12-101248 •
0 wilding - Single Family
City FederalWay Permit #: 12-101248-00-S F
Community&Econ.D
ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 � p
Project Name: EDMONDSON
Project Address: 30100 11TH PL S Parcel Number: 515390 0040
Project Description: REP-Replace all windows.
Owner Applicant Contractor !.ender
DWIGHT&JOSIE EDMONDSON DWIGHT&JOSIE EDMONDSON OWNER IS CONTRACTOR
30100 11TH PL S 30100 11TH PL S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, September 15, 2012
Permit Issued on Monday, March 19, 2012
I hereby certify that the above i •rmation is correct and that the construction on the above described property and
the occupancy and use , '� be in ace• :nce with the laws, rules and regulations of the State of Washington
,iiii /`nd the City of Federal Way. /
Owner or agent: or" . Date: c, /c
—1 Z-
Pitlikitial 3/(2ftZ
THIS CARD IS TO MAIN ON-SITE
1
CITY OF Construction I ection Record a
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-101248-00-SF Address: 30100 11TH PL S
Project: DWIGHT & JOSIE EDMONDSON FEDERAL WAY, WA 98003-4147
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.
-
0 SWM Precon Site Mtg(4400) 0 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
. . . . . .
El Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By fC Date 5, i2,-12- By Date
.- �
❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) '
Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 1093.4
. .
0 Framing(4120) •0 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
'
0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved
By Date By ��v' Date 3'Z�-/7-
. .
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
- , . , .
Federal PERMIT F CO ME PL DE EN FP
0
l Federal
COMMUNITS iTS-DEVELOP.IfE,ti SERVICES •\ t�C A T I O i
25 835-260 FAX 253-835-2609 ONA R� �/iA
SITE ADDRESS ,.i SUITE/UNIT N
"a/
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
0 y1)ee, 6 5 ( SS ° 6 - 00 Y0
•
TYPE OF PERMIT 7UILDING ❑ PLUMBING ❑ MECHANICAL
/❑ DEMOLI ON 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)+ 71/066.e4
/J�� f�/�
PROJECT DESCRIPTION /]
Detailed description of work'to titi 1 4C(/Q4 5
be included on this permit only
NAM PRIMARY PHONE
PROPERTY OWNER C l &C 7,04‘)/16 Z 3 Z1'Z-2/7/
MAILING AD S v j E-MAIL
3&/ it // /)/ 5d.
c ler/ /// // ST,AT ZIP %�C/a 3
NAME )7"'N PHONE/ / //// PHONE
(10--- --0-
V
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME \l PHONE
(1
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT AME I� P oxE Z72/
(The individual to receive and /- ����� `�
respond to all correspondence MAILING ADD S E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) 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 h ess the Ci of eral Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defens f such cia' ich may be made by any person, including the undersigned,and filed against the city,
but only where suc iai, ri s out reliance of the city, including its officers and employees, upon the accuracy of the
information supplie% o e iG qsthis application.
SIGNATURE: ` 64DATE
? PRINT NAME:
//Bulletin#100-January 1.2011 Page 1 of 3 k:\Handouts\Permit Application