05-104077 • 0
City of FDevelopment Services
Federal ay
Community Building - Swgle"Tamily Permit #: 05 - 104077 - 00 - SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BURKE
Project Address: 515 S 323RD PL UNIT16C Parcel Number:
Project Description: REM-Moving wall and remodel of bathroom w/plumbing
Owner Applicant Contractor Lender
MICHAEL BURKE PREMIER WATER DAMAGE PREMIER WATER DAMAGE NONE
515 S 323RD PL UNIT 16C 106 PIKE ST NE PREMIWD95OLA 06/01/07
FEDERAL WAY WA AUBURN WA 98002 106 PIKE ST NE
AUBURN WA 98002 NONE
Includes:
Census category: 434-Reside #1 #2 r #3 #4
FR-3
Occupancy Group:
Construction Type: Type V-B
Occupancy Load: -1 ---------Hr
y_
Floor Area
,,
Census Category 434-Residential alt/add-no, MechanicalN
Occupancy#1 Class ...., R 3
Plumbing l to
Plumbing Fixtures
.,. t ik.,. - ,.i .„ F.Description Quantity,r '' escriptiion �a'Quanta . Descri ton Quantity
Bathtubs " 1
PERMIT EXPIRES February 8,2006.
Permit issued on August 12,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us-. - 1 be in ace. :. e with the laws,rules and regulations of the State of Washington and
the City of Federal W. /
Owner or agent: i ,P#-�� Date: ' V72-1_1(:)1.__C"---
THIS CARD IS TO .MAIN ON-SITE
CITY OF
Aitommunity.Ilevelopm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104077-00-SF
Owner: MICHAEL BURKE
Address: 515 S 323RD PL UNIT 16C
FEDERAL WAY, WA 98003-5840
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 arc 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.
..❑ Temp. Erosion Control(4365) ❑ Plumbing Groundwork(4190) 0 Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By itf Date g//3/40.1— • By Date
.❑ Floor Sheathing(4105) 1
❑ Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 1 ❑ Framing(4120)
Approved '; inspection;Electrical,Plumbing&Mechanical Approved to insulate
I Rough-in and Fire/Draft Stop inspections must be
By Date Signed off and approved. IBC 109.3.4/UBC 108.5A1 '- Date --Z/
❑ Insulation(4150) �❑Gypsum Wallboard Nailing(4130) ❑ Final-SW1VI(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date Z2 Aim By Date
0 Final-Building(4050) ['Temp.Erosion Maintenance (4370)
Approved Approved
By ' 'Cj Date/O. 7-e25"" By Date
ED
RECEIViek r 659(
111
A i ,7,E5 . ri-
c ederal Way AUG ,PERMIT — p _a
3 32saflniiNI:J EVE FoER�te p_ FEDERAI A S MF CO ME EL PL DE EN FP
FEDERAL WAY,WA 98063-� D�NG°A P P L I C AT I O N
253-835-2607•FAX 253-835-2609 BUIL / /
www.dt yoffederalwau.cm
The ollowi • is re•uired in ormation-an inco •tete a••Iication will not be acce•ted. Please •rint to•ibl in in or
IN PROPERTY INFORMATION
SITE ADDRESS /csZ 3 f , P1 •- SUITE/UNIT# / b .
•
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Manch ceperate£agefor length&147.1 desoip ion)
■ PROJECT INFORMATION
TYPE OF PERMIT ('BUILDING 0 LUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO ECT DESCRIPTION(Provide detailed description of work included on this permit only)
eenove 7
p01 e a. � e t:.0e wa11 - rklo 1cck .I food,
rl'(o v e_ e 0 c eo 141 a d. f to it o ) / 1 N s h to L4/Q i^.,
en G fi t S +-o rvt a ({e h r, 44 te. /]n vQ ,tk e) A c 0 jell e l r f
PROJECT NAME(Name of Business or Owner Last Name) e IA,Y k e -
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Jct ( .. .eC� Y!� (2S-3) 6 p
MAILING ADDRESS CITY,STATE,ZIP I
_.c'):c---
Fed e-ra/ War IA/c!, [�o V 3
CONTRACTOR COMPANY NAME
Al'jLICANT NAME OFFICE PHONE
er ,i1le4A GOaft✓/ Uat�t , L5 rf ,Mies (2--s-3)`13q -36fe
NG ADDRESS CITY,ST TE,ZIP CELL PHONE
) Q4 ( k- stAi1 uc. t/141 ,y
CITY OF FED L WAY BUSINESS LICENSE NUMBER V (. -06) R 3 T' •�/
�s
EXPIRATION DATE .- FAX NUMBER
-B L / / (2-C-3) q3t 461e0
COI IJLDCLc ,
R'S REGIISTRATIOBER(copy of card required with each application) EXPIRATION DATE
V- . D 6 lc 0' / 2 bo 7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT / FAX NUMB ER
a Architect a Tenant M Agent 0 Other(Describe) ( ) -
CONTACT NNE PRIMARY PHONE E- ADDRESS
let 11' t- .J 0 e s (zoo ) - 44' C 2 -2 i.� bl it (.41.-II--..,,I
LENDER d W, r' "-"/0,,,Na t?-4,r,?-17 {4171et4✓ r, t NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION '
EXISTING USE L ivtn_.9 c P pl L e- PROPOSED USE I- i (i i h 9 /-�G e
EXISTING ASSESSED/APPRAISED VALUED
VALUE OF PROPOSED WORK $ -. j..":1),
SPRINKLERED BUILDING? a YES efNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 11 NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •*4•
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
Rwsriso PROPOSED TOT L 1L ,3:4.4,„.,R F } A. ar
NUMBER OF FLOORS ? - r`
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commereuq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/shower combo) I SHOWERS WATER CLOSETS(eole) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B*throomsidco) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred to the investigation and defense of
such claim),which may be made • any person,including undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the retia ce of the including its •,: r/ d employees,upon the accuracy of the information supplied to the city as a part of
this application.
t�
NAME/TITL /¢ (9,4,f7 DATE
(Signat re) /(TlUe)
RELATIONSHIP TO PROJECT a Owner /Agent ❑ Contractor a Architect a Other
Rc3e2 �t.' c'a Pic E*,m,`"�
: 'W.(°s(e)k( A1,'0*,4,E.10014 aNx °ai�t�i
r�oa�9l±. ®7 ,, .F f (Q�2! , .0-0N;(e- °) ' y. for
r
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application