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04-102861City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Project Name: GREEN Building - Single Family Permit #: 04-102861 - 00 - SF Inspection request line: 253.835.3050 Project Address: 30822 36TH CT SW Parcel Number: 058755 0340 Project Description: ALT - Replace sheetrock in -bedrooms, family room, bathrooms, hallway, and laundry room._ Owner Applicant Contractor Lender Cheryl L Green Lydyard & Bodner Su STETZ CONSTRUCTION STETZ CONSTRUCTION NONE 30822 36TH CT SW PO BOX 39220 NORTHAS066RN (12-18-05) FEDERAL WAY WA LAKEWOOD WA 98439 PO BOX 39220 98023-2156 LAKEWOOD WA 98439 NONE Includes Census category: 434 - Reside #1 #2 I #3 Occupancy Group: R-3 Construction Type: Type V - N _ 4 Occupancy Load: — Floor Area (Sq. Ft.): Census Category ................................................. 434 - Residential alt/add - no, Mechanical................................................, No Occupancy Group # 1........................................... R-3 Plumbing.......................:......................... No Zoning Designation ............................................. RS 15.0 PERMIT EXPIRES January 16, 2005. Permit issued on July 20, 2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use wi a in accordance with Jjae laws, rules and regulations of the State of Washington and the City of Federal Way, Owner or agent: Date: �dz THIS CARD IS TO REMAIN ON -SITE CITY OF Ak *,:ommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102861-00-SF Owner: CHERYL L GREEN LYDYARD Address: 30822 36TH CT SW FEDERAL WAY, WA 98023-2156 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 Framing (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 By Date By Date By Date ❑ Framing (4120) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) 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 ❑ Final - SWM (4375) ❑ Gypsum Wallboard Nailing (4130) [] Insulation (4150) Approved to install wallboard Approved to install mud & tape Approved By Date By L: Date 7/Z2,d� By Date ❑ Final - Building (4050) Approved By4:::� (..._) Dated,-Cj�+ ❑Temp. Erosion Maintenance (4370 Approved By Date CnIe RECEN T Federal Way PERMIT COMMUH}TY,0,1yV 117SERVR:ES �� 0W�PLICATION a3s9aFIRSTWA,WA9•pp-972971E FEf7ERAL WAY, WA 984G3.97}B 253-66141 IS- FAX 253-6614129 "M r `d rat CITY OF FEDEf(7RAL WAY The fallowing is requi j,rymlgon -fan lncomplate application will not be SF F CO ME EL PL DE EN FP Please print IC9Ibly (in irzk) or SITE ADDRESS \./� 2, .�%fp �GtJ SUITE/UNIT # ASSESSOR'S TAX/PARCEL # - LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal deseriptfon) TYPE OF PERMIT )(,BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM DESCRIPTION (Provide detailed description of work included on this ermi[ onl -VI rJ'A IALOWr PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT CONTACT PWPLE IMPMATION NAME PRIMARY PRONE: f irc Ir -� /j 1(2-5-3) 2 / � - V6 4 9 MAILING ADDRF.S$ CITY, STATE, SIP 1q-1 V COMPANY NAME APPLICANT NAME OFFICE PHONE DA VS ( 0.5-3) A[LINC ADDRE$$ CITY, STATE, ZIP d.f mid �'f3y. CELL PHONE (ts3) 3?7 -rz CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER (copy of eard segolred with each application) EXPIRATION DATE COMPANY NAME APPLICANT NAME J (OFFICE PHONE Z 5 1 C� 1 9 f �yC� EJ A�(41LSNC AADRESS i3z CITY, STATE, ZIP CELL PHONE (25-3) 377 - e -7 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent _Other (Describe) O , AIAI � (�� )�'�� -�`? 7, NAME I PRIMARY PHONE I E-MAILADDRESS LENDER Per RCW 19.- 7.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS NAME DETAILE6 BUILDINGINFORMATION EXISTING USE — — PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ l� SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASIsM ENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL. ELOSTLNG TOTAL. PROPOSED TOTAL ERLSTLRG AND PROPOSED •"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ r Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS Ica -ie a) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS (-Tub/Shower Combo) SHOWERS WATER CLOSETS (roaeq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS m. VACUUM BREAKERS ELECTRIC WATER HEATERS I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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. 'A NAME/ TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ DATE Z d Q FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUMDIXG SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? o YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin # 100 — March 30, 2004 Page 2 of 4 k\Handouts — Revised\Permit Application