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05-106230 • City of Federal Way Building - Single Family Permit #: 05-106230-00-SF Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: PETRY Project Address: 33028 49TH AVE SW Parcel Number: 802952 0150 Project Description: REP- Structural repair to front of garage. Owner Applicant Contractor Lender DONNIE D PETRY PAUL DAVIS RESTORATION OF PAUL DAVIS RESTORATION OF STATE FARM PEGGY L PETRY SKC SKC PO BOX 5000 33028 49TH AVE SW 6405 VICKERY AVE E PAULDDR96OPM(10/18/06) DUPONT WA 98327 FEDERAL WAY WA TACOMA WA 98443 6405 VICKERY AVE E 98023-3324 TACOMA WA 98443 Census Category: 434 - Residential alt/add - no change in number of units Includes: #1 #2 #3 #4 _ Occupancy Class: R-3 Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0: •Occupancy#1 -Construction Type Type V-B Mechanical to be Included? • No Occupancy#1 -Class R-3 Plumbing to be Included') No Occupancy#1 -Use Residence(1 or 2 Zoning Designation RS 9.6 family) No Fixtures Associated With This Permit!! CONDITIONS: PERMIT EXPIRES Friday, December 28, 2007 Permit Issued on Wednesday, December 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 fand.the City of Federal Way. Owner or agent: Date: /0?-07 f'©1 — 7 cVI valk . , Allkik THIS CARD IS TO &MAIN ON-SITE ` CITY OF � , - tommunitY P Inspection me t Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-106230-00-SF Owner: DONNIE D PETRY Address: 33028 49TH AVE SW FEDERAL WAY, WA 98023-3324 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. O Temp.Erosion Control(4365) ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) To be done prior to breaking ground Approved to sheath floor Approved to install flooring By Date By Date By Date ❑ Shear Walls (4245) 0 Roof Sheathing(4220) 0 Fire/Draft Stops (4095) Approved to install siding Approved to install roofing Approved By Date By Date By Date NOTE: Prior to scheduling a Framing(4120) R Framing(4120) EIInsulation (4150) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 By .` .;,s. Date 1.-171,- _L. By Date Gypsum Wallboard Nailing(4130) ❑' ., Final=SWM (4375) ❑ ` Final-`Building (4050) Approved to install mud&tape Approved Approved /�- By Date ( 72- 0409 By Date By Date_4F___ U El Temp. Erosion Maintenance (4370) Approved By Date 1 ? 37 z RECED j� CITY OF'IP ` 6 5✓ ( V /f oV 3 - Federal Way DEC o 7 zooPERMIT COMMUNITY DEVELOPMENT SERVICES SF F CO ME EL PL DE EN FP 3332E D AVENUE LWAY.SOUTH•0 3971 9718 FEDERAL WAY.WA 98063-9 718 CITY OF FE/APPLICATION 253-835-2607.FAX 253-835-2609 BUILDING DEPT• www.ci lot/edera!wat1.cam .17112°Araill5 The ollowin. is re.wired in ormation-an incom.lete a..lication will not be acce•ted. Please .rint le•ibl (in ink)or t .•. •/PROPERTY INFORMATION SITE ADDRESS 3 3(:). , LA CO- (T V e . . SUITE/UNIT# // /� ASSESSOR'S TAX/PARCEL# 0 0). - L I �% LOT SIZE(sn Vo I- 1 A. LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page jar lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT j BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) S*-C\J GA- _,{---\ Ce._ - \r j -4-o c..rµ e_ „ PROJECT NAME(Name of Business or Owner Last Name)' �t -c • is PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER `/OCy d i e- - C---\ ,--•- •-•\-0,,^ Re---c 00(0©(0)caa.'7�j -0 /Li O(J MAILING ADDRESSa CITY SPATE,ZIP 13 Dot g '.rt`-f\ A.,-e... s,2 •eerc:-' CA, w ci g c'.z 3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 6,405- U c.ic_ `A j-e. £ . co - ,'t 5 3yN 3 ( . 317 - 5'-1)0 CITY OF FEDERAL WAY BUSIN' LICENSE NUMBER EXPIRATION DATE FAX NUMBER 1-tyil e 6(Lv A (-Y‘ 12-1 :�-1p�' / / (:�s 3) 97-S-- gecl CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE I / APPLICANT COMPANY NAME APPLICANT NAME y� OFFICE�/ PHONE ��(,s -4-A.�r....i, .---. .e_.. 't e.i � L.--r-'‘ t- c, 5�C-.�`l1 (IU.3) 4 7J - g z3 V MAILING ADDRESS CITY,STATE.ZIP CELL PHONE &'-{OS- v LAc.kc A—\,,—i_ ..----c.,, Oile14. L ,rfi- SK`(43 (. 53)377 -` 5V to RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant Agent n Other(Describe) ( j'j)(( S0 CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS EA- c-, &-(:.-s. ti ( 3) 47S - '3� esc,„-A-1-a C'-v-V+- N(,- --/- LENDER Per RCW 19.27.095: Lender information is NAME 1 + required if project value exceeds$5,000 T\ C" MAILING ADDRESS CITY,STATE,ZIP PHONE '-0. '301 -5 O R,AA- fig- l g -7 (38') g 7- LII 7Y ■ DETAILED BUILDING INFORMATION (� _ EXISTING USE ":L \V�j`' _ c' \ PROPOSED USE `(�e-S `( —c^i,\ EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ' ( .0C SPRINKLERED BUILDING? n YES ' 'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES XNO WATER SERVICE PROVIDER L] LAKEHAVEN 0 HIGHLINE 0 TACOMA C PRIVATE(WELL) SEWER SERVICE PROVIDER `'u LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) 1 • i PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE Ass.CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **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 $ ,. .LL �. AIR HANDLING UNITS EVAPORATIVE COOLE GAS LOGS REFRIG.SYSTEMS BBQS FANS HOOD ommemia) WOODSTOVES BOILERS FIREPLACE INSERTS •• ES MISC(Describe) COMPRESSORS FURNACES ' WATER HEATERS DUCTS GAS PIPE Q w f j PLUMBING BATHTUBS(ormb/Shower combo) SHOWERS WATER CLOSf.,15 ribuet) MISC(Describe) DISHWASHE SINKS DRINKING FOUNTAINS GAS PIP OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(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 authorized 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 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. �7 5NAME/TITLE � j(C'G� m(d(!f�i DATE / Cls--- (Signature) AJ (T 1> RELATIONSHIP TO PROJECT 0 Owner o Agent ❑ Contractor ❑Architect a Other FOR OFFICE USE ONLY n NEW c ADDITION o ALTERATION 0 REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? u YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application