11-101107 • ouilding City of Federal Way �ffiLE� - Single Family
Community Development Services Permit #: 11-101107-00-$F
P.O.Box 9718
Federal-260, F 98063-9718 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax:(253)835-2609 P 4
Project Name: EVANGER
Project Address: 550 SW 305TH ST Parcel Number: 178880 0960
Project Description: REP-Initial inspection for water damage to residence. NO CONSTRUCTION WORK
INCLUDED WITH THIS PERMIT.
Owner Applicant Contractor Lender
DERRY P EVANGER PATRICK THOMAS
550 SW 305TH ST MCKINLEY HOMES
FEDERAL WAY WA 98023 14815 CHAIN LAKE RD SUITE D
MONROE WA 98272
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 Included9 No
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PEFMIT EXPIRES Tuesday, September 20, 2011
Permit Issued on Thursday, March 24, 2011
I hereby certify that the above ithformation 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_ .:�I: Soft. Date: 3/2.x-/ 20(/
VIrsial3 3 es /! t
THIS CARD IS TO MAIN ON-SITE
CITY OF �r�M��� •
Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-101107-00-SF Address: 550 SW 305TH ST
Project: DERRY P EVANGER FEDERAL WAY, WA 98023-3952
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) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
IllFloor 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
0 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 By Date
'
O Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date Bye, // Date ZS-1)
.
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i - I Of ( a 7
CITY Ofd E R M I T
Federal Way
MF CO ME PL DE EN FP
COMMUNITYDEV LOPAX E- 6 PLICATION 9.%-75(1
uvu nho rderutum m� it 4 ei,,�
SITE ADDRESS Gpe SUITE/UNIT#
PR W 0 UA OScI 7"NG ` S.V �AStaw # )(\ tl Q 2,7,
TYPE OF PERMIT 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
4, NAME OF PROJECT
—Y (Tenant Name/Homeowner Last Name) ()a+,rir
I_ -Pri VV\k V.Z tri p-e C.�`l� 6 , Li.)a-_ �C e
PROJECT DESCRIPTION {, J
Detailed description of work to ,Q V. i (SY 1L, r r_j/ ,'� -
be included on this permit only r r
NAME PRIMARY PHONE
PROPERTY OWNER — i'-
‘,
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MAILING ADDRESS
E-MAIL
55 O SW R) ', c• -k' ct err yevuiel!'m -m4-.e.r:I"
CITY STATE ZIP
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NAME PHONE
MAILING ADD S E-MAIL
CONTRACTOR /114
CITY STATE ZIP FAX
WA STATE CONTRACTOR LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
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APPLICANT MAILING ADDRESS E- L' q�
1 $i5 cl ,. Pd• pi abiltkiuicydoowSi►.aG,(, M
CITY STATE ZIP FAX
PROJECT CONTACT NAME ��,,,�,µ ��� PHONE ' �-��3e/(The individual to receive and i1",� ",
respond to all correspondence MAILING,JADDRESS 00`•, E-MAIL
concerning this application) f`"l C(J �\F-�l.44 �-C.
WSTA(41-TE ZIP�f 7 FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
"7
PROJECT FINANCING NAME
n ,ITNEK-FINANCED
Required value of$5,000 or more -�
(RCW 19 27 095) LING 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 harmtess the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense o such claim),which may be made by any person, including the undersigned,and filed against the city,
but only where such claim arses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the cityias a part of this application.
SIGN ATiTR `=_.__.S.__._�N *41�. m DATE
PRINT NAME: - ^ $.:C A,,'_,^ c
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permtt Application