04-105203 • a
City of Federal Way Building - Single Family Permit #: 04 - 105203 - 00 - SF
Community Development Services
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: SCHNITGER
Project Address: 30858 7TH AVE SW Parcel Number:555770 0080
Project Description: Replaced rywall in kitchen and living room to repair fire damage.
Owner Applicant Contractor Lender
PATTI-JO MCCLELLAN PATTI-JO MCCLELLAN PATTI-JO MCCLELLAN NONE
30858 7TH AVE SW 30858 7TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 30858 7TH AVE SW
FEDERAL WAY WA 98023 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: t 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
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES June 25,2005.
Permit issued on December 27,2004
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 Feder.
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THIS CARD IS TO &MAIN ON-SITE
CITY OFD tommunit y �Develo merit Inspection Record
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Federal Way IVR INSPECT ON REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105203-00-SF
Owner: PATTI-JO MCCLELLAN
Address: 30858 7TH AVE SW
FEDERAL WAY, WA 98023-4812
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 i 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 he
signed-off and approved. IBC 109.3.4/UBC 108.5.4
` By Date j By Date
#
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130) ❑ Final- SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
# — +�
❑ Final-Building (4050) ,❑Temp. Erosion Maintenance(4370)
Approved Approved
By Date By Date
. J
Federal way RECEIRD PERMIT sto_q_ - 4__ o_. . _.2. _03
COMMUNITY DEVELOPMENT SERVICES S F F CO M E E L PL D E EN FP
33325 8r"AVENUE SOUT5•PO BOX 97rE
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U 2 7 Zoe P P L I C AT I ON FEDERAL WAY,WA 98063 9718 TD / /
253-8352607•FAX 253-835-2609
U'WW.atyoffederahaa9.com
CITY p
The following is req :: ri ma ork'd-1',, incomplete ap•lication will not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS 5? ? ' ; so) Q.0-0 ,4 , (col 9 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desoiptian)
` : , _ <- ■-PROJECT INFORMATION' '
TYPE OF PERMIT 'UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
C "'"'' t G( a n'4 — �� /ca is S, re
r`ej -- riQvrue-c___
PROJECT NAME(Name of Business or Owner Last Name) A/), —.e f--
t
■ PEOPLE INFORMATION
.
PROPERTY NAME
PRIMARY(PHONE
OWNER 5"l�y Ze�w., .,r✓ nl75e CITY,STATE,ZIP 3 ) ( -033 O
MAILING ADDRESS "�-'� C,f
3o&52 7^- & ) r,� 7,1.3 G . qd� 3
CONTRACTOR COMP NAME APPLICANT NAME
OFFICE PHONE
ING 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 applications EXPIRATION DATE
/ /
APPLICANT COMPA NAME APPLICANT NAME OFFICE PHONE
M�
AIL GAD RESS CITY,STATE,ZIP CELL CELL PHONE
(
RELATIONSHIP TO PROJECT - FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( _
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
. ,..-. .• DETAILED BUILDING INFORMATION
IEXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1) 1 ' 7 p0
t
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
1 WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PR SED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL.CXIsTuto TOTAL.PROPose° TOTAL=STENO AND PROPOSED
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIIAIYICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/shomorcombo) SHOWERS WATER CLOSETS(voile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
r "�ISCLAID RJSIGNATUREBLOCK
1 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 authorized 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, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITL ,L'7�.T //�/e�� !� /'— DATE �e ��`CJ
(Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
( FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
{ ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin N100–March 30,2004 – Page 2 of-4 k\Handouts–Reviscd\Pcrmit Application