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19-102302r Building - Single Family City of Federal Way Permit #:19-102302-00-SF Community Development DepC 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: GORSKI Project Address: 30040 12TH AVE SW Parcel Number: 515320 0481 Project Description: ADD - Construct a new 1,024 square foot 2nd story addition above the existing garage. Plumbing and Mechanical included. Owner Applicant Contractor Lender BRIAN GORSKI BRIAN GORSKI OWNER IS CONTRACTOR OWNER IS LENDER 30040 12TH AVE SW 30040 12TH AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Census Category: 434 - Residential alt/add - no change in number of units Includes: # 1 #2 #3 #4 Occupancy Class: R-3 Construction Type: Type V - B Occupancy Load: Floor Area (sq. ft.) 1,024.00 Additional Permit Information New / Additional Sq. Feet - 1 st Floor ..................... 0 New / Additional Sq. Feet - 2nd Floor.................... 0 New / Additional Sq. Feet - 3rd Floor.. ................... 0 Occupancy #1 -Area (Sq. Feet).............................. 1024 New / Additional Sq. Feet - Basement .................... 0 Occupancy #1 - Construction Type......................... Type V - B New / Additional Sq. Feet - Deck........................... 0 New / Additional Sq. Feet - Garage ........................ 1024 Mechanical to be Included? ..................................... Yes Plumbing Work Valuation?.............. 5000 Mechanical Work Valuation? .................................. 1500 Number of Stories................................................... 2 New / Additional Sq. Feet - Other.........................., 0 Is this an Online or O.T.C. application? .................. No Plumbing to be Included? ........................................ Yes New / Additional Sq. Feet - Total.....................:.... 1024 Occupancy 41 - Use ................................................ Residence (1 or 2 Comprehensive Plan Designation........................... SF - High -Density family) Residential Zoning Designation ................................................. RS 15.0 Total Valuation: 124,149.76 No Fixtures Associated With This Permit !! CONDITIONS: Call Planning at 253-835-2655 for final landscape/tree planting PERMIT EXPIRES Tuesday, 25 August, 2020 Permit Issued on Thursday, February 27, 2020 F ^+ r n I hereby certify that the above inforrriation is 6o 4b and that th&;grstruction on the above described property ., and the occupancy and the use will b6-ih accordan.Ce.with.th'e laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: -- n n Date: THIS CARD IS TO REMAIN ON -SITE C,r„oF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 19 102302 00 Address: 30040 12TH AVE SW Project: BRIAN GORSKI FEDERAL WAY WA 98023-3408 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 Wank be covered until it is approved. Check with your inspector if (read left to right, top to bottom). Please schedule about any of the inspections or the inspections as appropriate. trust not inspection sequence. On -going inspections are logged on the back of this card. you are unsure 0 SWM Precon Site Mtg (4400) Site Assessment (Erosion) (4365) Q� Footings/Setback (4110) Approved To be done PRIOR to breaking ground ' Approved to place concrete By Date By Date By Date ® Foundation Wall (4115) Q Drainage/Downspout (4040) 0 Plumbing Groundwork (4190) Approved to place concrete Approved to backfill Approved to cover By Date By Date By Date Q Slab/Concrete Floor (4255) ® Underfloor Framing (4285) Floor Sheathing (4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date o ` / Shear Walls (4245) Roof Sheathing (4220) 2 Rough Plumbing (4230) V Approved to install siding rB"y, Approved to install roofing Approved By Date Date By Date 13 Mechanical Rough -in (4165) 14 Gas Piping (4125) 15 Fire/Draft Stops (4095) Approved Approved to release test Approved By Date By Date By Date 16 Interim Erosion Control (4370) or to scheduling a Framing inspection; 17 Framing (4120) Approved rical, Plumbing & Mechanical Rough -in Approved to insulate FE re/DraftStop inspections must be signed off and approved. IBC 109.3.4 By Date y Date 1ti Insulation (4150) 19 (:v psum Wallboard Nailing (4130) 20 Final Erosion Control (4375) Approved to install wallboard approved to install mud & tape Approved By Date By Date By Date 21 Final - Mechanical (4065) 22 Final - Plumbing (4075) 23 Final - Building (4050) Approved t-� Approved Approved 2 Date qZ r $y Date �J1 By_T Date Byaa_ _M Final Electrical Right of Way Approved Rough Electrical Approved Approved By Date By Date BY Date Building Division C111V OF 33325 Eighth Avenue South Federal Way Federal Way, 98-6325 M4111, i�Phone 253-835-2607 Faxx 253-835835-2609 CORRECTION NOTICE ADDRESS: + kA '- PERMIT#: I �' IF YOU HAVE QUESTIONS CALL (253) 835- M . WHEN CORRECTIONS HAVE BEEN MADE, CALL (253.) 