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16-102022 1160* e- i" Building - Single Family Comm n ty&f Econ.Dev.aServices Permit #: 16-102022-00-SF 33325 8th Ave S Federal way,ax: 98003 Inspection Request Line: (253) Ph:(253)835-2607 Fax (253)835-2609 l� q 835-3050 Project Name: ELLIOT e5-110, Project Address: SW DASH POINT RD Parcel Number: 661350 0011 Project Description: REP-Inspection of tree damage. ***NO construction work approved under this permit*** Owner Applicant Contractor Lender THOMAS M ELLIOT BC INVESTIGATIVE ENGINEERS GLORIA G ELLIOT 3605"C"ST NE 3500 SW DASH POINT RI) AUBURN WA 98002 FEDERAL WAY WA 98023-2166 Census Category: 434-Residential alt/add-no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type. Type V-B Mechanical to be Included? No Occupancy#1-Class R-3 Plumbing to be Included? No Occupancy#1-Use Residence(1 or 2 family) No Fixtures Associated With This permit!! PERMIT EXPIRES Monday, October 24, 2016 Permit Issued on Wednesday,April 27, 2016 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 0and the City of Federal Way. Owner or agent: Date: 04—Z:` ), f Xtli P‘1‘. b 05 °5C) DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES M• A 33325 8th Avenue South CITY OF4111:A PO Box 9718 Federal �� Federal Way WA 98063-9718 1 y 253-835-2607;Fax 253-835-2609 www.cityoffederalway.com INCIDENT DAMAGE CHECKLIST Case# 1 ' ID2 022' 00-59 Owner's Name: T UV►r4C IN-• 611i 6 4- Phone: t4 1 IA' _ Date of Incident: 14 l P3r. Date of Inspection: Site Address: SW D#s(n Po 1144 P-c( Nature of Incident/Scope of Damage: lir, Pat ©h ci-e a Gum (If the value of the damage is greater than 75 percent of the assessed value of the structure, a site plan is required.) Building Posted: ❑NO OCCUPANCY ❑ DANGEROUS BUILDING In OTHER L!!NOT POSTED Perits Required: LN BUILDING ❑ PLUMBING ❑ MECHANICAL ELECTRICAL ❑ DEMOLITION Plans Required: lYes ❑No Plans to Show: Ntcti Fw P-04 FYrVwi K5 CI+c A150 Dc&k Co 1► ted 10504-am 124 (KI r vvl .k . t(z(f vt'o W tW hS 941r-01 a t2. ot4 4 G144 Ll 6t PG✓1^ti+k-�A . Nto klcaviaa( f taps Petu'vt,( Engineering Required: 'Yes ❑No Specifically: s'heihw4t Crithvivti Demolition Complete: ❑ Yes LANo ❑N/A 2"d Inspection Required: ❑ Yes (B'No Permit Application Information Provided to Applicant: ❑Demolition Permit Application ❑Building Permit Application ❑ Submittal Checklist ❑Electrical Permit Application ❑ Other N,t•ilt— (253) 835- L3 Inspector Phone Number **APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS** PERMIT APPLICATION 1TY OF Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 jf 253-835-2607+FAX 253-835-2609+permitcentev.com PERMIT NUMBER /69 _ /C) Z 0 Zz _ APR 2 7 2016 TARGET DATE CITY OF FEDERAL WAY SITE ADDRESS SUITE/UNICb J 3500 SW Dash Point Rd Federal Way,WA 98023 LJ PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ tbd RS 15.0 6 6 1 3 5 0 _ 0 0 1 1 Damage inspection TYPE OF PERMIT ® BUILDING ❑PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Elliot Tree Strike PROJECT DESCRIPTION Detailed description of work to Inspection of residence hit by a tree be included on this permit only NAME PRIMARY PHONE Thomas&Gloria Thomas PROPERTY OWNER MAILING ADDRESS E-MAIL 3500 SW Dash Point Rd CITY STATE ZIP Federal Way WA 98023 NAME J rvwnxrr. ._ , MAILING Annox`a0 E-MAIL CONTRACTOR CITY FAX WA STATE CONTRACTOR'S LICENSE# _ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# i / / NAME '� PRIMARY PHONE Jesse Binford 253-833-5557 APPLICANT MAILING ADDRESS E-MAIL 3605 C St NE jbinford@bcie.net CITY STATE ZIP FAX Auburn WA 98002 253-833-7309 PROJECT CONTACT NAME PRIMARY PHONE SAME AS APPLICANT (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX PROJECT FINANCING NAME n/a-insured loss 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 will comply 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 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 rt of this application. SIGNATURE: '' DATE 04-2716 PRINT NAME: Jess nford Bulletin#100—January 29,2016 Page 1 of 2 k:\I Iandouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT n/a $ Indicate how many of each type offacture 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 VALUE OF PLUMBING WORK PLUMBING PERMIT n/a $ Indicate how many of each type offixture 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 CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS Lakehaven Lakehaven $ EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? SFR 70,228 ❑Yes X No 0 Yes X No RESIDENTIAL - NEW OR ADDITION n/a AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR(or Mobile Home) COVERED ENTRY GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL Area Totals s ... . .i. .; gij tpi„-, 4':4,"1,14=r-- ., ..• . t > , ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information S uare Feet • •e Stories Ldp ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information S.uare Feet : •e Stories F e: TENANT AREA ONLY i d ...e. -,,.. + e, `r + 15"s ..-' " : te'„ •,' 777• 71.• l :77:.:..;.'.77-- „ ,7 . 7 . ms . s� ^3t„Li � 1i,,. -£ ,-,--.41,'..-__,........_,..„,z,:, raazz,'. ".i2.aa {�a.s.._a s...., I ...... a r3 Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application