08-102176 y . r
City of Federal Way Building - Multi Family Permit #: 08-102176-00-MF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: JACKSON
Project Address: 141 S 330TH PL Unit CFILE Parcel Number: 928870 0350
Project Description: REP-due to fire damage-Remove deck and storage closet, repair,in place,damages rafter
tails,roof sheathing and GWB in kitchen and living room.
Owner Applicant Contractor Lender
ANDREA JACKSON BC INVESTIGATIVE ENGINEERS ALLIANCE RESTORATION
141 S 330TH ST UNIT 16-C 3605 C ST NE ALLIARS987LP(6/17/09)
FEDERAL WAY WA 98003-6318 AUBURN WA 98002 18133 NE 68TH ST SUITE D-150
REDMOND WA 98052
2
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- I st Floor 0 New/Additional Sq.Feet-Deck 0
Existing Sprinkler System in Building' No Mechanical to be Included? No
Number of Stories 2 Permit for Building Shell Only No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit!!
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Saturday, November 1, 2008
Permit Issued on Monday, May 5, 2008
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: 6 �I g
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• THIS CARD IS TO RE`1IN ON-SITE -
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102176-00-MF
Owner: ANDREA JACKSON
Address: 141 S 330TH PL Unit C
FEDERAL WAY, WA 98003
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.
❑ Footings/Setback(4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
O Re-steel (4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
O 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 By Date
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120
)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be �j •
By *- 1 Date, 3 %f 7 -signed-off and approved. IBC 109.3.4/UBC 108.5A =
_ By > Date / �5/1
•
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By 11/1 Date 7— By Date / By Date
•
❑ Final-Fire Department(4060) ❑ Final-Building(4050) `
Approved Approved
By Date ' By I I c7/Z� V
/i 1'
.
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Mk
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•
CITY OF ,.... �.L� — I o 1 a
Federal Way om 0 K 200$ PERMIT
COMMUNITY DEVELOPMENT SERVICES SF CO ME EL PL DE EN FP
333258'^IAVENUE SOUTH•POBOX 9718 FE�E��I CATI ON in e
FEDERAL WAY,WA 98063-97 J/' ��
253-835-26070 F 2�r / �' i / V"'Pvl/1
www.ciblo(( c y.r on C! j.J
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY 2 INFORMATION
SITE ADDRESS I t-4- S `. Zc1 2/74 11 F z R -WI*,\NIs.I G8003 0 SUITE/UNIT#_ -'y
ASSESSOR'S TAX/PARCEL# 98 8 - 0 /n- 0 ,S CJ LOT SIZE(sf) 0(40LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) WE illoeO QONC1Clr►1iNttXY\ (T Ol'VAiuE- I•."44 CPS 3(
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT IN BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
s rnri\i E c 'R .pt.► E 'T�enceimb (c.oscr� tAM�;- S O � T •Ta _
ft"Ptl ?
�I» CMS DAM-A1 taAFZQIhII_ . Ex_yr,hv� REPLACC .3-)AM 1:4G-e.
f x r �-► i-n. NG— C''t c CElcaNG— e Uvum!', tR[,fm
PROJECT NAME(Name of Business or Owner Last Name) Vies aaeO 8(V 1 NW Y, , .e... .e. ,---R1 Q1\.--n-ct.4
0--
• PEOPLE INFORMATION
PROPERTY NAMI PRIMARY PHONE
OWNER 'DRC-Ps c :3N ( -- ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
141 S :3.30'x' R # I b C. F rzak_W ktivgA 9> Y', —
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ati1� e N '1 S1-0P,A-ITat i INC "TPJN s 6u..s (4Z5 ) 882 -qci•30
MAILING ADDRESS TY STATE,ZIP '� CEL PHONE
P. i
0, 3o, '31c1 MOUS-W 1� g804. (4 ) 746. - S2Z3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2.4--.ck'1-C)Z. •1-S I - �-4L I Z-3 I cL 5 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
_Pea1Ps2ci 0. P LSC^ -- I R -Cm Tam Me@A1i)1 CE{ICS21IEAT1ON.G.Trl
APPLICANT •OMPANY NAME AP ME CANT NAOFFICE PHONE
D^ INN6STVATINE Ctv6.1NEERSSSC j)tai 13e: (2S3)833 - SSS'9-
MAILING ADD (` c"°"N,ZIP . CELL PHONE
3605 'sT Kt6 t.4 .2a, ' yu002_ (2S3) 640- qSi"i
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant 0 Agent BP Other G-IN E c.e_ ((.s3) 8 3'A- 74301
PROJECT NAMEPRIMARY PHONE E-MAIL ADDRESS
CONTACT Ebb]NIr ci, (2-S3 ) i-i-'3 - `',''� 4 T'c3iN Ftlia EIC.►LLT
LENDER NAME e Per RCW 19.27,095:
NAME.
I kS02 ...1_ fes',' Lender information is required if-project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
l /
IN DETAILED BUILDING INFORMATION
EXISTING USE I"�c-'j i C )LH 7 is,\ PROPOSED USE f E I fl _hCil lA L
-� /4 Fed
EXISTING ASSESSED/APPRAISED VALUE$ I(C( DOC) VALUE OF PROPOSED WORK $ 121 ettAvw.Ig
SPRINKLERED BUILDING? n YES NS.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES it NO
WATER SERVICE PROVIDER A LAKEHAVEN HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER k4 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
yy 'O 9Y136
• •
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
1 , Z Sn 1,1 SS
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(D COVERED OR Egi UNCOVERED?) 74A
GARAGE ❑ CARPORT LI `1 `T
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS 1 l ) ;Si� _ ) t 3 Z ci
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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 /� ,• / 1:
Value of Mechanical Work$/v�% t L 14-'6-- (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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS r GAS LOG SETS REFRIG.SYSTEMS
PLUMBING I�L `L L
BATHTUBS for Tub/Shower Combo) LAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS donee
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certifij that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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.
r�. /-
SIGNATURE: DATE > c'
Property Owne d r Authorized Agent
FOR OFFICEUSE ONLY
L NEW c ADDITION ALTERATION c REPAIR Li TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES n NO BASIC PLAN? n YES c NO
ZONING DESIGNATION CHANGE OF USE? o YES NO
NEW ADDRESS REQUIRED? o YES n NO UP/SEPA/SU? ❑YES NO
PLATTED LOT? YES c NO DEMO PERMIT REQUIRED? n YES NO
Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application