21-102762~ Building - Single Family
City of Federal Way Permit #:21-102762-00-SF
Community Development Dept.
S8th Ave S
Federaall Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Project Name: AUSEN
Project Address: 1125 SW 356TH ST Parcel Number: 440560 0006
Project Description: Remove existing roofing. Replace sheathing as necessary with CDX plywood and install
composition shingle roofing system.
**REVISED 7/20/2021 - Work to include remove and replace drywall with new drywall.
Remove and replace exterior wall insulation and replace with new insulation. Replace galv.
water lines with PEX. Replace 1 1/2: laundry waste line with 2" line.
Owner
Applicant
Contractor
Lender
JULIE R AUSEN
BRAD AUSEN
OWNER IS CONTRACTOR
OWNER IS LENDER
16421 11TH AVE SW
16421 11TH AVE SW
BURIEN WA
BURIEN, WA 98166
98166
Census Category: 555 - Non-structural roofing permits
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.
Additional Permit Information
Mechanical to be Included? ..................................... No Plumbing Work Valuation?...................................... 5000
Is this an Online or O.T.C. application? .................. Yes Plumbing to be Included?.......... Yes
Total Valuation: 12,000.00
Plumbing Fixtures -
Bathtubs 1 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 1 Sinks 2 Water Closets 1
Water Heaters 1 Hose Bibbs 2
PERMIT EXPIRES Monday, 3 January, 2022
Permit Issued on Wednesday, July 7, 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
Washington and the City of Federal Way.
Owner or agent�� \4-, Date: 77
R—V)k' ,-6 A
CITY OF "•i
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 102762 00 Address: 1125 SW 356TH ST
Project: BRAD AUSEN FEDERAL WAY WA 98023-7205
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.
0
Plumbing Groundwork (4190)
0
Roof Sheathing (4220)
Q
Rough Plumbing (4230)
Approved to cover
Approved to install roofing
Approved
By
Date
By
Date
By
Date J U3 i1iL
Insulation (4150) ® Gypsum Wallboard Nailing (4130) ® Final - Plumbing (4075)
Approved to install wallboard Approved to install mud & tape — Approved
y I y \ g 2 y J lJ
B Date ) 3 B Date B Date f
Final - Building (4050)
Approved By Date 1 1AV)
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By Date
A� CITY OF
Oak Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: l\ZS 5'W �j�j� �' S F PERMIT#: `L[ `
i Gt Ut1M 1� tires l
`ECG 701713 ' 60q . i G
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MkA 4pA J ()0 Yl• l 1 C L(C,) 2 - (s
IF YOU HAVE QUESTIONS CALL J eve `' (253) 8 3 5 - "� 7
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
/ _Z3
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
PERMIT APPLICATION
CITY OF-�
PERMIT CENTER + 33325 8t' Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + permiteenter(f�6t,yoffederaiway.com
P, 5 �7l20/Zoz (
PERMIT Nur4m R 1 _ ) O -7 G 0 - S TARGET DATE
SITE ADDRESS
SUITE/UNIT #
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PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
TYPE OF PERMIT
$BUILDING ❑ PLUMBING ❑ MECHANICAL ElDEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
NAME
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NAME
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WA STATE CONTRACTOR'S LICENSE 3
EXPIRATION DATE
US] IF
NAME
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PRIMARY PHONE T`
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MAILING ADDRESS
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APPLICANT
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PROJECT CONTACT
NAME
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PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
(The individual to receive and
respond to all correspondence
/ O V'A AJ'L
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAMEA
❑ 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 authorised 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 apart of this application.
�7 `
SIGNATURE: DATF-
PRINT NAME:���� � �A S Gil!
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COPI
Bulletin 4100 - February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
_ RECEIVED
JUL 01 2021 PERMIT APPLICATION
CITY OF .�.-
CITY OF FEDERAL WAY PERMIT CENTER + 33325 8w Avenue South + Federal Way, WA 98003-6325
Federal Way COMMUNITY ❑EVELOPMENr 253-835-2607 + FAX 253-835-2609 + perrnitcenter@cityoffederalway.com
PERMIT NUMBER &? j — 0 a 7 — 5 , TARGET DATE
SITE ADDRESS
SUITE/UNIT #
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PROJECT VALUATION
' ZONING
ASSESSOR'S TAR/PARCEL #
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TYPE OF PERMIT
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p�J BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY 1 STATE
$ U;Z �cE .)
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
URI #
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY STATE
ZIP
FAX
PROJECT CONTACT
NAME F \
�� �� r��. � �.t�`i•? �.�� �,i~s.� }
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAMErJ O tJ �,
❑ OWNER -FINANCED
When value is $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. 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 apart of this application.
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SIGNATURE�; J —� '�� DATE / 2//�.OiC-�
PRINT NAME: - 17 A L.; S Z-^/ — -
Bulletin #100 -February 19, 2020 Page I of 2 k:\Handouts\Pernvt Application