10-101704 :._ , .. • (Funding - Single Enmity
City of Federal Way
Community Development Services Permit #: 10-101704-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 253 R
i
Ins ecton Request Line: 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q (
Project Name: NIXON
Project Address: 2605 SW 323RD ST Parcel Number: 873180 1000
Project Description: REP-Remove existing cedar shakes and replace with composite
1
Owner Applicant Contractor Lender
GARY L&JAYNE NIXON GARY L&JAYNE NIXON 2605 SW 323RD ST
2605 SW 323RD ST 2605 SW 323RD ST FEDERAL WAY WA 98023-2521
FEDERAL WAY WA 98023-2521 FEDERAL WAY WA 98023-2521
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
, Floor Area(sq. ft.) 0 0 0 0
tot4A1714Mit 0 .. iv- ,4'''''': , Additional0Pern it Inforlmation •,,k,,,,,t, Fr
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included" No Plumbing to be Included? No
� .,,� o Fixtures Associated) tithe his Permit, x� ''
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, October 25, 2010
Permit Issued on Wednesday, April 28, 2010
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: ,'`kL��L�-- t�.� Date: ZS' I i 0
• THIS CARD IS TO IN ON-SITE <
CITY OFConstruction Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-101704-00-SF Address: 2605 SW 323RD ST
Owner: GARY L & JAYNE NIXON FEDERAL WAY, WA 98023-2521
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 Precon Site Mtg(4400) ❑ Initial Erosion Control (4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
•
El Floor Sheathing(4105) ❑ Shear Walls (4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date 1/zsXp
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Datea
r
pproved. IBC 109.3.4
O Framing(4120) Insulation (4150) '0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•
Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By 0/ DateZ�jo
•
I Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT
0 / 0+,,,
Federal �� MF CO ME PL DE EN FP
COMMTIVITY DEVELOPMENT SERVICES APPLICATION
RECEIVED
253-835-2607•FAX 25.3-835-2609
APR 2 8 '2O',U
SITE ADDRESSSUITE/UNIT#
7 co 0.6- 'mow , 2 3 re/ Sr CITY OF FEDERAL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# CDS
$ 0(") 3t o _ / 0 0
TYPE OF PERMIT XUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
SZ C -knq rrY "±"C (rVii0
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L t L� �l i ` r1� 1 o �`_�� ../J f— /
MAILING DRESS E-MAIL lL�1
4 STATE SIP
6 1.( )4cd _ f,!? RDS, w
NAME PHONE
Ju k'Yom-
MAILING ADDRESS E-MAIL
C NTRACTOR
401 CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME . PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance• of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
__construction or environmental laws. — -- --__-- _-- -_- -
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,
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.
SIGNATURE: A A i _ DATE 14 I /i d
PRINT NAME: -11 ` • .- -
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(GAN)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing f ilftures to remain.
_ BATHTUBS(or Tub/Shower Combo) LAVS Viand suit.) TOILETS 'ATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Ele
cam.
SUMPS WASHING MACHIN
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING ICE$ I #OF BEDROOMS
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Area Construction #of
AREA DESC PTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
ADDITION
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Area Construction # of
Additional Information
AR11 DESCRIPTION Occupancy Group(s) •
`` Type Stories
in Square Feet
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TENANT AREA ONLY
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application