17-103659 RECEIVED
---_, A JUL 31PERMIT APPLICATION
CITY OF 2017
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way CITY OF FEDERAL WAY 253-835-2607. +FAX 253-835-2609+permitcenter@cityoffederalway.com
COMMUNITY DEVELT1StfTt (j 12,ot/_ 24,,,„t- , .?„t 1,3(3.) 6v2,00.
PERMIT NUMBER _ ( 9 - TARGET DATE
SITE ADDRESS SUITE/UNIT i
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
I JJ% 1i 2 2 2 3 1 - 0 L(
TYPE OF PERMIT ,BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION i
Detailed description of work to a-1'�'' y`T.� I <t ett a 1�•.�� c-• i er Ql`Lt i(lore.,
be included on this permit only i �,wri �� J �"
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NAME f�ir,�-1-i,A S� 4. zob11 s- 5"t LI
PROPERTY OWNER MAILING ADDRESS E-MAIL
1031' S • 2$O PL_
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NAME �- PHONE
jaLk 0c All Tirades SCAA(es LLC L+L;�--P( -c<<3MAILING ADDE-MAIL q
CONTRACTOR el t' of Ave., S )ACI 1't c.vi i A ei,vri,l C,I",
CITY rikg ZIP ri',,,,,..1,:r.,3 1
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WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME + PRIMARY PHONE
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APPLICANTnuutara. an NNW `" teS '1k' J'A� E I� GL+1 "Y�iGI�' ‘.
CITY lJ 13; ZIP , +-
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NAME (. PRIMARY PHONE
PROJECT CONTACT A.'-1^^4- E I Nip i C e1/47k
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME .
PROJECT FINANCING 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 part of this application. �j
SIGNATURE: /`- (./-----.7- DATE -1 ( J ( / 1
_
PRINT NAME: jam.( G-4 4'1 c.1". 1
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
Building - Single Family
City of Federal way Permit #:17-103659-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SHORT
Project Address: 032 S 280TH PL Parcel Number:422231 0420
Project Description: ALT-Remove existing entry way door and install new door,side light and tempered picture
window above door.
Owner Applicant Contractor Lender
MARTHA SHORT JACK GOLTIANIJACK OF ALL JACK GOLTIANIJACK OF ALL OWNER IS LENDER
2032 S 280TH PL RADES SERVICES LLC RADES SERVICES LLC
FEDERAL WAY WA 98003 811 JONES AVE S 811 JONES AVE S
USA RENTON WA 98057 RENTON WA 98057
Census Category: 434-Residential alt/add- no change in number of units
Includes: I #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation:5,000.00
M
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday,27 January,2018
Permit Issued on Monday,July 31,2017
I hert y certify that the abov; i rmation is correct and that the construction on the above described property
and the occupancy and t e`�e will be in accordance with the laws, rules and regulations of the State of
/ W hington and the City of Federal Way.
Owner or agent: Date: 1% 1%
•
THIS CARD IS TO REMAIN ON-SITE P''�
CITY OF 400, Construction Inspection Record
Fri\IVa / INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103659 00 Address: 2032 S 280TH PL
Project: MARTHA SHORTFEDERAL WAY WA 98003-3202
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.
Prior to scheduling a Framing inspection; Q Framing(4120) Q Final-Building(4050)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved
and Fire/Draft Stop inspections must be signed-
off and approved. IBC 109 3.4 By R rJ Date Cl/2y//y..By .103.40 Date 0 Z'Jl 1
E Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date