18-100708 Building - Single Family
City of Federal Way L E Permit #:18-100708-00-SF
Community Development Dept. F '
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: KIM
Project Address: 28317 15TH AVE S Parcel Number:025130 0150
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
`
Owner Applicant Contractor Lender
KOO HWA KIM JESSE BINFORDBC MAXCARE OF WASHINGTON INC
28317 15TH AVE S INVESTIGATIVE ENGINEERS 16208 60TH ST E
FEDERAL WAY WA 3605"C"ST NE SUMNER WA 98390
98003 AUBURN WA 98002
Census Category: 434-Residential alt/add-no change in number of units
Includes: I #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? Yes Is this an Online or O.T.C.application? No
Plumbing to be Included? Yes
PERMIT EXPIRES Sunday, 12 August,2018
Permit Issued on Tuesday,February 13,2018
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: fJU1V 'Q- Date: OZ- r 3 — )8
✓ ` n 4
R
CITY OF 'W " PERMIT APPLICATION
PERMIT CENTER+33325 8th Avenue South (r ffp03-6325
Federal Way 253-835-2607+FAX 253-835-2609+permitcentei cci o e era v.com
,...s._,..--_- FEB 13 2018
PERMIT NUMBER - „7..._o
� `" _
CITY OF FEDERAL WAY
TARGET DATE
SITE ADDRESS SUITE/UNIT#
28317 15th Ave S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ n/a ��rRS7.2 0 2 5 1 3 0 _ 0 1 5 0
TYPE OF PERMIT ENBUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Kim Fire
Inspect damage to SFR due to fire
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Koo Kim 415-601-6980
PROPERTY OWNER MAILING ADD SS E-MAIL
28317 15th Ave S
CITY STATE ZIP
Federal Way WA 98003
NAMEMaxCareof WA Inc PHONE 253-864-6445
MAILING ADDRESS E-MAIL
CONTRACTOR 16208 60th St E lora@maxcare247.com
CITY STATE ZIP FAX
Sumner WA 98390 253-864-6448
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
maxcawi962db 03 02 20
NAME PRIMARY PHONE
Jesse Binford 253-833-5557
APPLICANT MAILING ADDRESS E-MAIL
3605 C St NE jbinford@bcie.net
CITY STATE ZIP FAX
Auburn WA 98002 253-833-7309
NAME PRIMARY PHONE
PROJECT CONTACT Same as applicant
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME n/a insured loss ❑ OWNER-FINANCED
When value is$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 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 a part of this {cation.
SIGNATURE:
C / L< DATE �4G 1i1
/ j 9 z
PRINT NAME:-7 ` _161,4-92 - L 7 t 9 `-'' /
Bulletin#100—January 29,201 Page 1 of 2 k:\Handouts\Permit Application