04-102853City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 251661.4000 Fax: 253.661.4129
ou ; -
Building - Single Family Permit #: 04 - 102853 - 00 - SF
Project Name: WHITE
Project Address: 426 SW 345TH PL
Project Description: ALT - grade and fill with rockeries.
Inspection request line: 253.835.3050
Parcel Number: 132170 0130
Owner
Applicant
Contractor
Lender
Leon H White & Catherine N White
Leon H White
Leon H White
NONE
426 SW 346TH PL
426 SW 346TH PL
Construction Type:
Type V - N
FEDERAL WAY WA
FEDERAL WAY WA
426 SW 346TH PL
Occupancy Load:
Floor Area (Sq. Ft.):;
98023 -8309
98023 -8309
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):;
Census Category ................................................. 434 Residential alt/add - no, Mechanical ......................... ..,...............
Occupancy Group 41 ........... ........................ R -3 Plumbing ..... .... ..............z ........
Zoning Designation........: -- ... ...................— RS 7.2
PERMIT EXPIRES February 6, 2005.
Permit issued on August 10, 2004
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.
Date:
Owner or agent: / — �(� (�
THIS CARD IS TO REMAIN ON- SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 102853 -00 -SF
Owner: LEON H WHITE
Address: 426 SW 345TH PL
FEDERAL WAY, WA 98023 -8356
This card is part of your required inspection documents. 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 :eft 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.
❑ TJL emp. Erosion Control (4365)
To be done prior to breaking ground
By Date
❑ Plumbing Groundwork (4190)
Approved to cover
By Date
0 Underfloor Framing (4285)
Approved to sheath floor
By Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
[]
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date
By
Date
Fire/Draft Stops (4095)
❑ Framing
NOTE, Prior to schedu:bi raming (4120)
(4120)
Approved
inspection; Electrical, Pl& Mechanical
Approved to insulate
Rough -in -ind Fire/Mraft SSections must be
By
Date
sign: d -off and approved. I3.4/UBC 108.5.4
By
Date
❑ Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑ Final - SWM (4375)
Approved to install wallboard
Approved to install mud &. tape
Approved
By
Date
By Date
By
Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
By Date By Date
ti
Federal Way RECEIVED q_-- - -L 0_ r_61-,3
PERMIT Go F CO ME EL PL DE EN FP
COMMUNITY SERVICES
33530FIRSTWAYSOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 A P P L I C R )
rD
253-661-4115•FAX 253-661-4129
/ / I
www.dtuotkderalwau.com CITY OF FEDERAL WAY
BUILDING DEPT. T
The ollowin• is re•uired in ormation-an inco •lete a••lication 1 not be acce•ted. Please •rint le,ibl (in ink)or •
PROPERTY INFORMATION ��
SITE ADDRESS 412,6412,6 5'J 3 Y Co -E-1► P/',4c : Feo !p SQ23 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I Z / .? O_ - Q -5 O LOT SIZE(s,/7 70
IASI
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1,, %i A, ,1 P
(Attach separate•.. for lengthy legal desorption)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
BACK Nitiw L•4t(sc4f- PR =tet' - i--,1" p- s A-
/-\C)
-1 S k— ‘2,),s-- amu. / 5?)
PROJECT NAME(Name of Business or Owner Last Name) ()Z( 1-i- q s--_?-
r
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONEN-
OWNER G� , -'c-4-4-4I 1/./r/ r��, t (2, Lia -?o7
MAILING AD c-4-4-4SCITY,STATE,ZIP
92.6 Scd ix. /X- Ate"- 4iAy &i4. 28-oz3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME f ` t Cr n APPLICANT NAME
L OFFICE PHONE ..{� 1
MAILING ADI1+ B i Cl ,ZIP I L_YELL
C ) -/`+�7-
PHONE
Li
lb Sw /L FM,4(,4.450 (Zn )NUMBER1? 3/r!�
RELATIONSHIP TO PROJECT FAX
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) Okiin-. ( )
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE S/ye,(t., Pael tge.5 hs_ PROPOSED USE Beieel/�d 14$411 Ce4AB-
\
EXISTING ASSESSED/APPRAISED VALUE $ cal cod VALUE OF PROPOSED WORKSPRINK33,/gyp
WATERLERED BUILDING? ❑ YES TlLNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? q YES\ XNO
SERVICE PROVIDER $,LAKEHAVEN 0HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER J�G.LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) -, 4 7)
cl-k,-6� c7
PROJECT FLOOR AREAS - -
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Descnbe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/show,comb.) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
NAME/TITLE DATE 0 7/2;41/6- 1
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner D Agent o Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW a ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I landouts—Revised\Permit Application