11-101778M
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BLUNT
Project Address: 343 S 304TH PL
h
Building - Single Family
Permit #: 11 -101778 -00 -SF
Project Description: REP - Repair roof and other damage from fallen tree.
Inspection Request Line: (253) 8353050
Parcel Number: 232960 0270
Owner
Ammlicant
Contractor
Lender
BENJAMIN BLUNT
CURTIS N BROWN
343 S 304TH PL
343 S 304TH PL
C N B MAINTENANCE
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
22817 PACIFIC HWY S SUITE 2
DES MOINES WA 98198
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
.�. r..x
litional Sq. Feet - Basement..................0
to be Included? ............... ........:.........No
x NofixturesVAssm1ated Wiith This F 144
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 5, 2011
Permit Issued on Monday, May 9, 2011
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. _ r f
Owner or agent: ►' `"�– Date: S — ` /
THIS CARD IS TO REMAIN ON-SITE
OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #:
Project:
11 -101778 -00 -SF Address: 343 S 304TH PL
BENJAMIN BLUNT FEDERAL WAY, WA 98003-4055
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.
❑
SWM Precon Site Mtg (4400)
By
Initial Erosion Control (4365)
❑
Underfloor Framing (4285)
E]
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Framing (4120)
Approved to insulate
B Date,�e5w
Final Erosion Control (4375)
Approved
By Date
Floor Sheathing (4105)
By
Date _—
Shear Walls (4245)
Roof Sheathing (4220)
E]
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Approved to insulate
B Date,�e5w
Final Erosion Control (4375)
Approved
By Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑
Insulation (4150)
Approved to install wallboard
By
Date _—
Final Electrical
Approved
E]
Final - Building (4050)
Approved
By
Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Fede !PERMIT
COMMUNITY DEVEENT SERVICES �1 �t ��,
253-835-2607• FAX 253-835- 0 9 APL I C A T I O N
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S CO ME PL DE EN FP
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OTC STP �
SITE ADDRF
SUITE/UNIT #
-200L4-".' PI_ Fe(LJ C i -t ` w'_-
PROJECT VALUATION
$
ZONING
ASSESSOR'S T /PARCEL
i f
`1 Vi
TYPE OF PERMIT
BU DING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Nam e/Homeotoner Last Name)
p j
R 11r Q Olt } d, A n '
PROJECT DESCRIPTION
Detailed description of work to
"� Q �-1 blS ► n �+�1 c� e'` G c C ���{ +�'
be included on this permit only
PROPERTY OWNER
NAME?
i 11CA f yi I a 1 � �` �i
PRIMARY PHONE
.-�'_
MAILING ADDRESS
E-MAIL
CITY``
v'tA
STATE
ZIP
Eti"c
.
NAME
z�NF
506
MAILING ADDRESS -
�3L_X 3 S �t+� L
E-MAIL
"
CONTRACTOR
d
r
CITY STATE ZIP r,
FAX
FEDERAL WAY BUSINESS LICENSE #
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
NAME
PHONE
APPLICANT
MAILING ADDRESS
7ESS (rt
E-MAIL,
CITY
S -C'f n -5
STATE
ZIP
FAX
PROJECT CONTACT
NAME `
���`
PHONE _ (�
U v
lThe individual to receive and
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C) b
MAILING ADDRESSE-MAIL
` 4 C•t t cr ✓ SG ��
�V� ck5 ���'� V Fi�J rl �� C1� t
respond to all correspondence
concerning this application)
CITY V`
21P,
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
^�
1 c
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RC1V 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 o the city as�a part of this application.
�J
SIGNATURE:
DATE
PRINT NAME-
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Perrnit Application
710* 0
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 )c..--iaq
BOILERS
FURNACES
HOT WATER TANKS )Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
FIRST FLOOR (or Mobile Home)
-- -- - ...
SECOND FLOOR
COVERED ENTRY
GARAGE ❑ CARPORT ❑ l
OTHER (describe)
EXISTING PROPOSED TOTAL
Area Totals
-- "NEW HOII S ONLY
ESTIMATED SELLING PRICE $ I # OF BEDROOMS
CON I TERC;II�- NF--w/ADPQTUN
Area
Construction
#
AREA DESCRIPTION
Occupancy Group(s)
in Square Feet
Type
� Stories
Additional Information
NEW BUILDING
1
CRITICAL AREAS ON PROPERTY?
- ---
WATER PURVEYOR
SEWER PURVEYOR
/VALUE OF EXISTING IMPROVEMENTS
.T
rl~
gg fy [[,, 3/-�y 7- �q>�, #�'� ; A g y Y 7{� (
'4_i. $:l F. � 3[i
s
�
�s..
:l.NIT.. iFi l3.�:r.#.X �.. i'.,1l.ii ;t'l Y
13
EXISTING/ PREVIOUS USE
LOT SIZE ]In Square Feet)
# of
EXISTING FIRE SPRINKLERSYST M?
PROPOSED FIRE SUPPRESSION SYSTEM?
Occupancy Group(s)
Additional Information
❑ Yes o No
❑ Yes n No
a
Stories
RESIDENTIAL`,-
ESIDENTIAL`
TtITAL $ULLifMG
AREA DESCRIPTION (In square feet)
AREA
EXISTING
PROPOSED
T AL
I
FOR OFFICE USE
_.
___......------._..__.....
FIRST FLOOR (or Mobile Home)
-- -- - ...
SECOND FLOOR
COVERED ENTRY
GARAGE ❑ CARPORT ❑ l
OTHER (describe)
EXISTING PROPOSED TOTAL
Area Totals
-- "NEW HOII S ONLY
ESTIMATED SELLING PRICE $ I # OF BEDROOMS
CON I TERC;II�- NF--w/ADPQTUN
Area
Construction
#
AREA DESCRIPTION
Occupancy Group(s)
in Square Feet
Type
� Stories
Additional Information
NEW BUILDING
1
ADDITION
- ---
..
.T
rl~
gg fy [[,, 3/-�y 7- �q>�, #�'� ; A g y Y 7{� (
'4_i. $:l F. � 3[i
s
�
�s..
:l.NIT.. iFi l3.�:r.#.X �.. i'.,1l.ii ;t'l Y
13
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
TtITAL $ULLifMG
TENANT AREA ONLY
Bulletin #100—January 1, 2011 Page 2 of 3 k:AHandouts\Permit Application