11-103742 111
City of Federal Way •uilding - Single Family
Community Development Services ermit #: 11-103742-00-SF
P.O.Box 9718
Federal-260, Fax
:(253)9718
35- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: NORDBERG
Project Address: 31934 14TH WAY SW Parcel Number: 416795 0500
Project Description: ALT-Cut and repair floor joist to allow new downdraft vent installation,insulating new
vent pipe.
Owner Applicant Contractor Lender
JOYCE A NORDBERG ADVANCED HOME SERVICE INC ADVANCED HOME SERVICE INC
KEITH L NORDBERG 2005 SW 356TH ST ADVANHS937NU (8/31/13)
31934 14TH WAY SW FEDERAL WAY WA 98023 2005 SW 356TH ST
FEDERAL WAY,WA 98023 FEDERAL WAY WA 98023
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.) 0 0 0 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 -
Mechanical to be Included? Yes Plumbing to be Included? No
," °"s `.'. : , II ''"'"esu ., '1'4*
Fans 1
CONDITIONS:
Subject to field inspection without plans. Le) � j
l \ � 1.1
PERMIT EXPIRES Tuesday, March 13, 2012
Permit Issued on Thursday, September 15, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the 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: 3-(j---(/
0 THIS CARD IS TO1111MAIN ON-SITE
CITY OF Construction Ins ection Record
st uction p
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-103742-00-SF Address: 31934 14TH WAY SW
Project: JOYCE A NORDBERG FEDERAL WAY, WA 98023-4728
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.
0 Underfloor Framing(4285) ' ❑ Mechanical Rough-in(4165) 111 Insulation (4150)
Approved to sheath floor Approved Approved to install wallboard
By Date By C,� �\ Date a -a lA—‘r . .By Date
o Final-Mechanical(4065) El Final-Building(4050)
Approved Approved
By Date By C , Date _.)._2_ i i
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
04 ( ( - I 0 3 I 1
Federal Way +PERMIT Ai MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
aq
253-835-2607•FAX 253-835-2609 g
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SEP 1 d.
SITE ADDRESS SUITE/UNIT#
PRO) VALUATION?/% "
/qmil
///_._9 f6 v CITY OF FEDERAL WAY
$ �' CDS
e) - - - - — — —
TYPE OF PERMIT I r TJILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) /Veedi-ere
PROJECT DESCRIPTION (V/9 �/7 //a" V '1'V a"J',7�
Detailed description of work to G/1f EA,f 0.9274 //iS 04 A4,of !/`Z.,
be included on this permit only - /f'I f v// ./e v���'/re
PROPERTY OWNER NAME ,j`/i G`�GP A/��d J _� PRIMARY PHONE/_ 2.77_9_7 7_9_
MAILING ADDRESS \/// �(f ¢� E-MAIL
?/ 3e-/ /0477 We5w
CITYSTATE
) / � 1/ / '
NAME ,�[�V��Z/ls'/ I� .,,�pHO - - - 'C'C_
MAILING ADDRESS ,'\T �+ ���'��/E-MAIL
CONTRACTOR 40 1 . ci -�S-b Set
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
,42ir.9WA's 4 r7 Al-t.'/ /, 0-)1?
/�'/7�,r-�a/? ,,/ }
NAME PHONE
d k Z /7`" �ki S ,4 v4weelil3f/'ar/Z✓7 i 5.3- ‘/--.2),>
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APPLICANT MAILING ADDRESS E-MAIL
ZOOS- 5 m s?s-4,'" 5`4,
CITYI STATE ZIP
zIr �)2 FAX
of/�
•`*/�yJ'Y. �Q�/
PROJECT CONTACT NAMELL_ / PHONE
(The individual to receive and r,--p Ga/C1h f
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
/ii.
) ❑
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 defen - o - ch claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim • es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city •- a�'j this application.
�
SIGNATURE: _ A' DATE /q
r/�//
PRINT NAME: X/C&4 A4621,14eiAir
Bulletin#100-January 1,2011 Page 1 of 3 k:\liandouts\Permit Application
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VALUE OFMECHAMCAL WORK $ f VC (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS L FANS GAS PIPE OUTLETS OTHER(Descnbe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kachen/Utility) WATER HEATERS(Etectnc)
HOSE BIBBS SUMPS WASHING MACHINES `'CO'rAY,;P' ss,'; r"
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
zc. - -- ":";r+.r::#'�2.e 3�d✓_'x.,.v:,.<-c: "..,-�! :3:,•1.,x,••' %s19 -----------------------------------
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
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GARAGE 0 CARPORT 0
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14,41
=arum PROPOSZD TOTAL _ _-_-.. _____ _ ... .......... _—.---
Area Totals
:s » ` '` " ' r ' o ' y s :::': ts „a:- z :tfi r ,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
r.,. t.,
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in .uare Feet , =e Stories
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