05-103925 1 e e
• I- e,. 7 1
City of Federal Way Building - Single Family Permit #: 05 - 103925 - 00 - SF
Community Devel�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: REZANKA e--
Project Address: 33435 33RD PL S Parcel Number:6 '60 0325
Project Description: ALT-Replacing rotted deck posts,replacing old single-pane windows wi ' yl . 'ows&cons '>uct
new interior,non-bearing walls. Project includes plumbing& mech.
Owner Applicant Contractor Le
NICOLE REZANKA MAIN STREET BUILDERS MAIN STREET BUILDERS ,COLE REZAN
33435 33RD PL S 40305 S 302ND AVE SE MAINSBL982P2 1 2/06 3435 33' a; S
FEDERAL WAY WA 98003 ENUMCLAW WA 98022 40305 S 302ND AVE S § ' : WAY WA 98003
ENUMCLAW WA 9802
Includes: , ,/►
s
Census category: 434-Reside #1 #2 1� 3 #4
_- - -
Occupancy Group. 3
��ConstraonTYPe: Type V- IMM___
= AA.V t !
OccupancyLoad: L ,
Floor Area(SqFt.): r
- -
,:411•11\ 1
it
Census Category '34-Resid--i' . t/ad. .=' Mech ica,., . .. Yes
Occupancy#1-`Class... e,n_ Plumb' ... . ..,.- ,. ,., Yes
Zoning Designation 9.
Plum. g Fixtures
Descri ' n MEI ® Description Quantity
J 1 Description Quantity
Showers llik,11 Wate losets I
Mechanical Fixtures
_ De n ;Quantity Description Quantitvl L Description 1Quantity
Fans 1
PERMIT EXPIRES February 1,2006.
Permit issued on August 5,2005
I her-. certify that the above inf. .l. correct and that the construction on the above described property and
the •ccupancy and the use will .- . f. .: ce with the laws,rules and regulations of the State of Washington and
the ". of Federal , ay. i'
Owner or agent: ,.•1i� Date: O 10.(40
` THIS CARD IS TtEMAIN ON-SITE
CITY OF •...ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103925-00-SF
Owner: NICOLE REZANKA
Address: 33435 33RD PL S
FEDERAL WAY, WA 98001-9647
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.
❑ Temp.Erosion Control(4365) 0 Numbing 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) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Rough Plumbing(4230) 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125)
Approved Approved Approved to release test
By Date fi By Date By Date
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 'j 0 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 10933 4/UBC 108.5.4
By Date if/2,�Q� 4 By P6' Date ��/Z v s
❑ Insulation(4150)( 0 Gypsum Wallboard Nailing(4130) 0 Final-SWM(4375)
Approved to install wallboard Approved to install mud&tape Approved
By /t Date PA/$1, — By Date By Date
❑ Final-Mechanical(4065) 0 Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
['Temp.Erosion Maintenance(4370)
Approved
By Date
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FederalWa EIVD _05 - _Lvb. R' Z_ S_
PERMIT
dp F CO ME EL PL DE EN FP
COYMUNRYDBVBLOPI(8M SERVICES
39375 ETM AVENUE SOUTH•PO BOX 9718
FEDERALWAY,IT 5:52„•�7(t{ti 0 5 2005 APPLICATION
253www.tio7•FAX Y53d9 in)
/
wwm.dtyollederatuwy.com / arL I
The ollowi ' di_ e
vi, . o;, `o -an inco •tete • ••lication will not be acce•ted. Please •tint Is•1b1 in in or
2
Mil PROPERTY INFORMATION
SITE ADDRESS �/ .> 5rCei, 0 A 98 f)0 L SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# G I A. 3 Co 0- 0 3 Z 5 LOT SIZ (sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ‘. IV, Liett.EsIkts .qJP ! ' Oh. - I r
(meth separatepagefor k%tw kpat«-.. • ,
• PROJECT INFORMATION
L."- • 5
TYPE OF PERMIT iUILDINGLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included perm
on this it only)
r
.��. ...is �• vt,i ‘_ 4.11_ OK, e.-, )
PROJECT NAME(Name of Business or Owner Last Name)...12,7„,&14 K• i4 .
III PEOPLE INFORMATION
PROPERTY NAME PRI PHONE
OWNER `V N� Z��✓1L4, (i s i ') - .lG
6Zf
MAILING ADDRESS .py,STATE,ZIP r, P✓
— 0)4- v0439 c1 410rJDS W Ar COOW
CONTRACTOR CO4) V-
NY NAME APP NAME OFFICE PHONE
Scv .- ,% acs v�n;t h (c500)82 -2 1
WAIUNG AD Crf�1 ATE,ZIP CELL PHON..--r
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE -- FAX NUMBER
7i( -1 5-10 3 S -4- -B L 12/ 31 /O'S (360 )p --6,3.fr-
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
,4 - 4 ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
RELATIONSHIP TO PROJECT FAX NUMBER -
0 Architect a Tenant 3cAgent 0 Other(Describe) ( ) -
CONTACT ✓� �y PRIMARY PH E MA[LADDRE33fY�, +'1
(206)SS -(038fo ,.,-,eek b�IN�s,c o
LENDER ,>
1 f ,i,e?.1,„rt c-if if 7 4rI<< r), c? NAME 1
./-,/t 4 (t7L .4Y-,4->; Yui o / r.
MAILING ADDRESS CITY,STATE,ZIP M1�
1:0 DETAILED BUILDING INFORMATION
...-••• i/
EXISTING USE PROPOSED USE w
EXISTING ASSESSED/APPRAISED VALUE $ ' ' S Yr VALUE OF PROPOSED WORK $ tiC-2 v.-
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES O NO
WATER SERVICE PROVIDER SLAKEHAVEN O HIGHLINE O TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER p LAKEKAVEN 0 HIGHLINE `N PRIVATE(SEPTIC)
-
PROJECT FLOOR AREAS
AREA DESCRIPTION I EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT. _
BASEMENT '-744 14AI —744
FIRST Q COECOND �]Q ` `1-0 G Y�O _
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
4
GARAGE Ld,CARPORT 0 ,Z�
( ID �z � _I t• .
NUMBER OF FLOORS I=term , l PROPOSI TOTAL f v,xa � ".._t*A _
**NEW HOMES ONLY''" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECIUANICALf
Value of Mechanical Work $ 72Q
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commeretoq WOODSTOVHS
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orrub/sbowerCombo) O SHOWERS Q WATER CLOSETS(Tones - MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(s.rb.om silo 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 clairr4),which may be .- •• • person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the rel • e off cluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this appitcatio � I 1
NAME/TITLE .1. .,1A DATE 7 Fu rO S
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent )(Contractor 0 Architect 0 Other
,e;u r:4( 2Dir,c c `(s•r:) • . . ;(t ,.'qc ,:t,'ir 4y. _ 4 '
'1,(1.014€ e)D,7(t)4. r(04 '
't :c r l Di-t y.+.; :d5 oat(t;i Di e}=7 espy -;(e) r,ipv-,10 ,�/,c)i ,, \(c!
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application