20-105027.r -
City of Federal way
Community Development Dept.
33325 8th Ave 5
Federal Way. WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KELTNER/ATWELL
Project Address: 865 S 326TH ST
Project Description: Replace (3) windows.
Building - Single Family
Permit #:20 -105027 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 326070 0420
Owner A�lica_nt Contractor Lender
RICHARD KELTNER BROOK LESLIEPREMIER NW EXTREME INSTALLERS INC OWNER IS LENDER
865 S 326TH ST SERVICES GROUP 800 SE SUNNYSIDE RD SUITE 114:
FEDERAL WAY WA 98003 800 SE SUNNYSIDE RD SUITE 315 CLACKAMAS OR 97015
CLACKAMAS OR 97015
Census Category: 433 —Residential alt/add - increase in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Additional Permit Information
Mechanical to be Included? .................................... No Is this an Online or O.T.C. application?.................. No
Plumbing to be Included? ....................................... No
Total Valuation: 3,767.00
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, 14 July, 2021
Permit Issued on Friday, January 15, 2021
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
Owner or agent. FTEE
the City of Federal Way.
Date:
Y
A��
C1r V Or
Federal Way
THIS CARD 1S TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 105027 00 Address: 865 S 326TH ST
Project: JEAN ATWELL FEDERAL WAY WA 98003-5935
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSETHIS 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.
Prior to scheduling a Framing inspection;
Framing (4120)
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in
Approved to insulate
Approved to install wallboard
and Fire/Draft Stop inspections must be signed -
Right of Way
off and approved. IBC 109.3.4
By Date
By Date
Approved
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
By
Final - Building (4050)
Approved
)S Date 3I �I 2 -
Rough
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
I
Approved
By
Date
By
Date
By
Date
RECEIVED PERMIT APPLICATION
CITY OF D- 23 2020
PERMIT CENTER + 33325 81h Avenue South +Federal Way, WA 98003-6325
Federal WaycroWywfiM,Y-C=l . 253-835-2607 + FAX 253-835-2609 + permiteenterg3cityoffederalway.com
PERMIT NUMBER 2 0 105027 _ SF N/A
TARGET DATE
SITE ADDRESS SUITE/UNIT #
865 s 326th, Federal Way, WA, 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT I N BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Keltner Window replacement
We will be replacing (3) windows in a like for like manner, no structural modifications to be
PROJECT DESCRIPTION
Detailed description of work to
made. Windows will be installed as a nail flange application and to be plumb, level and
square. Flanges to be covered with roll tape flashing and head flashing as required. All
be included on this permit only
exterior trim to be caulked to siding and windows using grade caulking. sealed to exterior.
NAME
PRIMARY PHONE
Jean atwell
206-459-1123
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
865 S 326TH ST
CITY
Federal Way
STATE I
WA
ZIP
98030
NAME
PHONE
NW Extreme Installers INC
971-803-7151
MAILING ADDRESS
E-MAIL
CONTRACTOR
8800 SE Sunnyside Rd Suite 315 S millw
rks.ext@premierservicegrp.com
CITY
STATE
ZIP
FAX
Clackamas
IOR
97015
WA STATE CONTRACTOR'S LICENSE #
NWEXTE1882NL
EXPIRATION DATE
8 13 / 2022
UBI #
603 229 148
NAME
PRIMARY PHONE
Brook Leslie with Premier Services Group
971-803-7151
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315 S
E-MAIL
damon@premierservicegrp.com
APPLICANT
CITY
STATE
ZIP
FAX
Clackamas
IOR
97015
NAME
PRIMARY PHONE
PROJECT CONTACT
Brook Leslie - same as applicant
971-803-7151
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: (/'L9B /—"
PRINT NAME: Brook leslie
TE
12/23/20
Bulletin #100 – February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application