10-102050City of Federal Way
Community Development Services
RO, Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Sluagle Family
hermit #: 10 -102050 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: TUCKER°
Project Address: 30804 22ND AVE S i LM Parcel Number: 053700 0415
Project Description: REM - Kitchen and dining room remodel, including removal of non-bearing wall,
installation of GVM on kitchen ceiling, construction of soffit between dining an wing
spaces, run gas piping for future fireplace insert and relocate kitchen sink and dishwasher.
Owner
AmMicant
Contractor
Lender
CURTIS & CRYSTAL TUCKER
CURTIS & CRYSTAL TUCKER
30804 22ND AVE S
CURTIS & CRYSTAI
30804 22ND AVE S
30804 22ND AVE S
FEDERAL WAY WA 98003
30804 22ND A
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY Vb
Census Category: 434 - Residential alt/add - no change in number of units
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occu anc Load:
Floor Areas . ft.) 1 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....... ............. 0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?....................................Yes Plumbing to be Included?............ ........................... Yes
Mechanical Fixtures
Gas Piping ...................................... 2
Plumbing Fixtures
Dishwashers ...................... . • 1 Sinks............................................... 1
PERMIT EXPIRES Saturday, November 13, 2010
Permit Issued on Monday, May 17, 2010
.TUCKER
✓E S
A 98003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use yill be in accordance with the laws, rules and regulations of the State of Washington
r� and the City of Federal Way
Owner or agent: `' Date:
10/1 Ir/to
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO T MAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
10 -102050 -00 -SF Address: 30804 22ND AVE S
CURTIS & CRYSTAL TUCKER FEDERAL WAY, WA 98003-4931
Scheduled inspections maybe 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 itis approved. Check with your
inspector if you are uzlsure.abuut any of the inspections or the inspection scqLIC nce..On-go ing. inspecIions are logged on the rack of this card.
❑
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
❑
Plumbing Groundwork (4190)
Approved
By
To be done prior to breaking ground
Approved to cover
By
Date
By
Date
By
Date
Final - Plumbing (4075) E] Final - Building (4050)
Approved Approved
By (���Q��j Date L By Date
El
Underfloor Framing (4285)
Floor Sheathing (4105)
E]
Shear Walls (4245)
Approved to sheath floor
By
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Mechanical Rough -in (4165)
Rough Plumbing (4230)
Roof Sheathing (4220)
Approved to install roofing
Approved
Appro�cd
By
Date
By
Date
By
Dates
Gas Piping (4125)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to release test
Approved
Approved
By
Date S �I 8 (�
By
Date 9 — ��
By
Date
❑
Insulation (4150)
Approved to install wallboard
❑
Framing (4120)
Approved to ii►sulhte
o scheduling a Framing inspection;
Plumbing & Mechanical Rough -in and
LF�.Ze(Dr.fftStop inspections must be signed -off and
approved. IBC 109.3.4
By �
D t5 ,i:
By
Date
Lj
❑
Final - Mechanical (4065)
❑ Final Erosion Control (4375)
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
Approved'
Approved
By
CDate
By
Date
ey
Date
Final - Plumbing (4075) E] Final - Building (4050)
Approved Approved
By (���Q��j Date L By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
'
PERMIT MF CO ME PL DE EN FP
Fed
rea 43>46Et z�,o APPLICATION
as4:sae�,s•a� dy FAV.! aop �
SITE ADORES
If4v Is
SUITE/UNIT #
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
NtsBUILDING INPLUMBING bNMECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
t)■T���� fNV '
S COJIL Tu
Detailed description of work to
LtNACC I t- SEtT
be included on this permit only
PROPERTY OWNER
NAME
C V fZL�N S t V e'v_e�
PRIMARY PHONE
2-4S_%. 1) -j I 0 O
MAILING ADDRESS
30 lboZL A•+ 5
E-MAIL
Cr'CT XjD06 Q hKd • C -or.
mve"L
STATE
_kj.
ZIP
- --
_
NAME
Q
PHONE
A OA 04
MAILIN ADORES
E-MAIL
CONTRACTOR
CITY STATEZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
- - - -
N
�a-r.s T C
PHONE
2��-e . L
APPLICANT
MAILING ADDRESS
Aam 21 A-
E -MAH.
tj • � o�
CITY
STATE ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME _
Cv/LT-, S
PHONE
2-,1;.%. OHN - C d
MAILING ADDRESS
a1 7- S
E-MAIL
Q- ���� ��� MS✓'� •M
CITY ` 1
6AA` i
STATE
I�1
ZIP
U
FAX
ALTERNATE CONTACT N
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(R CW 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 de ease of
such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such cl im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied the city as apart of this application.
SIGNATURE:-�-
__BATE
PRINT NAME: CtJ�1T s
1UGKCL
Bulletin #100 -April 14, 2010 Page 1 of 3 k:\Handouts\Pemnit Application
01
VALUE of MECFIA1VrcAL Wogs $ _ � �
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS
HOODS (commercial)
BOILERS FURNACES
HOT WATER TANKS icas)
COMPRESSORS GAS LOG SETS
REFRIGERATION SYST
DUCTING Z GAS PIPING
WOODSTOVES
Indicate how maM of each type
BATHTUBS (or 7Ub/shower combo)
1 DISHWASHERS
DRAINS
DRINKING- FOUNTAINS
HOSE BIBBS
fixture to be installed or relocated as
LAVS (Hand sinks) _
RAINWATER SYSTEMS _
SHOWERS _
SINKS (kitchen/utility)
SUMPS
f this project. Do not include
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (vectric)
WASHING MACHINES
ig fixtures to remain.
WATER PIPING
OTHER (Describe)
Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application