08-104650 r r ti
• ouilding - Single Family
City of Federal Way Q
Community Development Services Permit #: 08-104650-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 F ILE
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SENAPHANH
Project Address: 28516 24TH AVE S Parcel Number: 332204 9027
Project Description: STFI-Remove existing 64 sq/ft and construct a 396 sq/ft deck.
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Owner Applicant Contractor Lender
PHOMMA SENAPHANH PHOMMA SENAPHANH 28516 24TH AVE S
28516 24TH AVE S 28516 24TH AVE S FEDERAL WAY WA 98003
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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
New/Additional Sq.Feet- 1st Floor,............. 0 New/Additional Sq.Feet-2nd Floor......:..., .....0
New/Additional Sq.Feet-3rd Floor0 New/Additional Sq.Feet-Basement.
New/Additional Sq.Feet-Deck 396 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 396
vt ,, , x ' ,
$te a ; � ,,p,",,,, 'z:= '
4.
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Tuesday, March 31, 2009
Permit Issued on Thursday, October 2, 2008
I hereby certify that the above information is correct and that the construction on the above describedproperty and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Itt.t,'� � a.
,.... ,Li.x Q Date: /9 — t
c°41°P1111'
16
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- , THIS CARD IS TO EMAIN ON-SITE - - -
CITY OF lit ommunity DevelopmTit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104650-00-SF
Owner: PHOMMA SENAPHANH
Address: 28516 24TH AVE S
FEDERAL WAY, WA 98003
• •
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
,
O SWM Precon Site Mtg(4400) EIInitial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By G ti....) Dater6.l3-$ qg
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— 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date By Date By Date
O Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard •
Rough-inFire/Draft inspections
signed-off and approved. IBC 109.3
.4/UBC 108.54 By Date By Date
❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375) 0 Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By L Date/0_3/-D t
.
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For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Ait,.
..i,
- 6:1 _ -1_ ( k
ERMIT
COMMIUNITYDEVELOPMEM'SERVICES
S MF CO ME EL PL DE EN FP
°0`2?lisp P I C AT I O N
33325 8m AVBNUB SOUTH•PO BOX 97i
FBDBRAL WAY,Z4 98063-9718
253435-2607.FAX 253435-2609 'r
www.cititoffecieralwau.com ] _
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The follo d in-an incomplete application will not be accepted. Please print legibly(in ink)or type.
- PROPERTY INFORMATION
SITE ADDRESS_ 2- .i' % � 4-f" +& tt°4-le- S- fe eru.I �Ay 1k)A"
li SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# h '5 . .). 0 , f - q v )- 1 C( 9 00 3 LOT SIZE(sl / 3, It ,3-0 O
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach.*pastePart 1r lenGeW Mar
II PROJECT INFORMATION
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL •
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of Mork included on this Permit only) •
0 re Ic p(-c v^-°Q--e---- . A 15 .tb-t,E-k e) y : (t..--& iw
PROJECT NAME(Name of Business or Owner Last Name) .56-NAT AJ H
is PEOPLE INFORMATION
•
PROPERTY NAME • /
• OWNER r, O(i4�- S E,/, ) 14AJrf . P-53) 1 G- 061?-7
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
2$57A ,A 4f t vp. 5'. • F .c)rat r^,�ay t bac)3
CONTRACTOR COMPANY NAME y APPLICANT NAME • OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
P/f0.M'iA• .9.Citilt Pit 4,(// 0-5 3)9416 - O6 "'.i
MAILING ADDRESS CITY STATE,ZIP CELL PHONE
'5i6 `) 44-fk Cu41- S 1124(erz( wet Ia)k9Zoo 3 .0-vL-)) (.i )- -?/14/
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant 0 Agent 0 Other ( ) -
CONTACT
NAME ®' ( s PRIMARY PHONE E-MAIL ADDRESS
V+ ,V kr ( ) -
LENDER NAME Per RCW 19.27.095:
Lender its j°rntadon-is. uirsd(f project value exceeds$5 000
MAILING DRESS CITY,STATE,ZIP PHONE
1
■ DETAILED BUILDING INFORMATION
EXISTING USE . . . ..; :80 I • ---
--
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ G SSD
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION = ,- • ..•= : . - :.. lir- • . . ' ,
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLIYE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
IN PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. '.Q.FT. SQ.FT.
BASEMENT s .
FIRST
SECOND
•
THIRD
ADDITIONAL FLOORS(DESCRIBE) ---4/
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DECK(0 COVERED OR 0 UNCOVERED?) 6ckt 4 4 '3 9 6
GARAGE 0 CARPORT 0 S.2..• r
=ZterarO PROPOSED TOTAL TOTAL masa=Si TOTAL PROPOSED IT TOTAL OF
NUMBER OF FLOORS
**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 S GAS WATER HEATERS MISC(Describe)
BOILERS Fl-4 'LACE INSERTS HOODS tcammadaq
COMPRESSORS FURN RANGES . .
DUCTS. GAS LOG :+ a REFRIG.SYSTEMS
PLUMBING ,� •
BATHTUBS(ormb/Shower Combo) LAVs ski* URINALS MISC(Describe)
' DISHWASHERS . ATER SYST .. VACUUM BREAKERS
DRINKING FOUNTAINS HOWERS WATER CLOSETS crams •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMS
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SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised 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 authorised by the issuance of a permit.I understand that the issuance of this permit
doss 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 Wag 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 application.
SIGNATURE: `L G" �'►l,r?t (---7i✓�6t.'i t, G phi' DATE
t Property Own and/or Aut$orized Agent
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a NEW a ADDITION o ALTERATION o REPAIR a.TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO IIP/SEPA/SII? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application