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12-1043941. City of Federal Way ,wilding - Single Family Community & Econ. Dev. Services Permit #. 12 -104394 -60 -SF 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 8$5-2607 Fax: (253) 835-2609 y_. Inspection Request Line: (253) 835-3050 � r_ r Project Name: SHELTON Project Address: 29826 10TH AVE SW Parcel Number: 195460 0211 Project Description: REP - Repair extensive damage from water damage, including pressure treated framing members, sheetrock & finishes. Includes plumbing & mechanical. OTC (STS" I Owner Applicant Contractor Lende PAUL SHELTON KENCADE CONSTRUCTION INC KENCADE CONSTRUCTION INC FARMERS INSURANCE 2982610TH SW 8502 RIVERSIDE DR E KENCACI093NN (8/6/13) 2870 NE HOGAN RD SUITE 240 FEDERAL WAY WA 98003 SUMNER WA 98390 8502 RIVERSIDE DR E GRESHAM OR 97030 SUMNER WA 98390 Census Category: 434 - Residential alt/add - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load:- Floor oadFloor Areas . ft. 0 0 1 0 1 0 Additional Permit Information New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0 Mechanical to be Included?....................................Yes Plumbing to be Included?...................................... Yes Zoning Designation...............................................RS 15.0 Air Handling Units ......................... 1 Ducting .......................................... 1 Fans................................................ 4 Furnaces ......................................... 1 Gas Piping ...................................... 1 Gas Pipe Outlets............................. 3 Hot Water Tanks ............................ 1 Plumbing Fixtures Bathtubs ......................................... 1 Dishwashers .................................. 1 Laundry Washer Outlets................ 1 Lavatories....................................... 2 Sinks............................................... 2 Water Closets................................. 2 Hose Bibbs..................................... 1 PERMIT EXPIRES Monday, March 25, 2013 Permit Issued on Wednesday, September 26, 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: ` er'- 0 �� - 1 j CITY OF 4PN� Federal Way PERMIT #: • THIS CARD IS TOrTS: IN ON-SITE Construction In tion Record INSPECTION REQ (253) 835-3050 , 12 -104394 -00 -SF Address: 29826 10TH AVE SW Project: PAUL SHELTON FEDERAL WAY, WA 98023-8206 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) E] Initial Erosion Control (4365) Final Electrical Approved Plumbing Groundwork (4190) Approved By To be done prior to breaking ground Approved to cover By Date By Date By Date Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Final - Plumbing (4075) Approved By Date Final Erosion Control (4375) Approved By Date Final - Building (4050) Approved By Date _ Final - Mechanical (4065) Approved By Date El Underfloor Framing (4285) E] Floor Sheathing (4105) Final Electrical Approved Shear Walls (4245) Approved to sheath floor By Approved to install flooring Approved to install siding By Date By Date By Date Mechanical Rough -in (4165) Rough Plumbing (4230) Roof Sheathing (4220) Approved to install roofing Approved Approved By Date By �✓� Date �2 lG .-(2 Byr7r—` Date 0 Interim Erosion Control (4370) rA Fire/Draft Stops (4095) Gas Piping (4125) Approved to release test Approved Approved By Date By /�G Date 1"2- By Date Insulation (4150) Approved to install wallboard Framing (4120) Approved to insulate Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 By G / � Date �2/�i� By G� Date /z -AZ —/Z Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Final - Plumbing (4075) Approved By Date Final Erosion Control (4375) Approved By Date Final - Building (4050) Approved By Date _ Final - Mechanical (4065) Approved By Date El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date VA 'arrOF OF, -- f �Ei PERMIT Wa' Co mutiny 07` Lopm- FAX 3-835 2609jslEP 6'APP LI CAT I O N www. cituorfederalwau.com CM rns - _/0 0y .3 9 q SF MF CO ME PL DE EN FP 0 TC S7-%/ SITE ADDRESS SUITE/UNIT # , �) q 2 /0 „ f, ly. ryd��kl PROJECT VALUATION $ 60 067® ZONING ASSESSOR'S TAX/PARCEL # 1 y s— & a- a 1 l ))(BUILDING !A ilLUMBING 'MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (TenantName/HomeownerLast Name) / j t {.�/� ef- V , l C c V- C t, PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME 1 C. i/,S' PHO c - a �c� MAII.BV ADDRESS ��qq �% �� f � o c �� r E-M� CITyr,E ti %� t Lju/� [� NAME &A - Cc, . PHONEKr, MAr .1,1"S"j, DV` E-MAILCONTRACTOR S011 ti e r CITY STATE ZIP 2 5 a FARC � -Aly - 9,20 WA STATE CONTRACTOR'S LICENSE # 6f ' 13 EXPIRATION DATE 1' , �.rr3 FEDERAL WAY BUSINESS LICENSE # � ! /001 0-� f/0C NAMEPHONE ' .. l - l Cu kt,, Y1., ! 't, 5-3- d1L �-6 MADdNG ADDRESS E-MAIL Af-'k< k«, c - . Com. APPLICANT CITY STATE I ZIP FAX PROJECT CONTACT NAME 44 " kP C V', n -n ''.1 PHONE ` 3 -� S"lI '1Z19�L ('lite individual to receive and respond to all correspondence MAILING ADDRESS E-MAM -e ke cwt concerning this application) ^d CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME CN S OWNER -FINANCED Required value of $5,000 or more (RCW 19.27.095) BLAMING 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. i� �.n.9� SIGNATURE: DATE PRINT NAME: e ls%/ fV% ✓ n k, *,I �/ S Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application v VALUE OF MECHANICAL WORK $ ©� (a copy of bid or estimate must be provided) Indicate how many of each type offixtu e to f7e 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 —r HOODS (Commercial) BOILERS FURNACES / HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type offixtu e to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS (or "Nb/Shower Combo) LAVS (band Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Ritchen/ututty) WATER HEATERS (Electric) HOSE BIBBS SUMPS _� WASHING MACHINES TOTAL FIXTURES CRITICAL ARRAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS L) iN k t i.✓ V1 AvId /i/,. ff $ EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? / J 160 /0 ❑ Yes Y No ❑ Yes )<' No Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Pernut Application