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11-100490 •Building - Single Family City of FederalWay Permit #: 11-100490-00-SF Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Request Fi LE Ph:(253)835-2607 Fax (253)835-2609Inspectionq est Line: (253)835-3050 Project Name: BURBACK Project Address: 510 SW 293RD ST Parcel Number: 119600 0306 Project Description: REP-Installation of a roof-mounted,4.80 kw solar PV system. Owner Applicant Contractor Lender LARRY J&MARY BURBACK SUNERGY SYSTEMS INC SUNERGY SYSTEMS INC LARRY J&MARY BURBACK 510 SW 293RD PL 4546 LEARY WAY NW SUNERSI905D4(4/8/12) 510 SW 293RD PL FEDERAL WAY WA 98023-3537 SEATTLE WA 98107 4546 LEARY WAY NW FEDERAL WAY WA 98023-3537 SEATTLE WA 98107 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 ,zk; �� New/AdditionaI Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0 Mechanical to be Included'? No Plumbing to be Included? No Zoning Designation RS 9.6 .{ y��� ,.�. :' Yr'«:yyet.';.;r �+�'� •"� r�x(° k4 +'. $ ,, tures • . .. E !. 4 #. li y't •M *.-:. '. f;{ 4 5 .1;. • • ,ffw �f ...£ PERMIT EXPIRES Sunday, August 7, 2011 Permit Issued on Tuesday, February 8, 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 a e City of Federal Way. p� Owner or agent: c Date: 0 h PAI J D V/tt/t/ � � THIS CARD IS TO IN ON-SITE CITY OF Construction Ins tion Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 11-100490-00-SF Address: 510 SW 293RD ST Project: LARRY J & MARY BURBACK FEDERAL WAY, WA 98023-3537 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. ❑ SWM Precon Site Mtg(4400) ❑ 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 Floor Sheathing(4105) El Shear Walls(4245) 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) , 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 a 4 pproved. IBC 109 3.4 ' Framing(4120) El Insulation(4150) Ei 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 BV--(7-.5 Date Z—7 7— l I El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 11) •_ _ loolcio C""o' cEIV ED PERMIT •MF CO ME PL DE EN FP Fede COMMUNITY DEVELOPMENT sl�SO 4 2011APPLICATION [ .1): 2 2.5—�p 253-835-2607•FAX 253-835 www ciWofTederafwau corn SITE ADD STY OF FEDERAL WAY SUITE/UNIT# CDS r4 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL CI # ` /' $ /5 /76. c 1 l CO 0 U © � 0 (G TYPE OF PERMIT 11 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) g. r L C_ PROJECT DESCRIPTION 12,,,.s- r/au✓1 kJSe)/a r- r v 4 t rokp' . Detailed description of work to 2 , 5- 14.s AA.7- be be included on this permit only NAMEt 11 PRIMARY PHONE PROPERTY OWNER t 4e'fit ) (4 ( Sac- k_ 2s-3 -740 -?z/c, MAILING ADD E-MAIL si° S W Zq 3`•I sl-, L Tbu r back-640/crust Al— CITY STATEera L 98o z 3 , PHONE vlerqy yc 4eiA 5 276 -Z97-0aQ•C MAILING ADD E-MAIL CONTRACTOR '/5116 bea C7 �i w ,71-0 N .50 t3y 57StemS'Com,r\ CITYTE ZIP FAX Me__ J 1A ei et07 2d- 78 K -26e 5` WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 514ner5 .1t)5 b(4 '3 3/ ff1 20-Io- i63D76 -oe- ac.. NAMEc PHONE 'to.4 Lr0� 4f Sundr' s '- -57( -y72.6 APPLICANT MAILING ADDRESS Y E-MAIL '/s4( (e.e r Weiy N tes,'ler"), sysfr fit CITY / STATE TZIPA- 98107 PROJECT CONTACT ✓ FAX ^�Jtry I- l e W PHONE (The individual to receive and '''1 Lot.-,je 2c4 - --7/ - '/7 Z respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) 415 11() (Q 4(`/ Cle`.( • ' ,-I�J/") .18'107 MA10 S•of py Sys?t�►S.Ce CITY ',ell ` STATE FAX ALTERNATE CONTACT NAME: PHONE E-MAIL Ole I) 9 NliltC OFe- ze -Z97-008 6 mo r•5,4 Mei 5u.+ari,575/.e,,.,S.CD vh PROJECT FINANCING NAME OWNER-FINANCED Required 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 t ' - • % part of this application. SIGNATURE: A /4 DATE .2 /3 /1, PRINT NAME: l a 4 "I e_ Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application • e .,.., ..,,, . ., . . . ....„, ,, ,.„.„......„.,. ...„,„.,„..„_::,...-....,...„,,:/,,,..,.....,...„.„._ 10.064.004.itikstat. .,..-:., .,--.-; ...:z .,..,., ,,...,, ,,. , ,- ., . . , , 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 OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commereial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SI.15 REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES -,,,":,.%' ^.vh,: �i�'iV.a -. .. '�- e�u.r'". ,�::��-.n� ' ., :. i,ri ., - iu;eG• '"�:,.::-.. .; >`:�.3-;.> ._, . Indicate how many of each type of facture to'be installed or relocated as part of this project. Do not include`existing fixtures to remain. BATHTUBS(ormb/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Ekctrte) HOSE BIBBS SUMPS WASHING MACHINES TOTAL lIKTMUSS GENERAL IN ')1Ati CRITICAL AREAS ON PROPERTY? +WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes ❑ No in Yes n No AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR(or Mobile Home) COVERED ENTRY GARAGE lik CARPORT ❑ — -- — -` _— - PvdCT3 P . Z 70 - ' EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS it ..<i - '-:;-1..,. - �,"i. .^� ,�,;4 l',,,.:,-; :=,7�S�iw..,a.a.r. ,,.., - u.-_ � ..4.,. .,>., ----- w.3 i, ++4`Y:n•Ct�,:� , :'r.,,,,,,;;;,-^ ,4'; - ---t-....'"�` 'fte AREA DESCRIPTION Area Occupancy MGroup(s) Construction of Additional Information in Square Feet i TTPe Stories itiliiiIlli ADDITION 'I ,fir= ,�Iik:".St-".°c`'"'x�i"�ri 6S�i�-�`'`-.i":.?w'.u: -c^z-'cti•�_�s�.��iY�,?�Jr:••_.,in__ �_, •+. _ AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TENANT AREA ONLY Bulletin#100-January 1,2011 Page 2 of 3 k:\l-Iandouts\Permit Application