19-101228 ( Building - Single Family
City of Federal Way _ . �. :_ Permit #:19-101228-00-SF
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHEN/LAM
Project Address: 830 SW 361ST ST Parcel Number:779645 0040
Project Description: ALT-Fire damage inspection only. NO construction work approved with this permit.
Owner Applicant Contractor Lender
YONGJIAN CHEN GARY CHO
15627 SE 42ND ST 2123 16TH AVE S
BELLEVUE WA 98006 SEATTLE WA 98144
USA
•
Census Category: 434-Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application9 Yes
Plumbing to be Included9 No
oto Fiituris'Associated With-Thi*Pe, t.It, y." .
PERMIT EXPIRES Saturday, 14 September,2019
Permit Issued on Monday,March 18,2019
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: / dT Z'L"Z iZ, L�� Date: //-g//-/
1
..„_ ..A. RECEIVED PERMIT APPLICATION
CITY OF
Federal Way MAR 18 2019 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
/ n ;OMMUNITY DEVELOPMENT
PERMIT NUMBER 9 _ 0 / 4:01 2' - _S
F TARGET DATE
SITE ADDRESS JJ / SUITE/UNIT#
cg30 5 ( 301 s - S+ .
PROJECT VAI,UAIONN ZONING ASSESSOR'S TAX/PARCEL#
N 7_ 9_ 4 . 1OQ _ _ 11
TYPE OF PERMIT I`1CRtIILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 777 C k e. LA_ / L Zt
PROJECT DESCRIPTION
Fire_ d a LU a q e 'YI< S pP c Ti t •
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
V0/11)ON car-C`1 9" ksocit 43 Lccn z -�4C..,f-- oozy.
PROPERTY OWNER LING RESS / E-MAIL
/sa-1 s 4:2.Q6/
CITY STATE ZIP
ti)fri
NAME PHONE
MAILING ADDRESS ,."'' E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE C CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME _-— PRIMARY PHONE
Det r 4 v 2,06 -0:s -/f
APPLICANT- MAILING ADDI S -/ E-MAIL /
CITY 1 STATE Co ZIP FAX
FAX �' ����Ij(Elt�/�'r�
....61-1-711--e -i-)I\ J rl/y /
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,ST ,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 arty 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 this application. /
SIGNATURE:
/ �i�-- / vl ^ DATE // /✓
PRINT NAME:
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application