07-103266 I
1t •
o City of Federal Way
Buil/kg - Single Family Perm#• 07-103266-00.;-S F
Community Development Services •
P.O.Sox 9718
Federal Way,WA 98063-9718
Ph:(22"53)835-2607 fax (253)835-2609 Inspection Request Line: (263`835-3050
Project Name: GALACIA
Project Address: 2023 S 287TH PL Parcel Number: 422200 0040
Project Description: REP-Fire damage repair to 2nd floor living room area including wall studs,4" wall
insulation,blown-in ceiling insulation, 1/2" OSB sheathing, 1/2,
GWB and replacement of
one ceiling joist.
Owner Applicant Contractor Lender
VICTOR GALICIA PREMIER WATER DAMAGE PREMIER WATER DAMAGE ALLSTATE INSURANCE
2023 S 287TH PL 106 PIKE ST NE PREMIWD950LA (6/01/09) PO BOX 94054
FEDERAL WAY WA 98003-3324 AUBURN WA 98002 106 PIKE ST NE PALANTINE IL 60094
AUBURN WA 98002
Census Category: 434 -Residential alt/add -no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: -
Construction Type:
Load:
occupancy
L
Mot ArfpEsq f) 9
�..v� 0
n
F
New/Additional Sq.Feet-3rd Floor F' 0 -New/Additional Sq.Feet-Basement 0 4
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
CONDITIONS:
OTC/STFI
PERMIT EXPIRES Monday, June 15, 2009
Permit Issued on Friday, June 15, 2007
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 '' -ccordance with the laws, rules and regulations of the State of Washington
dfr" and .e. e• deralWay. t/i
Owner or agent: - if, - ,/� Date: C/0 6
Y_
.41k THIS CARD IS TO MAIN ON-SITE
CITY OF �• kommunity Developnrnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050..
PERMIT#: 07-103266-00-SF
Owner: VICTOR GALICIA
Address: 2023 S 287TH PL
FEDERAL WAY, WA 98003-3324 .
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.
•
0 SWM Preconstruction Site Mfg 0 Initial Erosion Control(4365) �❑ Underfloor Framing(4285)
A10400) To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
- ,❑ Floor Sheathing(4105) �❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date `By Date Bim: Date)+Z — c
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
�! signed-off and approved. IBC 1093.4/UBC 108.5.4
By .ere Date7•-2l -07 • B3- Date 7- Ck-O
•
Insulation(4150) • '❑Gypsum Wallboard Nailing(4130) �❑ Final Erosion Control(4375) •
❑
Approved to install wallboard Approved to install mud&tape n Approved
By `!J� Date ,/�,fA •By ' Date 7').SZ"l7/ By Date
I❑ Final-Building(4050) • ,❑ Interim Erosion Control(4370)
Approved Approved
By c,...) Date,//- ..O By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical . ,
Approved Approved
By Date By Date
N.
arrior RECEIVED111' 7-- / 0 3 o� p
Federal Way
,PERMIT -,2-t o3,Al
F CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENTSERVIC,��JN 1 5 2007
3332F8TH RALWAVENUE SOUTH•POBOX 9718 pLI CATI 0 N TD
FEDERAL WAY,WA 98063-9718 o _gyp /
253-835-2607•FAX 253-8 OF F-EDERAL /
unuw.dtuof(ederalu'ut/.twm BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S 0 PROPERTY INFORMATION
SITE ADDRESS 2 0a -3 Le") 111 P/ Ise / QI at W a), SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 Z Z 2 -C) 0 v 0 1 D / LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ,1(BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
P OJECT DESCRIPTION (Provide detailed description of Fork included on this permit only)
IKepo ✓• S to f 1 SA e- ota,cayld k0 c.t. S .Q - eef'(acQ wal/ St{ cls
(I , i, %uli1,oh * ch ea +� 1143 .Y 0S6 / ✓y l l/$ ' 1 ret11 h9 .Jo ( c1 ) '
t) hlbu,k "i lHSJ 4-KDYyLt.ct (I Ih LApsi (` V( It" t. ( l , a-C' fl1
PROJECT NAME(Name of Business or Owner Last Name) CST"G( /a c ( 4
El PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE p� /
OWNER U ( C_ f D� 6tratik (2f) �y-i 6 -&i9?r
MAILING ADDRESS CITY,STA E,ZIP E-MAIL ADDRESS
20 z1 St4 t°Ier �dluyG,p ° 6,-s"S) a(7— 5o?s-- -
CONTRACTOR CO PANY NAME APP CANT NAME OFFICE PHONE
e `// / Wil fes✓ LC i7.1- "macs (zs3) efJC - 3Grz .
AILING ADDRE ITY, ATE,ZIP CELL PHONE
1 b6 I["kQ St- AJIc ifaPu✓n 4• 00 Z (21, 6) t 7 - ifq-12
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
olio; 0 5 - /03 9 gl� (
COPYo[eardregalrad C•N(TRRAC/TTOR'SREGISTRATION
�/NUMBER
( CP707ATE E- ArI'LAD RESS
with aac applieaHea p f Y► >viz IvFe [ `C—O I-A OI� ac j N✓ 0 p L ps.Csl',CO OAPPLICANT COMPA Y NAME APPLICANOFFICE PHONE
r e- l(?,- V ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent ❑ Other ( ) -
PROJECT NA PRIMARY PHONE E-MAIL ADDRESS
CONTACT Lit i7r t �,1 6I.1" (ZO 6 ) 2i !/Z 1 - ( Y S�a-
LENDER MIME
, Per RCW 19.27.095:
y
A LIS t--ate etS Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE Q S ( IOM C e PROPOSED USE e�cum.,Q
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 1 0, D o U
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ _ SQ.FT. SQ:FT.
BASEMENT • •
rUDt atl-cc
-of
FIRST
i ) 0 0 LV41e . I 00
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS s'u7 so PROPOSED TOTALEaffi
TOTAL rolo sr TOTAL PROPOSED SF TOTALS?
•
•
""NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
1111FIXTURES j
t
•
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS. FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS ieomm,ave)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIO.SYSTEMS
PLUMBING
BATHTUBS(or Tib/Shower combos LAV.S(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(cone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I certify under penalty of perjury that the in formation 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 o
such claim),which may be made by any person,including the undersigned, and filed against the City of Federal Way,but only where such ciai
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 o
this application.
a
NAME/TITLE r2 g tO,‘ f r 14441 6 1/DATE 6 [ s70 7
(Signature) � (Title) /
•
RELATIONSHIP TO PROJECT ❑ • er Lri'Agent 0 Contractor 0 Architect 0 Other
o NEW o ADDITION o ALTERATION /REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? . • o YES n NO
ZONING DESIGNATION CHANGE OF USE? o.YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO •
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application