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19-100074 Building - Single Family City of Federal Way Permit #:19-100074-00-SF Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 !ti i Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: SIX STAR SENIOR CARE LLC Project Address: 31408 8TH AVE S Parcel Number:858800 0160 Project Description: ADD-Install new ramp. Owner Applicant Contractor Lender DINA GRIB DINA GRIBBSIX STAR SENIOR OWNER IS CONTRACTOR OWNER IS LENDER 35927 30TH AVE S CARE LLC FEDERAL WAY WA 98003 31408 8Th AVE S FEDERAL WAY WA 98003-5302 USA 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.) Additional Permit Information Mechanical to be Included? No Number of Stories 1 Is this an Online or O.T.C.application No Plumbing to be Included? No Total Valuation:1,500.00 4 A. ... PERMIT EXPIRES Sunday,7 July,2019 Permit Issued on Tuesday,January 8,2019 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 t - '• • _•- - Way. Owner ora•- 0 /�� Date: 01 © P �� THIS CARD IS TO REMAIN ON-SITE °�. .4& Construction Inspection Record �iy INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 100074 00 Address: 31408 8TH AVE S Project: DINA GRIB FEDERAL WAY WA 98003-5302 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listad 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) El Initial Erosion Control(4365) El Footings/Setbaclk(4110) Approved To be done PRIOR to breaking ground Approved to place concrete By Date By Date By Date 0 Foundation Wall(4115) El Drainage/Downspout(4040) ® Slab/Concrete Floor(4255) Approved to place concrete Approved to backfill Approved to place concrete By Date By Date By Date CI Underfloor Framing(4285) ® Floor Sheathing(4105) El Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date El Roof Sheathing(4220) M Fire/Dratt Stops(4095) cM Interim Erosion Control(4370) Approved to install roofing Approved Approved By Date By Date By Date Prior to scheduling a Fraoing iospeetion; tM Framing(4120) tM Insulation(4150) Plusotting B Mechanical Rough-in Approved to insulate Approved to install wallboard and Fire/Draft Stop inspections yeast be slimi- eti ani approved. IBC 109.3.4 By Date By Date El Gypsum Wallboard Nailing(4130) an Final Erosion Control(4375) M Final-Building(4050) Approved to install mud&tape Approved Per p., a Approved By Date By Date By Date _ • _ • 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date ` RECEIVED PERMIT APPLICATION CITY OF ��--ssor C JAN 0 4 2019 PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325 Federal WayCITY OF WAY 253-835-2607 + FAX 253-835-2609 +permitcentertJcityoffederalway.com COMMUNITY FEDERALEVE DEVELOPMENT PERMIT NUMBER I °I — I 0 0 0 / 1�►a — 1 :,_.( TARGET DATE SITE ADDRESS SUITE/UNIT# 31 Hod gr" ,eve S federal uuu.y / vvlt °15003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ I v 57 5 2, % 0 0 — 0 1 CO 0 500 TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENNGINEERIING0 FIRE PREVENTION NAME OF PROJECT . - �� S S AZ --f . S,y S "TAR. SEA,/Oe C,4 C 4-F`T PROJECT DESCRIPTION ea-KADetailed description of work to f) - be included on this permit only _ -'NAME �_ PRIMARY PHONE NUR big-18 LO to 3 -1 •ub' PROPERTY OWNER MAILING ADDRESS E-FAIL t -1 o go e S u y r�hchotr/7 1 .cam C-re vai vay WR ZPq 3003 NAME ONA- GRIC� PHONE z0(.,- ?,sl- 31-.16%-9 MAILING ADDRESSQE-MAIL CONTRACTOR 40 $¢h Ave S Jim gyi60ho-1vr I,('pry-, CITY STATE ZIP FAX pederal LAP iuA- g80D3 200- 4261- 2Z1-*- WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / PRIMARY PHONE Te 'rj 4ray NAME 1OWP &IPrf3 9-O �5`� 314bH APPLICANT- MAILING ADDRESS MAIL //// 1 31tt0cb gi'" Au e S nUyrhOh of►mull-colli (do 4,i 1 q(„- a„� V CITY STATE ZIP FAX I �f r x Fed�ru� via (Ai Cl 6130\ 3 20(0 -X126/-27 II- NAMED �� 4 'Lob PHONE `' PROJECT CONTACT 1Ub 351 '4164 (The individual to receive and LING ADDRESS E-MAIL (p�y� respond to all correspondence 1� D e s �� rh` ,`Ut Mi'� concerning this application) X r2 a 1 �'aTY y STATE A- ZIP 41 3 2_0 k„_It 2 A ti 2 r q- NAME Vv t'T "l L PROJECT FINANCING rliOWNER-FINANCED When value is$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, {pehrdir is o -cers and employees, upon the accuracy of the information supplied to the ci as a part of this application. Asmospr _ / � SIGNATU- a 441W8/01. 411111111. DATE /2 3 f Ar PRINT NAME: 'i Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application