03-101780 : - , �"° .
,.. . ,
�City�ot�,deral Way . � r ,. � C ,
1 CommuniryDevelopmentServices Building - Single Family Permit #:03 - 101780 - 00•— �'�-F �
33530]st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: Z�J3.g35.3��J0
Project Name: MERRIFIELD
Project Address: 30340 9TH AVE S Parcel Number: 515365 0030
Project Description: Repair to fire damaged garage; replace roof truss system oa garage and replacing plumbing�xtur�s
Owner Applicant Contractor Lender
Noble O Merrifield III &Stacy L Men MODERN BUILDERS,INC. MODERN BUILDERS,INC. NONE
30340 9TH AVE S 3114 SO PROCTOR
FEDERAI,WAY WA TACOMA WA 98409 3114 SO PROCTOR
98003-4101 TACOMA WA 98409 NONE
Includes:
#1 #2 ' #3 �;_..----�4------,
Census category: 434-Reside ;,
--- - — -
��_ '
;, Occupancy Group: R-3 1� .� �- _— --
� Construction T e: T �
YP _ YPe�'_-N �� —-- -J� ��' � � -�_
LOccupancy Load: �'_ - --�_— — ,� � --- �
—_- Y ,-- - z—, ! �
-_- -
� Floor Area(Sq.Ft.): _ _ � �
— — ��—_ �__— _ �
Census Category ,.:..:........................................434-Residential aldadd-no� Mechanical................................................. No
Occupancy Group#1...........................................R-3 Plumbing .:............................................. Yes
� �,
Plumbing Fixtures
�T, l���� ietir�E ��:._. G�ua�n�t5 �Q�scii tian;° a� , ' �2.. �t r����De�cripfit�� ��uanti�r
_ � -': -- -- � . :
-- --- _
i Gas Pipe Outlets ��� Laundry Washer Outlets ���Bathtubs �I�� 1 �I
i-------_---��� ----- � -- -- --- ---i---1-- -,,
[,avatories 2 Wa[er Heaters 1 �Showers j
,
' -- --- ��---- � ,
------.._
j-Sinks - —_ —�� Water Closets � 2
� � -- --- L �
PERMIT EXPIRES November 1,2003.
Permit issued on May 5,2003
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: ��'"d�'^��
• �.� . POS" 11S CARD ON THE FRONT OF BUILDIr ' � �
�°3 �r� to�• '� �� ;, ',� ���� � ' r ,
��, BUILDING DIVIS1aN
� -� ������'�� INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-101780-00-SF
OWNER'S NAME: Noble O Merrifield III & Stacy L Merrifield III
SITE ADDRESS: 30340 9TH S
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
��. ` �..�`�_�..._.� ,,.���.�:. „ "� �(�l��T P,�T7R-CONCRETE IJN�II.����B�UV�IS AFF�.iJVEI)��....����§, ... ,�: . �.;..;�_���..�
( ) DRAINAGE: Line ( ) Connection
MW
: ��r f��� _ �` �,IT�C��El„'T�'CJr�R SLA��"����,��E.4BU;��S�A�.PP�I���ED'.,,,�,`��..,.., _.. �. � .,`�.�',��..;
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� ��._...,. .�.,.. , .__�� ��u...�,��....N _ , ,.
( ) Ul�`DERFLOOR FRAN[ING
( ) ROU:,H PLUMBING: DWV —� c Water piping �� Z- —�t� C,c_._!
(�CGGH MECHA'.�T?CAL -� 2 Gas piping �
( ) SiI�'ATHING � � / ' Roof � �g � 1 or
( } SFIEAR WALLS �/I 7�D� ����
( ) EL,_,CTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOP�
�, �� ��:���.LL�T�,�,i�3�;� M�7S .��,��A�PPRO�EDAP�OR'1"�C7�F��1�1+��1'�tS�,��T��l� .x�.�a� . ....__��� �
,. '_..��. ��"
a�. _� _.._�..� 2��.�.._.� �.u.�.. ,,,.a
( ) FRAMING.�FIRESTOPPING „�` Z4' "' d 3 �-c�/
� H. �
,...��, ,tt��...�..�. ., .,,'�.,. .��BQ�E; . ... "I��B,� „ RUYED PRIOR�`�►INSULAT�`��UR,���ETROCI�ING ��,��,..�����
(�SULATION: r!:�o:s Walls �-�j��� C�1 Attic
,l'!� � ��. „%���3+?.,��,t�4���' ��•�a.,�t7`1��"������.�.I�V�",iL"��������17�5������+`�z........ . .... .. .��A 4�,,,,,��.
.,,F_,,, , . . , ...... .� . .,. ,.....a..n .. .. „- �-.._......._„ � .
O WALLBOARD NAILING G-3 -�i 3 �5 O SUSPENDED CEILING
��`', �,� �TH��AB(�VE NiU�T BE�PPRRUVEDPRI4R'�i(��.AFING(�R INSTAI,LING G�lT:I1�IG TILE ��:..0 ... ,�.
a,.._��
( ) ELECTRICAL F'�1AL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
�` „ � ����THE�B�U�MIT�TqBE Al' RQY�D�'RI4�TC!B ` G,bEPARTMEN'1�FINAL :. ' . �4������
�_o:ti..�� ,.� ..... .,,�_, „�, _
( ) BUILDING FINAL �� '�1�
-� � 3 � � 3� � � � �, � F � . �
�
�, y,1�+C�_�T��,���� ,.���1S�BTlfLDI�G I:T1�TZ���ILll�1�C,F�Il�AL IS AP�'R���D��
, 1 , , �
. - .
