14-105924 t tildng - Single Family
c C
Community&Econof
al Way Services FILE
Permit #: 14-105924-00—S F
33325 8th Ave S
Federal Way,WA 3
Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: BAILEY
Project Address: 30127 10TH AVE S Parcel Number: 515390 0180
Project Description:REP-Fire damage repair to include replacement of a portion of the roof system,new
drywall,insulation,and window replacement. Plumbing and mechanical included.
Owner Applicant Contractor Lender
ALAN R BAILEY LOUIE NEWHOUSE NORDIC SERVICES INC
30127 10TH AVE S NORDIC SERVICES INC. NORDISI180QA(1/1/16)
FEDERAL WAY WA 98003 9618 MIDVALE AVE N 9618 MIDVALE AVE N
SEATTLE WA 98103 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 Included? Yes Plumbing Work Valuation? 1895
Plumbing to be Included? Yes
Mechanical Fixtures .
Furnaces 1
Plumbing Fixtures
Bathtubs 1 Dishwashers 1 Showers 2
Sinks 3 Water Closets 2
CONDITIONS:
Truss specifications to be onsite at time of inspection.
PERMIT EXPIRES Tuesday, May 12, 2015
Permit Issued on Thursday, November 13, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be in acc• s:nce with the laws, rules and regulations of the State of Washington
- d the City of Federal Way.
Owner or agent: Date: 1 if 3/1(4-
, • THIS CARD IS T MAIN ON--SITE
F°F 410 Construction I ection Record •
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMMIT#: 14-105924-00-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.
O SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) -❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
❑ Plumbing Groundwork(4190) 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105)
Approved to cover Approved to sheath floor Approved to install flooring
By Date By Date By Date
'
Shear Walls(4245) 0Roof Sheathing(4220) ❑ Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date By Date By r prt.,- Date Z_L 6-I S"
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Fire/Draft Stops(4095)
Approved Approved to release test Approved
A1C 1 SrM16
By fig/ Date 1_Z j"..(c By Date By ()Ai-- Date 2--Z,1 -- 5
O Interim Erosion Control(4370) Framing(4120)
Prior to scheduling a Framing inspection; 0
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By PAL,- Date 0-,Z 7 - i
O Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By PAL_ Date 3.a,z_ (5 By th Date 3. 4 S By Date
❑ Final-Mechanical(4065) 0 Final-Plumbing(4075) 0 Final-Building(4050)
Approved Approved Approved
By Q_A ,3 Date "-k 1 S-LT , By0,1l'i.". Date \--1—%tYA td-
d. , By FA Date 57_ q-1
-21-l. " - I" - - S-ee, lvat -t // 4 .14. -
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ti dilkk
1
arroF N. • PERMIT ItPPLICATION
Federal Way
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4 �,
PERMIT NUMBER / g.
S-90-
�Q TARGET DATE 10
SITE ADDRESS CAX ®F FEpERIv.W M SUITE/UNIT#
R)(, 7 I, D -1A\l2. c®S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ge„., 5619 . Da 5 1 5 3 9 0 - 0 / g 0
TYPE OF PERMIT ,BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 6 , e_.313 A .
PROJECT DESCRIPTION
Detailed
Detailed description of work to lC� ,,`y``O.e� 1� r4R.
be included on this permit only pp�,Ai0n bc- roof' S4 S,/.,,,,_ , ' e��(re-► 4 rq/�
`k ni-4 tr Dir" Ci V1 i SI91. lcW� l� l�.s�s-
NAME PRIMARY PHONE
PROPERTY OWNER CX.\ .S ...% 'e1 "2 552 1S-51? _
MAILING ADDRESS E-MAIL
30ta7 /0744., 4 ie_s
CITreidke'Q.t \40.A3S�"'`^-I ZIP_
3
NAME !/r �G_ v t c_e,, , C- PHONE jS? 9 5 70
MAILING ADDRESS E-MAIL
CONTRACTOR CU,18 m+c&\.le_- We- N
CITY STATE ZIPS 8/03
/03 FAX
WA STATE CONTRACTOR'S LICENSE# ,\/-YJ f�•- EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NO, D/VISOC A CPQ OP- is
NAME PRIBY PHONE
ZsevieAreu.)hottsf2._ 06.57044
MAILI ADDRESS E-MAIL
APPLICANT T6./8 NnIctV„ e_ ave__ N
CITY �'/'!o �Gl lX�3Wa. ZIPggh9 FAX
ri
NAME ` 1 iW1 PR Y PHONE
PROJECT CONTACT 1 O0(e- Net.& he-u 52-- 6 5 PHONE_
f�
(The individual to receive and MAILING ADDRESS�q 1 / /� �m E-MAIL
respond to all correspondence �� I�L I C�1/�(�i VL�+C� iv
concerning this application) CITY13/10.' �
/ S�'AT,Ea ZIP^�`` FAX
FAX
NAME
SW
1 Y `U
PROJECT FINANCING /VA ❑ OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRES , ITY,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 defense ch claim), whic ay be made by any person,including the undersigned, and filed against the city,
but only where such claim s out of the r iance of the city, including its officers and employees, upon the accuracy of the
information supplied to the a part of th% appl' ation. /
,4001,
SIGNATURE: 1 �0 DATE /I/3//4
PRINT NAME: dr 1itft1 Qi I l 'O` .
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 $ 45 q-
Indicate how many of each type o f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
I BATHTUBS(or Tub/Shower combo) 3 LAVS(Hand Sinks) 'j- TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS Z. 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 PROPOSEDTOTAL FOR OFFICE USE
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