12-100552 ' uilding Single Family
City of Federal Way ill
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Community&Econ.Dev.Services Per it # : 1 2-1 00552-00-S F
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: GRISWOLD
Project Address: 28226 15TH AVE S Parcel Number: 025130 0050
Project Description: REP-Fire damage repair including new roof trusses,insulation,sheetrock,HVAC& some
plumbing.
Owner Applicant Contractor Lender
JAMIE GRISWOLD KENCADE CONSTRUCTION INC KENCADE CONSTRUCTION INC
28226 15TH AVE S 8502 RIVERSIDE DR E KENCACI093NN(8/6/13)
A FEDERAL WAY WA 98003-6182 SUMNER WA 98390 8502 RIVERSIDE DR E
SUMNER WA 98390
P Census Category: 434 - Residential alt/add-no change in number of units
1 Includes: #1 #2 #3 #4
(
1 Occupancy Class:
\I Construction Type:
Occupancy Load: •
Floor Area(sq.ft.) 0 0 0 0
i �d tion l Perm In n r � r x
� � fig _ . . d' , ,, m„ r x 4,1 � . z .. .
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• THIS CARD IS TO REMAIN ON-SITt •
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CITY OF v' •
Federal Wa Construction InOection Record
y INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-100552-00-SF Address: 28226 15TH AVE S
Project: JAMIE GRISWOLD FEDERAL WAY, WA 98003-6182
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) ❑ Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By Date
El Underfloor Framing(4285) ❑ Floor Sheathing(4105) Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By ri/ Date,- z,
El Roof Sheathing(4220) ,El Rough Plumbing(4230) ❑ Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By/\ � Date --1 ‘ ¶ By -c 5 Date 37047--
70 By Date
El ` Gas Piping(4125) eEl Fire/Draft Stops(4095) El Interim Interim Erosion Control(4370)
Approved to release test Approved Approved
By ,jc Date ei-7Z , By fr(4.G. Date '! _/2,(2 By Date
Prior to scheduling a Framing inspection; 'El Framing(4120) El Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and I
approved. IBC 109.3.4 `By Q",‘,._ Date LI ` `1-� 'By Date i f-1.la`s-i L-
❑Gypsum Wallboard Nailing(4130) 'El Final Erosion Control (4375) El Final-Mechanical (4065)
Approved to install mud&tape Approved Approved
By it r Date S-_/. ,Z By Date By Date
El Final-Plumbing(4075) 0 Final-Building(4050)
Approved Approved
By Date
ilia
G Date">-(
❑ Rough Electrical CI Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
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_ . -.MI� �'ERMIT
�� � .�i PL DE EN FP
Federal Way R I da i�
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607-FAX 253-835-2609 FEB' 0 6 2012
CITY OF FEDERAL
WAY/UNIT 0
SITE ADDRESS
L.(- /` JJ 1\ f , ) . - c�c- t -C t ‘ L_Li 9 c1 c
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL
$
/ '<C' /(CI[' ' G 2- / r 0 C. C, S C ,
TYPE OF PERMIT BUILDING PLUMBING MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT •
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION ���`� `� }`` f l 6, t /
Detailed description ofwork to Y 1_f i>r' ,
be included on this permit only J/ G
C/ L.iit, i
7., PRIMARY PHONE
PROPERTY OWNER , { 1
MAING ADDRESS E-MAIL
CITY STATE ZIP
NAE
__-1A 0 CFS /E yz�C-E�. (?-).L_ Ps� _ et cZ-C-c)-C� f"
MAILING ADDRESS-�, _ E-MAIL
CONTRACTOR i� l✓64,j e,-Le I,)y- fes/ a et—.67 K e-r\C'Cg Gte •6'4.1"`'1
STATE Z]P , FAX
WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
/ /
NAME PHONE
.- LLQ ti\ .: (1. , f J (;v---C--
PLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACTSPHONE
(The individual to receive and t`L`�( ,�.- �t1- ' 1_tri o__ ( dI ( C
respond to all correspondence MAILING ADDRESS 9. ,- r\h,/ E-MAIL
concerning this application) YI6/��n-�1 l)�l V �'�- G 1r J(- �% i, / / �t 0( �/�C 1/��Gc E �'e'Y�
FAX
LC/I J 1 a W l/ L (../ .F,-7 ZIP 10 �/ C--,_-`3 -LY (�'J / :�(c
ALTERNATE CONTACT NAME: / ,L-II- PHONE E-MAIL
J I Tr; E �. -zf4.' ----7717 r-J'r7) ('Kra e•e)6 : _/1-,,
PROJECT FINANCINGE
Required value of$5,000 or more
l71 e - 0 OWNER-FINANCED
(RCW 19.27 095) 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 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, including its officers and employees, upon the accuracy of the
information supplied,fo)the city as a part 's application.
1/
SIGNATURE: (amu DATE• //
PRINT NAME: /t/ -C Lc: _! t I/v .7-- ..-.G'' c�4271e _._
Bulletin 4100—January 1,2011 Page 1 of3 k:AHandouts\Permit Application
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VALUE OF MECHANICAL WORK $ /1 ' ' (a copy of bid or estimate must be provided)
Indicate how many of each type of fixtc/re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITSFANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER 1 FIREPLACE INSERTS HOODSIcommerciap
BOILERS ( FURNACES / HOT WATER TANKS icas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
'L BATHTUBS dor Tub/Shower Combol ''f LAVS(Hand Sinks) 3 TOILETS WATER PIPING
( DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
—r
DRINKING FOUNTAINS I SINKS IR;mhen/UULNy) WATER HEATERS(Eirrtrir)
HOSE BIBBS SUMPS 7 WASHING MACHINES TOTAtrIESb
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes ❑ No
.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFF E USE
FIRST FLOOR(or Mobile Home) 0111111111.110
•
COVERED ENTRY111111111111
GARAGE ❑ CARPORT ❑
044;",4440?;:.;
r.tea
EXISTING pippr OPOSED TOTAL ..._... .
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Squar eet 'pe Stories
pit aw.-«s �.,�• _. ��
ADDITION
.` m- Er 'r`> n ,r kv` < # • i„ zuz -xr�a, zu e •< Vie.
Area Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
TENANT,
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Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application