05-104493 0 • ..
City of Federal Way Building - Single FamilyPermit #: 05 - 104493 - 00 - SF
Community Development 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: TRAN
Project Address: 33100 3RD CT SW Parcel Number:729802 0170
Project Description: ALT-Remove existing cedar shake roof,install new sheathing and new Presidential composition
roofing
Owner Applicant Contractor Lender
PHAN TRAN &BIHN TANG PHAN TRAN PHAN TRAN PHAN TRAN
33100 3RD CT SW 33100 3RD CT SW 33100 3RD CT SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 33100 3RD CT SW FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Includes:
Census category: 555-Non-st
#1 #2 #3
[
#4
Occupancy Group: L R-3
Construction Type: 1 Type V-B
Occupancy Load:
Floor Area(Sq.Ft.)_ I I F
Census Category 555-Non-structural roofing p Mechanical No
Occupancy#1-Class R-3 Plumbing No
Zoning Designation RS 9.6
PERMIT EXPIRES March 1,2006.
Permit issued on September 2,2005
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: 'lila AiDate: / "--Q
Abi, THIS CARD IS TO *MAIN ON-SITE '"
CITY OF PommunltY Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104493-00-SF
Owner: PHAN TRAN
Address: 33100 3RD CT SW
FEDERAL WAY, WA 98023-6183
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) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date ByC. (,J Date :91./. 6
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical i Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) ❑ Final- SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
By fel( Date 11) 4 t?i By Date
A )‘1`)13-1'
a OF A
Federal Way RECEIVR % 0 11 q 5
PE S
-
COMMUNI7YDEVELOPMEM'SERVIL'HS'? 0 2 2005 SF . F CO ME EL PL DE EN FP
33325 8TH FEDERAL
NUE WAY,WAN•
BO971 9718 A P P L I C A 1'I O N
FEDERAL WAY,WA 98063-9 718 p
253-835-2607•FAX 253-835-2609 -N
www.citgoffederalwrnj corn OF FEDERAL WAY -`�-� �_----f
UILDING DEPT.
The ollowi • is re•uired in ormation-an i co• .fete a..lication will not be acce.ted. Please •tint le.ibi (in in or .e.
`; . K 1 PROPERTY INFORMATION • '
i
SITE ADDRESS - - - j kii '-- `f'.'1 _ ',r,,• , C .3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(A(tarh separate page far lengthy legal description)
PA PROJECT INFORMATION
TYPE OF PERMIT 4UILDING ❑ PLUMBING 0 MECHANICAL
D DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on �this2a•permit onl�C-y),t
L
6t •/.%L64y it c'.i"..411,74' ,2)LO/)Fl., 94e�, ' � " '1E'/' j).c `7 J ZMJ
1
PROJECT NAME(Name of Business or Owner Last Name) / 'A A
►�1 PEOPLE INFORMATION
, — PROPERTY NAME 9 ✓}l��,f,'-( PRIMARY PHONE
OWNER MAILING ADDRESS ' "" (-2-5-; )‘c/•-B�2-0'
CITY,STATE,ZIP
35ire? 3 c / SLA) :-'-=.Zi_ &CLQ �L�s. `% ' S
CONTRACT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
•
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMB ER
-B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
T- APPLICANT COMPANY NAME APPLICANT NAME l �1 OFFICE PHONE
MAILING ADDRESS p J CITY,STATE, ! `` - (3S / ) (/ Fla a-
CELLPHONE
7 5 / ' ?iI l v) T4. (X 1,0acise..C3
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe)
._ CONTACT NAME ,p •^ PRIMARY PHONE
E-MAIL ADDRESS
L A , • r-5 7 ) .Er 6 / - 71....f? l,, _ .:1 �._'LIYfz)/': ire
LENDER � r NAME_ a: 4 , 'mor . I `A
y� h III fv /
i za, Ems...»? IA! -�•{✓�f Ai
MAILING ADDRESS CITY,STATE,ZIP
• . . . . In DETAILED BUILDING INFORMATION -
EXISTING USE1dei' 0.{ PROPOSED USE ala21IoJ
EXISTING ASSESSED/APPRAISED VALUE $ k71-1 ,VALUE OF PROPOSED WORK o-
•SPRINKLERED BUILDING? 0 YES //
' NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES s NO
•WATER SERVICE PROVIDER (�LAKEHA VE`N ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) / `
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
- .L OR AREAS -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
.40`
B EMENT S..FT. S e. FT. S e. FT.
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DES•' BE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED I TOTAL y<3g Al.}X[STD16 1 a_«t AL PROPOSED br^ AL Sr R.T""
NUMBER OF FLOORS l g. � .. a s
"NEW HOMES ONLY" NUMBER OF BEDROOMS ES ATED SELLING PRICE $
i!XTURES
Indicate number of each type of fixture to be installed o relocate. part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ j
AIR HANDLING UNITS % EVAPORATIVE COOLERS GAS s GS REFRIG.SYSTEMS
BBQS FANS HOODS(co ercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATE•
DUCTS j GAS PIPE OUTLETS
PLUMBING ,
BATHTUBS rTub/Shower Combo) SHOWERS _ WATER CLOSETS(roue) C(Describe)
DISHW ERS SINKS DRINKING FOUNTAINS
G PE OUTLETS SUMPS RAINWATER SYST
ASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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.
NAME/TITLE rA DATE
9- „7 _ 7
'(Signature) (Title)
RELATIONSHIP TO PROJECT XO er ❑ Agent ❑ Contractor ❑ Architect 0 Other
ORS® '.. _.. ;;s.
, a'2i�`���;�.�.��� x A�2�V0� t�✓1j1',6�I I t � o-.EN'I' s '' �L�'
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W ®DI2�S5- o e 1 D gt �� 'X� Or�,r '���V
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application