06-104016 � '
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Commun'�Deveopme�Services Builuing - Single Family Permii #: 06-104016-00-SF
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: PARK
Project Address: 28707 11TH AVE S Parcel Number: 515296 0400
Project Description: Repair&Install 2" pipe piles, raise NE corner and pour new grade beam under foundation
Owner Applicant Contractor Lender
HAE S PARK TAD ELEY CO LLC TAD ELEY CO LLC
28707 11T'H AVE S 19940 27TH ST SE TADELCL97C6(7!5/07)
FEDERAL WAY WA 98003 KENT WA 98042-9552 19940 27TH ST SE
KENT WA 98042-9552
Census Category: 434 -Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction T e: Type V-B
'Occu nc Load:
�Ia�tr Area s . ft. 3,060 0.. 0 0
;�, �4dclition�� P�rm�i��or��t�ta� �
New/Additiottal Sq.Feet=3rd Floor................:0 4ccupancy#t-Use ......... .......:'. ........:.........Residertce('1 or 2
f�mily) "
Zoning Designation ....................... .`.................RS 9.6 Occupancy#1 -Area(Sq.Feet)...... ...........:......3060
New/Additional Sq.Feet-Basement...................0 Occupancy#1 -Construction Type........................Type V-B -�
Mechanical to be Included?...................................No Occupancy#1 -C1ass.............................................R-3
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit!d
PERMIT EXPIRES Saturday, August 23, 2008
Permit Issued on Wednesday, August 23, 2006
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
d the City of Federal Way. �
Owner or agent: Date: � _
� k , '
� THIS CARD IS T( CMAIN ON-SITE . _�. ' �
���QF Community Development Inspection Record
F�(�eri�� �t�y IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104016-00-SF
Owner: HAE S PARK
Address: 28707 11 TH AVE S
FEDERAL WAY, WA 98003-3141
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(isted 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) � TTnflP�'���r Ti rom�n¢.�4285) � Floor Sheathing(4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By � Date � Z� By Date
❑ Shear Walls(4245) � Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to instal]roofing Approved
By Date By Date By Date
NOTE: Prior to schcJuling a Framing(4120) ❑ Framing(4120) � Insulation(4150)
inspection;Electrical,Plumbing 8c Mechanical Approved to insulate Approved to instal]wallboard
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
❑Gypsum Wallboard Nailing(4130) � Final-SWM(4375) � Final-Building(4050)
Approved to install mud&tape Approved Approved "
By Date By Date By �fj� Date l0 f�
[]Temp.Erosion Maintenance(4370)
Approved
By Date
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Jason Geotechnical Engineering Date: 9-13-2006
� Engineering& Retaining StruMures Project:28707 11th ave South,
� \� Consulting Foundation Design Federal Way
`� Business,Inc. Pavement Design&Analysis File#:06001-158
Theresa Park
28707 11th ave South
Federal Way 98003
Attn: Theresa Park
Re: Pin pile installation,Parcel#5152960400
Per your request, Jason Engineering arrived at 28707 11th ave South in
Federal Way on September 13, 2006 to verify acceptable installation of pin
piles. The contractor, Tad Eley Construction, placed 2 inch piles in the
locations described per the engineers recommendations. The piles were `; �
placed 4 feet on center and driven with a 90 lb jackhammer to refusal �'�� ` �
Refusal is defined as less than 1 inch of movement in one minute. The `
length of each pile and the corresponding identification are listed in the �
following table.
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Pile No. Depth(ft) Pile No. Depth(ft) h,:�.
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1 9'-1" 6 10'-9" `��� F�„ .w�,
2 10'-4" 7 10'-3" � '�`
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3A 10'-2" 8 10'-2" ��
3B 10'-4" 9 10'-1" � .-c,:.
4 10'-0" `
�;:
5 11'-4" _`� �
We appreciate this opportunity to be of service to you and we look forward to working with you in the future. If you
have any questions concerning the above items, the procedures used, or if we can be of any further assistance please
call on us at(206)786-8645.
Respectfully Submitted,
JASO��NGINEERII�J� � LTING BUSINESS,INC.
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S��NA L E�
EXP[RES 09/03'2007
PO Box 181 Auburn WA.98071 Page 1 of 2
Phone:(206)786-8645 Fax:(253)833-7316 Email:jecbpe�yahoo.com
• • ' � . . '
Jason Geotechnical Engineering Date: 9-13-2006
� Engineering& Retaining Strucfiures Project:28707 11th ave South,
� Consulting Foundation Design Federal Way
Business,Inc. Pavement Design 8s Analysis File#:06001-158
SITE PLAN
(nts)
' 9.0'
Slider
door �
1
House Interior
28707 11th ave South 2
Federal Way 98003
� 4.0'O.0
PIles
3 i9.o�
3B
Foundation
crack 4
front door 4.0�o.c
fireplace Piles
—�
� 5
9 � 2.0� 7 6
8
3.0' 7.0' 10.0'
PO Box 181 Auburn WA.98071 Page 2 of 2
Phone:(206)786-8645 Fax:(253)833-7316 Email:jecbpe�yahoo.com
���rIV�^ � � D� - /D �d l �
inoF����� �V� V
Fede�a�vu� �uc � �. zo�� PERMIT -���o� —
� COA/1NUM7YDSV6LOPMEM'SSRVICBS SF MF CO ME EL PL DE EN FP
333Z58TMAVBNUBSOUTH.��9�g FEDERAL�PPLI CATI O N �,�
F6DSRALWAY,WA 980 � . ��p�NG p�p'f / /
253-835-Y6p7•FAX 253-835-2 U
vwui.diuolFederoluiau.mm �
The oilowin is re uired in ormatton-an inco iete a lication w{il not acce ted. Please rtnt ie tbiy in in or type.
