15-104908Builth -ng -Single Family
City of Federal Way 8 Econ.
Communpermit #: 15 -104908 -00 -SF
ity Dev. Services
33325 8th Ave S'
Federal Way, WA 98003 Inspection Request Line: 253 83
Ph: (253) 835-2607 Fax: (253) 835-2809 � q ( ) 5-3050
Project Name: MCGAFFEY
Project Address:. 33049. 22ND. PLS . Parcel Number: 241260 0090
Project Description: REP - Inspection of fire damage. ***NO construction work approved under this permit***
Owner
Ai2RIIcan
Contractor
Lender
BARATHEON PROPERTIES LLC
RUBEN BLiDCHENKO
Occupancy Load
-15220 18TH STS
STATEWIDE•RESTORATION-INC
BELLEVUE WA 98007
13450 NE 177TH PL
WOODI 'VILLE WA 98072 ,
Census Category: 434 - Residential altladd - no change in number of units
Includes:
# 1 #2 #3 #4
Occupancy Class:
R-3'
Construction Type,
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 0 0
Additional Permit Information _
New /Additional Sq. Feet - 3rd Floor...................D New / Additional Sq. Feet - Basement ................... 0
Occupancy #I - Construction Type .......................Type V - B Mechanical to be Included? .................................... Yes
Occupancy #I - Class...........:.................................R-3 Plumbing to be Included?...................................... Yes
Occupancy # 1- Use ............................................... Residence (1 or 2
family) -
No Fixtures Associated With This Permit it
CONDITIONS:
NOTE: (1) unit of duplex was substantially destroyed and will be demolished to foundation at time of
inspection, Asbestos reports to be on site at inspection..
PERMIT EXPIRES Saturday, March 26, 2016.
Permit Issued on Monday, September 28, 2015
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
d the City of Federal Way. /� I
Owner or agent: Date:
CITY OF 'A
Federal Way
PERMIT NUMBER O f
RECED
SEP 18 2015
CITY OF FEDERAL WAY
CDS
�0 -�f
PERMIT ftPLICATION
?�10
TARGET DATE
SITE ADDRESS
3304-7/41 22 rd PI S' e I W ' te14
SUITE/UNIT #
PROJECT VALUATION
$
ZONING
RIA 600
ASSESSOR'S TAR/PARCEL #
4
?1000
3
z ® -
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 19DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
,
PROJECT DESCRIPTION
Detailed description of work to
Jtrev O --- e
be included on this permit only
`
PROPERTY OWNER
NAME MARY PRONE
M�DT6 ADDRESB
E-MAIL
CITY STATE ETP ^
NAME �'T j _ , �f� (� ,j , �O
PHONE
MAILING ADDRESS N3 q 5o N f ^ PL
fJ►VI /
EMAIL
CONTRACTOR
CITY S - ti
BTA
ZIP 7Z
FAX
WA sTA CONT R'B LICENSE # ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME e
pPIM�ARY PHONE
APPLICANT
MAILING ADDRESS
k3450 I L
E
. Lft
CITY STA 1 I ZIP
, a
FAX
PROJECT CONTACT
NAMEPRI
U Li
Y PHONE
(The individual to receive and
MAILING ADDRESS
�l1 :V►
��respond
F-
'�
to all correspondence
4IJ�
CITYJ�AX
Felt
concerning this application)
w6kaOWNER-FINANCED
PROJECT FINANCING
NAMEe
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 authorised agent of the property owner. I cert(fjy 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 authorised 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 relignce of the city, including its officers and employees, upon the accuracy of the
the cK1,,: application.
information supiu�&
�j
SIGNATURE: DATE 11 Z:5 { `�✓
PRINT NAME: —
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application