835-3 0 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of _ _ RECEIVED CITY OF - Irlh$ i 10 2019 , PERMIT APPLICATION PERMIT CENTER + 33325 8th Avenue South +Federal Way, WA 98003-6325 FedL'ra I V1la C 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com CITY l;F , tUltRkL WAY , MUN17Y DL-VEL4Ph1,Uv-j-, PERMIT NUMBER _ 1 v O — `' TARGET DATE SITE ADDRESS 12 ► �I PROJECT VALUATION TYPE OF PERMIT NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT (The individual to receive and respond to all correspondence concerning this application) PROJECT FINANCING When value is $5,000 or more (RCW 19.27.095) SUITE/UNIT # ZONING ASSESSOR'S TAX/PARCEL # EkBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION iVtn L4 gU 2 G&Kc,R & - — MAILING ADDRESS 2 -4J- i, NAME 0 I_AjNV` MAILING ADDRESS CITY WA STATE CONTRACTOR'S LICENSE # NAME © W ,. `` MAILING ADDRESS CITY NAME MAILING ADDRESS CITY NAME MAILING ADDRESS, CITY, STATE, ZIP u u STATE w 4__ STATE ZIP EXPIRATION DATE STATE I ZIP STATE I ZIP bvve �JLIS't/� PRIMARY PHONE 206-`13D Y 5306 E-MAIL P ZP,- - r. C.OI C5! 6 I"*tA/ L PHONE E-MAIL FAX FEDERAL WAY BUSINESS LICENSE # PRIMARY PHONE E-MAIL FAX PRIMARY PHONE E-MAIL FAX OWNER -FINANCED 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 e city as a part of this application. SIGNATURE: DATE PRINT NAME: p O A I Bulletin #100 — January 29, 2016 Page 1 of 2 kAHandouts\Permit Application MECHANICAL PERMIT Indicate how many 9f each tzipe of flidure to be installed or relocated as part of this pr9ject. Do not include e ' ting fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUM SING PERMIT Indicate how many of eachtype orfixture to be installed or relocated as part of this project. Do not include existirkqftxtures to remain. BATHTUBS (or Tub/shower combo) LAVS (Hand Sinks) I TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS J- SINKS (Kitchen/Utility) WATER HEATERS (Electric) _2_ HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS e-� �o EXISTING/PREVIOUS USE LOT SIZE (In Squaze Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? r ❑ Yes 9(,No ❑ Yes [X No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR y ©/� X COVERED ENTRY DECK GARAGE -A CARPORT ❑ u / X OTHER (describe) Area Totals EXISTING PROPOSED TOTAL **NEW HOMES OlYLY** ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction Square Feet Additional Information f Stories NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square FeetType Occupancy Group(s) Construction Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #I 00 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application O �. 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" i • a i • • • i i ft • • • t i i • ! i i� i• t i i< � t t t t < t It • • • i ! t • t t i i i i t f • • w( � t i • i � ft • ! •• ! i i i i • < t ' t u • ! i i • t• t t ! i ianME • i t ft t • • ! t � • i i • � � � t � , t ; • i • t a t i • F , 0 Q G at m v Q A ni ti . t cr- zn d} .6 Z 0 CL CD a 0 Z <t z �w W oQ ul cn FLU LU w urni a z o 0 }--- z Z Z .�® UJ m Z W d M ui 4 Z Z N d- tL r H N to N . i < i i , • i • i • • • t • ! i ' t i • i < ! i • ! t i ! . t i es • i � i • i i t • � � t ,� ® i t � t � i • i ® tt i a ! • • ,► ! i • s ®' < i i • t � • t t st • • " . • i • ,/ i i i • • . i t i i � t • r # � i •� t t i• t i t u • t ! �, i i i ; i i i • . i • i i• ,, a i t . • f i t t � ft � t �" i• i i� t • i i t t 4 �• t !` i i i t • ! t i i � , • i ' • ' � !i •t ! t ,,PERMIT MIT #: 19-1028,0M0-SF ADDRESS: 30040 12th Ave SW PROJECT: ' Addition," ORSKi DATE: 05/ 10/2019 LLJ i' i • . • r .. 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