13-101595 411 .k �� tiildin - Single Family
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City of Federal Way \ - 13-101595-00-S
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Community&Econ.Dev.Services Permit #: 1 3- 1 0 1 595-00-S r
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 � q
Project Name: GOO6.1
Project Address: 29818 21ST AVE S Parcel Number: 798320 0070
Project Description: REP-Inspection only of fire damage. No construction work included with this permit.
Owner Applicant Contractor Lender
MICAH GOO RON HEALEY
29818 21ST AVE S THE HEALEY ALLIANCE
FEDERAL WAY WA 98003-4246 2958 222ND AVE SE
SAMMAMISH WA 98075
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? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, October 8, 2013
Permit Issued on Thursday,April 11, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and se will be in accordance with the laws, rules and regulations of the State of Washington
1 and the City of Federal Way.
Owner or agent: Date: Al Q. �\ 13
9 THIS CARD IS TO ON-SITE
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101595-00-SF Address: 29818 21ST AVE S
Project: MICAH GOO FEDERAL WAY, WA 98003-4246
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) 0 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
4 ' *
0 Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved Prior to scheduling a Framing inspection;
PP Approved Electrical,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4
El 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
'
0 Final Erosion Control(4375) ' 0 Final-Building(4050)
Approved Approved
By Date By (1_ ,,...- Date y --\. M 3
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
C E®
CITY OF �� RE PERMIT APPLICATION
Federal Way An 11
2S111
2 GIT( OF fD��LCW A
PERMIT NUMBER /J _ o GD� ) \ S TARGET DATE
SITE ADDRESS ((( ���•••/// _.,1
L SUITE/UNIT#
26118 2t !WS so
PROJEC VAL AN ZONING ASSESSOR'S TAX/PARCEL#
$ `7 9 2 o - 0 O '"1 O
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Goo fle-5(t21:1G p M
PROJECT DESCRIPTION fly Pa`At�, cit4 h�` `
Detailed description of work to I V?_.-
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER M I C N1 &OO
MAILING6'D$ SS icr /we E-MAIL
cLr}rr+`„/ (',,� I. STATE ZIP Boo A
ERA
NAME /A) PHONE
MAILING //q-
ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ix PRIMARY PHONE
4541P
APPLICANT MAI qNG 15 5 S 22 ) ' QI ,� GE E-MAIL� /I `eriMM ,PM/E
ci0A01ITYMR6441 4Y•5 44 01 ZIPq 501,2 FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 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 ho • ••rmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and •efens,of s h claim), ich may be made by any person,including the undersigned,and filed against the city,
but only where sue claim •ri-•s out of t eliance of the city, including its officers and employees, upon the accuracy of the
information supplie•i o the ity ,part • application. A
SIGNATURE: ,� / ���+ ' DATE �'C� R.. 1, ��
PRINT NAME: IW* k.Aa+�
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Pennit Application