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01-101913City of Federal Way ' CommunityDevelopmentSenices Building Single Family Permit #:01-101913 - 00 - SF 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129S U B J E CT TO FIELD IELD INSPECTI® Inspection request line: 253.835.3050 O Project Name: Project Address: REIERSGARD 2892011TH PL S Project Description: REPAIR - Replace existing deck over carport. Parcel Number: 720570 0110 Owner Applicant Contractor Lender Dennis M & Diane E Reiersgard Dennis M & Diane E Reiersgard Dennis M & Diane E Reiersgard NONE 28920 11TH PL S 28920 11TH PL S FEDERAL WAY WA FEDERAL WAY WA 28920 11TH PL S 98003-3706 98003-3706 FEDERAL WAY WA NONE Includes: Census category: 434 - Reside #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Type V - N Occupancy Load: Floor Area (Sq. Ft.): Census Category ................................................. 434 - Residential altladd - no, Mechanical................................................. No Occupancy Group#1...........................................R-3 Plumbing ................................................. No PERMIT EXPIRES November 11, 2001, IF NO WORK IS STARTED. Permit issued on May 15, 2001 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 laws, rules and regulations of the State of Washington and the City of Federal W j Owner or agent: Date: 0 POS THIS CARD ON THE FRONT OF BUILDING �� G � �F� BiING DIVISION )4 AY INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 PERMIT #: 01 -101913 -00 -SF OWNER'S NAME: Dennis M & Diane E Reiersgard SITE ADDRESS: 2892011TH S () FOOTINGS/SETBACKS () FOUNDATION WALL CRE ANT { TkO N,QT POUR CQN, 7E � TIa `I"�E,ABCIVE �S A�'P��Sy�D ( ) DRAINAGE: Line ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV ( ) Connection O`TS ApP$- ABOV'�O . Water piping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor. () SHEAR WALLS O ELECTRICAL ROUGH -IN () FIREIDRAFTSTOPS rXi {pw J . ( ) FRAMIINGNIRESTOPPING 5> .0 Z a� Ditch Cover THE-OAPPRO lU.l'ItIOTITO,. BRE'Y"OCNO~._ s. f.... -•---•-" .f" ( ) INSULATION: Floors W O Mia E�_1tOVED PRIORA I, NG.9RE ( ) WALLBOARD NAILING ( ) SUSPENDED CEILING r AIt��,.�75T EF',' A!''1tt► T'R�►X2 TQ TA'"NC` OR TNT;EING CI;TNG () ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FIN () FIRE FINAL ( ) BUILDING T 7"a.» q o -v crtrof G GENE® CONSTRUAON PERMIT APPLICATION vv MAY 1 � �©�� APPLICATION NUMBER: O1 - -1 APPLICATION NUMBER: - - -- ------ -- (A fY OF FEDERAL WAX APPLICATION NUMBER: - - BUILDING DEPT - - - -- - - - - - - *The following is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. . PROPERTY INFORMATIdN SITE ADDRESS: - 020 &74 /"� J, ASSESSOR'S TAX/PARCEL #: _ _ _ - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): YfBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: CONTACT PERSON 1 EXISTING USE: PROPOSED USE: NAME: DAYTIME PHONE: Dejnlau Re- C.�- (Zs -3) fy -- iZ3 MAILING A0 ESSETADDRESS,ST P) -r 3 r �� � ( 3)OAll - V645-1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: % / (cDpy of card ) NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE: ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): () - E-MAIL ADDRESS: :OR THIS PROJECT: ElPROPERTY OWNER ElAPPLICANT 1:1CONTRACTOR SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: ❑ YES EXISTING BUILDING ASSESSED/APPRAISED VALUATION f QD PROPOSED VALUATION FOR IMPROVEMENTS: ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO FIRST NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAINS) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) URINALS) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) DTSCLATMER/SIGNATURE BLC WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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 j of the information supplied to the city as a part of this application. , NAME/TITLE: Dtf-yir s M Rei r� PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR PnO nFFTri= I ICF ONLY: DATE: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 /