10-101861 Federal VVay
•PERMIT7° 11—'1'ICE 1.1VE E EN FP
COMM/dti,TY UELB7.OFMENT SERVICES APPLICATION
2.53-835-2607.FAX 253-8.3.5-2609 MAY 0 6 2010
SITE ADDRESS CITY OF FED ES I1 UNIT eY
Cu
Li
PROJECT VALUATION ZONING / �A SESSOR'S TAX/PARC #
$ .��c7 4 1 6 6, 0 . 0 ? 0
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Na.me/Homeowner Last Name)
RP 13'7 60-e- 2.94 V tii4 l/ 412. �l-r (riot-4('f C. k -r.
PROJECT DESCRIPTION Y � `,/✓''� i
Detailed description of work to /A)C.4{L4 EX 4,111)A /rt�d'4I1 C (A)cc,LI . di0 G P Z
be included on this permit only
// PROPERTY OWNER NAME PRIMARY PHONE6 ��` 87;7
om` ;!/�
/� � e) /( • Ad/ . / F^ r9 y A.,'-(._ (� % 7 J
MAHdNG ADDRESS E-MAIL
CITY STATE/ ZIP
.ICIVO'AJ CM NAME - - - - -__ -.
� PHONE
lyes✓e„ ,-�di, ,j_.�:i,),se0,4in i-- ,?6 .- -6 i/,Z S-&
MAILING ADDRESS E-MAIL •
CONTRACTOR 5� �'— �L ' f2 'f'6 ' L�Jca C l�rJc'N�G' i°+���G��C i
if(1/.
�/ fSTA'I1�'/� ZjpFAX� {C rV a% r( XC� Z .ac-3- s ? 506D
WA STATE CONTRACTO 'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
6t AlliqiiiT 72. Di i i//
L�-- PHONE
APPLICANT MAILitr`.5 ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME . PHONE
(The individual to receive and ,`I t)+fin r. t// NI'i& aid: -670—ei
respond to all correspondence MAILING ADDRESS /� E-MAIL
concerning this application) ,5lj/6 t?j/ealee/"(e 0\,t t77/2 t 77d j/f,Jj•/I'(0,444 J (-. -4,-,
STATE ZIP FAX
<<,�4t /� z t X�g c- 3 �s 7- RO-6 a
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAS
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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.
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SIGNATURE: 0 YleC.: (�
l k' A--.1 DATE . /6//6
PRINT NAME: --71— e),��rr,l 6.l/L 1C 7V/17,77
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Pelmit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercia)
BOILERS FURNACES HOT WATER TANKS(Cea)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES •
:::::::::::::::.:�::::::::::::::.;•.;:;:.:::;:.;:�;;:<.;:::�::;•:::•::•>:•r::.irii:.i:.i:.is�;:�;:•;;xi:•i::•isti:oiiiy:�;:�>:a:;•ii:�;;;::;•;;:;•;::;•;::;>:::.;:.:;�;:�>:�:i:�i:�ii:ciii:;i:ti•>;;:�;:�;;;.;�:::::::::;:.;:::y
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i'v:i:i::if:ii:i:'vSivvii}:: :::`:i::>.:iiii:iii:'i:iii:iii:isii::::;isiiiii'::::::iiiiii::::iiiiiiiiiii::iiii i::i:•::ii:::ti�:::ii::iiii: ii::?::::��99,����:kms' •. ��¢j ..gg gg�j$�
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchn/Utility) WATER HEATERS(Ekectric)
HOSE BIBBS SUMPS
WASHING MACHINES `Ei13`l`31itELpLkTr' ': `
..... . .................. .. .......... ._.. ..
;,.:i:i5ii::::i:•iyi:i:: :; :;:.::•y::•is•i:•i:•i:•:::.::. :.:.::.:i:i:•>:•:i:•i:•i:•y:•ii:tia:•x ; �! �+,��r *�'�:,�� 1�F
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
:'>:�::i>:<:w: :<;:i;::;:i` iii'i'is:::#�%=is>`•i`• `• ''�'% ::>:>::<::y ;::;:<;:„!:;':; ::a:;:i::::;_;r:;; iii:%% < ?i'>'• i <<<`z<z<>< <r >>�»':> �� ??%>>> > .
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR (or Mobile Home)
..?:�. ��?wi>E<ii `> > E6<i`«z> <=s<z<�<'? ?> �<? i > > �i'• :'<�<>>? >'` �? 3�> s <<'�3�'•<�>�ii`:> > =
COVERED ENTRY
GARAGE ❑ CARPORT 0
.',..';:;.; 'b`'`•.'iS2``iiy <` `ii i ` '' ii i?Eiiit< EEc ` siii:'•::
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
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........................................... ................... ..S.. :1, :. :: I!:. .. :::.�::::::v::.:::::::::::;:{::v:i:i::i:Yny:n::ti:CStin:+tiiiiyiii:iii i:n:•yy:n:?is ii:i.
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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ADDITION
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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...............{:e:::isi: :�i:::::�i:ii:i�i:isi�:: ::::'S::':::::::i:%:::i:;:::::�:�:�:�ii :%iii:<i: ::i::::::::>i :°::::::::i.'•::ii:2�::�i::isiii:i:ii%�::> i:';:i::�:�::i: i:izi< ..............................................................................
TENANT AREA ONLY
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Bulletin#100-April 14,2010 Page 2 of 3 k:Ilandouts\Permit Application
•
Building - Single Fatally
City of Federal Way
Community Development Services Permit #: 10-101861-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050(253)835-2607 Fax:(253)835-2609
Project Name: MAYNE
Project Address: 30019 30TH AVE SW mat
Parcel Number: 416660 0230
Project Description: REP-Remove existing drywall for electrical rewire on home; Insulate exterior walls where
opened
Owner Applicant Contractor Lender
KENNETH W&LAURA MAYNE COVENANT HOME COVENANT HOME
10 OLD KINGS RD IMPROVEMENT IMPROVEMENT
AVON CT 06001-2336 5616 EVERGREEN LP SE COVENHI972DL(3/13/11)
AUBURN WA 98092 5616 EVERGREEN LP SE
AUBURN WA 98092
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 3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
/sem
. 6 �� �
�r�fr... �r?
PERMIT EXPIRES Tuesday, November 2, 2010
Permit Issued on Thursday, May 6, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us9 will be in accordance with the laws, rules and regulations of the State of Washington
rrf, dtheC'yeralWay.
Owner or agent: C� ? Z 4a/.E Date: 5l///d
eo o►pT J ie ei t . a.„k
�� S 4 ¢„,,,, ..
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-101861-00-SF Address: 30019 30TH AVE SW
Owner: KENNETH W & LAURA MAYNE FEDERAL WAY, WA 98023-2372
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) ❑ Initial Erosion Control(4365) Underfloor Framing(4285)
Approved To be done prior to breaking ground 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 By Date By Date
0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
El Framing(4120) El Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to in '11 mud&tape
By Date By 71717 Date %'�ta, By 7 7 Date /0
❑ Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By Date
El Rough Electrical1:1 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date