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08-104292 II 0 uildh:g Single Family City of Federal Way Q Community Development Services Permit #: 08-104292-00-SF P.O.Box 9718 Federal Way, F 9803 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(2553))8 835-35-2609 p q Project Name: WALLEN , Project Address: 29622 20TH AVE SW Parcel Number: 012103 9020 Project Description: ALT-Installation of deck handrails. 9/16/08*** Final inspection of elevator on this permit-Per Lee*** , Owner Applicant Contractor Lender TERRY WALLEN TERRY JENSEN CONSTRUCTION TERRY JENSEN CONSTRUCTION 29622 20TH PL SW CORP CORP FEDERAL WAY WA 98063 PO BOX 1326 TERRYJC016OZ (5/20/09) ISSAQUAH WA 98027 PO BOX 1326 ISSAQUAH WA 98027 Census Category: 434 - Residential alt/add - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No New/Additional Sq.Feet-Other 0 Plumbing to be Included? No New/Additional Sq. Feet-Total 0 No Fixtures Associated With This Permit !! CONDITIONS: Subject to field inspection without plans. PERMIT EXPIRES Tuesday, March 10, 2009 Permit Issued on Thursday, September 11, 2008 I hereby certify that-the-above inforrraration is correct and that the construction on the above described property and the occupancy;and the,Nse ill be in ccor ance with the laws, rules and regulations of the State of Washington '\7't rid the City of�ra'Way. Owner or agent: Date: 7/ / 6h e g / t ��. C t CITY OF A • �� - / 0 4 2.t. __. �FederaI Way �C� i•. RMIT SF MF CO ME EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES II 33325 AVENUE SOUTH• BOX 9718 SEp TD FED ERAL WA Y,WA 98063-971 8 11 <v D Jn I C A T I O N / /253-835-2607• FAX 253835.2609 wuw.atuoffedemlwt:u.col( 0 r The following is required 1, 6r n incomplete application will not be accepted. Please print legibly(in ink)or type. / � a PROPERTY INFORMATION - SITE ADDRESS ,-,C °�b /`., 2c,"W S W Feeler- - WAY SUITE/UNIT# ASSESSOR'S TAX/PARCEL# © Lig.. / O . - l CI .2, O LOT SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION . • TYPE OF PERMIT E BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) r7JSero-c.c_ 0 2c. H' 4 ' - PROJECT NAME(Name of Business or Owner Last Name) ti a I. U-�-__ • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER Te-kfy (A/44_4-s -J ( ) - MAILING ADDRESS CITY,ST E,ZIP E-MAIL ADDRESS act z 2c)-"foe, s ed `t5uz_ CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 'f IZiRy _3-0-„,s cp.maser ri3(-- Y ( 12S)SS 7 -9sob M ILING ADDRESS CITY STATE,ZIP CELL PHONE re. & X t 24 175-503-Qw Gtr IA- ( ) - I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EX+PPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATI N NUMBER 00 L EXPIRATION DATE E-MAIL ADDRESS Tex.elStO 14 2 5- -it--a 9 APPLICANT COMPANY NAMEr, �/ APPLICANT NAME OFFICE PHONE n MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) , RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant ❑Agent 0 Other ( ) PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per ROW 19.27.095: N Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE 1 ■ DETAILED BUILDING INF it RMATION l / EXISTING USE _5/---, e • fq/r(G Y PROPOSED USE 5/r 9�- ��'rr�-`-f cm EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ ..2)a '� — 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) re- MI PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED SF TOTAL Sr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commerday COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(orTub/shower Combo( LAVS(Bathroom Sulks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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. 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, 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 ap.lication. / 1 _ NATURE: ' < L/...--/ DATE c� ...........,\IG ape Owner and/or Authorized Agent ❑NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? o YES ❑NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application