13-105686City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GEE
Project Address: 29869 12TH AVE SW
F""
Building - SingleTamily
Permit #: 13 -105686 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 515320 0200
Project Description: REP - Replace water damaged drywall. **1/16/14 Revised to add window at rec room**
Owner
A_pgl_icn
Contractor
Lender
PATSY GEE
BELFOR USA GROUP INC
BELFOR USA GROUP INC
LESTER GEE
4320 S 131ST PL SUITE 100
BELFOUG99OBJ (12/20/14)
29869 12TH AVE SW
SEATTLE WA 98168
4320 S 131ST PL SUITE 100
FEDERAL WAY WA 98023
SEATTLE WA 98168
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 1 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?...................................No Plumbing to be Included? ...................................... No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, June 21, 2014
Permit Issued on Monday, December 23, 2013
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:4
Date:
I
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: GEE
Project Address: 29869 12TH AVE SW
Project Description: REP - Replace water damaged drywall.
Building Single -Family
Permit #: 13-105686-00-�SF
Inspection Request Line: (253) 835-3050
Parcel Number: 515320 0200
Owner
Annlicann
Contractor
Lender
PATSY GEE
BELFOR USA GROUP INC
BELFOR USA GROUP INC
LESTER GEE
4320 S 131 ST PL SUITE 100
BELFOUG99OBJ (12/20/14)
2986912TH AVE SW
SEATTLE WA 98168
4320 S 131 ST PL SUITE 100
FEDERAL WAY WA 98023
SEATTLE WA 98168
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area . ft. 0 0 0 0
PERMIT EXPIRES Saturday, June 21, 2014
Permit Issued on Monday, December 23, 2013
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
\ (-\ n and the City of Federal Way.
Owner or agent:
Date: Vz- 23 `3
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -105686 -00 -SF Address: 29869 12TH AVE SW
Project: PATSY GEE FEDERAL WAY, WA 98023-3407
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)Initial
Erosion Control (4365)
Walls (4245)
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)Shear
Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
prior to scheduling a Framing inspection;
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
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
0
Framing (4120)
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Qj Date Z
13
By
V141.11 Date 3.(1;
1
By r.J6 Date (-
14
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
aEceivM
DECD 3 2013
CITY OF FEDERAL WAY
CDS
PERM II6APPLICATION
PERMIT NUMBER /� /n- _ ) &x4
TARGET DATE
31�►03
SITE ADDRESS
SUITE/UNIT #
a 1 4& 4 12T-" 4 4 S Vj F"EA4 .L W -Y R 8o Z3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
�t3/811.lfo
S Z. O
5 l 3 0- 2 0 0
TYPE OF PERMIT
2rBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
F -,E f)*T e, LIES TFi.
PROJECT DESCRIPTION
Detailed description of work to
'FvAv-�% tJg---> C40S&r ' Mtj {j -J 4i 5 J DS
�k o jj Ll— O t-� OLD Pte,, '.,3
be included on this permit only
PROPERTY OWNER
NAME
(i*,e
PRIMARY PHONE
Zoe- q52 -'31k5-7
MAILING RE33 121111Aq
E-MAIL
ITY
F400LAI, w1Ay
STATE I
WIA
ZIP
9?)623
NAME ,L4rQSP,
ZOtf G 3 2 - OsOo
ING ADDRES8
320 s6 1 PT- "0 IM 10D
E-MAIL
CONTRACTOR
CITY
5�34
STATEZ
� 8n g
P8*7TLE
FAX
2-0b- 541 os,(c
WA STATE CONTRACTOR'S LICENSE #
i35L�Fdu(h Cie)8:yM
EXPIRATION DATE
i 20 i 13
FEDERAL WAY BUSINESS LICENSE #
20-01- 103Ru�-60-ei-
NAME
R,wAard VvAr,rem;
PRIMARY PHONE
2,M- t0 (}1- t5,7,q
MAILING ADDRESS
4.320 SO L-61 �vrf' 030
E-MAIL
APPLICANT
CITY
� star
STATE
ZIP
01llvd(,
FAX ��..
zuv-5T f o�oa
NAME
PRIMARY PHONE
ZOb `t1 tS'Z
PROJECT CONTACT
14WAF-f)
MAILING ADDRESS
� ZO SG 131 Suvrf- WO
pp-�E-MAIL��
IAc+^4rd •uat+etli (rs• exa
(The individual to receive and
respond to all correspondence
CITY
11 t e,w�6ti
STATE
w '0'C4
ZIP
5't (QS
FAX
Zarp- 6�Z - OFSQO
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 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 -to he city as a part t is application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 - January 1, 2013 Page I of 3 k:\Handouts\Permit Application
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