02-102866 • 1111
City of Federat Way
Community Development Services Building - Single Family Permit #:02 - 102866 - 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: NICHOLS
Project Address: 2304 SW 339TH ST Parcel Number: 330620 0115
Project Description: SF-Repair fire damage to bedroom A.Remove and replace sheetroc,remove and replace entry door,
closet door,and window.Finish drywall and paint.
Owner Applicant Contractor Lender
Stephen Alexander Nichols THE FLARE CORP THE FLARE CORP NONE
2304 SW 339TH ST 10013 24TH ST E
FEDERAL WAY WA PUYALLUP WA 98371 10013 24TH ST E
98023-7730 PUYALLUP WA 98371 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy
p: R-3
Construction Type:u T._. V-One HR
_ Type _
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no Mechanical No
Occupancy Group#1 R-3 Plumbing No
•
PERMIT EXPIRES January 4,2003,IF NO WORK IS STARTED.
Permit issued on July 8,2002
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
the City of Federal Way.
Owner or agent: r/_- Date: .3", B Z_
7r l D O 7-- .\! \ \ loa N..i. ` k.t4? Ytry c ,4 . .
X22/4'42-• � 1.� �%,
•
• I
;°f G CONSTRUC I ION PERMIT APPLICATION
, uV FlY -rnCEIVED APPLICATION NUMBER: P ? - j_ d 2 6 - 0-0
APPLICATION NUMBER: - -
JUL 0 8 2002 APPLICATION NUMBER: - -
**The follo gquired information-Please print(in ink)or type**
\\\/4' Please note: ki ;Et�+TBS FEDEiA�1r
ion Systems and Engineering permits may require a separate application.
-- - ►4 PROPERTY INFORMATION
SITE ADDRESS: 2.30 t SGO 339r71 5/ ASSESSOR'S TAX/PARCEL #: 33 CI c Z O - 0 ( I S
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
:.Z " 'PROTECT INFORMATION
TYPE OF PROJECT(This application): IR BUILDING ❑ PLUMBING ❑ MECHANICAL ® DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
W;7`A .:l bed r41,49rwl A m.-r /y -
PROJECT DESCRIPTION (Provide detailed description): A'e,.•ne ve a4d perlo,ce SXee ?Lev r ',►tOVC awl
i > _ f-
PROJECT NAME: /kit* Aj 64
. .. )I PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
i..AVATel and 5-Te veer A1,'c Xe is ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2364 �tti/, 33974 sr.
CONTRACTOR: NAME: DAYTIME PHONE: /cp
MAILING ADDRESS ADDReeCITeSTATE,ZIP): (253 ) 927 - (p ) Z 2
2„i/r( 55 F )) EVENING PHONE:
j CITY OF/DOiS DERAL WAY BUSINESS LICENSE NUMBER: / +^ C I,i d1 WA, gT 3 ( ) San+f
FAX NUMBER:
( )
CONTRA R'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) FLA R I aF 2 3 7 8 P / l
APPLICANT: NAME:
,,,,�� DAYTIME PHONE:
/1i,I e lerrPla- IA ( ) -
MAILING ADDRESS(STRERESS;CITY,STATE,ZIP): EVENING PHONE:
S - /797`1 X✓C. i 5'a"-rnef wa, 9g3g0 ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT K1 OTHER(DESCRIBE): 4-s yre//%""e0 ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT A CONTRACTOR
• V: DETAILED BUILDING INFORMATION
EXISTING USE: J,„'`CSCrt.ce EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: /d�erl0e PROPOSED VALUATION FOR IMPROVEMENTS: $ !�` i
il-
SPRINKLERED BUILDING? ❑ YES IM'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES (4 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION **
NUMBER OF BEDROOMS: •
ESTIMATED SELLING PRICE: $
• • ■ PROJECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.w.a -:l«{sa1-.,.,;,....,---s.e:44fAkk.'44o4044114' R��•
ES` ,,,4;44. ie..r.+M..fM.:,,i4�uY.I.Y.44.,wLi +i,Yas..-,..4..:+..ha. , •w!kf'Sfha..
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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
'' - 0 "DISCLAIMER%SIGNATURE BLOCK -
I certify under penalty of perjury t at 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 any 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.
I_ NAME/TITLE: f[ /, rte.A 44 P i r e DATE: .ii,.l,✓ f c C72
1 ❑ PROPERTY OWNER ❑ APPLICANT fil CONTRACTOR
If
i. FOR OFFICE USE ONLY:
.1❑=NEWS <❑,ADDITION,,- ❑ ALTERATION .... REPAIR !=.❑_TENANT,IMPROVEMENT = .
_CENSUS'.CODE x'::'. �:4 `.. , _- - A-LOTSIZE: .
ZONINGp. GNATION t M BUILDING SHELL ONLY? ❑YES '❑ NO - -
cCOMP LANI ESIGNAIION } _ 1 f- a BASIC PLAN? `❑)(ES ='`❑ NO g ' rtt..,,,-.;.:;.,
iSEC_TION `- ,TOWNSHIP ',_ RANGE NEW ADDRESS REQUIRED? fES , NO
WTTED LOT? ❑ YESL7 NO CHANGE OF USE? ❑YES fl NOS:x _`
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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