07-103600 City of Federal Way BuildQ
- Single FamilyPermit#• 07-103600-00-SF
Community Development Services b
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
r-a..a ;, : ;a
Project Name: GRAY
Project Address: 32226 22ND AVE SW Parcel Number: 873180 1240
Project Description: REM-Tear down remaining chimney,cut out existing footing, replace with 12" deep
footing and rebuild double firebox fireplace.
Owner Applicant Contractor Lender
RICK GRAY SKUSEK MASONRY INC SKUSEK MASONRY INC RICK GRAY
JEANNE GRAY PO BOX 579 SKUSEMI037K2(5/28/09) 30573 5TH AVE SW
30573 5TH AVE SW GRAHAM WA 98338 PO BOX 579 FEDERAL WAY WA
FEDERAL WAY WA GRAHAM WA 98338 98023-3914
98023-3914
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
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
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
CONDITIONS:
SUBJECT TO MELD INSPECTION r
PERMIT EXPIRES Friday, July 3, 2009
Permit Issued on Tuesday, July 3, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th- use will be in a cor+ance with the laws, rules and regulations of the State of Washington
al d the City o Federal Way.
Owner or agent:9 - ► �� � L Date:
DATE INSPECTOR AREA AND TYPE OF IIIsPECTI,ON
"PI-3 4014 14e0 16.%Sa LA_I"
/ `7 { 1 IC(.145.fr/A/ / 1 ' ,7 if4V1Zaler,13 •
,,A
. . ,
THIS CARD IS T EMAIN ON-SITE ..CITY OF :�u. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103600-00-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.
0 SWM Preconstruction Site Mtg 0 Initial Erosion Control (4365) 0 Underfloor Framing(4285)
A0440.0) To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
- 0 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) r NOTE: Prior to scheduling a Framing(4120) 0 Framing (4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
• i
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control (4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
.
❑ Final-Building(4050) ❑ Interim Erosion Control (4370)
Approved Approved
By l� Date Vl/07 By Date •
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OF - 3 O
Federal w �ay GS\ �
E PERMIT P-V- �i5
COMMUNITY DEVELOPMENT SERVl - t� J MF CO ME EL PL DE EN FP
33325 8T"AVENUE SOUTH•PO DOX 9718 c�
FEDERAL WAY,WA 98063-9718 O J 1.PpLI CATI 0 N TD / /253-835-2607•FAX 253-835-2609 \�\� `,,'
www.dtyvfRd.rahi�au.com J F4 v'
ei;
The following is requir`ed(:Q r� it-an incomplete application will not be accepted. Please print legibly(in ink)or type.
__ 0 PROPERTY INFORMATION
SITE ADDRESS_ 3 a a v1wff T ,D -110 (R)4..: 3-U-1 - SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 4BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ermit onl
i&v down , f ci vii (', ►m l CO' Q. ><�.�-►�nci �c•�Q+L , ,
kip � i r plac e
1
PROJECT NAME(Name of Business or Owner Last Name) - `�1IP "'`-" " `' / 11 l w
• PEOPLE INFORMATION
PROPERTY T NA � - PRIMARY PHONE
OWNER %C�G‘rd V cel ( ) _
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR PANY NA APP 1 NT NAME OFFICE PHONE
v��I v�(lc,5o�nvy �c. 2 3 •- E . c as3 )YE - I.
CIESS CeirRAZIP CELL PHONE ,
�OF FEDERAL WAY BUSINESS L CENS
/I NUMBER EXPIRATION DATE FAX NUMBER
CONAPPL RAL'EGIS TIO- CEMBER 07
( ) -
COPY ofcard requited �+ t/ EXPIRATION DATE E-MAIL ADDRESS
with each application ` , ‘1,‹
USG
f M I O3 ,([ 5-- /7-637
APPLICANT COMPANY NAME c„ / AppLICgNT NAME OFFICE PH ONE
c.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• • DETAILED BUILDING INFORMATION
---....,,D
EXISTING USE PROPOSED USE ,
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WO $ 1 7f COO
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQ IRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXIST' PROPOSED TOTAL
SQ. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVEED?)
GARAGE ❑ CARPORT ❑ NN
EXISTING N PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FMTURES
Indicate number of each type of fixture to be installed or relocated a art of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY O BID OR ESTIMATE M BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS PIPE OUTLETS WOODSTOVES
BBQS. FANS GAS WATER HEATERS MISC(Describe)
BOILERS (REPLACE INSERTS HOODS(commacia)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(mike)
ELECTRIC WATER ATERS 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 relian.e of the city, inclu•.ng its officers and ployees, upon the accuracy of the information supplied to the city as a part of
this application.
-N
NAME/TITLcs, 114, 40
y _ DATE u 7
`I (Signature (Title)
, RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
F "r eta �i SEARIPARISVi„ •L „d I
❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? d YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application