05-103054 City of tyderal W ay Building - Single Family Permit #: 05 - 103054 - 00 - SF
Communi Develo mens Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: PAULL
Project Address: 915 SW DASH POINT RD Parcel Number:515320 0560
Project Description: REP-Replace insulation and sheetrock subsequent to replacing all electrical wiring.
Owner Applicant Contractor Lender
Adam J Paull &Anne M Paull Adam J Paull Adam J Paull NONE
915 SW DASH POINT RD 915 SW DASH POINT RD
FEDERAL WAY WA FEDERAL WAY WA 915 SW DASH POINT RD
98023-8241 98023-8241 FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside I #1 #2 #3 #4
Occupancy Group: �� R-3 _-
Construction Type: - j- Type V-B _-
Occupancy Load:
J
Floor Area(Sq.Ft.): L
Census Category 434-Residential alt/add-no, Mechanical No •
Occupancy#1 -Class R-3 Plumbing No
PERMIT EXPIRES December 21,2005.
Permit issued on June 24,2005
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 ac,ordance ' h the laws,rules and regulations of the State of Washington and
the City of Federal Way.
dip"
Owner or agent: �� —� ���� Date: _ /iii-, 4
- e alk THIS CARD IS TO, MAIN ON-SITE - -
CITY OF community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103054-00-SF
Owner: ADAM J PAULL
Address: 915 SW DASH POINT RD
FEDERAL WAY, WA 98023-8241
This card is part of your required inspection documents. 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.
' j Temp. Erosion Control (4365) ❑ Plumbing Groundwork(4190) ❑ Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
`
ElFloor Sheathing(4105) ❑ 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
I
io Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing (4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
LBysigned-off and approved. IBC 109.3.4/UBC 108�.4
G Date tO./2 . es—, By c. j Date/0 ,/2.0_5,--i
Insulation (4150) •❑Gypsum Wallboard Nailing(4130) 0 Final-SWM(4375)
Approved to install wallboard Approved to install mud&l tape Approved
By 4. w Date/0r/z . �.I.By fi/Z. Date // / By Date
,
❑ Final-Building(4050) ❑Telnp.Erosion Maintenance(4370)
Approved Approved
By ✓ Date ' 0( By Date
A •
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JiN 24200 i 5- _ I 0 3 • 5 ({
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Federal way PERMIT rEDERAL
F FCO ME EL PL BE EN FP
COMMUNITY DEVELOPMENT SERVICES
5332 8TH
AV607-ENUE SOUTH
A93 Po 2689718 APPLI CATI O NAG
DEP o.
www.cttuo((etleralway.rnmdilik
_. -461111311111
The ollowin• is re.aired in ormation—an incom•tete a••lication will not be acce•ted. Please •rint le•ibl (in in or •e.
■ PROPERTY INFORMATION •
SITE ADDRESS (::?./S---- ,-34-,--
D-7.2.,_ ._ K--- ;....,....\-- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ( 5 301- o - 0 5 GO LOT SIZE(sf) c.( C cre.�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
.., ■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) C •?Ls..)..,._
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER1
�-� ?!....L,L.K_ (0463) - . �3
MAILING ADDRESS �� ?C)
^ _ CHT,STATE,ZIPr� 110/7
G��.,
97''� $c ti i 1/1 F ftp,S)f,L`( �L QJ ( / Gt.44 /� •
CONTRACTOR COMPANY N E APPLICANT NAME
OFFICE PHONE
( )
MAILING A DRE CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
/ / ( )
_BL _
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY ME APPLICANT NAME OFFICE PHONE
MAILING A•N ES CITY,STATE,ZIP - CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME �f' PRIMARY PHONE
L!;(�L(q -(.�1k 1 ( �_ E-MAIL ADDRESS
(2-#:;13 5, -9 - (M / 4-tiki-o, e u,k 1 : :, .,..,
LENDER , i NAME
/' w
MAILING ADDRESS CITY,STATE,ZIP
• • .• ■ DETAILED BUILDING INFORMATION
EXISTING USE c A L I it . , PROPOSED USE . 1a1•! I__
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK ..:;// ``r Jaw
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN Ci HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOT STING: OTAL PROPOSED 6 .. ':�'. OTAL BPi✓
NUMBER OF FLOORS F .
,
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm.) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
•
NAME/TITLE " "2•°-^- _J( DATE L (9 6�
Ignature) (Title)
RELATIONSHIP TO PROJECT rwner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application