09-104486 Building - Single Family
City of Federal Way Q
Community Development Services Permit #: 09-104486-00-S F
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: LEE
Project Address: 28904 5TH AVE S Parcel Number: 515298 0030
Project Description: REP-Replacing all windows in house.
Owner Applicant Contractor Lender
CHARLES LEE PRIME CONSTRUCTION& PRIME CONSTRUCTION& CHARLES LEE
28904 5TH AVE S DEVELOPMENT DEVELOPMENT 28904 5TH AVE S
FEDERAL WAY WA 98003-3604 7728 228TH ST SW PRIMECD925RK(12/12/10) FEDERAL WAY WA 98003-3604
EDMONDS WA 98026 7728 228TH ST SW
EDMONDS WA 98026
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
,4Adtoi,ttr421, „„ dit nal permit X11#�
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included2 No Plumbing to be Included9 No
No Fixtures Associated With This Permit 1i
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, May 15, 2010
Permit Issued on Monday, November 16, 2009
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: =�:� -- Date: /. �1 O/C:
1 THIS CARD IS TO REMAIN ON-SITE .
I
CITY OF "
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT #: 09-104486-00-SF Address: 28904 5TH AVE S
Owner: CHARLES LEE FEDERAL WAY, WA 98003-3604
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) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
•0 Floor Sheathing(4105) D Shear Walls (4245) D Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By /// Date Z// / aBy Date
El 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) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
-b Final Erosion Control(4375) El Final-Building(4050)
Approved A roved
By Date By � Date /1/O
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY OF ' 'Federal Way SPERM IT 0. CO ME EL PL DE EN FP
COMMUIVI7Y DEVELOPMEIVT SERVICES APPLICATION / i
253-835-2607.FAX 253-835-2609
www attloffederalwau corn
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SITE ADDRESS
2-4 .1e-7-?cei El. A--t•-‘=. (--
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SUITE/UNIT# ZONING ASSESSOR'S TAXI PARCEL# NOV 1 6 2O
— ,.,,M CF FEDERAL ii - I
NAME OF PROJECT - —
, ,
(Tenant or Homeowner Name) , ' , L kr, • L E-
8 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION CI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
. . ,.
,/.
/,,....k' ,).i t.4 ,"`. t-, 5 ..-4,--- , , HA.,1-i
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PRIMARY PHONE
NAME
'
PROPERTY OWNER - •• ' 717 e____E", e
(: 3)d; -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
5yeiii c_-' eut
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT p PROJECT CONTACT
'
NAME PRIMARY PHONE
1/> . ' •
' t---
(-1,—` • ) ‘f' - ..'
MAILING ADDRESS,CITY,STATE,ZIP
L ,,,, p,‘,...ee,41 FAX
CONTRACTOR -
/ti-• c 7
, el €` - iit, v 95*
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.....
i /..-' °,,',, - '. ' / - f..'/(' " / / -
NAME PRIMARY PHONE
APPLICANT ' i - - ( )
MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
PROJECT CONTACT NAME , PRIMARY PHONE
o
(The individual to receive and
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application)
( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27 095)
( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I willcomply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by arty person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a parkof this application. „....,-,
• . ,../ ,/e,
SIGNATURE: f 7-, — / DATE ,
PRINT NAME: _ /""
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
111F-INYECHANICAL FIXTUI. '
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
�- • GENERAL INFORMATION
PROJECT VALUATION TER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
CC '-r. r
i Q�
f•STIWPRE VIOUS•fry �� LOT 2E)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR –.,-----"_—"-
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe) —_—__.._....
EXISTING PROPOSED TOTAL —..•."_.._. __---_—.—_Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION _
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL- REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
_in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100–4/17/2009 Page 2 of 4 k:\Handouts\Permit Application