15-103261 •
o
•r
•ilding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-103261-00-SF
33325 8th Ave S ir, y,
Federal way,WA s8003t"t4Pj Ins Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2809 p q
Project Name: SIMPSON
Project Address: 33225 44TH AVE S Parcel Number: 618140 0140
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
,
Owner Applicant Contractor Lender
WALTER J SIMPSON BC INVESTIGATIVE ENGINEERS MAXCARE OF WASHINGTON
TERESA D SIMPSON 3605"C"ST NE INC
33225 44TH AVE S AUBURN WA 98002 MAXCAWI962DB(3/2/16)
FEDERAL WAY WA 98001-5144 16208 60TH ST E
SUMNER WA 98390
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Occupancy#1-Construction Type Type V-B Mechanical to be Included? No
Occupancy#1-Class R-3 Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, January 3, 2016
Permit Issued on Tuesday, July 7, 2015
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
0and the City of Federal Way.
Owner or agent: Date:0-4'al--
CITY OF M PERMITAPPLICATION.
Federal Way ei'V!®
JUL 0 7 2015
PERMIT NUMBER S _
1 - TARGET DATECM' OF FEDERALWAY
CDS
SITE ADDRESS SUITE/UNIT#
33 225 44-111 ki c. 5
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ R3go � !o I B 1 4 0 - 0 l 4 0
TYPE OF PERMIT ,0"."BUILDING ❑ PLUMBINGNG0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1 M PSOt'4 {-I I7.6.-
PROJECT DESCRIPTION
Detailed description of work to le-ThNM PO-E. Io P.--. 1145 PEC--ri o IJ
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER WAl,TE2C IE2O-SA S IMPS01.1
MAILING ADDRESS E-MAIL
33225 14TH Av E. S
CITY STATE ZIP
FE e.a_ NM Wit 98c o
NAME PHONE
HNI.0.-NeE ow 'N A 2s3 w - &9-g S
MAILINGG ADDRESS�QgE-MAIL �l c,�
CONNNN����TRACT`� I(,ZOE (POT" ST G ZS3 $fd� 6448 <
Y' CITY STATE ZIP FAX 1L1.
Y.\\1\,, , UMN6R- W A 5 339 O Miner-PHAyemecz4 ►
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ti A1CA WS%(o2DI:6 03/02- /143
NAM PRIMARY PHONE
£SSE jIN b2: 2S0S f333 SSSR-
APPLICANT M 670ING 5 ADDRESS,"ST N C L
�TUFolate BCTe.N€T
CITK STATE ZIP FAX
IA UBU12A1 WA ?25001_ 255b33 a30dt
NAME gyp PRIMARY PHONE
PROJECT CONTACT €AME A'S 1 r L1 CP+N T
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAM /A _ I IVSU>z-E. 1-0 .-S0
OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 application.
SIGNATURE: DATE 03-O R -1<
PRINT NAME: s)ESS ?IN e02-.
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application