12-103564s 01
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: HOLLOWAY
Project Address: 30201 11TH PL S
Building - Singie Family
Permit #: 12 -103564 -00 -SF
Inspection Request Line: (253) 835-3050
Project Description: REP -Remove and install new crane solid core vinyl siding
Parcel Number: 515390 0360
Owner
A o�
Contractor
Lender
REBECCA LYNN HOLLOWAY
PACIFIC HOME IMPROVEMENT
PACIFIC HOME I
OWNER IS LENDER
30211 11TH PL S
NWLCCNWL
FEDERAL WAY WA 98003-4106
209 GERTH ST SW
PACIFHI942rQ/14)
TUMWATER WA 98501
2q.94%,R4%4
TUMkAJJRWA 98501
1
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 w #3 #4
Occupancy Class:
Construction Type:
Occupancy Load XX 4
Floor Areas . ft. 0 W 1w Ile 0 40 0
CRY OF Vg&"r
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -103564 -00 -SF Address: 30201 11 TH PL S
Project: REBECCA LYNN HOLLOWAY FEDERAL WAY, WA 98003-4106
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)
E]
Underfloor Framing (4285)
Approved
Approved
Shear Walls (4245)
To be done prior to breaking ground
By
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375)
Final - Building (4050)
Approved
Floor Sheathing (4105)
Shear Walls (4245)
Roof Sheathing (4220)
By
Approved to install flooring
Date
By
Approved to install siding
Approved to install roofing
By
Date
By
` Date
By Date
Fire/Draft Stops (4095)
0
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Approved
Approved
lectrical, Plumbing & Mechanical Rough -in andBy
I
_ Date
By
Date ?
re/Draft Stop inspections.must be signed -off and
approved IBC 109.3.4
❑
Framing (4120)
Insulation (4150)
0 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
Right of Way
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
•
RECE
IVED PERMIT
SF MF CO ME PL DE EN FP
Federal W
ffG 03 2012 APPLICATION
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
www.cituoffe OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT #
Z Pt_a_CR� q
PROJECT VALIIATION ZONING Lw-30�TA8//PAR # _�3 0 - O _-3 Q
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
1
IWR
PROJECT DESCRIPTION
Detailed description of work to
14
be included on this permit only
PROPERTY OWNER
NA
PRDAARYPHONE
1 5
ADDRESS
3C:2 N
E -MAD.
C 8TATF� ��
L
PHONE
G ADD is
vv
E -MAD.
m CLO �(•C O
CONTRACTOR
W ATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY susn ss LICENSE #
-IL42_DLA
3/ 31/114
NAME
PHONE
APPLICANT
MAHING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
M-9
PHONE
Mte individual to receive and
respond to all correspondence
ca
MAIIING ADD
R -MAIL
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME: PHONE
E-MAU,
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAIIAYG ADD , CITY. STATE, ZIP
PHONE
I certVy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certW that to the best
of my knowledge, the information submittal in support of this permit application is true and correct. I certjy 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 claire), 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.
SIGNATU DATE ✓ \
PRINT NAME elrul
Bulletin #100 -January 1, 2011 Page 1 of 3 kAHandouts\Permit Application