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05-101774 � c � City ofFe�eral Way Building - Single Family Permrt #: 05 - 101774 - 00 - SF Communiry Developmer.t Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: UMBE�IOCKER Project Address: 32506 40TH CT SW Parcel Number:873196 0130 Project Description: Replace water-damaged insulation and drywall. Owner Applicant Contractor Lender Michael G Umbehocker &Cazol Umt SIMCO CONSTRUCTION SIMCO CONSTRUCTION NONE 32506 40TH CT SW SIMCO CONSTRUCTION SIMCOC*05207(9/15/06) FEDERAL WAY WA P.O.BOX 99566 SIMCO CONSTRUCTION 98023-2606 TACOMA WA P.O.BOX 99566 NONE Includes: Census category: 434-Reside #1 #� #3 #4 � � � Occupancy Group: R-3 � �I I��_-__�: r Construction TyPe:�_ TYPQ�'-B —L---�� ----� �Occupancy Load: _ _ _. _ — --— � Fl oo r Area(Sq.Ft.): � � Census Category.................................................434-Residential alUadd-no� Mechanical................................................': Na Occupancy#1-Class..........................................R-3 Plumbing................................................. No ' PERMIT EXPIRES October 15,2005. � Permit issued on April 18,2005 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: � ��`�1�— :�5. � ��'"�� Date: � �' ��+1 V "� � � �� \ \� � ��1P�- \ ,� � � � D � � � �� V/ C �� f . THIS CARD IS TO EMAIN ON-�I'!'E ��,�aF �ommunity �evelop tc Inspecti�n Record �ederat Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERIVIIT #: 05-101774-00-SF Owner: MICHAEL G UMBEHOCKER Address: 32506 40TH CT SW FEDERAL WAY, WA 98023-2606 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 listcd 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 Framing(4285) To be done prior to breaking ground Approved to cover �pproved to sheath floor Bv 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 F3y Date By Date By Date [] Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) Approved inspection;Electricai,Plumbing&Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be By Date signed-o[f and approved. IBC 1�J9.3.4/UBC 108.5.4 By Date ❑ insulation(4i50) ❑Gypsum Wallboard Nailing(4130) � Final-SWM(4375) Approved to install waliboa d Approved to install mud&tape Approved ✓ I3v (�'Date 5 1 L� �.� By �. Date�. �� By Date v � [�J Finai-Building(4050) ❑Temp.Erosion Maintenance(4370) Approved Approved B Date �� By Date J a� � v � � � v . � � �� . � � • � � p \ � � � � � � � �� v � G`` � � � • . � � 1 V' , � ��3� �,�� ;��r_� ��— � Q L� � � � F'ederaiWa� PERMIT sF MAlUM7YDEVELOPAlEN►'S F CO ME EL PL DE E1V FP 3�25�SE E� �°�� 1� 8 2°oSAPPLI CATI O N - FEDERAL WAY,WA 98063-9f18 / - / wWW.a�� e.�.��,�,o� � .��a�w.a�; p` ��,,� '��.. � The ollowi is r :n ormatcort-an inco lete lication wiil not be acce ted. Please rint 1e ibi (in i or •• • • - • SITE ADDRESS ��l�� `� SUITE/UDiIT#k ASSESSOR'S TAX/PARCEL�k � ( � I l _- CG/ I ,�j � LOT SIZE(s� I LEGAL DESCRIPTION(e.g.Acme Esfates,Lot 1 J h (Anafh sepnrate page j Iengfhy Iego(desoiptionl . I '� • ' • � ` TYPE OF PERMIT ❑BUII.DING ❑ PLUMBING O MECHANICAL I ❑ DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION fPro�ide detai(ed description of work induded on this permit onlu) ��c c� �e r�}6bvL� (�� ts-��l�'�1Z.vt � �� ,.9� l.� �2 S ��c��'f � � '� 'T'��(� t....9�� d-L.L�^�aL ` j PROJECT NAME(Name of Business or Owner Last Name) v`�^�"�-W l�G ��-t� • • • - • PROPERTY NAME PRIMARY PHONE owxER �' )�� (,��v. �-� �oc E' � ��53)8'3� -73� 7 MAILING ADDRESS _,� CITY,STATE,ZIP 3�-SaIQ ��' ��- s�� e ,� � ��,��- l� �. , CONTRACTOR COMPANY NAME MpLtCANT NAME ��C � OFFICE PHONE "'' � �'�2��- S L��z�� (z�3 ) 53� - �5�� MAILING ADDRESS � C[TY STATE,ZiP CELL PHONE � � �� `�`�5�� `��o�.