12-101797City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 y
Ph: (253) 835-2607 Fax: (253) 835-2609 La
Project Name: PACKMAN
Project Address: 31721 47TH LN SW Unit D
wilding - Single Family
Permit #: 12 -101797 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 7843010240
Project Description: ALT - Installation of 1' z 5' skylight in kitchen area between trusses.
Owner
Applicant
Contractor
Lender
SUSANNE PACKMAN
SUSANNE PACKMAN
OWNER IS CONTRACTOR
31721 47TH LN SW UNIT D
31721 47TH LN SW UNIT D
FEDERAL WAY WA 98023-2076
FEDERAL WAY WA 98023-2076
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 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?.......................................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Saturday, October 20, 2012
Permit Issued on Monday, April 23, 2012
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: Date:
plou4> 9/11/1z
CITY OF 4;&�'
Federal Way
PERMIT #:
TMS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -101797 -00 -SF Address: 31721 47TH LN SW Unit D
Project: SUSANNE PACKMAN FEDERAL WAY, WA 98023-2071
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)
❑
Underfloor Framing
Approved
I
I
To be done prior to breaking ground
I I
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
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
Interim Erosion Control (4370)EFire/Draft
Fire/Draft Stops (4095)
eduling a Framing inspection;
Approved
Approved
bing & Mechanical Rough -in and
Date
By
Date
inspections must be signed off anBy
proved IBC 1093.4
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Framing (4120)
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 By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
40"CITr OF RECS14NERMIT
Federal way
-
-PLICATION COMMUNTYDEVELOPMENSERVIC
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SITE ADDRESS C
SUITE/UN(IITT)ti
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCE N
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$`alt- �- `=
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TYPE OF PERMIT
DING ❑ PLUMBING ❑ MECHANICAL
=EMOLITION
❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeoumer Last Name)
{
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
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PROPERTY OWNER
N
PRIMARY PHONE
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rC-
MAILING ADDRESS
E-MAIL
CITY /
LC 6" 1 6 . C
STATE
ZIP�
NAME ;�
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 9
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
NAME
PHONE
e�-
NAMING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
r�
PHONE
(The individual to receive and
Rte."
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME t ^
I
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 the city as apart of this application.
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SIGNATURE: .w�� �� [/I��� �� %% - DATE
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PRINT NAME:'
Bulletin #100 — January 1, 2011 Pagel of 3 k:Wandouts\Permit Application
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