10-105008 •Building - Single Family
City of Federal Way Permit #: 10-105008-00-SF
Community Development Services FILE
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax(253)835-2609 p Q
Project Name: HOLLAND
Project Address: 34403 28TH PL SW Parcel Number: 011460 0010
Project Description: REP-Remove and replace damaged pre-engineered trusses and overframing; reframe
approx.34 feet of damaged exterior walls;some new interior finishes. No plumbing or
mechanical work on this permit.
Owner Applicant Contractor Lender
JUSTIN L HOLLAND BC INVESTIGATIVE ENGINEERS DKP PRODUCTIONS INC THE HARTFORD INSURANCE
34403 28TH PL SW 3605"C"ST NE DKPPRPI913DS 3/10/11 PO BOX 2286
FEDERAL WAY WA 98023 AUBURN WA 98002 13809 SE 144TH ST AUBURN WA 98071
RENTON WA 98059
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? No Plumbing to be Included? No
Zoning Designation RS 7.2
-7.7,777
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CONDITIONS:
1. Subject to field inspection without plans.
2. Structural enginnering calculations and details shall be on site and available to the inspector for
inspections record.
3. Provide truss plan layout and specifications from truss manufacturer on site and available to the inspector.
PERMIT EXPIRES Monday, May 30, 2011
Permit Issued on Wednesday, December 1, 2010
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: 6Date: 1d1 C VP
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THIS CARD IS TO ON-SITE
crit or iD� i� ,
Construction Ins coon Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-105008-00-SF Address: 34403 28TH PL SW
Project: JUSTIN L HOLLAND FEDERAL WAY, WA 98023-3001
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) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
7
0 Roof Sheathing(4220) .0 Fire/Draft Stops(4095)
Prior to scheduling a Framing inspection;
Approved to install roofing 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
O Framing(4120) ❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date .By Date ',—W� ( By Date
O Final-Building(4050)
Approved
By Date
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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• . :40A.,' THIS CARD IS TO RE AIN ON-SITE •
CITY OF • Construction Ins tion Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-105008-00-SF Address: 34403 28TH PL SW
Project: JUSTIN L HOLLAND FEDERAL WAY, WA 98023-3001
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) El Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By ,r�L f Date 0,////
0 Roof Sheathing(4220) Fire/Draft Stops(4095) Prior to scheduling a Framing inspection;
Approved to install roofing Approved Electrical,Plumbing&Mechanical Rough in and
Fire/Draft Stop inspections must be signed-off and
By A., f- Date /AO/ By,„./.5. Date /..2 J r approved. IBC 109.3.4 /
•
El Framing(4120) 0 Insulation(4150) ' 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud& ape
.
By -'e..., Date /.__Z-7-.// By (2 Date (--Z�- (( By/ Date / l�/
El Final-Building(4050) /
Approved 1 n,
DateZ7) --3-/I I
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FILE
El Rough Electrical ID Final ElectricalEl Right of Way
Approved Approved Approved
B34> Date (— Z7-4/ By Date By Date
110 It- i 0 5 0 06
FeUPEN
PERMIT
Fede ® MF CO ME PL DE EN FP
COMMUNnY DEVELOPMENT SERV Er U 1 2l'iIPPLI CATI ON
253-835-2607•FAX 253-835-
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OF fECIERAL Vr
SITE ADDIS CD5 SUITE/UNIT
3440-3 z' 1"` PL Sktij
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ 21J, 590 Rs 4. Z_ 0 1 14 0 - 0 c I ��
TYPE OF PERMIT ti-BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) H O tip ~TR-`� J_21Ic
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PROJECT DESCRIPTION . / .PLAce-Dam Ac-63j'.. TpwssEs c: Che
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Detailed description of work to �'c a1Yl� l.W7 Z� '3 1 AM U'C.� -ti� �.tJA �i bti►n 14 irt=
be included on this permit only
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NAMEPRIMARY PHONE
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PROPERTY OWNER J U..5T IKt 1-40(.,:-..P.N,D titJOW IV
MAILING ADDRESS
CITY STATE ZIP
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MAILIN
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STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE 5 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE t
D1cPPRP=c11 D5 03, lU ! I 1O-)0-,OSooc--oC -- 3 PHONE
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APPLICANT ADDRESS E-MAIL
APPLICANT NO C N
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CrrYIAON)i�.c swN ZIP f Z 2 7S3s-3 - ---.3o
PROJECT CONTACTNAME ^ nPHONE
(The individual to receive and �tf�., i 1 m-F0R ' , 253 033 SSres and to all correspondence MAILINGrat--) �\ -'-M� /�
DDRESS
concerning this application) e `vim '" i N 1L�E��lLIt=, &(:1
CITY P FAX
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ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING Nom' *H OWNER-FINANCED
Required value of$5,000 or more �� ��' -,AAAARvi't iNg-TR iZ-)
(RCW 19.27.095) MAILING ADDRESS.CITY.STATE.ZIPPHONE
PO [\O 22610 I\u a rz,tar
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 a part of this application.
SIGNATURE: 1 !!/� ,/►�r /� j DATE 1 2 I"^-1°
PRINT NAME: (..1� ,� ' / /Af 0' fi/-��✓�-G��r r `—
Bulletin#100- 'pril 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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MECHANICAL FIXTURES .4//-
VALUE OF MECHANICAL WORK $ (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 FANS GAS PIPE OUTLEib OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SEIb REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES tJ/A.
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.
BATHTUBS or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(wtehen/unity) WATER HEATERS(Eket io)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING nspROVLMEKrs
140 (_,Axert \lel i iii‘ - SEi*"f I c $
EXISTING/PREVIOUS// USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
&)STING- S " 101 1 ci I_ ❑Yes A?No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITIO N
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT — --
FIRST FLOOR(or Mobile Home) 1030 1(03
SECOND FLOOR — —
COVERED ENTRY —
DECK --
GARAGE 414-CARPORT 0 53 0 53
OTHER(describe) -_ —
POSED
Area Totals
z _ 2i�u
**NEW HOMES ONLY""
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
AreaConstruction
Group(s) Construction #of Additi• • •• ormation
in •uare Feet j• Stories
NEW BUILDING
ADDITION
• COMMERCIAL-REMOD• '' ENANT IMPROVEMENTS
AREA DESCRIPTION `mei •- pancy Group(s) Construction M of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PR. ' '11 . ONLY
B Iletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application
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