04-103654 t 'R
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- �o`�niryDeveiopnientServices Building - Single Family Permit�:04 — 103654 -:00 — ��`
• 33530 Ist Way S
Fedenl Way,WA 98003-6210 O �2
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.035.JU5'fl
Project Name: GOEBEL
Project Address: 29628 8TH AVE S Parcel Number:515160 0210
Project Descriprion: Remove shakes,remove skip sheeting,replace with 4X8 sheeting,rerrof with laminated shingles.
Owner Applicant Contractor Lender
Eileen Goebel FIRST CHOICE HOME IMPROVEM FIRST CHOICE HOME IMPROVEM NONE
29628 8TH AVE S 24626 148TH AVE SE FIRSTCH031B2(02-22-06)
FEDERAL WAY WA KENT WA 98042 24626 148TH AVE SE
98003-3721 KENT WA 98042 NONE
Includes:
Census category: 555-Non-st #1 �— #2 �� #3 #4 I
� �-- -_�
Occupancy Group: R-3 �— �r i
Construction Type: Type V-N �
Occupancy I,oad: il �
Fj loor Area(Sq.Ft.): _ _ _--- - _��� _J
Census Category.................................................555-Non-structural roofing p Mechanical...................................,...........:. Na '
OccupancyGroup#i.........................................:.R-3 Piumbing......................................:.......... No
PERMIT EXPIRES March 9,2005.
Permit issued on September 10,2004
I hereby certify that the above i ation is correct and that the construction on the above described property and
the occupancy and the use ' b a ordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: �-' Date: ���"�y
• THIS CARD IS TO �MAIN 0�1--S.ITE
' v
��T„o� ommunity Development Inspection �Zecor�
�����"'�' ��y IVR INSPECTION REQUEST PHONE # (253) 835-30�0
PERMIT #: 04-103654-00-SF
Owner: EILEEN GOEBEL
Address: 29628 8TH AVE S
FEDERAL WAY, WA 98003-3721
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) ❑ Plumbing Groundwork(4190) ❑ Underfloor Framiag(4285)
To be done prior to breaking ground Approved to cover 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
�y Date By Date By �� Date ��� ,�
�� Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(A120) ❑ Framing (412U)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
� By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ Final-SWM (43'75)
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 DAte By Date
«n� ` � �J-- ' � � S2� L
Federa�way ti _ �5��p E R M I�T � .�. �.
�` " SF M F C O M E E L P L D E E N F P
E COMMflNRYD6VELOPMEM'SERV/CES .
33325 8TM AVENUE SOU7N•PO BOX 9718 ���p LI C AT I O N
� PEDERAL WAY,WA�98063-9718 q — � /
� 253-835-2607•FAX 253-835-2609 ��-� S. � /
unow.dtuotfedera(uwu.com ..
f The following is requi�d�Y�'drrh�d�ri��qs�tiicomplete ap iicafion wiil not be accepted. Piease rint Iegibly(in{nkJ or type.
- • • � • - •
� SITE ADDRESS � ��p Z a� �� � S ��L���Z�.C. SUITE/UNIT#
I ASSESSOR'S TAX/PARCEL# _ _ _ _ _ _y- _ _ _ ��Q� LOT SIZE(sJ�
t LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
I (Attach separate page�or lmgthy legat desoiptlort�
�• 1 • ' 1 ' •
TYPE OF PERMIT ❑ BUII.DING O PLUMBING O MECHADTICAL
❑ DEMOLITION ❑ ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
' PROJECT DESCRIPTION(Provide detailed description of work included on fhis permit onlul
� /Z���or �'s,�o� -- i��z orF s���-� /2�'��r� ,�Lv�.����
� —GA���.0 � _S�/��J �s 5%�f�
�
� PROJECT NAME(Name of Business or Owner Last Nam� l�J���L�
' •y• • 1 • - � • •
I PROPERTY NAME . � ^ I�� PRIMARY�HONE
� OWNER �' � ''`�� -
� C7'C�/ � � �.
