05-103740 , '1 . S r__
City of Federal Way
Community Development Services Building - Single Family Permit #: 05 - 103740 - 00 - SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: DEBELLIS
Project Address: 1438 SW 296TH ST Parcel Number:062104 9037
Project Description: REP-Fire damage repair of residence: 12 lineal feet of the exterior wall including siding,sheathing,
insulation,studs&gyp wallboard. Replacing 5 windows& 1 door. Replacing 160 sqft of 2 x 6 cedare
deck boards. All materials like for like. No plarnbin9 6/hutnci,iCal-
Owner Applicant Contractor Lender
Oronzo DeBellis MCBRIDE CONSTRUCTION RESO1 MCBRIDE CONSTRUCTION RESO1 MET LIFE
1438 SW 296TH ST MCBRIDE CONSTRUCTION RESO1 MCBRICR099JZ 3/25/07 50 PO BOX 441-F02L
FEDERAL WAY WA 224 NICKERSON ST MCBRIDE CONSTRUCTION RESO1 FREEPORT IL 61032
98023-3411 SEATTLE WA 98109 224 NICKERSON ST
Includes:
Census category: 434-Reside #1 #2 #3 'If #4
P Y
Occu ane Grc R-3
Construction Type: Type V-B
[Occupancy ad: ir
Floor Area(Sq.Ft..
Census Category... 434-Residential alt/add n Mee .�trF No °7
Occupancy#1 CIS ..., R 3 "am
r P um� g.....�
o
Zoning Designation QRS 15.0 ,y-
CONDITIONS:
1. Subject to field inspection.
2. Separate electrical permit may be required.
PERMIT EXPIRES January 24,2006.
Permit issued on July 28,2005
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: /'/ Date: Oh'/ 5
il
flit"
lkhk THIS CARD IS TO AMAIN ON-SITE ,
CITY OF 41t ommunity pnt Develo m Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103740-00-SF
Owner: ORONZO DEBELLIS
Address: 1438 SW 296TH ST
FEDERAL WAY, WA 98023-3411
This card is part of your required inspection documents. 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.
0 Temp.Erosion Control(4365) 0 Plumbing Groundwork(4190) 0 Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) ❑ Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
.❑ Fire/Draft Stops(4095) NOFE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical 1 Approved to insulate
_ Rough-in and Fire/Draft Stop inspections must be
By -1-4:- Date 0.I , signed off and approved. IBC 109.3.4/UBC 108.5.4! , By Date ,�j -7,
.
CI Insulation (4150) ❑Gypsum Wallboard Nailing(4130) �❑ Final-SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
Y-" ' ,
By Date �i O By W1 Date— / -- 0,5"--By Date
.❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
.P667 Date �Za By Date
•
Federal
IV ED ( ,D -_ D
Federal Way PWi .MIT
COMMUMTYDEVELOPMENTSERVICES4
65__ _
MF CO ME EL PL DE EN FP
33325 8TH AVENUE sown•PO BOX 9718 UL A I C AT I O N
FEDERAL WAY,WA 98063-9718 i /
253-835-2607•FAX 253-835-2609
yeww.eituofederalwau.com ( Y OF FEDERAL A
qq ILDING DEPT.
The ollowi • is re•aired in ormation-an Inco •fete a••lication will not be acce•ted. Please •rint le•ibl in in or
t44-0.2)
X � MI PROPERTY INFORMATION
SITE ADDRESS W-3 cS Y�/ Z qC. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 C. z. 1 Q 4- - q Q _a 7 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aaach separate page for lengthy legal desaiplioa)
■ PROJECT INFORMATION
TYPE OF PERMIT ',BUILDING ❑ PLUMBING 0 MECHANICAL -
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Rig QA-,t1 E lb ,5ra.:, ge_pc_. c.E iz z.p ole: xi: LJ/` t.1 ;lAX-
/ DcDo 2 - QlfpfeC
aoo ❑' or- Zxc, X42 £DEc/< 1So,f-2os, AU-/44-7E, l,4-L-5 L-1ii-r,- F Lrg(.
Al o ci-bikGAS �g j ( C
PROJECT NAME(Name of Business or Owner Last Name) (. C� 1�''t.X/�(C,
, -� II PEOPLE INFORMATION
ACI PROPERTY NAME
PRIMARY PHONE
OWNER LORErUZCD lt -IOfr/ViJJZ 06.„8, -/,..1.43 (z53),5 Z' -095/
MAILING ADDRESS CITY,STATE,ZIP -
14-38 SW Zc7G tc-I F�eOF 4LGJ14-.,/ q830 23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Me_Best or e.C*sT• Q ESook kr. c 42Lcs Cigite (z� )z - 7/Z/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
2.24 N IC.KEQsO4 -. (,: ) -_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-s L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
MC..- ti. Cg .02 5 %1Z i 5 / o7
.It APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
-tG , 1 �T�
MAILING ADDRESS
CITY,STATE,ZIP CELL PHONE
14 RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant 0 Agent a Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
N4/LGE5 t!521444°FL ( C a.) 2 65- 7 lz(
LENDER dee •d:t, a-} el --s "fix r� t%Y,z y v. NAME
)Me 1" ML- L /e-
0 MAILING ADDRESS CITY,STATE,ZIP
50 'e O c F •z.L FL _ .'ale. lL _ r
ob
■ DETAILED BUILDING INFORMATION
STING USE PROPOSED USE
INASSESSED/APPRAISED VALUE �$ VALUE OF PROPOSED WORK �(=51, "�O
RiUmm,.,.. ..\\1% ERED BUILDING?
❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
L ATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
• SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE . ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR • AS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
EEffiTUI0 PROPOSED TOTAL ` r�a. te � - VA 11. R°r°417YiIr 2*. AL er;
NUMBER OF FLOORS .
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commemos WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS crones MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•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 authorised by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the reliann f the city,includi its officers and employees,u.•, . • - acy of the information supplied to the city as a part of
this application. /
DATE 7
NAME/TITLE (Signature / QS
/
(Title)
RELATIONSHIP TO PROJECT 0 Owne 0 Agent 0 Contractor 0 Architect 0 Other
I1`l �:t) ('F£ er 5).41tOL KI a fie, 3tDrF3E Irt,).`Yc61'0"
pirltj t (40 . n ''(a
@ f rAer O •i.L} ,i y a fRl r ;;;L*} , gra) # r i `\' iter fir '(e•
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application