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03-101770 y of Federal Way Cottmnumi ,Development Services Bui din i - S'n le amity Permit #:03 - 101770 - 00 - SF 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 1 i ,i I( 65 Inspection request line: 253.835.3050 Project Name: BOREN Project Address: 30319 6TH AVE S Parcel Number: 039580 0330 Project Description: Replace insulation,wallboard,windows and kitchen cabinetry damaged by smoke and water. Owner Applicant Contractor Lender T J Boren QUALITY NORTHWEST CONSTRU QUALITY NORTHWEST CONSTRU NONE 2952 SW 302ND PL 805 S MARINE HILLS WAY QUALINC141DR 4/9/03 FEDERAL WAY WA FEDERAL WAY WA 98023 805 S MARINE HILLS WAY 98023-2357 FEDERAL WAY WA 98023 NONE Includes: Census category: 434-Reside #1 1 #2 #3 #4 Occupancy Group: R-3 Type: Type IMI'Mt Construction T e: T e V-N Occupancy Load: _- Floor Area(Sq.Ft.): Census Category........:. .434-Residential alt/add-no a Mechanical No Occupancy Group#1. R-3 Plumbing.....,.,.., No Zoning Designation...:. .RS 7.2 PERMIT EXPIRES November 1,2003. Permit issued on May 5,2003 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 WT. ' I' J / ,��Owner or agent: Date: CTjQN. At` POST irIS CARD ON THE FRONT OF BUILDIN - Ct?Y OF A Way BUIL NG DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-101770-00-SF OWNER'S NAME: T J Boren SITE ADDRESS: 30319 6TH SW ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL ( ) DRAINAGE: Line ( ) Connection . i i ,`'4 .i OW900 LA*j AVOW.:D EIS AP?(*V r za % 120 ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL 5" — Z S -v 3 G c,,) Gas piping () SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS i 1Ail .,; UE ABO" I1 ST BE 'R U F G INS K ( ) FRAMING/FIRESTOPPING .S•" 2 3 —O ay G.,.c,,J cf littit IftjjAE °, 0, slo T SawtII op SI+ETRooG ', ``_. R ;f ( ) INSULATION: Floors Walls$ L 3--c)-ti Gt, j Attic t %;'r M, ,mai4O fl r $1Mk" oiE PRLOR°`J, !SEVAWWT OC ¢ , , k ' ( ) WALLBOARD NAILING 5—Z91 O.3 �� ( ) SUSPENDED CEILING EI ! ` _ _. ;OYE M B1 APP w e ..SJR TCI T Il' Otv"ST �,��—L, I1x0 EIL ' 'iL` ',"1 O ELECTRICAL FINAL ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL AtirlIA,Q.. �,7 ,,,,UST BE,AP t,PRIOR QB .,, ING*D M ,_, :per .�_ P p �PTI�ENT l�'� x O BUILDING FINAL 1- No� O UP`5�°T�I\ SING TIS. : DIN QPM ® CONSTRU PERMIT APPLICATION _' CITY OF P"- `/ �/} APPLICATION NUMBER: 03- L p L 7 7 0. 00 Federal Way APPLICATION NUMBER: APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. 0-31� <U;PROPERTY INFORMATION , SITE ADDRESS: 30 319 v /TwC• ,S, C)(, ASSESSOR'S TAX/PARCEL #: (_ a C/ S` 6 - 03 3 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): -.-..:■ PROJECT INFORMATION TYPE OF PROJECT(This application): ABUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECTDESCRIPTION(Provide detailed description): A)e._,_ fa( yj .{ /o+ i:7 " LA..) t R.. d C1Wj — S.' .0 C- -f k act I (cw,� c_o Lic t S ys c a bi K"z ,e S' W a S h Lt f n 1 a ✓L c+ /C al t- ,S`ry k r et, (.L_ft,, r C ct kic'�/('r PROJECT NAME:` RO I"CP .. I PEOPLE INFORMATION`; PROPERTY OWNER: NAME: i ; DAYTIME PHONE LJdYrc/ r3otc✓7 ( ) - MAILING ADDRESS('i-REET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: 9U cc i i i /)•Lv C_ii t Pic. )?7? -2=`42 MAI NG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: $'D-S- Sc) Inapt-tie /4116 Lt/O J 3 ) `lYr - 791' CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E FAX NUMBER: - - ( ) CONTRACTOR'S REGISTRATION NUMBER: � eC S (, EXPIRATION DATE: (ropy of card required) q (`� 4 I- 6 L t J ci t, I ()LI /IC) / 0-3— APPLICANT: SAPPLICANT: ( NAME: i F " DAYTIME PHONE / r to (e 1 -C.C. )9 7(' -2-??2-i- f MAILINNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): / r EVENING PHONE 1 ?Ds sU �ckf(rptP `4flf ly wGy ()-1-I ) ?9/ - 9*r RELATIONSHIP TO PROJECT: ,j FAX NUMBER: 0 ARCHITECT ❑TENANT 0 OTHER( DESCRIBE): C.�)IA31,-Er: .. )\J4. i ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER XAPPLICANT /CONTRACTOR � I -■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ S,�C?C) ) SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION Ol * • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES - Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) ■ 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 daim(induding costs,expenses,and attorneys'fees incurred In the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information�upplied to the drs•art of this application. NAME/TITLE: � l/ DATE: ©� ❑ PROPER OWNER ❑APPLICANT y<CONTRACTOR FOR-OFFICE.USE.ONLY ';❑ NEWs;rInQ ADDITION 4V:LI.ALTERATION -411:A13 IMPROVEh1ENT,� .->>' -CENSUS CODE - ' ate =LOT SIZE ; Yr 3,a ZONING DESIGNATION, _, 4.BUILDING SHELLONLY?Ica'0 YES '❑NO' 4-1 COMP PLAN DESIGNATION BASIC PLAN? YES ❑'NO'N SECTION, �,; TOWNSHIP-w RANGE _ NEW ADDRESS REQUIRED? - ❑YES.,:❑ NO 'PLATTED LOT? -,3.YES>,' ❑ NO - tMY i. - 'CHANGE OF USE?.- ❑YES '. d NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 wwww,cttvofFederaIwaY.com