--� �� . ��y�9 ��,3� �� - s��z CCfY OF FEDERAL WAY BUSINESS L(CENSE NUMBER EXPIRATION DATE FAX NUMBER � ? e -�.3-� o e� � I �'- `�L � z_ � 3 � � t� � (z�3 ) ��-- �� Q CONTRACTORS REGISTRAT[ON NUMBER�copy o[cad reqnired with each applicatioa) EXplRATION DATE SS � � � G � °� `1 `� D Z � l/S / O,�'j APPLICANT �MPA�NAME APPLICANT A E 5 ;J�C n OFF(CE PHONE _ �e c � MAILING ADDRESS C[TY,STATE,ZIP ' CELL PHONE S��+�� { ) - RELATIONSHIP TO PRW EC1' FAX NUMBER o Architect ❑Tenant ❑Agent ❑ Other(DescribeJ � � _ CONTACT NAME�� PRIMARY PHONE E-MAIL ADDRESS .5��•,�. e Z-53 (QD�P - 7r �,Z LENDER wu.te �- � . �� l S�'� /'�t vi GC � 4 i� MAILING ADDRESS: :,' CITY,STATE,ZIP / �,-� �- � � �� . . : , . . - . EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �'�/�� SPRINHI,ERED BUII.DING? ❑YF,S ❑ NO FIRE SUPPRESSIOM SYSTEM PROPOSED/REQ(TIRED? p YFS p NO WATER SERVICE PROVIDER ❑ LAKFHA�pj ❑ gIGgI,IRE ❑TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER p LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC) -. .. - AREA DESCRIPTION EXISTING PROPOSED TOTAL S .FT. S .FT. S .FT. BASEMENT FIRST SECOND � THIRD FOURTH � � ADDITIONAL FIAORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ ERiSC11fG PROPoSCD TOTAL �: TOT.IL L7Q5'[�Q SF��. iOiAL TROPOSW 3!' �.�`��`TOTAL S£'� NUMBER OF FLOORS �� " ' ' , .i - ' - p - ,��. . , .a. < �4n� _ ,w ._ .+„� 1 . ., . :�?'*.,. ._,..,., .. .,:�-,: •`NEW HOMES ONLY`* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ► - Indicate number of each type of fixture to be insta(led or relocated as part of this project. Do not include existing fixtures to remain.. j MECHAMC.AL Value of Mechanicai Work $ AIR HANDLING UN[TS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS � BBQS FANS HOODS�co��R;,y WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLi1MBING ' BATHTUBS�o�rub/show«comno� SHOWERS WATER CLOSEI'S�roa�y MISC(Describe) DISHWASFIERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS IAVS�e.fluoom s;dca� VACUUM BREAKERS ELECTRIC WATER HEATERS i i • i i t cert{fy under penalty of per}ury that the injormatton furnished 6y me{s true and rnrrect to the best of my knourledge,and further,that I am authorized by the owner of the above premises to perform ihe work for which tiae permit application {s made. I further agree to hold harmiess the GYty oj Federal Way as to any clatm(inciudinq costs, expenses, and atlorneys'fees incurred fn the investigation and dejense of such claimJ,whtch may be made by any person,including the undersigneci,and filed against the City of Federal Way,bat only where such claim arlses out of the reltance of the clty,tncluding its officers and empioyees,upon the accuracy oj the information suppiied!o the city as a part of this application. NAME/TITLE � ��7� `- . 1 LL� � S�✓�`C�� DATE I� �� (Signature) (Title) RELATIONSHIP T PROJECT a Owner ❑ Agent �ontractor ❑ Architect ❑ Other ,:, � ��RA�T`IOA ''�_� : c��2EP �.�-� ; ��`- �N" ' � 1� MENT ��;, �� . ,.�M..,�.. _,>.. . . . . �. .. a,.. � y: O �`�� .G ,�YESW,,;„ d �. �,��=�. �� '��.�.„.>��0��75F.�? '��►�� = y O =� �� ' _�'��UP/�EPA/�SII?� ."�y ��`Q�ES O - � -- -:: � = , p .�,� �.,,�� Q �ER�QT' �� `*YE8 � �. �. � ,.. KY. ,. , .n� _, � . __., , .,._; . . n,.�... Butletin#100—January 7,2005 Page 2 of 4 k\Handouts�Permit Application