00-101097 III :00 - 101097 - 0(� - .F•
Inspection request line: 253.6' .4140
City of Ft,deral Way- Building - Single Family Pe
Community Development Services
Feder33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day i ,ections
Project Name: HALL/TROIANI(FIRE DAMAGE)
Parcel Number: 720 . 10300
Project Address: 28723 15TH AVE S
Project Description: REPAIR FIRE/SMOKE DAMAGE ON SINGLE FAMILY
Applicant Contractor --
Owner • NO•
Marlene Hall
NONE NORTHWEST DAAAGE i
NORTHCR022RD(11/
28723 15TH AVE S r -
8211 AURORA AVE
FEDERAL WAY WA SEATTLE A'' 77 4 , NONE
98003-3161 NONE _ _
Includes: rAllif ~
#4
434-Reside
#1 `l �
Census category: - ---
Occupancy Group:
TYPe V-N �- B IA`
Construction Type: - - _ - e II
r a.Wt
Occupancy Load_ _ _ �1-___
Floor Area(Sq.Ft.): MEW MIM1M4=14 1•11=1•4 -
\, ani No
Census Category 434-ResidentialtUadd o No
R-3 • u ,
Occupancy Group#1
Zoning Designation RS 7.2
1111._ _ IIIMMIr/_____________
MMEMMENNI
_
MIIM- 1M ',
NI
,t
r/ 0 WORK IS STARTED.
PE' T E ' ' Se I . :. s er 19, 10
9 i e ' ued o ! - ' 10
40V• n the above property and
certifythat the above information i -ct,4 at the 4 n described Washington and
I hereby -t ulations of the Stateg
the occupancy and the use will be in accordan w e laws,rut= _
the City of Federal Way.
I#
Date: 3 a3- oo
Owner or agent: AP; at/Atv.
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POS' IIS CARD ON THE FRONT OF BUILDI.
A�SAL BUILIDNG DIVISION
V)yFIY. INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00-101097-00-SF
OWNER'S NAME: Marlene Hall
SITE ADDRESS: 28723 15TH S
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVE PRIOR TO FRAMING INSPECTION
V;i0 FRAMING/FIRESTOPPING / a-
THE ABOVE MUST BE APPROVED PRIOR TOINNSUL TING ORSHEETROCKING
( ) INSULATION: Floors Walls 3/3(2 6.11 ;11 `f ICttic
THE ABOVE MU T BE P VE110
P�RIO O APPLYING SHEETROCK
O
WALLBOARD NAILINGilt /_-� Jb /�G ' L (' ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
O BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
• BUILDING DIVISION
p^ • 33530 First Way South
E0 _ Federal Way,WA 98003
N FM/ (253)661-4000
Ni Fax(253)661-4129
L St
01% - ;PLICATION FOR BUILDING PERMIT
u
PLEASE PRINT),� `�`��O APPLICATION # JO - i o l oa 3-
.......................................................................................:
Site address
f
Tenant name Lot # Assessor's Tax #
�� Building Owner's Name Address
J� /I1ftIL�e�ue f �1I - �T�za1,�,,)1 2 23 - /5--U .5cu.....-4 ik
City /' C/ g / (....)fhf State ("...1f)- Zip `J 60 3 Phone 253 -6/1 -Li 33-
Description of Work /--j(Zes .,e.n,,,,,(e-
..........................................................................................
............................................................................................
...........................................................................................
......�...y....i............ry.�................................................................
AP"=£ 7 AN k: �< �`<-':>?'�' < MMTIEM > >
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
iiiii»C:DlNd
.bt)NT#3iiTEiii»>.. > >.> >..> >..> Federal Way Business License #
Company Name
/0c) ----1,-\ 6i eSl l'CDS.s.--)-1
,
Address
'67I1 4Uer3RA- ;43 , ,v.
yCity 5 -/-1-1-e State (..JA" Zip r6-
Contact Person Phone Fax
eue /44-KDer-- Zo`-7-ac.-?-6e 6
Contractor's # (card must be presented) Expiration Date Verified 0 Yes ❑ No
)OR- ei O az RDli- c)(c)—aa
................... ................................................................
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.....................................................................................
ARCHITECT> >> »<:_><:><: :<:<s:><:g<::><i:<:::>::>:><<:::
...........................................................:..................:.:...:.......
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
STRUCT1,.1RE < xisting Use proposed Use
Permit includes: ❑ Building 0 Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ #of bedrooms ❑ Deck
CI
❑ Addition Repair ❑ Garage CIShed
Enter 1st Floor
y
sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
, Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ 5-0,000
Zoning I Lot Size Existing Bldg Valuation $ f '
............................................................................................
...........................................................................................
LENDER _ For new residential only - Proposed selling cost: $
Name Address
City State Zip
.... .........................................................................
.................. ....................................................... ..........
.... ........................................................................
.................... ...................................................... ..........
.ETH.AN I A L T#ACTe ANN.' »<
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
•
...........................................................................................
................... ....................................................................
KUI1A BINGO.NTRA. .L .............................
Contractor Name Address
Ci.y State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
...... ................................................................. ....
............. ............................................................. .........
........ ................................................................. ....
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PLUMBINGTtX` URE`:Ct)t3lW'l'<>«»>':
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL EVALUATION ONLY $
E CAL
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <10OK BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
........................
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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.
if
/ Date: `� 5Owner/Agent: / �1 ) / - O
&I
REVISED
5(18 5/18/99 /I �/
l/ tti