13-100282� t
Ouilaing'- Single Family
City of Federal Way
Community & Econ. Dev. Services Permit #: 13 -100282 -00 -SF
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q
Project Name: HABITAT FOR HUMANITY
Project Address: 33411 23RD AVE SW Parcel Number: 932090 0390
Project Description: REP - Remove and replace new windows, attic insulation, siding, roofing, mechanical and
plumbing fixtures. Plumbing & mechanical included
Owner
Applicant
Contractor
Lender
HABITAT FOR HUMANITY -
HABITAT FOR HUMANITY OF
OWNER IS CONTRACTOR
OWNER IS LENDER
SEATTLE/SOUTH KING COUNTY
SEATTLE/SOUTH KING CO
PO BOX 88337
560 NACHES AVE SW SUITE 110
TUKWILA WA 98138
RENTON WA 98057
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................Yes
Fans................................................ 3
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?.......................................Yes
Mechanical Fixtures
Plumbing Fixtures
Bathtubs ......................................... 1 Dishwashers................................... 1 Laundry Washer Outlets................ 1
Sinks ............................................... 2 Water Closets................................. 1 Water Heaters................................. 1
Hose Bibbs..................................... 2
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES V
Permit Issued on F
I hereby certify that the above information is
the occupancy and the use will be in accor(
Owner or agent:
G
iKJ lbx-�4q —
Pyo
�WWoN faW
i', July 17,2013
ary 18, 2013
rt the construction on the above described property and
e laws, rules and regulations of the State of Washington
of Federal Way.
Date: / /-9'—/ 5
THIS CARD IS TOMAIN ON-SSITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -100282 -00 -SF Address: 33411 23RD AVE SW
Project: HABITAT FOR HUMANITY - SEATT FEDERAL WAY, WA 98023-2807
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.
Underfloor Framing (4285)
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
E]
Plumbing Groundwork (4190)
Approved
By
To be done prior to breaking ground
By Date
Approved to cover
By
Date .
By
Date
By
Date
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
E]Final
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
By
Approved to install siding
By Date
By
Date
By F Date /3 ./3
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
❑
Mechanical Rough -in (4165)
Approved to install roofing
Approved
Approved
By Date
By
Date
By
- Date
Gas Piping (4125)
❑
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to release test
Approved
Approved
By Date
ByDate
,`
By
Date
Framing (4120)
Prior to scheduling a Framing inspection;
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
By
��� Date LiV „ cj A _ � S
By
, Date S -
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Mechanical (4065)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By
VY3 Date S ( [It4
Final - Plumbing (4075)
❑
Final - Building (4050)
Approved
Approved
By V-6 Date I
By
Date SI
❑
Rough Electrical
Approved
E]Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF ''
A 9 PERM ITSAPPLICATION
Federal way RECEIVED
PERMIT NUMBERI _ O Z 2— ��\ JAN 1 8 2013���
TARGET DATE GM OF FEDERAL WAY
SITE ADDRESS
5 11 ZJ S
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
II BUILDING ETPLUMBING ❑, MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
I -�
vfC 3-k1 `JNt�LA
v� rA tit GJ
be included on this permit only
Gine'A
PROPERTY OWNER
NAME L II
r Jtu illL_ �(—
PRIMARY PHONE
WG_ qz _�N()
MAILING ADDRESS
�(,v C ,. s �v� Ste , li C)
E-MAIL
f -A 6U Vr.
CITY n �
STT�
ZIP Q,
NAME
PHONE
MAILING ADDRES
E-MAIL
CONTRACTOR
CITY STATE
ZIP
FAX
WA STAT CONTRACTOR'S L,ICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
N
PRIMAR�Y PHONE
^U . zLo
MAILING ADDRE3
S _ o! k Ito
E-MAIL
.CLW0v µ�!�>•S
APPLICANT
CITY
IfV••W)
ST TE
ZIP
FAX J�
NAME
PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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. 1 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), tv#lgh may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the r liance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci -as a art of this application.
I
SIGNATURE: DATE
PRINT NAME:
Bulletin # 100 —January 1, 2013 Pagel of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
$ q
Indicate how many o each type offlxture to be installed or relocated as part o this project. Do not include existir�q fiXtUres to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (caa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
l Aa riAv� A S
VALUE OF PLUMBING WORK
PLUMBING PERMIT
A:)
o
[,ka S
Indicate how man o each type offlxture
to be installed or relocated as art o this project. Do not include existing ures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Additional Information
DRINKING_ FOUNTAINS
SINKS (Kirch=/utait ` __
WATER HEATERS (Ei_oc:x)
2 HOSE BIBBS
SUMPS �—
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
l Aa riAv� A S
SEWER PURVEYOR
�AVEA
VALUE OF EXISTING IMPROVEMENTS
A:)
o
[,ka S
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes.'Z�00
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ YesZ<N�o
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
In Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construcction
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY u
Bulletin # 100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application