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04-101750 Clt:of eeme1 pray Building - Single Family Permit #:04 - 101750 - 00 - SF CommunityDevelopment Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: GEIS Project Address: 2750 SW 323RD ST Parcel Number:873190 0420 Project Description: ALT-Master bedroom remodel; converting 2 existing bedrooms into a master bedroom with bath suite; including mechanical Owner Applicant Contractor Lender Carole A Geis &Lyman M Geis TRIBO CONSTRUCTION*BOB TRI TRIBO CONSTRUCTION*BOB TRI NONE 2750 SW 323RD ST 8867 NE JUANITA LN TRIBOC*987PB 10/2/04 FEDERAL WAY WA KIRKLAND WA 98034 8867 NE JUANITA LN 98023-2522 KIRKLAND WA 98034 NONE Includes: Census category: 434-Reside #1 j #2 #3 #4 j Occupancy Group: 1 - - R-3 LConstruction Type: Type V-N Occupancy Load Floor Area(Sq.Ft.) —— L Census Category 434-Residential alt/add-no Mechanical Yes Occupancy Group#1 R-3 Plumbing No Mechanical Fixtures Descriptionti Quantity ' Description Quantity Description Ducts uantity] Jr �' l Q PERMIT EXPIRES November 3,2004. Permit issued on May 7,2004 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: 3 9 -© SO>) • F)C 1;10 • a\CO‘ OIN i IrS \\ \_\ 'G� THIS CARD IS TO REMAIN ON SITE CITY OF n COMMUNITY DEVELOPMENT INSPECTION FdrIWay RECOD IVR INSPECTION REQUEST PIHO E#(253)835-3050 PERMIT #: CAI `I C 115 -C,0 PROJECT NAME: a fl ? I ❑TEMP.EROSION CONTROL(4365) r'' ❑FOOTING/SETBACKS(4110) ❑FOUNDATION WALLS(4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By Date By Date By Date ❑DRAINAGE/DOWNSPOUT(4040) 11 ❑RE-STEEL(4I2 ) Lig./s- ❑GROUNDWORK PLUMBING(4190) Approved to backfill Approved to place concrete or grout Approved to cover By Date . By Date By Date ❑SLAB ON-GRADE(4255) ❑UNDERFLOOR(4285) ❑FLOOR SHEATHING(4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date — ❑SHEAR WALLS(4245) p ROOF SHEATHING(4220) ❑ELECTRICAL ROUGH-IN(4225) Approved to install siding Approved to install roofing Approved By Date By Date By Date ❑PLUMBING ROUGH-IN(4230) ❑MECHANICAL ROUGH-IN(4165) ❑GAS PIPING ROUGH-IN(4125) Approved Approved Approved to release test By Date By Date By Date — [(.('FIRE STOPPING(4095) NOTE: [ RAMING(4120) Approved Prior to framing inspection,all rough-in& Approved to insulate �j ,�� firestopping sign-offs must be approved. By l ' Date .S /fib/0 IBC 109.3.4/UBC 108.5.4 By Date s7 7o/' BINSULATION(4150) ❑GYP.WALLBOARD NAILING(4130) , P ❑SUSPENDED CEILING GRID(4265) I Approved to install wallboard Approved to mud&tape Approved to drop tile By FI-7F- Date fitb/�7 y By� Date j,elf By Date FINAL-FIRE(4060) !!! FINAL-PLANNING(4070) FINAL-PUBLIC WORKS(4080) Approved Approved Approved By Date By Date By Date ❑FINAL-S.W.M(4375) ❑FINAL-ELECTRICAL(4090) ❑FINAL-BUILDING(4050) Approved Approved Approved By Date By Date k By Date arY of � — I` � V �� Cr Federal Way # PERMIT -F MF CO ME EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH• BOX 9718 APPLICATION TD FEDERAL WAY,WA 98066 3-9718 / / 253-6614115•FAX 2536614129 www.cit t offederalwa4.com The ollowin. is re•aired in ormation-an irtco .tete a.•lication will not be acce•ted. Please •tint le•ibl (in ink)or . PROPERTY INFORMATION • SITE ADDRESS --2 -7 Su'-, >' 5•j" :11- SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desrnptioc) •`��s - PROJECT INFORMATION TYPE OF PERMIT d BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of ork included on this permit only) 5.4./ _bod.".a /,6c c7 o--+-,0 / re5AiV Ct7 t-k LS-F-7,4 G- 7 7- 72 i acs /-1_C /A/I c 1k i- STLS7q., -67,,,Q6 i i-7 7/- 4 S CA-( i E- . PROJECT NAME(Name of Business or Owner Last Name) PEOPLE INFORMATION PROPERTY NAM ? / C' PRIMARY PHONE [L OWNER Sty/ �- 4,,,..i�/1 Q/) (25.3 )f 5- - e4,15 MAILING ADDRESS CF,STATE,ZIP CONTRACTOR COM.SY NAME AP ),ICANT NAME OFFICE PHONE fr•447 �c7.7 ft.:".r yto,— °4,-:.+ .5 7,,,10 A., 4 )9?2 -.235`3 MAILING ADDRESS Q CITY,STATE,ZIP CELL PHONE /y2,/ rt` .?tom- 1 � �'vf�� •5:-.7.14, cr/4 `9<re 3)- ( z(x. ) Si<I --235-3 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER B L / / LZ0G ) 3'‘f - S CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE .L k 6 0 G it 1 Y 7—e_ •4 / l APPLICANT COMPANY NAME APPLICANT NAMEOFFICE PHONE i`I,xe 43 Ai,....e. ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME .) �— PRIMARY PHONE E-MAIL ADDRESS Kuhn-fr S. l / h. (2'1' ) 49z - a 373 LENDERPer RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 77p`7e. MAILING ADDRESS CITY,STATE,ZIP • [� DETAILED BUILDING INFORMATION • EXISTING USE i ••y j 1347EIr.�:r, / ter ffi Peq/.r.,,�.‘ PROPOSED USE Tr; .I.N.^ J•,,: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 5�o("' v / ' SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS ti AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT I I O W MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED ""NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offixture to be installed r r ocated as part of this project. Do not include existing fixtures to remain. MECHANICAL �7 Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orTub/Shower Combo( SHOWERS WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Shales) 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 in the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,including its officer ,and employees, upon the accuracy of the information supplied to the city as a part of this application. --�" 1 NAME/TITLE DATE `)— ?--- (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent D Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION a REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application