12-102784 S wilding - Single Family
City of FEcon.
Way Permit #: 12-102784-00-SF
Community 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 P eQ ( 3)835-3050
Project Name: LE
Project Address: 2906 SW 342ND PL Parcel Number: 294450 0330
Project Description: REP-Inspection of fire damage. **NO construction work approved under this permit**
Owner Applicant Contractor Lender
TAM N LE P W C CONSTRUCTION P W C CONSTRUCTION
TOAN N LE 20250 144TH AVE NE SUITE 310 PWCCOC*934JP(4/17/13)
9497 S 196TH PL WOODINVILLE WA 98072 20250 144TH AVE NE SUITE 310
RENTON WA WOODINVILLE WA 98072
98055
•
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, December 16, 2012
Permit Issued on Tuesday, June 19, 2012
I hereby certify that the above information is cor t and that the construction on the above described property and
the occupancy and the use will be ' r ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 1
Owner or agent: Date: f//6/7:22-0
ROAR) t/ i2
THIS CARD IS TO MAIN ON-SITS :
CITY OF4 ,A0 ' r
Construction I ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-102784-00-SF Address: 2906 SW 342ND PL
Project: TAM N LE FEDERAL WAY, WA 98023-7629
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.
O SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
'
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) 4
Approved Approved Prior to scheduling a Framing inspection;
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
4
❑ Framing(4120) ,El Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By Date
O Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
a
•
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
CITY OF 1.11...."Iliviim++r"'` PO Box 9718
Federal JIay 253-835-2607;Fax 253-835-2609
www.cityoffederalway.corn
INCIDENT DAMAGE CHECKLIST
Case# %2 /°z70 - 00 -5C
Owner's Name: TA'r1 M• LE Phone:
Date of Incident: Date of Inspection: 6 -Z$' /2-
Site
ZSite Address: 1--'7 t'i 5W 3 V2 N' ft-
Nature
LNature of Incident/Scope of Damage: ,bee.4006600e 7v /'fit-77.A/ if EXr&Glpht- £u*l-GC„
of Gobtow Aito 4', 1 X/ 19,17/e.e/ i Ay,
Real/ars ftinomeefrAwr el Me chlordleig- '& , s'vehRo.J,i/iesagoet, f
nix-Malt 1041/0 'rr
(If the value of the damage is greater than 75 percent of the assessed value of the structure, a site plan is required.)
Building Posted:
7(NO OCCUPANCY ❑ DANGEROUS BUILDING ❑OTHER Cl NOT POSTED
Per its Required:
UILDING ,LUMBING AMECHANICAL ELECTRICAL ❑ DEMOLITION
Plans Required: ❑ Yes XNo Plans to Show:
Engineering Required: )(Yes ❑No Specifically: 1724)10/DE OV /.✓SZtdt. nortzsiperitg6
jag ZeIrrco c mate, acI ,1 a ,4 t10 Rook- QEPI/co ur oA/ sire
rat
Demolition Complete: ykYes ❑No ❑N/A 2nd Inspection Required: El Yes XNo
Permit Application Information Provided to Applicant:
❑ Demolition Permit Application ❑ Building Permit Application
❑ Submittal Checklist ❑ Electrical Permit Application
❑ Other
fLfZ4/474/90 /A, p (253) 835- 2t0 23
Inspector Phone Number
**APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS**
12-
RECEIVER W. - ( 0 2 7E4
CITY OF A PERMIT S)MF CO ME PL DE EN FP
Federal WavuN 19 2012
COMMUNITY DEVELOPMENT SERVICES APPLICATION
WAY
253 •
www.dtuo-835-2607ffederalFAX26 F FEDERAL CDS
A
171 t)
SITE ADDRESS ii A ��j( '210n
Jj�//�1/2 SUITE/UNIT#
1904 3PROJECT 14and 1?lace,�v�! - 'akl ZONING ASSESSOR'S WA , 1 Uv "
EL#
$11(110) •°3 9 4 4 5 a _ 0 .3 30
TYPE OF PERMIT • :UILDING 0 PLUMBING 0 MECHANICAL
LI i EMOLITION' 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT►y^r,,�,,may �,/� 1 a ,■nnr�^'fin+
(Tenant Name/Homeowner Last Name) t `1X , ciuk.1 Y ll\ Main/led;
..l 1 ed; e.
Rc�' ' c,,1cy�, i e,1e.ci n(DA MAC,
1
PROJECTeddescription
e DESCRIPTIONworkt SQA( uC\ , �,C,( 1C ,e, , t
Detailed dese tion ofwork to
be included on this permit only ,/�n r.,sl iu `,..� 1.4 \, n Q,,, Li 1f p
\,`��'\`�- ,( C�'J&i ` u. Y 11��1U1 t r&.-t c.�L�r ,'` (JrC A--h /� ►\
NAME PRIMARY PHONE
PROPERTY OWNER TaWN Le__ 5-(oS -2;IC\81
MAILINGW ADDRESS
Place,T [�n
5
Crrx3r � \V V V K:,,..2.
NAME
-' c, clru
stc-ire-, PHONE 3\p
CONTRACTOR 5161555"81 t4 ' Art lq 514 it 51O Att+`i• '1eiS
honQ
Can
WA STATE CONTRACTOR'S LICENSE C EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C
/ /
' �1
PHONEMa .. s,i /) VC COnV^ V
` E-MAILAPPLICANT
-MAILING ADDRESS
CITY STATE ZIP
FAX
PROJECT CONTACT .,re-'0
, 9 -PC PHONE
(The individual to receive and .t
respond to all correspondence MAILING AD,DRESS� 613 E-MAIL
concerning this application) 11Or 1 I �/���•�
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME n,.f,��1ryy�C F---�
i (/` OWNER-FINANCEDRequired 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 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: - `` DATE /'i (C�/Ik 0-...
PRINT NAME:J i err 1'"1„. el
Bulletin#100—January 1,2011 Page 1 of 3 kAI-Iandouts\Permit Application