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03-102372 • r City eele ty no Development Building - Single FamilyPermit #:03 - 102372 -00 - SF? 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: HADLEY Project Address: 1921 S 291ST ST Parcel Number: 422300 0210 Project Description: ALT/REP-Fire damage repair,partial roof&right wall siding. No plumbing or mechanical. Owner Applicant Contractor Lender Bret J Hadley HIRSCH GROUP LLC,THE LARKIN-HAAS REMODELING PEMCO*BRAD GOODRICH* 1921 S 291ST ST PO BOX 905 LARKIR*991M0 4/12/04 FEDERAL WAY WA PUYALLUP WA 98371 308 123RD ST 98003-3818 TACOMA WA 98445 Includes: Census category: 434-Reside #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Type V-N Occupancy Load: Floor Area(Sq.Ft.): Census Category 434-Residential alt/add-no c Mechanical No Occupancy Group#1 R-3 Plumbing No Zoning Designation .RS 7.2 CONDITIONS: 1.No building shall encroach onto any building setback line or easement shown or not shown. 2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES December 7,2003. Permit issued on June 10,2003 I hereby certify that the a..ve information is correct and that the construction on the above described property and the occupancy and the us=P4 '11 be in accordance wi . . laws,rules and regulations of the State of Washington and the City of Federal Way. / G U Owner or .• �� LAA Date: l l�� r ' POST THIS CARD ON THE FRONT OF BUILDI O i C ,pF IR j�i� ITY Federai Wa BOING DIVISION Y INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-102372-00-SF OWNER'S NAME: Bret J Hadley SITE ADDRESS: 1921 S 291ST ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL °:, • ', :!!:':;: , 1''''!.7'2,1,.:''` l001[ 1`00R Ct}NC:RE` 1[lN1 44 0B :YEEI$14 FRt)0 P 4; it ( ) DRAINAGE: Line ( ) Connection ., •• _. EAE MY:CiO � _ ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas pip' g ( ) SHEATHING Roof �/ Floor ( ) SHEAR WALL () ELECTRICAL RCUGH-IN Dit Cover ( ) FIRE/DPi:='TSTCPS 31,51D5 A ..,.'f..-,,,,S S$.� 'i'"n'�l/J.S./T�E, „FT L= ..��.,,. ��0��ro..,1W4` r�E V .....U � :.-�^±••.'a-, ,,�i s ..... c: .�,.;fes''-`^� �. r ( ) FRAM1NG/FIRESTOPPING ,, •rP:',Y-,F,, " ,.TI#g'40:' E"1 PAOVV PS P1$1 1 TIK.0*)R S 1:400CKYNGu : ;:::"..144-A :; �, ( ) INSULATION: Floors Walls Attic /A ...; .. � -.. �rT}�y� 1�.�j�'{. s�=� ��. .. �yi�'�T 1+1 ! �. ,j<r'�%� .;t,:f� , .C�a�.�xw.� ¢-✓aGs� . �1.�Via � s_,,,{���� ...�„���,��y�i .x�' � i:,�WALLBOARD NAILING " SUSPENDED CEILING . �_ ';: :.s 'I EfABt?_ , ':)n".;ii, `14.60ll PAgit* V IIAV 01ILE -4j1":: :;'' () ELECTRICAL FINAL ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL ;_ ° .'•'£` i. `lii i41* I Clf Or:#' "1'C`$U LD DEr':AnRT.I 'L::N' ". ��. � =:; ? ; ;'�? ( ) BUILDING FINAL I a :. - OT OC.i ,„ ,,,!:wi 0N# ' ILDIso" " ......A,, 05\15© CONSTRUillik PERMIT APPLICATION CITY OF APPLICATION NUMBER: 03 - LQC 7C2 -C Federal Way bus 1 0 2003 APPLICATION NUMBER: - - - kPPLICATION NUMBER: - - The follGir� F---- mation-Please print(in ink)or type ( S 3- G, G- I- 7) NAY *` G LM �112� x / Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. . , - ■ PROPERTY INFORMATION . - -- • SITE ADDRESS: 1921 S. 291 st St. Federal Way ASSESSOR'S TAX/PARCEL #: 422300 021 0 -09 `a LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Lot 21 Laurelwood Weat Add ■ PROJECT INFORMATION _ _ -. TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING o MECHANICAL a DEMOLITION o ELECTRICAL 0 ENGINEERING`� ❑ FIRE PREVENTION SYSTEM PROJECT,,DESCRIPTION(Provide detailedDdescription): Fl v GN'l-7-c 7O"�Lf✓r, )94/4i A F 4 �I` hOd1 �7i)t a 111 PROJECT NAME: Hadley Fire Damage repair ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE. Bret J. Hadley & DIana M. Stanley 1 ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): • • -• - - , A . _ 6I11 CONTRACTOR: NAME: DAYTIME PHONE: Larkin-Haas Remodeling ( 2j3)31 X303 MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP)• i EVENING PHQNE• �o �,��wl - •„ _ • : , 4 ( ) Kil\!_^ ,4 k'C�( CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - - FAX NUMBER: - I,eV(L/ y` ( ) I 4 t' \p 1 CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: �1 �1\ (Copy of mrd required) LARK I R#9 91 M0 / / APPLICANT: NAME: DAYTIME PHONE The Hirsch Group LLC x ( 253) 435 4883 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE* - RELATIONSHIP TO PROJECT: - • FAX NUMBER o ARCHITECT o TENANT R OTHER(DESCRIBE):Pe_rmi 1- SpPc,i a 1 i €253) 840 1 1 81 E-MAIL ADDRESS. CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER I] APPLICANT 0 CONTRACTOR ,: - - . ' ■ DETAILED BUILDING INFORMATION - - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 10/ /�1,, PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ WrrI79 SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION oi. lliIl I NUMBER OF BEDROOMS: - ESTIMATED SELLING PRICE: $ �j' .. ■ PROSECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? _ TOTAL: ■ FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) - WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC a GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) ■ DISCLAIMER/SIGNATURE 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(induding costs,expenses,and attorneys'fees incurred in the Investigation and d: ense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but on, where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the information I.plied to the dty as a part of this application. NAME/TITLE: IA �i k- ' f/46e< DATE: _ 6 /0 &3 I.. o PROPERTY • • ' �� APPLICANT a CONT•/CTOR _.FOR.OFFICE USE,ONLY:PI U.,f1EUV U3/1DDITION Q ALTERATION �> REPAIR =TENANTIMPRUVEMENrgars r =CENSUS'-CODE._- ,7: .. '-':. ..i,,,,--,--4---... _i=LOTTSIZE:vary?• 3.`' _ '' ,Ft y--n,- > ONING,DESIGNATION t r`_ �_ ffg/4BUILDING:SIIEL) ONLY?ffYES- c NO; ;: =_„. =CONIKPLAN DESIGNATION W.: 4-#' 4BASIC•PLAN?MAYES t3`NOT,';�%`�;'> »=:-Ek _-.. SECTION=t -*TOWNSHIP-`s,' -f jRANGE;r#V, iral`ADDRESS REQUIRED? a YES'4;=U NOi - - 'PtJ1TTEU LOT?1 a its-4157k)-o`NO = ,,-_`GRANGE OF USE2 5”Y,M U YES 'a'tVO•= ; : (x--%: COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtyoffederalway.com