11-100648 City of Federal Way Building - Single Family
Community Development Services Permit #: 11-100648-00-SF
P.O.Box 9718
Feder3l-260, F 98063-9718Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)8335-5-2609 P q
Project Name: KLINDTWORTH
Project Address: 31120 11TH PL SW Parcel Number: 525980 0490
Project Description: REP-Replace windows.
Owner Applicant Contractor Lender
LYNN&PATRICIA LYNN&PATRICIA 31120 11TH PL SW
KLINDTWORTH KLINDTWORTH FEDERAL WAY WA 98023
31120 11TH PL SW 31120 11TH PL SW
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 Newt Additional Sq.Feet-Basement„ . 0
Mechanical to be Included/ No Plumbing to be Included' F No.
, • r > Associated ri
1 ?', R• w`<»"�r�s' .>y % iMar�r .•<. ' rti
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PERMIT EXPIRES Sunday, August 14, 2011
Permit Issued on Tuesday, February 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 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:
FIfir0
/ THIS CARD IS TO IN ON-SITE
CITY OF
Construction Ins tittion Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100648-00-SF Address: 31120 11TH PL SW
Project: LYNN & PATRICIA KLINDTWORTH FEDERAL WAY, WA 98023-4532
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.
ti SWM Precon Site Mtg(4400) El initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) .
El Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
0 Fire/Draft (Stops 4095) ( )0 Interim Erosion Control 4370 4
Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
0 Framing(4120) 0 Insulation (4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
'El Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved /
By Date DateZ�- /(—`
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
__ - ( 0 _o_ __ __V r
f arye.A PERMIT
Federal Way • �'f " E5O ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES C
APPLICATI
253-8352607•FAX 253-835-2609 0-
www.aituollederalwau.com FEB 5 ?O'' D
SITE ADDRESS
,---->
1 CITY OF FEDERAL WAY SUITE/UNIT I
CDS
_ $ PROJECTc, C'cTc VALUATION ZONING ASSESSOR'S TAX/PARCEL# 9 g o _ o
u/ c/ so
TYPE OF PERbIITUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT .,4„'
(Tenant Name/Homeowner Last Name) Y( �,y,�;/
PROJECT DESCRIPTION
„C.t/et,..._4.-, �(C1 4_•-.2•`�L�`..
Detailed description of work to
be included on this permit only
NAME! PRIMARY PHONE
PROPERTY OWNER ,, ` K I i u •,�r./...!--6 v / 'S S - '7 c/ S �` C/
MAILINGADDRESS E-MAIL
7// /1'4- /J/ S<:,-j
CITY _ I STATE 4 ZIP
l ` 9 -0;y7.S
NAME ��i�� PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEPHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT , ' nJ� PHONE
(The individual to receive and s / K 1vC V,t ,7s-5 'JIs'/-6-s z:
respond to all correspondence MAILING ANDSL E-MAIL
concerning this application) /(( 7 /C) / (� .1)-
CITY •� STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE ,E-MAIL
"s ei1 ! ' >L
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 1 a,ADDRESS,CITY,STATE, PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 law&
I further agree to hold harmless the City of Federal Way as to any claim(inc •• , •-costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made • ,n,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance o • ty, including its officers and employees, upon the accuracy of the
information supplied to th.,it as a part of this • •- • • .n.
SIGNATURE: ____
DATE f? )
PRINT NAME: %//'--i:-.. L,/,_/(,)-' " 6 r
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application