08-103320City of Federal Way g -
Community Development Services BuilOn Single Family Perm* #• 08 -103320 -06 -SF
g Y
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: KLEIN Y
Project Address: 32522 42ND PL SW z; Parcel Number: 873201 0590
Project Description: Replacement of existing 136 sq/ft, second story deck. NO mech or plumb.
Owner
Applicant
Contractor
Lender
DONALD KLEIN
DONALD KLEIN
32522 42ND PL SW
32522 42ND PL SW
32522 42ND PL SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-2649
98023-2649
98023-2649
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
22cu anc Load:
Floor Areas . ft. 0 0 0 0
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Monday, January 5, 2009
Permit Issued on Wednesday, July 9, 2008
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:
1
�� D
THIS CARD IS TO REMAIN ON-SITE <
CITY of Oommunity Develop Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -103320 -00 -SF
Owner: DONALD KLEIN
Address: 32522 42ND PL SW
FEDERAL WAY, WA 98023-2649
This card is part of your required inspection documents. 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)
Approved
By Date
❑ Foundation Wall (4115)
Approved to place concrete
By Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
❑ Initial Erosion Control (4365)
To be done prior to breaking ground
By Date
❑ Drainage/Downspout (4040)
Approved to backfill
By Date
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
'Footings/Setback (4110)
Approved to place concrete
By ,21;7 L! Date
❑ Slab/Concrete Floor (4255).
Approved to place concrete
By Date
❑ Shear Walls (4245)
Approved to install siding
By Date
❑ Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By Date
By
Date
By
Date
❑
NOTE: Prior to scheduling a Framing (4120)
Framing (4120)
Insulation (4150)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 10 .5.4
By
Date
By
Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑ Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By' L Date �'— 5e
For ins ector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
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r u+•BOX 9718 718
FEDERALWAY,WA 98063-9718
253835-26083
XLICATION
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The following is requirJ; Q5.mation -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS _3.25X.2- f'/,ZAfW PJ. S• W • SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - `7 3 Z 0 I - 0 -5- 7 O LOT SIZE (sff)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) %W%�U /`�-ICES I Ul•S!'fJ/li !
iAwch separate Pwefor tem .1 de—wt-v
PROJECT• •
TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Namel l
PROPERTY
OWNER
CONTRACTOR
N%4
APPLICANT
,Sdviee CI -5
SQAJ4, Idea. _el o v -a, k M - k &,,'
PRIMARY PHONE
(2s ) 538 - /S 60
MAILING ADDRESS
3,25' /• S cf : W.
I C STATE, ZIP
, 9802
E-MAIL ADDRESS
l ; 75@ �4 s�►, co
WJ
COMPANY
MME
{ V
APPLICANT NAME
OFFICE PHONE -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
E-MAIL ADDRESS
COMPANYE
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT �GL we a o!-(% N -e p• ( ) -
LENDER
AJIe
EXISTING USE
NAME
Per RCW 19.27.095:
Lender ir{)ormation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
i`a- o ✓Y'U�u
EXISTING ASSESSED/APPRAISED VALUE $ 3 19e VALUE OF PROPOSED WORK owpptoX)
SPRINKLERED BUILDING? ❑ YES YNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES )(NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER
❑ HIGHLINE
TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
SECOND
CHANGE OF USE? ❑ YES
❑ NO
THIRD
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
DEC (❑ COVERED OR UNCOVERED?)
�' e
%3 6
!3�
GARA ❑ CARPORT ❑
NUMBER OF FLOORS
rnerrna
raoeosr�
tuna
mry a�rArosr
rarecrxorosmsr
Torecsr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type off(xture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTBIATE MUST BE INCLUDED WITH APPLICATIOM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBRY0
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commebao
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS miict)
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert)fy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert(jy 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 a part of thoApplication.
SIGNATURE:
Owner and/or Authorized
G S
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutsTermit Application