09-102771 Building - Single Family
'R City of Federal Way
Community
PDev.O.Boxelopment9718 Services Permit #: 09-102771 -00-S F
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NGUYEN
Project Address: 807 SW 328TH CT Parcel Number: 683782 0290
Project Description: Tear off shake roofing; install plywood sheathing& composition shingle roofing.
Owner A• •li •nt ontra ender
HUE NGUYEN RIZON CONT' 'C iRS INC ' RIZO ON 7 I RS
80?SW 328TH CT9/1
OX 2���: HORI i 1110�'
FEDERAL WAY WA 98023-5219 �L WAY 98093 1 BO. 24449
FEDE' L W WA 9:19
Ce su to : 's ' +n-strut ri ingpermits
Includes: #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0
0 0 0
f
111'
>� .tet ,, a.,.F
New/Additional Sq.Feet-3rd Floor........: .........0 New/Additional Sq.Feet-Basement.......----•—•0
Mechanical to be'Included? No Plumbing to be Included? No
No FixturesssociaatedWitlt This Permit it,
R&
PERMIT EXPIRES Monday, January 18, 2010 II
Permit Issued on Wednesday, July 22, 2009
I hereby certify that the ab ve information is correct and that the constr .n o e . •. :. 'e ,c b d .roperty and
the occupancy and the u 6 will be in accordant with the laws, rules . egul o $ r '- tate - '4 ashington
nd e City of Federal Wa
Owner or agent: , L Nt " '(,, ate., - 2:2-
1
ir3
. c)(e5I055
. THIS CARD IS TO REMAIN ON-SITE •
CITY OF Construction Inspection Record•
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-1027.71-00-SF Address: 807 SW 328TH CT
Owner: HUE NGUYEN FEDERAL WAY, WA 98023-5219
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 Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) E Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By . Date By Date By Date
Floor Sheathing(4105) E Shear Walls(4245) El Roof Sheathing(4220)
Approved to install flooring • Approved to install siding Approved to install roofing , I
By Date By Date By -��Date 7Z s/n
E Fire/Draft Stops(4095) 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 Date approved. IBC 109.3.4
❑ Framing(4120) ❑ Insulation (4150) El 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 Date
•
•
•
•
•
•
•
•
•
For inspector reference only _
0 Rough Electrical O • FINAL-Electrical
Approved Approved •
By Date By . Date
/IFZc.Qz 9 / 27L
CITY PE MIT - f,..,, F CO ME EL PL DE EN FP
Federal Way JIM 2 2 20,1. -
COMMUNITY DEVELOPMENT SERVICES A P P L I CATIpFN .-.__,_
253-835-2607•FAX 253-835-2609
www.atuoffederdwau.mm ��„f ERA ,� `S y
SITE ADDRESS
/fro
1 , _‘/%) 3 7 (.' C..!-'ice. .
SUITE/UNIT# ZONINGI ASSESSOR'S T PARCEL# �J
III 0 ► .7 I _ i+ - O I a
*,,,z3,::::,,LaiiAifvkpqe,ik,:oipgA.i.00yr.,;vi:o:aikaawtr.itth,,a,Rn,,, s:„.„„,,,,,,:,,„ ,,,,,.„:„,,,,,
NAME OF PROJECT
(Tenant or Homeowner Name)
4?UILDmG G ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Mr4 i*
fi S
NAME PRIMARY PHONE
PROPERTY OWNER ."114-4:44
i ( )MAILING ADDRESS,CITYATE, E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAMEPRIMARY PHONE
T16=# ,"\CITY,
-14,0—List'. ( ) -
CONTRACTOR MAILING ADD STATE,ZIP FAX
.o )x )14461 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
4 -J\• -T7.../.._(-___ L 1t.? / /
NAME PRIMARY PHONE
APPLICANT C1\ LY'&.4_)'1'V ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
PROJECT CONTACT NAME .PPRIMARY PHONE
(The individual to receive and ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) -
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19 27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application. rf
SIGNATURE: 1{i t I r �' DATE I . o9
PRINT NAME:
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
le MECHANICAL FIXTURE
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(caa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
. . PLITMBING 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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS _ RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS _ SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS _ SINKS(Kitchen/Utility) WATER HEATERS(elect c)
HOSE BIBBS _ SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION 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
RESIDENTI•A:L
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT -- —— — —
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY --_ — ——-- ——
DECK
GARAGE ❑ CARPORT 0 —
OTHER(describe)
EXISTING PROPOSED TOTAL
— -- --
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMU.14 -NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
-REMODEENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY,
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application