12-102684 • •uilding Single Family
City of Federal Way Permit #: 12-102684-00-S F
Community&Econ.Dev.Services
33325 8th Ave S ty X2111
Federal Way,WA 98003
Ph (253)835-2807 Fax (253)835-2809 " Inspection Request Line: (253)835-3050
Project Name: PETER
Project Address: 30830 22ND AVE S Parcel Number: 053700 0547
Project Description: REP-Remove and replace existing sheetrock and insulation in bedroom
Owner Applicant Contractor Lender,
GARRICK PETER GARRICK PETER OWNER IS CONTRACTOR
30830 22ND AVE S 30830 22ND AVE S
FEDERAL WAY WA 98003-4931 FEDERAL WAY WA 98003-4931
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!t
CONDITIONS:
Subject to field inspection without plans.
Str/4(1.e
PERMIT EXPIRES Monday, December 10, 2012
Permit Issued on Wednesday, June 13, 2012
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
and the City of Federal Way.
Owner or agent: Date: l 3- -.
-do • THIS CARD IS TO MAIN ON-SITE I ,
CITY OF
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102684-00-SF Address: 30830 22ND AVE S
Project: GARRICK PETER FEDERAL WAY, WA 98003-4931
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.
El SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
�0 Floor Sheathing(4105) `0 Shear Walls(4245) El 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) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
By Date G /y��� By Date
Fire/Draft Stop inspections must be signed-off and
' ' approved IBC 109.3.4
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By f/ Date 6,-72(7"-g_ By 1-2/fDate 6,°-27/Z-'
❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By ry Date- -` _
,,
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
41/4 ,f-k_ t D 0- G g 4
OF
Federal WaIRECEIVE• PERMIT 1111PMF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT
253-835-2607•FAX 253-835-260�N 13 20AP P L I C A T I O N � �,
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wwwritro edera(waa._ro.
CITY OF FEDERAL WAY F,1.N.. --
SITE ADDRESS CDS SUITE/UNIT N
2O F3 ° 22'.c 5 -
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ /$Z 9 v s' 3 7 O Z� - 0 S: V ?
TYPE OF PERMIT JL BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Pe. r e; /
PROJECT DESCRIPTION /AS / tik Sq.'( al-to A a 4 d -s tack
Detailed description of work to ( A h tis l�'^_7 "J2 v450
be included on this permit only
NAME
PROPERTY OWNER Co�I-IC,f k Pe I-eo' PRIMARY PHONE
z 5-3 `i/323
MAILING ADDRESS E-MAIL
053 2Z C ' '.
CITY STATE ZIP
NAME yn&' �- __ - --- ---- _
6GI-r(Gk ' - PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR -
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
xAME, ,4. e/Se-// "14,!/vr PHONE s--3 C (/573
APPLICANT MAILING ADDRESS E-MAIL
CITY STA ZIP FAX
Fet>et r a/ a 1 4- f 5G90)
PROJECT CONTACT NAMEP� PHONE
(The individual to receive and 60--rTL
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
l i-�S 5-dj7 /Zl r/7�'
PROJECT FINANCING NAME OWNER-FINANCED
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 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.
t
SIGNATURE: DATE CO/1 3/1 2
P.i, S Saf'/ "\ ( /1/e r
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(commerc,aii
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
�:�•+�eR.;�,{� ,rq -� � °�2� � .a .."�'�.a' � , �yT g ce� ' >a�•. �i -y� 3".a? � � ����i � u. r��f�',� �
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-rub/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 ' >
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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
`�F ., mar • �' a i
��.,,-,.._«., .. ::��,.�.°�-.:h <..r.�.''„'. ���.�:x�,.,.�..=�z�'::.., �..,t:v- .,.:�.,.a a ��•��,f.� `�'s- '� ,, .,� !.>.Mme. .s,�� ^'a�"��.�.�.:�s�a`:a. ' .� �'�.-�;'.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
»h��,��3�s..Z�.a:� �_• .�.sa'�'����d�.l3azg� -- �a�,' E`axr�;M,�5.�'•2.arx .�,r�..<,a_..�..»x�..;�3 � ----...__...-'-------'- -_._ _.- ---...._.__.—......_._..---'-
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
Irau>-,�✓a��,a�,. •�u.4=. _�.�3{a✓c�".x'u.;a,.,,, .*d. re-„.�.;,.a. ... •.<a ,z. y.,:m ,'�.;�' _...___....__.__._..__._...___._....._......__.__........___.__....______.__....
GARAGE 0 CARPORT 0
� � fi
• / "tF 9 ,�« �+. _st � , kap } x
'a;_.<.,x £ � a...?.a�- ..& r” �,. .a)t ��x�' �' •
EXISTING PROPOSED TOTAL
Area Totals
'4',T;i1,347117irfilfrTiairEV;T.;'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet •e Stories
ADDITION
f:".1;
gg�� q$$ ,a
Yg� 3 f ) ..1 }}g's $V, '
,n. ..,,,���."iaa.;w , ,. �;�s_ .v«, :.azz�,.*. ,,,�a,..a .��e�,�,c,�?. _ ar:. .<, •�'y- � �.,*T,�.,» ,x..:,��.,s,.,,..,s��...� �.".,a..•`.'�.a.. .,.x...a
#of
AREA DESCRIPTION MENI Occupancy Group(s) Construction Stories Additional Information
TENANT AREA ONLY _■
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application