13-100893 0
wilding - Single Family
City
of Federal Way
&Econ.Dev.ServicesPermit #: 13-100393-00-SF
Community&Econ.Dev.
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: TRAN
Project Address: 1334 SW 349TH ST Parcel Number: 542242 0580
Project Description: REP-Inspection of fire damage. **NO construction work approved under this permit**
Owner Applicant Contractor Lender
LONG V TRAN BELFOR USA GROUP INC BELFOR USA GROUP INC
SUONG BA NGUYEN 4320 S 131ST PL SUITE 100 BELFOUG99OBJ (12/20/14)
1334 SW 349TH ST SEATTLE WA 98168 4320 S 131ST PL SUITE 100
FEDERAL WAY WA 98023 SEATTLE WA 98168
. ./
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 II
PERMIT EXPIRES Saturday, August 24, 2013
Permit Issued on Monday, February 25, 2013
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: 5t-4---,
t-4 -' 7 Date: - `� f 3
F111 3 13
THIS CARD IS TO MAIN ON-SITE
CITY OF 4111&' ,
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-100893-00-SF Address: 1334 SW 349TH ST
Project: LONG V TRAN FEDERAL WAY, WA 98023-7022
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 fari-- Date 3 —v3
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
•
111( cm OF PERMIT PPLICATION
Federal Way RECEIVED
FEB 2 5 2013 4f2
PERMIT NUMBER ) " 0 & 3 00
— — — — — — TARGET DATE CITY OF FEDERAL WAY
SITE ADDRESS CDS
SUITE/UNIT#
•
13 s L/ � uJ s i 3 L-t q �."
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
5S _ — — — — - - — — - -
TYPE OF PERMIT 'L4 BUILDING 0 PLUMBING 0 MECHANICAL ❑DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT n4Ort�4 "TIL"-.0
PROJECT DESCRIPTION
K G�'1-t
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER kW-i•4 J
i
MAILING ADDRESS Lt E-MAIL
t 3 3-i S w •r 5 r
CITY STATE ZIP
i7•471. /,v.,- , W,- CI YCI? 3
NAME /
PHONE
InSPL✓�CJ�1 ?D6 - 6 3d--O c i)
MAILING ADDRESS E-MAIL
CONTRACTOR y3a d 5 / 3/sr /' 4z- /d0
CITY STATE ZIP FAX
5c"74JTt�c ilii►— 47Vbr 5'/7 -C?crp
WA STATE CONTRACTOR'S LICENSE= EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
c9oed / /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESSE-MAIL
CITY STATE ZIP FAX
N PRIMARY PHONE
PROJECT CONTACT St t v L �`/:l�/`r/'v 06 �>7a - -7)5-4/
(The individual to receive and MAILING ADDRESS r E-MAIL .
respond to all correspondence 413?a s. / 3)S_ I�4 �d 'rj r t v rfi y Mtn,e
(/S,
concerning this application) CITY STATE ZIP FAX
Se- 4-17Z.e 1.464- pie /eT /3��r-v2. v y,
NAME
PROJECT FINANCING 0 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: C~ DATE
PRINT NAME: '�1,1 I•-✓ 11 ypl
Bulletin#100—January 1,2013 Page 1 of 3 k:V-Iandouts\Permit Application