.� . � . �
SITE ADDRES3 2 I/ � D � � I� � (f�C `) • 3UITE/IIPiIT�k
ASSESSOR'3 TAX/PARCEL# � � ,� � � �- � � Q� LOT SIZE(sfl "�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) Z�� �� �J4 i��/�� f�/s ����
� /Aanch aeparateP�lQ+�MI��d��1 �
'• • ' •
TYPE OF PERMIT D BUILDING . ❑ PLUMBING ❑ MECHANICAL
i O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
' PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlul
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� f=e t,�t��-�.i..Q �1 .
� _
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� PROJECT NAME(Name of Business or Owner Last Name) p� 2 l�.
I , • � . •
� PROPERTY NAME � PRIMARY PHONE
ow�vER ' �A f� (� (�.O6J 235 - 2�7 J
MAIUNG ADDRESS CITY,STATE,ZIP
2 l"��,� � �GQeP
CONTRACTOR COMPANY NAME APPLICANf NAME OFFICE PHONE
TAc� E�e CGG C!e ��6 �S�D - f�9
MAILINO ADDRESS CITY,STA E,ZIP CELL PHONE
�d SE 2Z?�� Kc� G✓ . �(2 t�6) j - 13
CITY O FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATIO ATE FAX NUMHER
��-� �-1 �. �1 1 1_ �=B L . l��3r �`-�C� (2s�) G31 -0�25
CONTRAC7'OR5 REGISTRATION NUMBER(copy of cazd teqnirad with epch applleatlon) EXPIRATiON DATE
� =('�}l7ECGLq??C �- - - - � /Q �ZOp�
� APPLICANT COMPANY NAME APP(.iCANT NAME ORR[CE PHONE
I !e C . [.�G o Elc � tZrb)s! -1�7?
MAIL! Q ADDRESS CITY,STATE,ZIP CELL PHONE
; t41Z k SE 2?7`� 5�' f���lf- � • Q 0 2 (2/6)S�D =l39
RELATIONSHIP TO PROJECT FAX NUMBER
' O Architect �Tenant '�Agent o Other(Describef (�$j �(�.3/J "s �
CONTACT NAME ' PRIMARYPHONE E-MAILADDRES3
-T' C�G 2�6 �O - D G E �t f��
, LExnER NAME � �
H � r n�
` MAILING ADDRES3 CITY,STATE,ZIP PHONE
� Z870 (lY� /�V� S FGdca.� l� G� - ) '
► . : � . - .
ERI3TING USE � I1t�a(�G t�ANt�v !'�9t(�P�tl!l�I� PROP08ED USE N�tl! �Gf/Qd �
EXI3TING ASSESSED/APPRAISED VALUE $ 2'7 �D oO VALUE OF PROPOSED WORK $ 1 �/ D�0
SPRINKLERED BUII.DING? d YES �i0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES �NO
wATER 3ERVICE PROVIDER a LAKEHAVEN ❑ HIGHI.INE ❑ TACOMA ❑ PRIVATE(WELL�
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ IiIGHLINE O PRIVATE(SEPTIC)
. rx ���p:1� �"` :+F.p- . v
�� s, �'�`��,k��„,..�`..:
'• •• '
�,, AREA CRIPTION EXISTING PROP03ED TOTAL
. 3 .FT. S .FT. S .FT.
B EMENT
FIRST
SECOND
THIRD �
FOURTH
. ;
ADDITIONAL FLOORS(DESCRI ) '
DECK(CONERED?)
�
GARAGE ❑ CARPORT�
i
1
watao raoroesn rorm.
NUIVIBER OF FLOORS
''''NEW HOMES ONLY'�• NUMBER OF BEDROOMS 4 ESTIMATED LLING PRICE $ � +
t
' �
Indicate numtier of each type of fixture to be instaiied or relo as part of this project. Do not indude existi.ng fiztures to remdin.
I
�
MECTiAHICAL '
Value of Mechanical Work $ �+
. 1
AIR HANDLING UNITS EVAP TIVE COOLERS LOGS REFRIG.SYSTEMS �
ggQg F S HOO commercian WOOD3TOVES
BOILERS FIREPLACE INSERI'S RANC3ES MISC(Describe)
COMPRESSORS FURNACES GA3 WATER H ERS
DUCTS �3AS PIPE OUTLETS
PLUMBING
BATHTUBS�or7wb/showe mbo► SHOWERS ' WATER CIASETS p'o0et� MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTL S SUMPS RAINWATER SYST
WASHING M HINES URINALS HOSE BIBBS
�— IAVS(s omsink� VACUUM BREAICERS ELECTRIC WATER HEATERS
� � i
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,
I cert�fy urtder penaity of perJury that the tr4forneatton furnished by me ts true and correct to the best of my knowledge,a�d further,that I �
am authorized by the owner oj the above prenitses to perform the work jor which !he permtt qppiicallon ts inade. I further agree to hold
harmiess the GYty of Federa! Way as to any clatm(ineTuding costs, expenses, and attorneys'jees incurred in the investigatlon and dejense oj ;
such clatr�,which may be mada by dny person,inciuding the understgned,artd itieil against the LYty of Federal Way,6ut only where such claim �
arises out of the reitance of the city,including its officers and empioyees,upon the accuracy of the i►4formation suppited to the clty as a part of
this applicattort. �
/ /,_ / i
NAME/TITLE ��ill�l.,� 'TAD G!c G LLG N�,L�GG2 DATE �� (�I}E7 �
�—� 7Signat � � (fitle) f � �
RELATIONSFIIP TO PROJECT q Owner ❑Agent �Contractor ❑Architect ❑ Other I
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i Bulletin#100—January 1,2006 PaQe 2 of 4 k�iandouts�Pemut Application