04-103952 City of Federal ay Building - Single Family Permit #: 04 - 103952 - 00 - SF
CommunityDevelopment Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BARRINGER
Project Address: 104 S 304TH PL Parcel Number:339190 0030
Project Description: Repair water-damaged repair;in-kind repairs.
Owner Applicant Contractor Lender
Candie Barringer Candie Barringer Candie Barringer NONE
PO BOX 13085 PO BOX 13085
SEATTLE WA 98198 SEATTLE WA 98198 PO BOX 13085
SEATTLE WA 98198 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3 L 1
1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no. Mechanical No
Occupancy Group#1 R-3 Plumbing No
PERMIT EXPIRES March 27,2005.
Permit issued on September 28,2004
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 Feder Way.
Owner or agent: -Y( (A_JA..t—rf, Date: et h.A(/49 y
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THIS CARD IS TO WAIN GN-SITE
CITY OF A ' , PommunitYDevelopmentInspection Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103952-00-SF
Owner: CANDIE BARRINGER
Address: 104 S 304TH PL
FEDERAL WAY, WA 98003-4061
This card is part of your required inspection documents. 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.
O Temp.Erosion Control(4365) 0 Plumbing Groundwork(4190) 0 Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
,❑ Floor Sheathing(4105) ii Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By�I�_ Date//_ t) By Date
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) € Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical ` Approved to insulate
Rough-ia and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4 _
By Date By �.� > Date// S=
v4
1
O Insulation(4150) �❑Gypsum Wallboard Nailing(4130) �❑ Final-SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
B - Date//- 2,O4 By Date 2 H A - By Date
..❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
By Date By Date
/ 5-a9ems .
ary of .4411**4 . IC )1 - 1
01 5-)
Federal Way RECEIVED PERMIT — 3COMMUNITY DEVELOPMENT SERVICES �F CO ME EL PL DE EN FP
33325 8T"AVENUE SOUTH•PO BOX 9718
2F
53 83RAL 5-2607WAY•,FAX WA 253-80635-983927]8 0
69 SEP 2 sA P P L I C AT I O N / /
mmu,a f,loffederalu.a y.com
Ie �= FED FiAL 14).1 om lete a .lication will not be accepted. Please .Tint legibly(in ink)or type.
The following is req re �F �f p p
•, ` . - • PROPERTY INFORMATION
SITE ADDRESS ' (9 1 '30Y!/'p I. S, SUITE/UNIT#
1 ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
)
,t LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
i (Attach separate page for lengthy legal deso ti ,)
.. t.. _- IN PROJECT INFORMATION'` `
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECTDESCRIPTION(Provide` detailed description of work included on this permit on/q)
Rip,p, 0c }t r 13 c.,rnFtc. -2 L)ch Li - (&i (K" ' �E_/-47/c
PROJECT NAME(Name of Business or Owner Last Name) t--I-Q k 1'O If\ I 4'S tom-f f .`1`tyg r
is PEOPLE INFORMATION
PROPERTY /NAME 1 PRIMARY PHONE
OWNER 1--4-t ,e- gcn`('J`,'�2!" I t= 1 �.4LDN (L/�� L11-7 - �7 (
MAILING ADDRESS CITY,STATE,ZIP
tO Q��X 1 ,0S5--- Sete 14_ L - 9i
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
. �ur-er5 ( 1
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACTJ E PRIMARY PHONE E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
':!.:',..-:i::,. . - . f ,`3 ... " ::',■ .DETAILED BUILDING INFORMATION -
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1 , 0 0 t'.
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
\ i WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
•
•
., • PROJECT FLOOR AREAS
~ AREA DESCRIPTION EXISTING SQ.FT. PRO•'I SED SQ.FT.•
TOTAL
BASEMENT
FIRST
SECOND
THIRD '
FOURTH 1
ADDITIONAL FLOORS(DESCRIBE)
1
DECK(COVERED?) '
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL=STING AIM PROPOSED
''''NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
_ ::FIXTURES - _. - . -
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. 1
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
• BBQS FANS HOODS(commsrctall WOODSTOVES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tob/show«Combo) SHOWERS WATER CLOSETS lroiI MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom s of VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLMMER/SIGNATURE BLOCK
/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(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.
Qr
NAME/TITLE �Ol .n 1, DATE q /7`1 1 t.97
_
(Signature) 0 (Title)
RELATIONSHIP TO PROJECT weer 0 Agent ❑ Contractor ❑ Architect 0 Other )
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
1
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
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I Bulletin N 100—March 30,2004 —
Page 2 of 4
k\Handouts—Rcviscd\Permit Application
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