MAILING ADDRESS CITY,STATE,ZIP
C� - � ��f/�� �
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( I=�2s; C.��i�.d; �-��rn,t'z rn ���- GiL ��Lis �ZS� � �`'� -099�{
� MAILING ADDRESS GTY,STATE,Zf CELC PHONE
{ �.y a��-- 14�5 a�.�� s� , w�� £�o y Z- (�� ) �7� •�ZoC,
� CYfY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
� — — — — — — — — — — B L � � � c5�) �Z�"��0'� /
CONTRACTORS REGISTRATION NUMBER(copy ot eard reqnlred with weh:pplicatioa� EXPIRATION DATE
� f % f� .� %_ Gs /� Z OZ iZ Z, iZrJ.a(
i APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
� � _
MA[LING ADDRESS � CITY,STATE,ZlP CELL PHONE
' ( � _
I
� RELATIONSHIPTO PRWECT __ • FAX NUMBER -
❑ Architect ❑ Tenant O Agent ❑ Other(DescribeJ ( �
' CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
! Iz�C�!( ZOG Z�-.�Za�
LENDER PerRCW 19.27095 FLender'iriformahoa ts�<; '; NAME
required i,/'project�valiie ezceeds,$S,OOU "
� MAILING ADDRESS CITY,STATE,ZIP
� • 1 � : 1 1 � 1 1 • - •
h
EXISTING USE PROPOSED USE
C?�_
,�, q�-/*y�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK l J. 1 l'�(.�
SPRINKLERED BUII.DING? ❑YES ❑ NO FIRE SUPPRE.SSION SYSTEM PROPOSED/REQUIRED? ❑YES O NO
' . WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ffiGHLINE O TACOMA ❑ PRiVATE(WELL)
ISEWER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE p PRIVATE(SEPTIC)
. _ .. ...��:�^� . . . . . �
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' • • • '
pREA DESCRIPTION EXISTING S .FT. PROPOSED S .FT. 'fOTAL
I
BASEMEI3T
F[RST i
SECOND �
THIRD '
FOURTH
1
ADDITIONAL FIAORS(DESCRIBE)
DECK(COVERED?) �
GARAGE/CARPORT
70TAL CXISTRG 70TA7.PROPOSLD TOTAL WSTQ�G MD►ROPOSW
HOW MANY FIAORS?
•'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PFcICE $
►• -
Indicate number of each type of fixture to be insta[led or relocated as part of this project. Do not include existing fiztures to remain. �
MECfIAMC.AL �
, Value ojMechanica(Work $
EVAPORATNE COOLERS GAS LOGS REFRIG.SYSTEMS �
AIR HANDLING UNITS HOODS�co�«<��1 WOODSTOVES �
BBQS FANS RpNGES MISC(Describe)
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS .
PLUMBING WATER CIASETS�re�<q MISC(Describe)
BATHTUBS�o�r�b�sno�«comm� SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS P(PE OUTLETS SUMPS RAINWATER SYST �
WASHING MACHINES UR[NALS HOSE B[BBS
LAVS eathroom s�k: VACUUM BREAEiERS ELECTRIC WATER HEATERS
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I.certify under penatty ojperjury that the tnjormation furnished by me is true and correct to the best of my knowledge, and fiu-ther, thai I
am authorized b the owner of the above premises to perjorm the work jor which the permit appiicarion is made. I further agree Lo hoid I
9
harntiess [he City oJ Federai Way as to any claim(including costs, expenses, and attornegs'fees incurred in the investigation and defense of j
such ciai� which may be de 6y an person,including the undersigned,and fiied against the City of Federa(Way,but only wher¢such claim ;
artses out oj the reiianc j th city, cluding its ojfic rs a d employees,upon the accuracy of the informarion supplied to the city as a part of
thfs application. �
� Q /�
NAME/TITLE T1t1e DATE / ���v
' (Signaturt) � ( �
s RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent O Contractor o Architect ❑ Other
S
� FOR OFFICE USE ONLY
E !
I' ❑NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
� BUII.DING SHELL ONLY? ❑YF.S o NO BASIC PLAN? o YE.S ❑NO
�
� ZOATING DFSIGNATION CHANGE OF USE? q YES o NO
t NEW ADDRE.SS REQUIRED? ❑YE.S ❑NO UP/SEPA/SU? ❑YFS o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT RF.QUIRED' ❑YES ❑NO
t
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Bulletin#l00—March 30,2004 — Pagc 2 of 4 k\[landouts—RevisedV'ermit Application