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04-101567 . • � �� ' � City ofFederal Way Building - Single Family Permit #:04 - 101567 - oo - SF Community Development Services 33530 lst Way S Pederal Way,WA 98003-6210 ��,J��„ �� Inspection request line: 253.835.3050 Ph:253.661.4000 Fax:253.661.4129 � �,_�'��,d: �� ,. Project Name: DOMSALLA Project Address: 30647 9TH AVE S Parcel Number: 174500 0200 Project Description: REP-Repair of dry rot to lst floor,62 sqft bathroom walls,floor&ceiling-including wallboard, framing members&some beams. New bathroom fan. Existing plumbing fixtures to be removed for work to be done&then replace in same location. No plumbi Owner Applicant Contractor Lender Marie-Anne Domsalla MODERN BUILDERS INC MODERN BUILDERS INC NONE 30647 9TH AVE S 3114 SO PROCTOR ST MODERBI181Q9 3/31/OS FEDERAL WAY WA 3114 SO PROCTOR ST 98003-4117 \TACOMA WA 98409-3299 NONE Includes: Census category: 434-Reside #1 � #2 #3 I� #4 —I --1�_ ��-- -=_--__= � Occupancy Group: R-3 � �— � _ � Consh-uction Type: Type V-N 1__ ;�Occupancy Load': _�� I � Floor Area(Sq.Ft.): �� J �-- -----� -- — - ----- � Ccnsus Category ......... ....::.......................434-Residentiai aldadd-no� Mechanical......'....... ...:. .................. Yes Occupancy Group#1....... ......:.......................R-3 Plumbing............................ ............... No ' Zoning Designation....:..:.....................................RS 7.2 Mechanical Fixtures �__ Descriptio�Quantity Description __�Quanti j- 'Description Quantity � Fans � CONDITIONS: 1.Smoked detectors to be installed in accordance with Uniform Building Code,Sections 310.9.1.3,310.9.1.4 310.9.1.5. 2.New mechanical fan to be minimum 50 cfm,vent to outside. 3.This decision shall not waive compliance with future City of Federal Way codes,policies,or standa t e subject proposal. i � � PERMIT EXPIRES October 24,2004. a � � Permit issued on Apri127,2004 i � I hereby certify that the above information is correct and that the construction on the e 'b rope 4` the occupancy and the use will be in accordance with the laws,rules and regulations o e State Washington and � the City of Federal ay. - _ ' � r � � Owner or age e" 1 _� Date: �"✓ `�'��7"�'�� , POST"'`"IS CARD ON THE FRONT OF BUILDII"� ' � ' - ;�� GITY OF ►� Federal INa BUILL�NG DIVISION Y INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 04-101567-00-SF OWNER'S NAME: Marie-Anne Domsalla SITE ADDRESS: 30647 9TH S ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UN IL THE ABOVE IS APPRO ED ( ) LTNDERFLOOR FRAMING E � � ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ; FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING THE ABOVE MUST'BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK : ( ) WALLBOARD NAILING ( ) SUSPENDED CEILING ` THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE ( ) ELECTRICAL FINAL � ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED ` � '� . . .,_. • . �,�...'�. �� , . � - ( o I 5 .,C��- Federal Way �� — OOMMUMIYDEYEIAPMEATSERVlCES� � f E R M IT F CO ME EL PL DE EN FP 33530 FIRST WAY SOUl7f•Po BOX 9718 A P P L I��'I O N FEDERAL WAY,WA 98063-9718 � / / 253-6614115•FAX 2536614129 unuw.dtuolfederalwa�.00m �e/, The oilowin is re uired in ormation-an inco Zete a licatio� �� r$t acce ted. Please rint le ibi (in inkJ or ' • • i � - � SITE ADDRESS c��f.✓C�/�� }"�"�. � � �°�•� ' �� ,SUITE/UNIT# ASSESSOR'S TAX/PARCEL# � � �� - (� � � � ��j�E�S� __T�t� LEGAL DFSCRIPTION(e.g.Acme Estates,Lot I) �/�1 �Attahsep¢ru[epageforler�(hylegaldesmpoon/ 1� '• � • ' • TYPE OF PERMIT [�S(JII,DING [3'f'LUMBING ❑ MECHANICAL ❑ DEMOLITION [3'�`LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM P JECT DFSCRIPTION(Provide detail des ption of work in uded o t 's ernut onl � � :f �� T� � ' � /� i 'n , G�-- �— � 6�� r ��" �� ?