INSPECTION LOG �
DATE INSPE TOR ' OK CORR/REJ AREA AND T�PE OF INSPECTION ''
�� � � � ��� �
���;EIVEQ �--
_
` CONSTRUCT� PERMIT APPLICATI
CITY OF �� A� p 5 2003 pp�Cq�ON NUMBER: - Q �O - _ _
Federal Wa� �DERA�wAY PPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _
C,g�IlpiN�'�E�� PPLICATION NUMBER: - - - - - - - - - -
"The following is required information—Please print(in ink)or type*"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. � . � . �
� SITE ADDRESS: �1..'� l�?�� l�� � UG� -J ASSESSOR'S TAX/PARCEL#: � ' ���- QQ�Q
( LEGAL DESCRIPTION OF SUB)ECT PROP RTY(A,TTACH SEPARATE DESCRIPTION IF LENGTHY):
i ��]��� <►�'1! �(t
i
I
�
� • • • • •
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' TYPE OF PROJECT(This application): UILDING D PUUMBING o MECNANICAL o DEMOLITION
I
❑ ELECTRICAL o ENGYNEERIN6 o FIRE PREVENTION SYSTEM
f PROJECT DESCRIPTION(Provide detailed description): C 1 !
�
_.'�`�
I
� PROJECT NAME: T/N1�rZ 1���r�e��I
I
F • ' • � •
�� PROPERTY OWNER' N^M��/ � n�1 ; DAY?IME 7HONE' ;
, IVd��� an 5 � ,"l�l�(�i re �� � � ) - ;
` M3v 3�aS7REEf ADqRE55:���ZIP� 1
c,f,, !
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CONTRACTOR: N^ME: � DAYTIME PHONe: �
� 1�od�r�n Bv� �a�Pies� I NI/� ; (�'3 ):�3 - I�ay �
I MAI�;�D�SS(STREET ADDRESS;�,�ZIP): � �ENING P�ONE� _ ;
L i 1
� CITY OF FEDERAL WAY BUSIN LICENSE NUMBER: _ /,+ ' � � �� - ` O I ����. �� _����I
� Z
CONTRACTOR'S REGISTRATION NUMBER: � d � � � � � � � J I_ I aPIRATION DA�� Q ,
(copy of card required) e' u( `� � (JJ J ! l
APPLICANT' NAME: OAYfIME PHONE: �
� Syo,�'1/V�� � � ) - i
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE� I
i I ( � -
� �
i RELATIONSHIP TO PRO)EC7: i FAX NUMBER: ;
l O ARCHITECT O TENANT ❑ OTHER ( DESCRIBE): i � � ' j
! E-MAIL ADDRESS: �
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER O APPLICANT CONTRACTOR ����,�1�411�e '��-�; �-o�Yi
� . • . • • •
EXISTING USE: ��nu��f�'�t� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ � �� 6�
/ ,�^ /�
PROPOSED USE: PROPOSED V/�LUATION FOR IMPROVEMENTS: $�(.�� at.��
SPRINKLERED BUILDING? O YES �Y'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:� YES ,Q3'1`�v
WATER SERVICE PROVIDER: O LAKEHAVEN ❑ HIGNLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE O PRIVATE(SEPTIC)
�*NEW RESIDENTIAL CONSTRUCTION ON
,
�NUMBER OF BEDROOMS: • ESTIMATED SELLING PRICE: � �
. i
�
• • • • • • • • • �I
FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL �
BASEMENT i
FIRST �
! 1� � �
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) I
DECK
GARAGE �y�
HOW MANY FLOORS? j
TOTAL• CgO
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) ;
BBQ(5) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) '
COMPRESSOR(S) _�_ FURNACE(S) +
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS j
PLUh96YNG j
� BATHTUB(S) � LAVATORY(S) URINAL(S) � WATER HEATER(S) �'
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ,�GAS '
DRINiQNG FOUNTAIN(S) � SHOWER(S) � WASH MACHINE OUTLET
�_ GAS PIPE OUTLET(S) SINK(S) ` WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. •
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowiedge,and '
further,tfiat I am autho�ized by the owner of the above premises to perform the work for which the permit application is made. I
furtf�er agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred tn the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its o�cers and e ploy es,upon the accuracy
of the Information supplied to the dty as a art of this application.
, �3NAME/TITLE: DATE:
o PROPERTY OWNER ❑ APP CANT PICONTRACTOR
_-FOR:OFFICE USE ONLY: :>
-.: _ „
� �-T. „ �� � .;-,`17;TENANT IMPROVEh1ENT � ''
';o:;NEW�,-;�;;�p ADDITIUN�,.,- ;a 14LTEfiATION=���-..;o_REPAIR , ; `-. ��
CENSUS'CODE � �-� {»� „���- =LOT SIZE �`��s ' �`:
=�sr� .��-..,.� �._.. �_. �,�::
, � _ ,;. .
_ ..*�-�,�-�s.,..�,. .. _...:, ,. .,, .
:ZONING DESIGNATION.,;;,� w_ .,; ��'' ��,�... :BUIIDING SHELL ONLY7��t7 YES��`::❑ NO'
COMP PLAN�DESIGNATION . :BASIC PLAN? ---- o YES ?'�❑'NO.�"
. �,. � ._.
� . � :_, _ , :._ .,._, . .: , .
SECTION���. �, ,*TOWNSHIP .; ,, RANGE _�'�_ .NEW ADDRESS RE UIRED7 a:;. ❑ YES` : ❑ NO
PLATTED LOT7.•;�:a YES :�o NO i . � �-"� �.� CHANGE OF USE? ~ � '=':❑YES�::`�n NO'
COMMUNCfY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTN•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253{i61-4000•FAX:253�i61-4129
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