03-100865City of Federal Way
Connnunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
• Ph: 253.661.4000 Fax: 253.661.4129
Project Name: W011)A
Building - Single Family Permit #:03 -100865 - 00 - SF
Inspection request line: 253.835.3050
Project Address: 30614 28TD.AVE S - _ - =- Parcel Number: 092104 9096
Project Description: ALT -new cabinets in kitchen, add7frbll2i wall board, replace 40 feet of existing plumbing to new
sink with copper pipe. No mechanical. _ -
Owner
Applicant
Contractor
Lender
Allan Woida
Allan Woida
Allan Woida
Allan Woida
30614 28TH AVE S
30614 28TH AVE S
30614 28TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA
30614 28TH AVE S
FEDERAL WAY WA
98003-5105
98003-5105
1 FEDERAL WAY WA
98003-5105
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 alt/add - no - Mechanical................................................. No
Occupancy Group#1........................................... R-3 Plumbing ................................................. Yes
Zoning Designation ............................................. RS 7.2
Plumbing Fixtures
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y l UAL&. 1:A � ^^f F YY E + t�f./ � {i prl 41�� x`'aN l [{Ai.{ �,�,'�M.AA � _i}w7 �i 1 ,lI.Y'SkS f .r.4 `� x f�'d ; l(:;j1� �4t
Sinks 1 F�
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, porkies, or standards relating to the subject
proposal.
PERMIT EXPIRES August 27, 2003.
Permit issued on February 28, 2003
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.nm _ o Date: a
POS CARD ON THE FRONT OF BUILD
BUI ING DIVISION
INSPECTION RECORD
_ t
INSPECTION REQUEST PHONE #: 253-835= U� . =
PERMIT #: 03 -100865 -00 -SF
OWNER'S NAME: Allan Woida
SITE ADDRESS: 30614 28TH S
() FOOTINGS/SETBACKS () FOUNDATION WALL (�
r�T-i7it�,L\
( ) DRAINAGE: Line
() UNDERFLOOR FRAMING.
( ) ROUGH PLUMBING: DWV
() ROUGH MECHANICAL
( ) SHEATHING Roof
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRF./DRAFTSTOPS
vg-
() FRAMING/FIRESTOPPING
( ) INSULATION: Floors
( ) WALLBOARD NAILING,
( ) ELECTRICAL FINAL
( ) PLANNING
( ) PUBLIC WORKS FINAL
( ) Connection
Water
Gas
Floor
Ditch Cover
( ) SUSPENDED CEILING
() FIRE FINAL
VINV, K 8
-'. r
() BUILDING FINAL�� -� d ?i/ .•��
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EGFR&
CITY OF
Federal Waa 2 8 2003
CONSTRUCTI* PERMIT APPLICATION
APPLICATION NUMBER: Q Q d6- Sl
PPLICATION NUMBER: -
APPLICATION NUMBER: - -
+CITY OF rC: JERAL WAY
8iAWWN&@Ei?iso required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS:.nJIOI l 1I �( 1 l (1//�
y L = ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION
o BUILDING M"PLUMBING o MECHANICAL 0 DEMOLITION
4<#IECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
Aj
PROJECT`. •`
PEOPLE INFORMATION.:
PROPERTY OWNER: I NAME: DAYTIME PHONE:
i,—k� LLz
DDRE5S; CITY, STATE,
SG Lf -(—
NAME:
-(_
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: I NAME:
ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
o ARCHITECT o TENANT o OTHER ( DESCRIBE)
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DFTAiLFD BUILDING INFORMATIC
DAYTIME PHONE:
t ) -
EEVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
EXISTING USE: �� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: J PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES�sPalnO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES 0 NO
WATER SERVICE PROVIDER: rfAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE "trVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROJECT FL.60R AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
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 FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MM( 1
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
7)ISCLAIMFR/SIGNATIIRF RLC
WATER HEATER(S)
❑ ELECTRIC o 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
of the information supplied to the city as a part of this application.
NAME/TIRE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
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