� '' l � c%�' 1 '; ti �`�C� � t i�; �� . - ��-�_ L��vc � � ;�,.-/�z �� - �� PROJECT NAME(Name of Business or Owner Last Name) l. �/�... • • I • - • PROPERTY NAME PRiMARY PHONE OWNER �.� ^� 2 ��i =� �� - MAILING ADDRESS CITY,STATE,ZIP `-��'�� x �.� ^ T^ .��.2i' ��L l CONTRACTOR COMPANY NAME � APPLICANT NAME OFFICE PHONE z � �� d��- ��'c��'� ' (��1�� i��/ MAILING ADDRESS CITY,STATE,Z[P -e8b6 PHONE •�'_ �+'` =-, I �-� �a-c.�C �, -z-- �, �,lcr.�„�. �� f � /7� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE t i�Adf•NUMBER J �-�1 �-l o� '77��s L � � ��i�;��' � CONTRACTORS REGISTRATION NUMBER(copy ot card reqaacd with eaoh applieation� EXPIRATION DATE 2G��,�3 _/�/�� _ t��?,i :�/ i�� APPLICANT COMPANY NAM APPL( ANT NAME OFFICE PHONE J�� '�.( , � �` �S ;� � �� ,�'J ,_ /yi', ' -7c � �. IL DDRESS CITY,STATE,ZIP CELL PHONE ..'l '1 � '�� "� (�>> �`)d �. � RELATIONSHIPTO PROJECT � FAX NUMBER ❑ Architect ❑ Tenant C�i'Agent ❑ Other(DescribeJ ' � �� -�7��-- CONTACT NAME pRIMARY PHONE E-MAIL ADDRESS LENDER �� p¢r RCW 19.27.095: Lertder;njormatiori is NAME required tjproject valr�e ezceeds�5,000 ' MAILING ADDRESS � C(TY,STATE,ZIP � • 1 � : 1 � 1 1 � ' • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �7��/ SPRINKLERED BUII,DING? ❑ YE,S ❑ NO FIRE SUPPRF.SSION SYSTEM PROPOSED/RF,QUIRED? ❑ YES ❑ NO ' WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHI.INE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) , , . _ . :;.::�;....:°"r.i'Eg��.;.,. . . � . _.._,h�:.. ' � � � � � � AREA DESCRIPTION EXISTING S .FT. PROPOSED S .FT. TOTAL BASEMENT FIRSf � SECOND THIRD FOURTH ADDITIONAL FIAORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? 1�7AI.C]RSTRG TOTAI.PROPOSED 70TALERISCQIGAifOPFtOP03ED "NEW HOMES ONLY*• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • - Indicate number of each type of fixture fo 6e installed or relocated as part of fhis project. Do not include existing fixtures to remain. MEGHAIVICAL Value of Mechanical Work $ , AIR HANDL[NG UNITS EVAPORATIVE COOLERS GAS LOGS REFR[G.SYSTEMS BBQS FANS HOODS�co�««�� WOODSTOVES BO[LERS FIREPLACE INSER'I5 RANGES MISC(Describe) COMPRESSORS � FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS ,. PLiIM$ING i _�_ BATHTUBS�orTub/ShowerCambo) � SHOWERS I WATER CIASE'I'S�raa�q MISC(Describe) D[SHWASHERS SINKS DR[NKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAIPIWATER SYST WASHING MACHINES URINALS HOSE B[BBS LAVS ea�oams�s VACUUM BREAKERS ELECTRIC WATER HEATERS � • 1 cerHfy under penally of perjury that the tnformation furnished by me is true and correct to the besf oj my knowledge, and further, that I am aufhorized by the owner of the above premises to perform the work jor which the permit appiication is made. I further agree to hold harmless the City oj Federal Way as to arty claim(inciuding costs, Pxpenses, and attorneys'fees tncurred in the investigation and defense of such claimJ, which may be made by any person, inciuding the undersigned,and fiied against the City of FederaI Way,but only where such claim arises out of the reliance of the city,inciuding its officers and empioyees,upon the accuracy oJ the information supplied to the city as a part oj th3s appIication. . . n. -- � ,: . , -;_ ____� , /� . /- y� NAME/TITLE �� -�� V i � � DATE ��{"�Z�—C%`-f� —�(Signature) c � (TiUe) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUII.DING SHELL ONLY? ❑YF,S a NO BASIC PLAN? ❑YE.S ❑NO ZONIPiG DESIGNATION CHANGE OF USE? a YFS ❑NO NEW ADDE2ESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YE.S ❑NO PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YE.S ❑NO I3ulletin#l00—March 30,2004 Page 2 of 4 k\[{andouts—Reviscd\Permit Application