11-104339 (2)City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building = Single Family
f Permit #: 11-104339-00-SF
Inspection Request Line: (253) 835-3050
Project Name: NGUYEN
Project Address: 505 S 303RD ST
Project Description: ADD - Construct 220 sgft addition to create ki
Owner A IIC T
TIM NGUYEN IM N 5T
iOPrL YRL7W�480 F L RD ST YW 3 FEDER
alt/add - no change in nt
Number: 064310 0100
Lender
TIM NGUYEN
505 S 303RD ST
FEDERAL WAY WA 98003
We M
IWO
Addlar�al Permit
New / AUtionalSq.jFt 1 Fl r...... 228
New/A3 Floor..................0New / AFeet - D ck.................. ..... 0
Mechanical to be Included?..... ... ..
Plumbing to be Included?........ e
Zoning Designation.... ....�..... ..... ...... .... S 9.6
Ducting.................................
Sinks......................................... ...... 1
use will be in
46 ti _
Lw dditional Sq. Feet - 2nd Floor...................0
1v 1 ditional . Feet - Base nt...............--o
1 Sq. Feet - Gara�......................0
New / Additional Sq. Feet - Other...... 0
New / Additional-Sq. Feet - Total ..... A
chanical Fixturts
......---.-- ............................... 1
LV V&dnesday, October 31, 2012
Issued on Friday, , 2012
As e
228
Areatan�t nstruction on e d ed property and
l%ws, rules and
Federal Way.
i tate of Washington
Date:
DATE
rY
O'
AREA AND TYPE OF INSPECTIUK
/ vU %��tJ�" rD/01�xi p Pf�r 1w �:6�kzlT -top-
C
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
t;SPECTION REQUESTS: (253) 835-3050
J
J
PERMIT #: 11-104339-00-SF Address: 505 S 303RD ST
Project: TIM NGUYEN FEDERAL WAY, WA 98003-4016
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.
Ei SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Footings/Setback (4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By Date
By Date
Sy Dal r�
Ei
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Plumbing Groundwork (4190)
Approved to place concrete
Approved to backflll
5tre_ .A6 R:T
Approved to cover
By/
Date - Z Q�
By Date -7_,9_ /y
By
Date
ElSlab/Concrete Floor (4255)
F] Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By 145?14C Date �"-� -1Z
196�5-
Date ol
Roof Sheathing (4220)
Approved to install roofing
❑
Rough Plumbing (4230)
Approved
Shear Walls (4245
Appr d ' 'ta
B Y
Date /"?i
n7 - � -�
By Date �l - /'2 - !'Z
B
Date
❑
Mechanical Rough -in (4165)
Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
Date
Ey
Date 1 Q - `4
y
Date
Interim Erosion Control (4370)
e Prior to scheduling a Framing inspection;
Framing (4120)
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC109.3.4
By
Date
Final Erosion Control (4375)
❑ Gypsum Wallboard Nailing (4130)
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By�L Date &_Z-Z,Z
By
Date
Final - Building (4050)
Final - Plumbing (4075)
❑
Final - Mechanical (4065)
Approved
Approved
Approved
By
Date
By Date
By
Date
FJ
Rough Electrical
Approved
El
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
`Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: ADS s'. 30.3M $i PERMIT#: //- 16'Y,552'40'5,o
r .�
'Vii'- L6: C r 5"i06
A4) i AeMeVID5 7z COUCYL-
IF YOU HAVE QUESTIONS CALL '�` �rI� (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.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE PofPage_
- A'r� PERMIT
Federal Whu_.
LQAthR1N1lY aE,.E�oP.,t €. P P L I CA T I O N
sss.aas•aro7fiAx2-2609 11
•y u,n'lr. �71N�C•r1C[17fuTf1l. Cbm ��ry' 1}, � �,
�f-10..-!5; __1?; C__1
�5. } MF CO ME PL DE EN FP
SITE ADDIMS[� �s f� �] �/
�10_fl� � i c� i l.��ifZ?iC, � (�//T 91
�4�
SUITE/UNIT #
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL #
p 0_ C2 Q C�
TYPE OF PERMIT
BUILDING A&LUMBING -k-MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
f l
r ` f l
A i;�� `J'L�
,117 ON 7 'C
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
--rim 253_ 93Q—'165-9
MAILING ADDRESS
30
E-MAIL
72G ?h
CITY F j- f �. S Ei
ojj /nT_
•)�
ZIP �l/
+1� py�n
rg
1/�`� �V -33 0— 2 1
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY STATE
2IP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
I�
�Y
MAILING ADDRESS
E-MAIL
APPLICANT
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
OWNER -FINANCED
PROJECT FINANCING
Required value of $5,000 or more
IRCW 19.27.095)
NAME
01,0
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 a part of this application.
SIGNATURE-
PRINT NAME:
Bulletin #100 - January 1, 2011
Page] of 3
Ul-landoutsTermit Application
�$1
VALUE 017 HAA7SA WOP-K
(a copy of bid or estimate must be provided)
Indicate houi many of each type o_(fixture
to be installed or relocated as part of this project. Do not include existin Enures to remain -
AIR HANDLING UNITS ^-
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS cos)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING 1 -
GAS PIPING
WOODSTOVES
Indicate how rrtmnyof each type
BATHTUBS (or Tub/Sbo—combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
'fxture to be installed or relocated as
LAVS (Hand sinks) _
RAINWATER SYSTEMS _
SHOWERS
J( SINKS (IGtchen/ut.liry) _
SUMPS
rthis project. Do not include
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Elecn9c)
WASHING MACHINES
istijrtg fixtures to remain.
WATER PIPING
OTHER (Describe)
TOTlLL PMTURES
GENERAL BFo&mATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR Fn
SEWER PURVEYOR
dVALUE OF EXISTING IMPROVEMENT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feetl
EXISTING FIRE SPRIN LVR SYSTEM?
PROPOSED FIRE SUPP ESSIUN SYSTEM?
❑ Ye�No
❑ Yes�i�ip
----- RES.YDENTIAL
- Nkw OR Amff- rvN -
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
1 LJzC2
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
l Vl
GTHER idesraibe)
Area Totals
EXISTING
PROPOSED
TOTAL
**ArEW HOMES ONLY"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
ComrviERom.-- NE%,vlADDm0N
AREA DESCRIPTION
Area
in S uare Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
CC]tiMERCim, moDEUTMANT QVE_T IE_ NVT_S
AREA DESCRIPTION
Area
in Square Feet
Occupancy Crrou
onstruction
a
# of
Stories
Additional Information
POT1I, BUILDING}
TENANT AREA ONLY
-
PRbJECT Ar.FN oN/Y
Bulletin #100 — January 1, 2011 Page 2 of 3 UHandouts\Permit Application