17-101243 _ Building - Single Family
CityufFederalWay Permit #:17-101241--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: NASH
Project Address: 30623 28TH AVE S Parcel Number: 092104 9195
Project Description: REP-Place 2x6 over burned section,replace damaged sheetrock and insulation.No Plumbing
or Mechanical.
Owner Applicant Contractor Lender
MICHAEL&ROBIN NASH LYNN BROWNZION LYNN BROWNZION
30623 28TH AVE S CONSTRUCTION INC CONSTRUCTION INC
FEDERAL WAY WA 98003 12583 ROAD H NW 12583 ROAD H NW
EPHRATA WA 98823 EPHRATA WA 98823
Census Category: 434 -Residential alt/add-no change in number of units
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:2,496.00
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Tuesday, 12 September,2017
Permit Issued on Thursday,March 16,2017
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 Federal Way.
Owner or agent: ,,, 2.4._,,._s Date: 3/1 e/1 7
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal vvay INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 101243 00 Address: 30623 28TH AVE S
Project: MICHAEL & ROBIN NASH FEDERAL WAY WA 98003-4803
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.
ern
SWM Precon Site Mfg(4400) ,{•� Initial Erosion Control(4365) , Q Footings/Setback(4110) ,
Approved To be done PRIOR to breaking ground Approved to place concrete
♦ :By Date By Date By Date
Underfloor Framing(4285) 0 Floor Sheathing(4105) ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
♦By Date By Date By Date
•
® Roof Sheathing(4220) ® Fire/Draft Stops(4095) ® Interim Erosion Control(4370)
Approved to install roofmg Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; 10 Framing(4120) El Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must be signed-
off and approved. IBC 109.3.4 By e Date el_01,.. )11 By Date
E2 Gypsum Wallboard Nailing(4130) ; ElFinal Erosion Control(4375) 1 EFinal-.Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date ,•By 4-/J Date c)2 Q')i
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
REC.NED
CITY OF PERMIPAPPLICATION
r oor Way MAR 16 2017 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
Federal ay 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDjERN-WAY
GommUN- - - E....7
M� C
PERMIT NUMBER 12 _ c> ) 7
ri _ I 0 _ _ TARGET DATE
SITE ADDRESS SUITE/UNIT#
30 (O Z3 2 "k4" P'uc-- s
PROJECT VALUATION ZONING ASSESSOOEL R'S TAX/PARC #
TYPE OF`PERMIT UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 6-S
tt
4 d / /. p ,a— v- 70 t/
PROJECT DESCRIPTION
Detailed description of work to of A . / ,, 1_ ,. ,� J `1 ...A.,
be included on this permit only 1 -
it .ii �'/_viii 41' - i V fe._ " _i
AP
NAME
PRIMARY PHONE
0 t
PROPERTY OWNER 1 C 44 n,1 r'�`�-dam r 1 ` 5-0 I 7 S 1 cr 7
MAILING ADDRESSE-MAIL
74.
AV i
CIT 6 STAT ZIP-e421-4, 0 Le)ce-e-S- WA- .e)z3�
LAME PHONE
Z1,D(Ar (7,..e., 7/ _51-ft.Ue/i ovt yrC go( 7' r Ss 7
MAILING ADDRESS E-MAIL n C�,n^a y ry
CONTRACTOR 1 c`�_ iS 3 Rd (4, '`�j�J tAi 21&.1J t'i'l-c- o w -
4- `CITY �� STA' ZIP� �� FAX 'J �/��
K�9 ,i53 i 7
SATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME -5 PRIMARY PHONE
APPLICANT- MAILING ADDRES - E-MAIL
CITY STATE ZIP FAX
NAMEPRIMARY PHONE
PROJECT CONTACT k- v< 13 More fl az,6 '7 x O �
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1 'j ( 9 760 ���7- 710.,4i ly 14 vt C i M
C
concerning this application) C.UY STATE ZIP FAX a
rlV[0,&A4 ?_E< (fiJ fS9 7 I 01673 MI 7 7J 7 t
NAME
PROJECT FINANCING WNER-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 o the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as of this application.
SIGNATURE: �� � -L2 ` - i DATE 3)141)
PRINT NAME: I V ,C r A
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many o .c type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLI s NITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR Cs •ITIONER FIREPLACE INSERTS HOODS(commercial)
ERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture t. -- installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Com.• LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
NG 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 ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
? rrrr .
� ay
* 1, ,
� d
, � ;',��� r� r . IAA;a'rf�!r,%; ' Ate
,r"%Ay
FIRST FLOOR(or Mobile Home)
ear r4," r" �;f i- F' ,r, .� ;err:`�i
,tr
S N S +rr �'
COVERED ENTRY
GARAGE 0 CARPORT 0
4'444
'4f � i 01 irj r
EXISTING PROPOSED' TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
'7:40;
wi2AidtkipkaIA J r s-'
rites
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) a Stories Additional Information
S.uare Feet
TENANT AREA ONLY
' ""`t E rv, f / J :7 t of
eitt4itt!';44-qatiaWkafallaitii541:047,?:,dik (1:"
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application