09-103191A&
City of Federal Way
.*Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph (253)835-2607 Fax: (253) 835-2609
fuilding - Single Family
Permit #: 09 -103191 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: C & H RE -INVESTORS
Project Address: 32204 23RD AVE SW ;`' Parcel Number: 873180 1180
Project Description: REM - Replace windows.
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 42 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 0 0 0 0
PERMIT EXPIRES Sunday, February 14, 2010
Permit Issued on Tuesday, August 18, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the 11 be i, a rdance with the laws, rules and regulations of the State of Washington
the C, y of Federal Way.
r
Owner or agent: Date:
FJNAv_.,_rD
Owner
Applicant
Contractor
Lender
C & H RE INVESTORS
C & H RE INVESTORS
C & H RE INVESTORS
P O BOX 24214
P O BOX 24214
P O BOX 24214
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 42 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 0 0 0 0
PERMIT EXPIRES Sunday, February 14, 2010
Permit Issued on Tuesday, August 18, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the 11 be i, a rdance with the laws, rules and regulations of the State of Washington
the C, y of Federal Way.
r
Owner or agent: Date:
FJNAv_.,_rD
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction I> ection Record
INSPECTION REQUE TS: (253) 835-3050
09 -103191 -00 -SF Address: 32204 23RD AVE SW
C & H RE INVESTORS FEDERAL WAY, WA 98023-2504
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.
Final Erosion Control (4375)) Final - Building (4050)
Approved Approved
By Date BV1_ Date —
❑
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor I raining (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375)) Final - Building (4050)
Approved Approved
By Date BV1_ 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
Fire/Draft Stops (4095)El
Interim Erosion Control (4370)
Prior to scheduling Framing inspection;
Approved
Approved
a
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
El
Framing (4120)
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375)) Final - Building (4050)
Approved Approved
By Date BV1_ Date —
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ERCITY CW "3 I \�Y
,FdderalW ay
COMMUNITYDEVELOPMENT SERV/CES Q PERMIT
SF MF CO ME EL PL DE EN FP
3332S STN AVENUE SOUTH • PO BOX 97] d /� U G V r j
FEDERAL WAY, FAX
98063-97]8 n p t�I C AT I O N °
253-8352607• FAX 253-835.2609
unlnu.dtrroffederalwaucvrn FEDERAL
.�,.
The followinjJlr quireed tz}% n -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS .Jri.SAt �j � /� < � 1�u-1 /'" �3UITE/UNIT ii
ASSESSOR'S TAX/PARCEL ii � 7 S_ % LOT SIZE
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal d—ripdon)
PROJECT• •
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide //detailed description of work included on this permit oniu)
PROJECT. NAME (Name of Business or Owner Last Name) t /`7 ✓`, /es%i� L.�_�
PEOPLEINFO; •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME J / / � v S i7
PHONE- c
PRIMARY/ t
MAILING ADDRESS CITY, STATE, ZIP
Co t' a4a t4 "eels c - . c. & CoA
E-MAIL ADDRESS
,.i
COMPANY NAME
�. –,->-- Cf� 1CQ
APPLICANT NAME -
� v1cA ,�
FFICE PHONE
( -LCL )'7(s - oISS
MAILING J S G
C , STATE, P
CEL7L�P'HONE C
CITY OF FE{DERAL WAY BU S LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
o
/
of-
FAX R
FAXNUMz)
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NA EAPPLICANT
G
NAME
ca
OFFICE PHONE
ff
Lender information is required if project value exceeds $5,000
(zJ') 3) >7 - Z 37L,
MAILIN ADDRESS
CITY, STATE, ZIP
red " l,l.)
CEM PHONE
L ' - ri S
RELATIONSHIP TO PROJECT
of-
FAX R
FAXNUMz)
11 Architect Architect ❑ Tenant ❑ Agent Other
CJl�."}2 rt s�
NAME lC � PRIMARY PHONE E-MAIL ADDRESS
NAME � Per RCW
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $y^%C -CT)
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
19.2.7.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
t_ 1. � ���
PHONE
( ) � 7� - -3c
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $y^%C -CT)
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DES ION
EXISTI
S . FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
o YES o NO
BASIC PLAN?
t
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES o NO
THIRD
o YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
o YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
a�o•rmo
�a°ro•cD
TOTAL
TOTAL X=TWOor
70TALrRor0s3Dsr
roTeaer
"NEWHOMES 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.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo(
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Beth,..- Si k.)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS WOODSTOVES
CTAS WATER HEATERS MISC (Describe)
HOODS (comm -1.4
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS rroneq
WASHING MACHINES
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 cert(fy 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 cjty,•including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this applicatio"A- \ ,n / V;
SIGNATURE:
Property Owner and/or Authorized
TE <� J �10Ci
o NEW o ADDITION
o ALTERATION
ii REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin # 100 = August 16, 2007
Page 2 of 4 .
k\Handouts\Permit Application