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08-101066 a yr. City of Federal Way g Bui1itn g — Single FamilyPermmmmmmmmt#• 08-101066-00-SF Community Development Services g P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: LO Project Address: 28921 5TH AVE S Parcel Number: 515298 0240 Project Description: REM-Kitchen remodel including garden window replacement, relocation of appliances and additional plumbing. Includes mechanical for range vent. Owner Applicant Contractor Lender HERBERT LO HANSEN HOMES HANSEN HOMES HERBERT LO 28921 5TH AVE S PO BOX 7425 HANSEH*957L7 (6/27/09) 28921 5TH AVE S FEDERAL WAY WA 98003-4312 COVINGTON WA 98042 PO BOX 7425 FEDERAL WAY WA 98003-4312 COVINGTON WA 98042 Census Category: 434-Residential alt/add -no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: R-3 ;Construction Type: 4 9 Type V-B 1 ,,_ c upancy Load k 1 for,Area(sq. ft.) .0 0 10 0 �1y fi- T N 1t r , ' 0 ; d •. I Permitmatio l New/Additiorial St,Feet'3rd Floor - = 0 b 1 New I ddition -Sq.Feet-Basement. 0 Occupancy#1 -Construction Type Type V-B Mechanical to be Included9 Yes Occupancy#1 -Class R-3 Plumbing to be Included? Yes Occupancy#1 -Use Residence(1 or 2 Zoning Designation RS 9.6 family) Mechanical Fixtures Ranges 1 016 Plumbing Fixtures Dishwashers 1 Sinks 1 l „ °le CONDITIONS: - Subject to field inspection with plans. Cr 's .... PERMIT EXPIRES Sunday, February 010 Permit Issued on Friday, February 29, 2008 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: .4_,4411A4gr, i, Date: ff�3-29-OS 7"1 .1i , ir) or? ( .v / 5 • DATE INSPECTOR AREA AND TYPE OF SPECTION 3 -2o -48 G ske w6,a VIA C**k..i P �c ) 4.4tc''^ THIS CARD IS TO MAIN ON-SITE . _. -40444‘..., CITY OF - tommuni -tY Develo m nt Inspection Record p p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-101066-00-SF Owner: HERBERT LO Address: 28921 5TH AVE S FEDERAL WAY, WA 98003-4312 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. ElSWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Plumbing Groundwork(4190) , Approved To be done prior to breaking ground Approved to cover By Date By Date By Date - 0 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 G cd,,,.....) Date 3..z/.. ❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ Mechanical Rough-in(4165) Approved to install roofing Approved Approved By Date B l Date 3 757-4 By Date 3,2,7_As ❑ Gas Piping(4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) Approved to release test Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be � signed-off and approved. IBC 109.3.4/UBC 108.5.4 By L (.J\\ Date 3 ..ew__As By Gc..3 Date 3., .c ❑ Framing (4120) ❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By _ Gem Date 5_27 By tr,j Date3_263Ce By Date 3-3r4, da ❑ Final Erosion Control (4375) ❑ Final-Mechanical(4065) ❑ Final-Plumbing(4075) Approved Approved Approved By Date B '( 7 Date 4-06 B Date/Z-2&3 ,❑ Final-Building(4050) 0 Interim Erosion Control (4370) Approved Approved By.01 Date (Z----4 By Date ' I For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date Date /2—z1- AKECEIV D III cmora 1 6_F"�terai�'1/ FEB2 92c ,. � COMANA77Y DEVELOPMENTS � �'E R M I T FCO L 1' 9 E EN FP 33325 8*x AVENUE SOUTH•PO BOX 9718 _ FEDERAL WAY,WA 98063-9718 '17:' 6' 9 P P L I C 171 D E„ . I A - 40, 253.835.2607•FAX 253-835-2609 S YP,� ��� wunn.oituolfedemiwau.am ` t�r�p The following is required information ail inebinplete application win not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS aP 92-1 SAVE-. .50-4-1"1 --QVS.viq , SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 5 / 5 q! ,8" -- 062 ! ( O J LOT SIZE(sf) 14)610015 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) W1 ARA 1, !i MS WS-1- '1` 42+ (Attach 2+i- (Attach riparia Paged letsBVW legal description) • PROJECT INFORMATION TYPE OF PERMIT UILDING PLUMBING MECHANICAL ' 0 DEMOLITI(y -LDFe'PRIC,AL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit wag) 0 Re w►t;U..e ex.s-kroc Vi-riLti.. A- 4S Yte1®c -)-e .S .1� ew I- Whi—t__ fal W©CV. T8 t•sci' . 011- V 11X) cSlwk.- eveNt rL..e-Felt 1>IA) STov€ 4441) 1- T� Fol..' Th nikanl (-ccifrt 6 lei.weoa i I oa12 � p ,v p it .E w i 1-1.. N E,v 1 0 tEl.vienv es-5-4-w9 g+ao-Aapi l',ice+ -1V-01- Let1c0-44 0l4. w'44�®4.,3s 'TO mom. PROJECT NAME(Name of Business or Owner Last Name) LD MI PEOPLE INFORMATION PROPERTY NAM( PRIMARY PHONE OWNER H EYtBexttl- LO (253 )82A"""883% MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS ZegZ1 r�,. `Alle 3 y4-L rep ett. WAci V14 CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE 03 k ttME, Estlt 014T4sea4 (z53. )tzq 22.53 AILING ADDRESS CITY,STATE,ZIP CELL PHONE t?o ?ox 'lits Coy 6,4 -U41181),/?, (200 )eig9 7 33 J�J' 4 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER rAT4ZO--oA_A041461 -OO*F3L 12-31-a (7_53 )1039-3ti"ls CONTRACTOR'S� � NUMBER TION DATE E-MAIL ADDRESS }1AtaI �� � �� ZD0-j 1414-)4 SEM. AmstES DO II we APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 5tOrvite AS. A-6aVC ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant 0 Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT Et(Llt #AkiS .1 (201e ) 94q-1533 LENDER NAME Per RCW 19.27.095: • NnN e- Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE �a.l -I-cw PROPOSED USE ,51A.WIfc EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ )2; ?-30 O)0 , - / Pon'dwui `w/ SPRINKLERED BUILDING? CI YES )'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES I�NO it ch jr• WATER SERVICE PROVIDER XLAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) C IN PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 =MN OF FLOORS MN PROPOSED TOTAL, TOTAL 121817110 El TOTAL PROPOSED sr TOTAL Sr "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 ac Value of Mechanical Work$ 200 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS % FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS ri/ HOODS(commaidaq COMPRESSORS FURNACES RANGES DUCTS. GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(orTub/shower combo LAVS(Bathroom stnhte( URINALS MISC(Describe) V I DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones ELECTRIC WATER HEATERS V SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 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 rv,,),Z1-Oil Property Owner and/or Authorized Agent a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application