17-103783 RECEIVED
AUG 0 7 PERMIT APPLICATION
CITY OF , �O�I
CITY OF 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
EVELOPMENT
PERMIT NUMBER ( 1 _ l V 5 '7 _ u
_ TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# S� r7�
$ '7`� .� ! '1g
g - C�()
TYPE OF PERMIT yfiBuILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT iV-L13 LS
PROJE DESCRIPTION ROCK —'S.
Detailed description of work to ,(�� \ ��41 1 c Z4 c /tj Lici '.C)
be included on this permit only
NAME , PRIMARY PHONE
i'w4 1o'6r t
PROPERTY OWNER MAILING ADDRESSE-MAIL
E ZIP
LAD CkW2_
HONE
NAMEL1 \ �C 1 t PsE5 G./L L z
MAILING ADDRESS E-MAIL
CONTRACTOR 7719 V) ST Z
CITY FAX
43�A-2.6' WI c:c¢02.-3
WA STATE CONTRACTOR'S LICEN EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME }'•
r/ , PRIMARY PHONE .-
APPLICANT- MAILING ADZ E-MAIL
CITY STATE ZIP FAX
NAME PRIMARYYPHONE
PROJECT CONTACT 1\12.C.-14-(),�.p1:(, �, L--�Ma.
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 'V' (-
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME :Z4j��Dcc c� OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZPHONE
(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 part of this application.
\
SIGNATURE: DATE 1 1-7 1 l
PRINT NAME: 1\401C-k
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture 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
I VALE OF PLUMBING
+ �yr r�urvreuevv vvvzen
PLUMBING PERMIT $
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(Haud 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
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes 0 No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
/f.��"S'',/H-a/ s:r/J�" /,rJ '.s,"'r'P Jam;`"r:,:�f/'f"r' `%:ri.% rf ,�Ft/,j�,r.re.tia'� ,,, !r"sJ' ..._............ .__..........:..._-..._--._..._........_......_..__.._............_..._._..............................
'r1..'. �,!�"i.. .., ntJr'„y,,.40:4 ,.,h'//.�r,'J'; .
FIRST FLOOR(or Mobile Home)
., "fi%74r„/r/'//J/r"r,,,, /.J ''rr`s1 " /�,` ,rr rjv',ir �,,; ? 'rte !,r'"r' F- r Jj,� y., ,,, .rr/.1/' ...__................................ ..........................................................._........_._.................................._...._.._....
r
lr .� r
COVERED ENTRY
`r•F'j,J�� -Yi ; ,'�f ,yf/ J ,,J`,.�'
.I$ f`,: J� lN'!r'�'J f�/ /� J�
/C� .G * ``/iJ ��- i / � ,%.i/r�'�+r- �'�tr!�., ,er,r� �r '�,r�";�'� r/'rf�.�,¢ _. ......._............._._......._............._._...__.......__—'__.___.....................—..�......_.
GARAGE ❑ CARPORT ❑
�r�) a/,? r��r.f 4f���rf1' %„�y3';,(921
'41/r/: r,-r:%
l#1 ter . r, "*”A'lr dr://�r �i0sris
.._..........................---...._.........._.. .............._.__......_.._.._.._.._.._ .......................------
Area Totals EXISTING PROPOSED TOTAL
>. �„F ✓,r ,F,r:,.: v ,�'iFAr
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area inConstruction #of
AREA DESCRIPTION Rm2are Feet Occupancy Group(s) I I Stories Additional Information
r >, r"' / eiryiOrr / r'G a 41
,
/i'? ,/,„,-//////','/. !J/,Fi/,;/e
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION S Occupancy Group(s) Additional Information uare Feet .e Stories
psy�
'® ,Jrr, 9,e ;rfo-e ' Xr y �b.//1,0 T ."/ ;,gr 14; // :,c4,1t...
TENANT AREA ONLY
rF r "0 4r, ✓r � /`' "• ® � „ % fcJ/ ' rr r �L��;. /` !/
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
e b
s a
Building - Single Family
yea Permit #:17-103783-00-SFCo Community
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609
Project Name: LEWIS
Project Address: 828 SW 305TH ST Parcel Number: 178870 0075
Project Description: REP-Replace sheathing and composition roof.
Owner Applicant Contractor Lender
KIMBERLY LEWIS NICK GARCIARESIDENTIAL NICK GARCIARESIDENTIAL OWNER IS LENDER
828 S 305TH ST REPAIRS LLC REPAIRS LLC
FEDERAL WAY WA 98023-8234 1201 NORPOINT WAY NE 1201 NORPOINT WAY NE
TACOMA WA 98422 TACOMA WA 98422
Census Category: 555-Non-structural roofing permits
Includes: #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:9,000.00
3iseS3. ��._.�:nf�a . Pm ' dw„,:;0141,;.3-• O1 /'�� ,„14114A=1;
PERMIT EXPIRES Saturday,3 February,2018
Permit Issued on Monday,August 7,2017
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 I Way.
Owner or agent: C^ Date: Fe -Z \1
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103783 00 Address: 828 SW 305TH ST
Project: KIMBERLY A LEWIS FEDERAL WAY WA 98023-8234
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.
® Roof Sheathing(4220) ® Final-Building(4050)
Approved to install roofing Approved
,By (j ANLL Date S'—A l4 - p 7 „By "4° Date %' 1
•
El Rough Electrical Final Electrical f Right of Way
Approved Approved Approved
By Date By Date By Date