15-104473 - • S • Siilding - Single Fablily
City of Federal Way
FILE
Community s Econ.Dev.Services Permit #: 15-104473-00-SF
33325 8th Ave S •
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: CHANG
Project Address: 916 SW 346TH CT Parcel Number: 132173 0550
Project Description: REP-Inspection only of fire damage. ***No construction work included on this
permit.***
Owner Applicant Contractor Lender
ANDY CHANG RESTORX OF WASHINGTON RESTORX OF WASHINGTON
SIKI CHANG 1307 WEST VALLEY HWY N N107 RESTOW*916LK(10/11/15)
5218 76Th AVE W AUBURN WA 98001 1307 WEST VALLEY HWY N N107
UNIVERSITY PLACE WA 98467 AUBURN WA 98001
t - J
Census Category: 999-Unknown
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information •
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Occupancy#1-Construction Type. Type V-B Mechanical to be Included? No
Occupancy#1-Class R-3 Plumbing to be Included? No
Occupancy#1 -Use - • Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, March 1, 2016
Permit Issued on Thursday, September 3, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use 'll be in accordance with the laws, rules and regulations of the State of Washington
and th City of Federal Way.
Owner or agent: Date: '?-3
. -
• THIS CARD IS TO ON-SITEm
CITY OF Construction In ection Record `
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-104473-00-SF Address: 916 SW 346TH CT
Project: ANDY CHANG FEDERAL WAY, WA 98023-8430
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.
El Final-Building(4050)
Approved
By Q. o Date a ,, t1...1116
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITYa� I PERMI'IRAPPLICATION
Federal Way
RECEIVED
PERMIT NUMBER ( _ ( o 4 TARGET DATE SEP 0 3 2015
SITE ADDRESS rrry
1Fsdt.)gappit4wAy
9/0 5 34,14 Cr Fe./)tZlit- A-4(r 9802-3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ t 2_ 1 1 _ o --,5--0
TYPE OF PERMIT D BUILDING ❑ PLUMBING 0 MECHANICAL [DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT A t,12 /l 1-M A16-
PROJECT DESCRIPTION ,-67 Y?L m v /4 Lc_ 'QR-L i/4 L& ' C/1(?
^x/^/2,6 Ts
Detailed description of work to pv t4 v J p) 5 1902e, Fo A4tri- € g&P7.ye'�l i L,
be included on this permit only Fr45%,L A Ti a, / C t7' . ,_ ) 0.4-0 7 OUV )
NAME PRIMARY PHONE
PROPERTY OWNER P417 yGRA 46 e-7--
CITY
l Z53 5 /-//v9
MAIL5Z i SJR ADDRESS
7`s 1� I� iq C—r E-MAIL
CIriqCv>�4 PIA-.STATE ZIP^ 4/ 7
NAM�i✓ 57-1)67---VU t', 1.-,.-,4 D/la PNE
e,ad -74 7-23 re/
MAILING ADDRESS E-MAIL
CONTRACTOR /3 07 v4LG& 1iii . ^/ v /07
CI1' 4
v 3 iz� / Z /y v / FAX
WANSTATE CONTRACTOR'S LICENSE N EXPPIIRATION DATE FEDERAL WAY BUSINESS LICENSE N
/
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N (,,3 MX.L&&k Z 53 P Z�/
/ -S S 2
MAILING ADDRESS ^ (, +� E-MAILE- ,p _��/f
APPLICANT /3 07 w V 4�t( L./( /v r'�` /v7 (0,3 40 l�e-s f w�,Kl`7/ '
CI /� STAT ZIP FAX
va/l�nl wi - l e) Ui}/
N E PRIMARY PHON (�jf
PROJECT CONTACT J4 ) X7JZ LLL--1'L- L 53-z_4 /-6 S 26
(The individual to receive and MAILING ADDRESS /� a./ 1.14/(, 14. MAIL ,{� n r
respond to all correspondence ✓L)7 L✓l�/7�-�-�i / ( ��� Y4-,i3 S%J��/✓l<<Il+ _
concerning this'application) CITY
v (/� Sre ZIP / FAX `7J
ik
NAME
PROJECT FINANCING OWNER-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 a part of this application.
SIGNATURE: � 7 DATE 9-3-/S
PRINT NAME: C(S), / r Ze.e_-6fZ
Bulletin#100-January I,2013 Page 1 of 3 k:\Handouts\Permit Application