07-102944 i 1 t
rS
Cz ommunii ucityofeveicFedepralmert SWayen.ice: Btailktg - Single Family Pere#: 07-102944-00-SF
PO.Box 9718
Federal Way WA 98063-9718
Ph:(253)835-260 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: GRAY
Project Address: 32226 22ND AVE SW P. el Number: 873180 1240
Project Description: REP-Masonry chimney rebuild to include mechanical fireplace ' sert
Owner Applicant Contracto Lender
RICK GRAY ALL AMERICAN CHIMNEY ALL AMERICAN I 4 *
30573 5TH AVE SW 29222 112TH AVE SE ALLAMCSOMINK*(9/2. 08
FEDERAL WAY WA AUBURN WA 98092 29222 112T. AYE
98023-3914 AUB 80
Census Category: 434 - Residential alt/add - ni nge in tuber of units
Includes: #1 • • #3 #4
•
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
A itiona ermit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included' Plumbing to be Included? No
fl
Mechanical Fixtures
Fireplace Inserts
CONDITIONS:
1. SUBJECT TO FIELD INSPECTION
PERMIT EXPIRES Sunday, May 31, 2009
Permit Issued on Thursday, May 31, 2007
I hereby certify that a above information is correct and that the construction on the above described property and
the occupancy a the use will be in accordance with the laws, rules and regulations of the State of Washington
nd the City o eral Way.
Owner or age : � '� '%% ' --_
` Date:
. . 44.'116,... THIS CARD ISTMAIN ON-SITE
CITY OF 411tommunity Dewe o ,...rnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102944-00-SF
Owner: RICK GRAY
Address: 32226 22ND AVE SW
FEDERAL WAY, WA 98023-2555
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.
❑ SWM Preconstruction Site Mtg ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Apk4400) To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
— 0 Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
•
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Fire/Draft Stops (4095)
Approved Approved to release test Approved
By Date By Date By Date
•
tNOTE: Prior to scheduling a Framing(4120) ❑ Framing (4120) ❑ Insulation(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
4 By Date By Date
•❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375) 0 Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
By Date By Date By Date
•❑ Final---Building(4050) -- _ -- ❑—Inte ' (4370
Approved Approved
By Date By Date
For inspector reference only
•
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�E�E�VE® �
`
CITY of 7 - Co , C)“0.7
Federal Way c
+ PERMIT -) iL
COMMUNITY DEVELOPMENT SERVI /� 3 1 2OO7= `- MF CO ME EL PL DE EN FP
33325 D AVENUE SOUTH.63 97 r aY P L I C AT I 0 N
FEDERAL WAY,WA 98063-9718 [�,A TD + /
253-835-2607•FAX 253-835-2609 DER _ /
www.eiti onede,„nt,at,.c T gOr' G DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS 3A. .-G -- 2-A-0 $J 1 YIN" t-PZ- ti../ - SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# _- LOT SIZE (4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
1.1 2 c: c_ae_,Q --\i r-e.0„Gt,u k n.sk t'4s(rl cJ cle. Cts b nr-
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE
OWNER Ki( 6/2yH 035.3) 35-0 7932
MAILING ADDRESS ,JJ CITY TATE,ZIP E-MAIL ADDRESS
32zz6 -- o2 ,vCi s41z- e„J 2z.3
CONTRACTOR COMPANY NAME APP ANT NAME OFFICE PHONE
-L1 ?7) 19J e W-y Sacs. • - 1\ (' w//r - (-05-3 ) 3] -5's'3
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
2 )_ -7/zill/74'S4.- /91-'6-7,1'2,^11c -97c)5z ( ,2c)(,) y'$ -535$
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) _
COPY of card re ted CONTRACTOR'S REGISTRATION NUMBER - EXPIRATION DATE E-MAIL ADDRESS
with each application b .illL c s o y"/49 1( _ 112-e70 r
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ "O°t
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
r
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
ARBA 1JP:�c1Lt1'T10N EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ. FT.
BASEMENT • •
'
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) ,
DECK(❑ COVERED OR 0 UNCOVERED?)
a`-y GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL zxIsTmo ST ,
TOTAL PROPOSED SP TOTAL SF
i y NUMBER OF FLOORS
•
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• - IN FIXTURES .
Indicate number of each type of fixture to be i'-.. ailed or relocated as part of this project. Do$.t'', .u•e • ' ''g fixtures to remain.
• . i' I . . milliMECHANICAL r II� 1 v - ' ' 1 1
Value of Mechanical Work$ <1=4/ 9tr (A COP OF BID OR ' ATE MUST BE INCLUDED WITH AP•'ICAT*N)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS X • MISC(Describe)
BOILERS —i FIREPLACE INSERTS HOODS(comm,daI) i 6t/ »w 0 i'1 .'G
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS hie-A-0 (7 to/L
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trona)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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.ESl
NAME/TITL ( DATE S/?i,`/
L' 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
1 Bulletin#100–April 2,2007 Page 2 of-4 k\Handouts\Perrnit Application