06-103511 City of Federal Way Buil n — Single Family Perm#• 06-103511-00-S FCommunity Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ANDERSEN Lorik/30 79 3 0
Project Address: 30466 3RD AVE S Parcel Number: 232970 0390
Project Description: ALT- STFI-Installation and repair of drywall,millwork,floor coverings&Installation of
hot water tank,includes plumbing. This residence was damaged by a fire.
Owner Applicant Contractor Lender
SUSAN ANDERSEN ALLIANCE RESTORATION ALLIANCE RESTORATION
30466 3RD AVE S 8583 154TH AVE NE BLDG C ALLIARS987LP(6/17/06)
FEDERAL WAY WA REDMOND WA 98052 8583 154TH AVE NE BLDG C
98003-4004 REDMOND WA 98052
Census Category: 434-Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: f A
Construction Type: ..
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Ad tlhnal Permit#lformation .
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? Yes
Plumbing Fixtures
Bathtubs 1.00 Lavatories 2.00 Water Closets 2.00
Water Heaters 1.00
CONDITIONS:
Subject to field inspection
PERMIT EXPIRES Friday, August 1, 2008
Permit Issued on Tuesday, August 1, 2006
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 accordan - with the laws, rules and regulations of the State of Washington
a•: •- Ci of Federal Way.
Owner or agent: .4 / Date: O o
4s
�Gity of Federal Way 41/
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: ANDERSEN Permit#: 06-103511-00-SF
Address: 30466 3RD AVE S
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: - - -- -
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Owner Name: SUSAN ANDERSEN
SUSAN ANDERSEN
Owner Name:
Owner Address: 30466 3RD AVE S
t` FEDERAL WAY WA
KIK itubsii4itC80 4 98003-4004
ei ...t5 cej
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. ��
/ � ��A THIS CARD IS TO MAIN ON—SITE k. .-
a{ s+-it
CITY OF tommunitYDevelopmentInspection Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103511-00-SF
Owner: SUSAN ANDERSEN
Address: 30466 3RD AVE S
FEDERAL WAY, WA 98003-4004
This card is part of your required inspection document& 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.
.--❑ Temp.Erosion Control (4365) ❑ Plumbing Groundwork(4190) ❑ Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing (4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
_❑ Rough Plumbing(4230) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical '
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4.
By Date Date 6U L
❑ Framing(4120) ❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
B e5 Date a -4 (A, By C' J Date a. 8- asp By Date g/7 a
,❑ Final- SWM(4375) a Final-Plumbing(4075) ❑ Final-Building(4050)
Approved A Approved Approved
r (�
By Date By 'e1 Date`1, ,L QCf By c Dated-lS•oCti.
OTemp. Erosion Maintenance(4370)
Approved
By Date
• -�?�
Federal W \% a - 1 0-5 61/1
�y PERMIT
• COMMUNg9DEVELOPMENT SERVICES
®MF CO ME EL PL DE EN FP
39325 AVENUE •PO BOX 9718
FEDERAL WAY,WA 98063-9718 APPLICATION
/
253-835.2607.FAX 253-835-2609 �J ��/
www.eituoffederalwau.core / jj
The ollowin• is re, fired in ormation-an inco ,lete a••lication will not be acce•ted. Please • ]A •ii1c) ' st of it .
^^,,'' (As
PROPERTY INFORMATIONAlSITE ADDRESS 3 04 � ^" b VES FiiEc re1/4(` 1)A49)33SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legaldeaaipdani
IN PROJECT INFORMATION
TYPE OF PERMITLDING PLUMBING 4r2IIANICAL
VVV❑ DEM(LITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
'4Lt�t--3t,Da t >N ktk t-k)rtc
F( n.or C'c.t/ .(N.c r
i4t i- (,, A- 7-1
PROJECT NAME(Name of Business or Owner Last Name) Si.SV t k
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER SuSAK P1/4NAersIg (a5') `Tci Z t18z
MAILING ADDRESS CITY,STATE,ZIP
3O4Itl9 3 1 PaE S FcderAck l,-'A/ LL\ CP003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
0 l lei(XN.C4- -2-e sivrA4i one dw-cia V AiNr i-i, r N25)6692- -1 q 3e
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
g t8 3 1 st•I AVe . Nt6.. -Rets M^a-+cf UN_ gjbbSZ(U Z5016 f -3?33
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
7-- 0-_c, 4.-1 9 a 5 1-B L • / Z / 31 / CCo (1/2s)88Z oz, ,
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
P Wt� 72a,ciM� of s (hu k vat azoz (Nzs )8437- - 741e,
MAILING ADDRESS , CITY,STATE,ZIP CELL PHONE
8 4583 IsAVE N• "$eciA"Ot-s l 01.1- geosz (ells)EPC'( -3z. 3
RELATIONSHIP TO PROJECT _ FAX NUMBER
A1w
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) 6Ce✓P C13rSC (41/2S)r -0'210
CONTACT CtLck
PRIMARY PHONE E-MAIL ADDRESS
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) —
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $cam— / �� •9r5
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
0 0
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
.ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
COMM PROPOS= rorty ,
NUMBER OF FLOORS
"lVEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or reloc• -• • ••• • i' ••• - . i-• no inc •- • •.,t res to remain.
4MMEMIlli
,,Irv-'7 P".7 '
Va • ' . ••I ical Work $ I l.ItO e- sf(,(,�(j S folt%`-
1 R HANDLING UNITS s---- •• • ' ' ' ' ^"
.i.e- i_ HOODS(comme•cisi) WOODSTOVES
B ILERS FIREPLACE INSERTS 'i t'• = MISC(Describe)
CbM•r SRS .. FURNACES GAS WATER HEATERS
eJCTS GAS PIPE OUTLETS '
PLUMBING
�� BATHTUBS(orruh/shovrer Combo) SHOWERS Z WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS I I /'
GAS PIPE OUTLETS SUMPS RAINWATER SYST I l i b r 1 jk-
WASHING MACHINES URINALS HOSE BIBBS rCptOWN • / kr: ` I '"
AT-
• O: LAYS(Bathroom sink.) VACUUM BREAKERS I ELECTRIC WATER HEATERS 1 (Af fat j ettki1A6U(
fi`x. VCS
DISCLAI1V1EK/W1.314/11 UKP:BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 einy person,including the undersigned,and filed against the City of Federal Way,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.
•
NAME/TITLE ( /atA �ii,,.....",...t( ,....,).....,„.„.1,--
.� i....,„ L! ,--DATE 7//8/6
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner Cl Agent 0 Contractor 0 Architect 0 Other
.. •. ,.:4, :',.‘1,...oa:j:. ,,.,,^.O;n. i,,S : „J= i'
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Perinit Application