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11-104974Building - Single"Far;hily City of Federal Way Community& Econ. Dev. Services Permit #: 11 -104974-00-SF 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: ANGLIN Project Address: 30326 21ST AVE SW Parcel Number: 012103 9038 Project Description: ALT - Fill/grade up to 60 cubic yards of material to expand potential parking area. Owner Applicant Contractor Lender NATHON & JULUANA ANGLIN NATHON & JULUANA ANGLIN OWNER IS CONTRACTOR 30326 21ST AVE SW 30326 21ST AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Census Category: 999 - Unknown Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Areas . ft.) 0 0 0 0 Additional Permit Information New / Additional Sq. Feet - 3rd Floor....................0 Mechanical to be Included?....................................No New / Additional Sq. Feet - Basement...................0 Plumbing to be Included?.......................................No No Fixtures Aslso��aied With This Rent !! CONDITIONS: Work may not proceed prior to approval of temporary erosion control methods by the Public Works Surface Water Management inspector. Permanent erosion control must be satisfactory to the inspector prior to final inspection and approval of the project. PERMIT EXPIRES Saturday, June 16, 2012 Permit Issued on Monday, December 19, 2011 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 e City of Federal Way. Owner or agent: ��` - Date: `' s ti. THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 11 -104974 -00 -SF Address: 30326 21 STAVE SW Project: NATHON & JULUANA ANGLIN FEDERAL WAY, WA 98023-2305 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. ❑ SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365)Underfloor Shear Walls (4245) Framing (4285) Approved By To be done prior to breaking ground Approved to install siding Approved to sheath floor By Date By Date By Date ❑ Floor Sheathing (4105) El Shear Walls (4245) Roof Sheathing (4220) Approved to install flooring By Date Approved to install siding Approved to install roofing By Date By By Date By Date E] Fire/Draft Stops (4095) Interim Erosion Control (4370) Prior to Framing inspection; Approved Approved scheduling a Electrical, Plumbing & Mechanical Rough -in and By Date By Date Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 E] Framing (4120) Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date By Date ❑ ti Final Erosion Control (4375) Final - Building (4050) Approved Approved By Date By Date ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF �. Federal Way DATE: TO: FROM: SUBJECT: 12/8/11 file Rebecca Lemke, C.C.E.O. MEMORANDUM Community Development Services Department ANGLIN-MOVING DIRT ON PROPERTY - (11 -104865 -00 -VO) 30326 21ST AVE SW AbRol Ar 71 \/ _ / � i/�. �. k�lp/,eU� � 60 yards of fill over slope area with large rocks around toe area shrubs on terrace for privacy and soil retention. Grass on slops and top. 1 Y2 inch recycle concrete in front of garage. -ro RG CK CITY Or a WERMIT Federal Way ��Q COMMUNITY DEVELOPMENT SER! o\,� A P P L I C A T I O N 253-835-2607• FAX 8 X 253- o P /-7-6-97V F CO N[Et�_Uiv RE �P. DEC 19 20'1 SITE I*DDRESS �%Z,� S CITY r RA L WAY �;' p5 PROJ UATION ZONING ASSESSOR'S TAX/PARCEL /$ ' 0 � _ 9 O TYPE OF PERMIT BUILDING ElPLUMBING ElMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to / 't G/ © `cil d G ,,4 i"i T'O 4rK✓ ea- i o✓"�a �� be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER a,, j h o Avl / s .i 2 6 6 L/ Z 60 e-/(9 6 MAILING ADDRESS 3U 32 6 � a ve E-MAIL CITY - 'ec(e., t a STATE w ZIP C18021 _�---- NAME PHONE MAILING A RESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME kE e h PHONE ZO6 evyz MAILING ADDRESS 30 2l �W-'Ave S \JV E -MAI o t c - h .'P Pie(10en 0. APPLICANT CITY re de✓�,- I VV STATE ZIP ciao ). T FAX PROJECT CONTACT (The individual to receive and NAME a fk e h. PHONE U,� Lt 32 6y6� MAILING ADDRESS S7^ 3 .26® +/ C S V/ E-MAIL respond to all correspondence concerning this application) CITY Fecle Iia I STATE Zip C70023, FAX ALTERNATE CONTACT E, PHONE E-MAIL PROJECT FINANCING NAME E] 0PER-FINANCED Required value of $5,000 or more a• MAILI ADDRESS, CITY, STATE, ZIP PHONE IRCW 19.27.0951 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:( Z DATE PRINT NAME: ,/ 1� f li O t'l �yl t • N - -- - - 45/ Bulletin #100 — January 1, 2011 Page I of 3 k_AHandouts\Permit Application 9 0 VALUE OF MECHANICAL WORK $ BATHTUBS (or Tub/Shower combo) (a copy of Md or estimate must be provided) 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 (Commereiap BOILERS FURNACES HOT WATER TANKS ) COMPRESSORS GAS LOG SETS REFRIGERATION SY� DUCTING GAS PIPING WOODSTOVES 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 VACUU BREAKERS DRINKING FOUNTAINS SINKS (i(it hen/Utility) WATE HEATERS (Eteetrw) HOSE BIBBS SUMPS WASNG MACHINES 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 ----'�y RE ,- ',NL Eop, w AJ AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE - -- — — BASEMENT' FIRST FLOOR (or Mobile Home) - ,, . FLOOR — — ----- - ._. _. _ _._._.--- SECOND' �.> � COVERED ENTRY '---- -------- -._._..-------- GARAGE ❑ CARPORT OTHER (describe) Area Totals EXISTING PROPOSED TOTAL **1VEW HOMES ONLY** ESTIMATED SELLING PRICE $ # OF BE ROOMS APOMON AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square eet T pe_ Stories NEW BUILDING' f may= x. _-- ADDITION 3