05-101881 AP* 0 • #-
City ofFederalay Building - Single Family Permit #: 05 - 101881 - 00 - SF
CommunityDexelo mens 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: PENSWICK
Project Address: 31630 9TH PL SW Parcel Number:555731 0250
Project Description: Install sliding door on north side of SF residence.
Owner Applicant Contractor Lender
Kelly R Van Aken CEO CONSTRUCTION COMPANY CEO CONSTRUCTION COMPANY NONE
31630 9TH PL SW 22814 13TH S CEOCOC*201 DR 3/12/06
FEDERAL WAY WA 22814 13TH S
98023-4703 \DES MOINES WA 98198-6439 NONE
Includes:
Census category: 434-Reside #1 L #2 1 #3 #4
Occupancy Group: R-3
Construction Type: Type V-B L
Occupancy Load:
Floor Area(Sq.Ft.):
•
Census Category 434-Residential alt/add-no• Mechanical No
Occupancy#1-Class R-3 Plumbing No
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5) and must comply with FWCC,Chapter 22,
Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES October 19,2005.
Permit issued on April 22,2005
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: _ Date: 4/7A-��L)--
tnmunity
THIS CARD IS TO AIN ON-SITSA
Developmeir Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101881-00-SF
Owner: KELLY R VAN AKEN
Address: 31630 9TH PL SW
FEDERAL WAY, WA 98023-4703
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) ❑ 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
El Floor Sheathing(4105) ri Shear Walls (4245) ❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date y Date " By Date
❑ Fire/Draft Stops(4095) f NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved l inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109 3.4/UBC 108.5.4 � S -�.
By Date B Date G
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Final- SWM (4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
Final-Building(4050) El Temp.Erosion Maintenance(4370)
Approved Approved
By VIDate\4C By Date
OC
Federal Way . PERMIT
I COMMUNITY DEVELOPMENT SERVICES I�/` SF MF CO ME EL PL DE EN FP
33325 8TH AVENUE S00771•PO BOX 9718 C AT I O N '
FEDERAL WAY,WA 98063-9718 TD / / `
253-835-2607•FAX 253-835-2609 ñPPLI1www.c,u liederalwa4tom APR 2UQt
J
The ollowin. is re.wired in o-;y tion.-cltt i o •lete a..lication will not be twee.ted. Please .rint le.ibl (in in or .•.
/ • PROPERTY INFORMATION
SITE ADDRESS 4' (0) ci , -� L C )
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# } �r 7 3 /- 0 1.;1--- _} C.r LOT SIZE(sf7
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descripnon)
. '■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on this permit only)
o/7j?.. (..u,..z.// T-p /ri i i // et. N C`._ I,', -17_/ ,
47-16 DCx14-Y c'. 2 s_'_ ,..-,-
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PROJECT NAME(Name of Business or Owner Last Name) r -e_h s t.L. , C-K_
• PEOPLE INFORMATION
PROPERTY NA i �- PRIMARY PHONE
p �el'')
OWNER - S cg / Ci ( Cc ) 90? _t1cg9
MAILING ADDRESS CITY,STATE,ZIP
316 3 9 G '8 Sce F-1 d�„-,/ tt y Le /1--
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
('L--& C.,.*,, ry J‘L+-, C;Gi OI 9 /s ec -%. (fit-)r.) tiAy - `7 7 L`O
P[AILING ADDRESS ;� CITY,STATE,ZIP CELL PHONE
.2.)-e/ / 13'-a- ctwQ S p060,7 ,-mac S iLa/9'` 'iti( (rte:., ) clic” - S 22
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CL—z,e-I. C ,Z C c 7 - B L (a / 3/ l..7414% c (. c)tr ) VA h ? lie
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Lam' U L 0 c - ac: 1 )i_ 0..3 / l 1,),/ ,xec
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
CELL PHONE
MAILING ADDRESS CITY,STATE,ZIP —
( )
FAX NUMBER
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant 0 Agent ❑ Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is - NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
. . . • DETAILED BUILDING INFORMATION . •
i EXISTING USE 5 i`'L fi' i{.:, ham`✓,,, it PROPOSED USE 5--- -y:,1,-, j`.' -"t I )
EXISTING ASSESSED/APPRAISED VALUE/$ VALUE OF PROPOSED WORK $ / SVS �x_
SPRINKLERED BUILDING? ❑ YES Cy NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0.KO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)