00-102268 r `a
City muniteDevelopment
eralW ay Building - Single Family Permit #:00 - 102268 - 00 - SF
Community Develo ment Services
F3ederal
st Way,W Inspection request line: 253.661.4140
Federal Way,WA 98003-6210 P �l
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: POLLOCK
Project Address: 32860 40TH CT SW Parcel Number: 873204 0670
Project Description: REPLACE POST&BEAMS UNDER EXISTING DECK(NO CHANGE IN LOCATION,HEIGHT
OR CONFIGURATION)ACCESSORY TO SINGLE FAMILY RESIDENCE,SUBJECT TO FIELD
INCPFCTIfN
Owner Applicant Contractor Lender
Jack H Pollock &OWNER IS CONTI Jack H Pollock NONE NONE
32860 40TH CT SW 32860 40TH CT SW
FEDERAL WAY WA FEDERAL WAY WA
98023-2623 98023-2623 NONE
Includes:
Census category: 434-Reside #1 : #2 #3 #4
Occupancy Group: U-1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no+> Mechanical No
Occupancy Group#1: U-1 Plumbing No
Zoning Designation RS 9.6
PERMIT EXPIRES October 7,2000,IF NO WORK IS STARTED.
Permit issued on April 10,2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us- will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: /A/ 'il Ari I�G�'� Date: "kd —C O o'cs
g
rit
POIVHIS CARD ON THE FRONT OF BUILD. ti
cmoF G
EDEJZRL BUILIDNG DIVISION
VN) AY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00-102268-00-SF
OWNER'S NAME: Jack II Pollock & OWNER IS CONTRACTOR.
SITE ADDRESS: 32860 40TH SW
O FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL''T . E y�Y +, , B[��?'E IS APPROVED '.
( ) DRAINAGE: Line ( ) Connection
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
•
( ) FIRE/DRAFTSTOPS /2/k0 ,s17
ALL THE ABOVE MUST BE APPROdD "RIUR TO FRA,,--11: I tC'" l S'I Q C Nc
( ) FRAMING/FIRESTOPPING
TI3E ABOVE MUST BE APPROVED PRIORiIT,O YNSULATINGORSHEETROC JNG
( ) INSULATION: Floors Walls Attic
T id „V � >(3S TIP ° I PROVED PRIORTO APPLYING SIfI.1+.ETROCK
( ) WALLBOARD NAILING • ( ) SUSPENDED CEILING
THE`-ABOVE MUST BE APPROVED'PRIOR ,OTAPINGORINSTALLING,CEILING TILE
O ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE):1 IUSTBE APPROVED PRIOR=TO`BUILDING DEPARTMENT:FI` 1'ALAz 'u.
O BUILDING FINAL 9/Z/ QD 65
a'N'O' ,-'°OCC "P ,� Ills BUILDING U TIL ` I DING FIN r I APP OVE >>,{
BUILDING Clirf = Alp eS) 0 33530 First Way South
.--- -IP-- ____ Federal Way,WA 98003
V FlY ®` (253)661-4000
1 gyp. Fax(253)661-4129
LC
APPIATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION# PI 6 ��J
:•;:•::. Site address
.. C
..................... ::::::::::..::::::::91(fe4
... 32$' 4 X10 � 4� �� �?!� Q.
4' 4.Tenant name Lot# Assessor's Tax#B�9t b'IeZo,i-- D!o"1D
Building Owner's N404 Address j
z yee..4
City State 44412...e_ T/J pp fro?--3 Phone 5�-/go/
Description of Work Aka PA./fC �� a.. POSY'S eAe 5 tJi vilee fxIS fI/4- De<fr
Name (F,M,L) sre,„/` f. �. AD d e
Address52-Z40y a ,- CA %T441.
city ,f0',/>1/?/ �.. k./Xr- gt. State 4,1V. Zip prDL3
Contact Person ✓''--- Day Phone .I-�' v3 tu O, Other Phone Fax
Federal WaBusiness License
#
r Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
AtfVflUggpagEMMiiiiiganiiiiiigNEIEMEM
Name /rte.,
if 08 C.+. PG's ? ). 6 G
Address
\le (1/..SDr r.f/4.4,6 CffL// €2.4/2.3 4tc.
City State Zip
Contact Person • '1401 Q Phone Fax
LEGAL DESCRIPTION Nay I iir s to lo
•T ho
r 4 7 V. h ie`I /'F6 4--.0 %S-/
IN fit(/( - CO. WFfSiIlNg 7bA
Please Complete Reverse Side
41iiiiijaiiiiiellIONITaiiiiiiiiiniiiiigaiiiiiiiiii.
isti9 n UseØroi3OseJ Use
Permit includes: 0 Building 0 Plumbin ❑ Mechanical 0 Other
Type of Work: Residential 0 New 0jemodel ❑ #of bedrooms Deck
0 Commercial 0 Addition C�Repair ❑ Garage 0 Shed _
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area Prosq ft
Area Basement sq ft Decks sq ft Garage sq ft posed Total Area sq ft
t
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
> <» » » `` <Mi
tENfR < . > « < `` <e` » For new residential only Proposed sed se
Ilin9cost:
$
Name Address
City State Zip
�11N1CAfwNTlA. . ......
Contractor Name Address
City • State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes, 0 No
zt3tNR11tTRA
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
4
I1UIR[I4G<t1XR1±.. .
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Totel:Flxture Count
ONLY $
ANIEVALUATION
ME H AL C
C
Fuel Type(gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,0Q0 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons TfxtALUnit Co nt
DISCLAIMER:I certify under penalty of perjury that the information furnished by me is true'and correct to the best of my knowledge,and further,that I am authorized by the owner of
the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only
where such claim arises out of the rel' ce of e city,including its offi any ;•.loyees, n the accuracy of the information supplied to the city as a part of this application
f6'. g'-'1." 2-4641 v
�t�M ; Date:
&#.D140 Avr
REVISED 5118(99