14-104750 • Siilding - Single`Family
City&FederalWay Permit #: 14-104750-00-S F
CommunityEcon.Dev.Services
00.6
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2809 Inspection Request Line: (253)835-3050
Project Name: BAILEY
Project Address: 30127 10TH AVE S Parcel Number: 515390 0180
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
,
Owner Applicant Contractor Lender
ALAN R BAILEY NORDIC SERVICES INC NORDIC SERVICES INC
30127 10TH AVE S 9618 MIDVALE AVE N NORDISI180QA(1/1/16)
FEDERAL WAY WA 98003 SEATTLE WA 98103 9618 MIDVALE AVE N
SEATTLE WA 98103
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 Included9 No Plumbing to be Included? No
No Fixtures Associated with This permit!!
PERMIT EXPIRES Saturday, March 14, 2015
Permit Issued on Monday, September 15, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us ill be in accor nce with the laws, rules and regulations of the Sta of W shington
d the City of Federal Way. (�
Owner or agent: ,LA4 .._. Date: l 5%14LE�►
' ' THIS CARD IS TO REMAIN ON-SITE
Federal Wade
• Construction Injection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104750-00-SF Address: 30127 10TH AVE S
Project: ALAN R BAILEY FEDERAL WAY, WA 98003-4102
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 Final-Building(4050)
Approved
C Dat{G .S///
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,
CITY OF PERMIT41,PPL - ION
Federal Way
152014 aft
o ) I-� c) 0 SEP WAY
PERMIT NUMBER 1 _ 1 o 4 5D - CITY OF FEDERAL
TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
O "D' -7 ftH ' AJc
_
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ '� S91 (, s-L5- .i 90 - 0LPn
TYPE OF PERMIT ktUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT -p i - ak\ef,A,
1
PROJECT DESCRIPTION �1 r'� c.. 4. . 0_ . T 9741 IP- ( S j � V-Cs.3
Detailed description of work to S 1 11 J ��/'��-e Y"14 "1- I 11J�S,
be included on this permit only r. �r.; \N I V�\�A e ,.
Vim/ �. v V
NAMEL PRIMARY PHONE _
7 PROPERTY OWNER \\e.V\ s'` ‘ l ( 552 /6 -
MAILIN \SS� ) l b 1 t. y C k E-MAIL I
CITY v. 1, ,$ lE z s.
NAME IDS 8 r' Sta N k C yams 1 PHONE-----EIA. _„ J)95 7E) -
CONTRACTORMAILliy�� R Se mI�vak_ $$$$ E-MAIL
CITY 1e TY ZI ./D FAX
36/ 548(4 _
WAT TE CONTRACTO LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I tiRDLSt .ASO Q,e4 az/O Z ,'is _
N4'_ "_ l PRIMARY PHONE
A
APPLICANT MAI ADDRESS E-MAIL
l$ `ct�(ete- ave Ai
-
CITY � .e..„, ST_ATE eL ZIP gl�3 FAX
ri?C/ 96(4#
NAME \ L v ��/ PRIMARY
((L 51j 1
PROJECT CONTACT �.E��?\�- /r ���
(The individual to receive and MAILING ADDRESS y��0 E-MAIL
respond to all correspondence -1 tais 1 r�t av '�✓oY�
._
concerning this application) CITY ® ST-AY ZIP g 103 FAX �� ,
NAME v \W� [SSC VI
PROJECT FINANCING N 1.4 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 defen such claim), which may be made by any person,including the undersigned,and filed against the city,
4 ,
but only where such clai s-s out of the •nce of the city, including its officers and employees, upon the accuracy of the
information supplied to t :ty part oft plication.
SIGNATURE: DATEqiii1
PRINT NAME: 11 V U t (V
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING .PERMIT $
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.
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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
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
•
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
� / ,r �^ ,..y'r' „� rr ----........___...___._.__...__..._..._....__..__.__..____._.____.._.._...._.__...
r/k` "�0. /''`�f %Y"' �r/,. `�%r�; 3 ,�„� f ;/I�Fr�/ / rr y
Ii(1 lr•/ .' rr >/rr r ,' /x/�/ r1 rf�� a r,'/�OVA /
r/r%��r�c M,,l�:,h%/�,7,�,^fJ,/,/,�IJp�J�x'Y/,���:.,,,r,;:',/,,✓j'�.f.�..�,�/,.,/sir/F.Mr /��;"os�'r/,�,,��'%l'x Jr, � �'�—..—_._....____._.._._................—._.___...__.____.—_.._._—__._____.._...
,. .r ,r
FIRST FLOOR(or Mobile Home)
/�f r�//��✓,M'�+"�/a` `;�r,r,�r �rrf��/`.; r �� / r�`+ i' r/ r�r�.✓// r .._......_..—_._..._.....___......___...__.._..._.___..___—.__ .__.____.__..............
A , ,ff' • �`, i'f t / / g1f.4 ',f,r/r ;. /yr/r/l r�``ligf /%i''> nr//
�,�.,,:���� r�..rr;.; _r�:,/%/iF�,.,%�r fi;.r' r s ,, ,y.,'r,/,r'rr.`,�/,..,,;�✓,/f«J,.., <'�r`/,, r ,'v' .._._._.__........--"--'-'----..._..__.......__._.._.._.—•----•---_------....._..__.....
COVERED ENTRY
GARAGE D CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals tz7 �r�e. �,,
: /,rjr�"/r' /// /.r / / f / '� fkoatt s:,ost sem,/r y//gVg f/ %rr, //,' r 'f rr'c
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
/ //1 ;/f rr.l' „>!r =' / / / //,/ / ! "rfi/ / !•',;!//�,`/r/rr �,%i, �� !,i`� / r
..//G /. �,m r<6 A a e; '�1/ / ./r % air'` .;�` i ✓,� ./`� ,'�!-f .�"��/r'/f�'•� �f��` ��r''/'„�/f,
r;F,r,``'j%� ,�� ,' 1 ��/ �/ ,r r / � l//'/ r��;''///�/'�r�,/!/;,// r /!; , ,,f ,/ s;����..�� � "r'%,'//j✓ix„' ,`��i`..��f/
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
<i f a $„',�'/ rrte/
ak
'.. /z,,. r''°;i`^ % ,/ /4/ rr / .. . , . , •'„/�,�// ./`%.%v`�/r,: ,'%�f/ ., , /f., �,r,
TENANT AREA ONLY
FROJYIGC f9,0NI+1t
Bulletin#100—January 1,2013 Page 2 of 3 k:Handouts\Permit Application