04-101243 - 40 4111 ' .'\.--^ .„-1.) []--' If
City of
nity Development Federal Went Services ay
Community Building - Single Family Permit #:04 - 101243 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WALLEN
Project Address: 29622 20TH PL SW Parcel Number:012103 9020
Project Description: Replace drywall in kitchen
Owner Applicant Contractor Lender
Terry R&Johnnie Wallen MILLER ENTERPRISES II INC*MA MILLER ENTERPRISES II INC*MA NONE
29622 20TH PL SW 553 FOURTH PARALLEL RD MILLEEI98N8 8/28/04
FEDERAL WAY WA ELLENSBURG WA 98926 553 FOURTH PARALLEL RD
98023-3401 ELLENSBURG WA 98926 NONE
Includes:
Census category: 434-Reside f #1 #2 #3 #4
rOccupancy Group: R-3 —_
ff —1
Construction Type: _ i Type V-N
I Occupancy Load: _
Floor Area(Sq Ft); 4
Census Category .. ..............................434=Residential alt/add-no Mechanical No
Occupancy Group#I. .R-3 Plumbing ........ ........
No
PERMIT EXPIRES October 2,2004. -
Permit issued on April 5,2004 -
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: ( 9 Date:
%4:,
..titail-1)'1(0.0 5 i
tir\)0 \o
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r
POST. S CARD ON THE FRONT OF BUILDIN a ` ,
CITY OF
.14,
Federal VVay BUIL NG DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 04-101243-00-SF
OWNER'S NAME: Terry R& Jcohnnie Wallen
SITE ADDRESS: 29622 20THVSW
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) STT_.EATFTING - Roof Floor
( ) SHEAR WALLS • -
( ) E7,FCTRICAL ROUGH-IN 04 of 04 Ditch Cover
( ) FIRE/DRAFTSTOPS 01,1(®8
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING . \ O S 1
I
THE ABOVE MUST BE APPROVED PRIOR TO SULATING OR SHEETR I KING
fiL, 7,�
( ) INSULATION: Floors Walls ' LE Attic `\
THE ABOVE MUST BE A PROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING (I)4--\ O j\O O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
APR-05-2004 09 :5 VgIVED ENTERPRISES 509 9684883 P. 02
r • w •
4 504 COMMUNITY DEVELOPMENT SERVICES
aiv o. �P� 33530 PEPERALwWAY,WCA 9806 PO 9718 718
Federal Way ctrl of "1 IIT APPLICATION 963-661-4115.limo ml:uoflBdetdwoccom I79 v
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M4r+ M Y'I rNt p i' � i; T' � pie �r'_ V"'`0. :•Y rFWd ''
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I
The 'Howl . in ,hired I rmaKion-an ince ./ate . . ,ligation wag not boa•• - :d. Pieaee 'rint ' , n to or , •
■ I•hO1'I:f:it INh(!1,:NI, II'iN
SITE ADDRESS: 29622 20 Federal Way..WA 98063
SUITE/APT 0
ASSESSOR'S TAX/PARCEL 0: Q 1 2 1 Q 3 - 1 0 2 a SQUARE FOOTAGE OP LOT: 5;4-e Atrilki '1 i7 /9C_
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) GV4rt,) r%e j4�t. LAR!o`o00! e, 0? 7c I�wo,6
(Attack se to page for Lengthy legal des en�tion)
■ I'1:'l,ll I I INI'I'IrII,41I<Irl
TYPE OF PERMIT(This application): X BUILDING 0 PLUMBING ❑ MECHANICAL a DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ PIRE PREVENTION SYSTEM 1 1
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only): -gsa�6 v e C7 Oi ll
d 1)' lA,xuld I
+ i1,stQ.Ly) ew dry wa [I ) (a'bI ),ear�r .4 -P)fierr. is, k.1.1-01-, e_..:, i ce. /
PROJECT NAME(Name of Business/Owner Last Name): I LJ l'\ _
U i.i.,1I I I. 1NP'■1,''i.0A.IIf)N
PROPERTY NAMJ PRIMARY PHONE:
OWNER: ) •e rr� ,✓ J�'ey. (2S )8 S�
- 12. )7
CONTRACTOR: NAM, COMPANY OFFICE PHONE:
MAI INO ADDRESS :TREET ADDRESS;1: CELL PHONE;
5 /� < ` ,r • 4 ( ft ) s -38•01
CITY OF FEDERAL WAY HUSINRSN LICENSE UMBER: EX • TIO DATE; FAX NUMBER:
- _ _ (5.; ) 9 n5
CONTRACTOR'S REGISTRATION NUMBER; EXPIRATION DATE:
(oop,or oast ipaiz. wftk*sob spptlo.tloy M I. 1.. L.. t •E 14 is Q g $ g / 2.3 /Cr y
LENDER: NAME DAYTIME
PHONE;
Pn�d Woo•Nool
/4 ( )
MAILING ADDRESS(STREET ADn S
CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE;
• 'r L f 1I • . . ' es ( . (52q�9, , - ,r!~}. 7
MAILING AD•R•-B(S'TR:.1 ADDREt�:: CIT ,$TAT-,ZIP EVENINO PHONE:
5 4 A L • Iwo ' . S1 /, N •� i ( ) • -
RRLATION$H1 O PROD, : FAX NUMBER:
❑Architect ❑Tenant ❑ Other (Describe): ay t fwed C^IIK4f'rrc,,i`Or (4 )9 -ygg5
CONTACT PERSON FOR THIN PROJECT: 0 Property Owner Coatraotor 0 Applicant E.Mn1LADDRLBe:
IN 1.1.I ■II I I. Ill I>INii !NI'i?1:MAI14YN
EXISTING USE: i',g 11.5+ 1.17 ki`'t cartt+,�y�,� PROPOSED USE: 5o Y,,, _ c
EXISTING ASSESSED/APPRAISED VALUE $ V vU 0. �` VALUE OF PROPOSED WORK: $ ) ,,,7 ,er90
SPRINKLERED EUILDINGP ❑ TES NO FIRE SUPPRESSION SYSTEM PROPOSED/RSQUIREDPs ❑ YES ' NO
WATER SERVICE PROVIDER: ❑ LAXEHA EN ❑ HIGHLINE a TACOMA PRIVATE('WELL)
1
APR-05-2004 09 :5.9 AM MILLER ENTERPRISES 509 9684883 P. 03
• •
■ t•t•■�.l1.� I I I.0 I(,r, N1,1 1:
AREA DESCRIPTION EXISTING 8•.FT. PROPOSED : o. PT. TOTAL
BASE :
FIRST
_3_00 vy)
e_ 30o
sl,can5
THIRD
D
FOURTH
ADDITIONAL FLOORS()ESCRIBE) '
( OVERED?)
GARAGE/CARPOR=T`
H W MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY,' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $,
n ca a num er of eac type e t at s to at a or relocate as part s pr ect. o not inclu a existing es to rem n.
At E IIAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE OAS LAOS REPRIG.SYSTEMS
COOLERS
HHQB FANS HOODS(ceeiesse aq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAO WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
RATHTUES(orTwchew„ SHOWERS WATER CLOSETS MISC(Describe)
Combo) ITol eT)
DISHWASHERS SINKS DRINKING
FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER$Y8
WASHING MACHINES _ URINALS HOSE BUMS
LAVE(Bathroom Sink VACUUM BREAKERS tIS.IOritZC WATER HEATERS
I
I certify under penalty g/perfury that the information furnished by are is true and correct to the best of my knowledge,
and further,that I am authorised by the owner of the above premises to perlorn the work fbr which the permit application is
made. !further agree to hold harmless the City of Aedaal Way as to any claim(including costs,exttpenses,and attorneys',Jl es
incurred in the investigation and defense of such claim), which may be mad*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 accu of the inform• , •n supplied to the city as a part of this application.
NAME/TITLEt /iA:, - P wit/ DATE: �! — 6 Y
-ant • e/ (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner 0 Applicant )(Contractor o Architect O
o NEW n ADDITION o ALTERATION o REPAIR n TENANT IMPROVEMENT
BUILDING SMELL ONLY? o YES a NO BASIC PLAIT? n YES o NO
ZONING DESIGNATION! CHANGE OP USE? a YES o NO
NEW ADDRESS REQUIRED? o YES n NO UP/SEPA/SUP a YES ❑NO
PLATTED LOT, o YES ❑NO DEMO PERMIT REQUIRED? e,YES ❑NO