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`a" OF THIS CARD IS
Federal Way Construction InspeC� an TO REMAIN -SITE
INSPECTION REQUESTS. e7ci 8 Record
PERMIT #: � 5-305D
22 104249 00
S01 Address: 3193136TH AVE SW
Project: HEART AND SOUL PROPERTY Scheduled inspections may be failed if this card is not on -site. b()p•1.1 LOSE 71114 C F EDE
(read left to right, top to bottom). Please schedule inspections as a FEDERAL WAY WA 98023-2138
YOU are unsure about an appropriate. Work: must not be covered Untico ! i[kis ad as close to sequential order y of the inspections or the inspection sequence. On -going inspections are iogged on the back or this card. inspector
tblc
pproved. Check with your inspector i!"
1 Plumbing Groundwork (4190) z
Approved to cover ❑ Underfloor Framing (4285) ❑
By Approved t 3 Flo $
Date
❑ Shear Walls (4245)
Approved to install siding
111 By Date
❑ Mechanical Rough -in (4165)
Approved / rr
By� Date �r1I Val"
Prier to scheduling a Frnnaing inspection;
Electrical, Plumbing & :►lechunical Rough -in
:and Fire/Draft Stop inslVelloras must he eigned-
Oftand appr,"d. 113C 109.3,E
12 Gypsum Wallboard Nailing
Approved to install mud & tape
By Date �'%zL
15 Final -
Buiiding (4050)
Approved f
By d Date
o sheath floor
By
Date
Q
Roof Sheathing (4220)
Approved to install roofing
By
Date
Q
Gas Piping p g (4125)
Approved to release test
By Date
10 Framing (4120)
Approved to insulate
y Date �O�%
13 Final - Mechanical (4065)
Approved
B�
By
9
By
11
By
14
By lJ Date i7j�?i - ff
11BY li
W
ar heathing (4105)
Approved 10 install flooring
Date
Rough Plum bing (4230)
Approved
Date r 1:da
Fire/Draft Stops (4095)
Approved f
Date I r117
Insulation (4150)
Approved to install wallboard
I Date ir`ill-)
Final - Plumbing (4075)
Approved
Date 0,124
❑ Rough Electrical
Approved ❑ Final Electrical
By Date Approved ❑ Right of Way
By Date APProved
By Date
1�CITY OF
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: ; Iq�1 '_�ke, � V�] PERMIT#:
Mee Opt' uoders�e af- sf-01'n' K z.T
(H ) `fie v4e hrCAV� i� Qa I( 3 P -A hP C,� C -e6 'i AJ t4-h
�E
�JMVUA CkA 0 VW -We 01( A i r 1�'l
IF YOU HAVE QUESTIONS CALL (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (2531 35-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
ell
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
OF
`Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: PERMIT#:yId�����7
I ) s-
E O+t1 A l 1 Ij
IF YOU HAVE QUESTIONS CALL AnAl (253) 835-
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.
2 2—
DATE INSPE TOR
DO NOT REMOVE THIS NOTICE
Page of
1k RECENED PERMIT APPLICATION
CITY OF
Federal WayOCT 18 2022 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
CpMMUNfTY D ELOPMi"NT
PERMIT NUMBER � - � ZA � 2- Z
TARGET DATE
SITE ADDRESS SUITE/UNIT #
�e ��,�,,,lurA-
s � z 3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ V/:57; l- Sir
TYPE OF PERMIT
%BUILDING ePLUMSING %mrr-HANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
t etr /- 4,W S o w / — / L )
YA")-Zt-�o /V
PROJECT DESCRIPTION
Detailed description of work to
)) L
ar40,'�1 I% rX /� } ►'5 Li Gl� & »�► Gt Y1rl
1 a, M rid r V 5-41" adv d,001 dZy IS 4�1h1 n --ve'm
be included on this permit only
/�v /Ndt
do �I ol5 d] r f S /S )'1CL�1 C 1 L(I Jl Fit K5 19,dc�
NAM%!
H e . , t SOJ
PRIMARY PHONE
AS3-- 7-61 —2Z14
MAILING ADDRESS r
E-MAIL
4
PROPERTY OWNER
CITY STATE
K
EIP9
NAME
PHONE
OW%'1Ey'
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI #
- -
PRIMARY PHONE
NAME
P-• -
MAILING ADDRESS
E-MAIL
APPLICANT
CITY STATE ZIP
NAME
FAX
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAMES LF es -1 1`9 UZ
OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CI Y, 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 ficrther 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 cc ra of Zhe
application.
information supplied to the city as apart o�fJ
this
�" !°'l cl AXE ,fr �Q/f DATE� 1 Y � Z Z
SIGNATURE: r
PRINT NAME: e.L7 �j ncc / +�r' d vt !— s f D I) S--/ 71 Z Z
I-41
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ l q
Indicate how ntany of each type of re to be installed or relocated as Rart of this project. Do not include exisz!"a fixtwes to remain.
AIR HANDLING UNITS 11 FANS 3 8 � L "ov4fV GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER cDy ! FIREPLACE INSERTS HOODS
BOILERS o /3) _� FURNACES tf ,14je j) HOT WATER TANKS (Gas)
COMPRESSORS GAS G00 SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ � 2-0 1 —
Indicate how many o each type offixture to be installed or relocated as part of this ro ect. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Sh—r combo) LAVS (Hand Sinks) TOILETS Nb! "A&&, WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
+* DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS " ieh testy) WATER HEATERS (Electric)
HOSE BIBBS SUMPS % WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
A/d
WATER PURVEYOR
fGtGDA7o1
SEWER PURVEYOR
VALUE OF EXISTING IMPROVO4MNTS �
, sl�G
EXISTING/PREVIOUS USE
n
LOT SIZE (In Squaze Feet)
�j
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes XNo
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL — NEWIADDITION
AREA DESCRIPTION
Area in
S are Feet
Occupancy Group(s)
Construction
TV a
# of
Stories
Additional Information
NEW BUILDING
T
ADDITION
111
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
S are Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT ARF..A ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application
17
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