12-101334l� t it
&ilding - Single Family
City of Federal Way
Community 8 Econ. Dev. Services Permit #: 1210133400S F
33325 8th Ave S
Federal Way, WA 98003 R
Inspectione Request Line: 25
Ph: (253) 835-2607 Fax: (253) 835-2609q 3) 835-3050
Project Name: DIWAN
Project Address: 3027 SW 317TH ST Parcel Number: 438800 0310
Project Description: REP - Inspection of fire damage (from 2006). **NO construction work approved under
this permit**
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 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, September 22, 2012
Permit Issued on Monday, March 26, 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:
VIM"
a� 4/4 112o
Owner
Aoulicant
Contractor
Lender
SUNSET DIWAN
SUNEET DIWAN
PO BOX 58264
PO BOX 58264
SEATTLE WA 98138
SEATTLE WA 98138
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 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, September 22, 2012
Permit Issued on Monday, March 26, 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:
VIM"
a� 4/4 112o
4ik
CITY OF
Federal Way
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8" Avenue South
PO Box 9718
Federal Way WA 98063-9718
253-835-2607; Fax 253-835-2609
www.cityoffederalway.com
INCIDENT DAMAGE CHECKLIST
Case #-� "� lC'
Owner's Name: :5yA&&7- Phone:
Date of Incident: `aa6le Date of Inspection•
Site Address: _3UZ 7 Sly >i7 5T
Nature of Incident/Scope of Damage:
(If the value of the damage is greater than 75 percent of the assessed value of the structure, a site plan is required.)
Building Posted:
5tNO OCCUPANCY ❑ DANGEROUS BUILDING ❑ OTHER ❑ NOT POSTED
L-;;. `novo, i �l 1pos 70
Permits Required:
BUILDING PLUMBING MECHANICAL X ELECTRICAL ❑ DEMOLITION
Plans Required: O Yes J�No Plans to Show: 014 /T—z-uoC
Ae!ze11T
Engineering Required: O Yes/ No Specifically:
Demolition Complete: >ZfYes O No O N/A 2"d Inspection Required: O Yee\No
Permit Application Information Provided to Applicant: A4114.
O Demolition Permit Application O Building Permit Application
O Submittal Checklist O Electrical Permit Application
O Other
922V_1�7;9z'Ko- (253) 835- ;� 23
Insp ctor Phone Number
"APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS"
A�
.,.,ERMIT
Federal WRECEIA1
COMMUNITY DEVELO 253-8 SERVICES APPLICATION
253-835-2607• FAX 253-835-2609
urum'. dfuoffederqlu.alj.cont MAR 2 6 2017 -
..ire. A I IA/AV
0(�MF CO ME PL DE EN FP
SITE ADDRESS I y Q r C U V V
SUITE/UNIT N
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W ��-7 t, I 1
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL M
$
J
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeoumer Last Name)
61,11) l .J
PROJECT DESCRIPTION
�'CC%Iv0
Detailed description of work to
be included on this permit only
PROPERTY OWNER ��/���'
NAME
VJ G/1
PRIMARY PHONE
L 7 �i�I �V Sr✓
MAILING ADDRESS -, /
MAIL
CITY
STM
ZIP `.
NAME �i
/
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE X
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
reconcerning this applicatiospond to all correspondent
xt�
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
El OV�NER-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.
l -a f2
,.(zo,iL
SIGNATURE: DATE
}�
PRINT NAME:
�in #100 —January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
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