 #2 #3 1 #4
Occupancy Group: U
Construction Type: Type V-B
Occupancy Load:
Floor Area(S q.Ft,)r 1—'
1',
Census Cetegory 1„. ., 1.. .,. 434-Residential alt/add-no. Mechanical,.......: „,.... .... ..:. No
Occupancy#1-Class .,, ...,. ..........at,,,U Plumbing_____ ...�
...... No "-'
.N
PERMIT EXPIRES November 9,2005.
Permit issued on May 13,2005
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.
r Date:
Owner or agent. _ , A % — = � Date. i----- -1 3
ifile Ylt) 1
..) V
\ik) 4
illt THIS CARD IS TO MAIN ON-SITE
���,of ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102249-00-SF
Owner: CHARLES E MAXWELL JR.
Address: 30135 12TH AVE SW
FEDERAL WAY, WA 98023-3409
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.
❑ Temp.Erosion Control(4365) ❑ Plumbing Groundwork(4190) ❑ Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
❑ 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
❑ 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 4
signed-off and approved. IBC 109.3.4/UBC 108 5 4 ` N 1f2, .----.
By Date B w1 Date S(34 tf-5
,
❑ Insulation(4150) Pa Gypsum Wallboard Nailing(4130) ❑ Final-SWM(4375)
Approved to install wallboard Approve. ,1,; I \< mud&tape Approved
A r.��� ,
By Date By /NO Date S &if bS ,By Date
❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370
Approved Approved
By Date By Date
RECEIVED /092-
Federal { a A Y 1 3 2005 . - 2 2
Federal Way PERMIT 4
COMM DEVELOPMENT SERVICES MF CO ME EL PL
CITY OF FEDERAL DE EN FP
33325 D AVENUE,WA 9•PO BOX 9718 A P P LI CATIOC'
FEDERAL WAY,FAX 98063-260 G D E P / /
253-835-2607•FAX 253-835-2609
www.dtyoffederalwgy.corn
The (Aloud • is re•aired in ormation-an inco •iete • ••lication will not be acce•ted. Please •rint le•ibl in in or • .
■ PROPERTY INFORMATION
SITE ADDRESS 3C'/3 5 `2 713g" 6.-i-Cc-% SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) #1'I'VitX I i k L2t =Z. 7 T
(Attach separate page for lengthy legal descnpnon)
■ PROJECT INFORMATION
TYPE OF PERMIT ,.f`BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
./ . .ii--4 . kc(7/1Z 7, X 7 47v;e1
PROJECT NAME(Name of Business or Owner Last Name) laic z C "� 6-. 6��- t-,% � c
11 PEOPLE INFORMATION
PROPERTY _ PRIMARY PHONE
OWNER !C v <!'‘'''.0>K/..e.:1-We'
' >CL[% C c��/� V6:5 ) j� -A)/
MAILING ADDRESS CITY„SPATE ZIP
.3 >/3 /2 "1 Az=1 "r3: ‘,./ ' ,r("c`z 4� y gY a-7
CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— — —B L / / (
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe)
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
(
LENDER P Z a € ,41- y; NAME
e“1„:;!,4, Ls�x r, 0,C?< -Xex�e/i,SF. ' ''
MAILING ADDRESS f/A CITY,STATE,ZIP
'�
• DETAILED BUILDING INFORMATION !!
EXISTING USE f- PROPOSED USE Celt-�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / r —
I
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC)
PROJECT FLOOR AREAS ,.
EXISTING PROPOSED TOTAL
AREA DESCRIPTION
_ SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVE• D?)
GARAGE :4 CARPORT❑
EXISTING
PROPOSED TOTAL i --
NUMBER OF FLOORS s: ' °
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of firlure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL . Vi!
Value of Mechanical Work $ �
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS
FIREPLACE INSERTS RANGES
FANS HOODS(Com(commercial) WOODSTOVES
BOILERS MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/sns.wcrCombo)
SINKS
SHOWERS WATER CLOSETS ilo(roan) MISC(Describe)
DISHWASHERS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised 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,uiren the accuracy of the information supplied to the city as a part of
this application.
DATE
NAME/TITLE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor ❑Architect ❑ Other
�� tea � ? t ^I ;, ) g'e„'(
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application