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05-101822t J y f City of Federal Way Community Development Services Building - Single gamily Permit #: 05 - 101822 - Of- SF P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050 Project Name: HENDRICKS Project Address: 119 S 317TH PL Parcel Number: 337530 0460 Project Description: ADD - Add 2nd story addition with plumbing/mech. Also adding front and rear entry porch (covered). REVISED 10/10/05: Switched Master Bathroom and Walk -in Closet location. Owner Applicant Contractor Lender Mark A Hendricks & Sharon L Hendr ROLLUDA ARCHITECTS Mark A Hendricks FIRST HORIZON 119 S 317TH PL 103 S MAIN Height of Structrt� .. 4000 HORIZON WAY FEDERAL WAY WA SEATTLE WA 98104 119 S 317TH PL IRVING TX 75063 98003 -5241 .4 p{o� .., s... ; ...., ...... FEDERAL WAY WA Includes: Census category: 434 - Reside 1 #1 #2 #3 #4 ---.._..._.---- - Occupancy Group: _ R -3 Construction Tale: TVDe V - B Floor 2ndr ose+t� 1 157 �P �� a esl �_ d .'" Deck Prop, b h� >re Sp lRegmredta !q� 5� Height of Structrt� .. .... ..22.5 �o ti ecitamcal �.... es ti Occupancy # 1 - Class... ;:.:::... R-3 .4 p{o� .., s... ; ...., ...... es Total Building Sq. Feet ............ ...........................3100 Total Proposed Sq. Feet ....................................... 1163.56 ` Zoning Designation .............. ............................... RS 7.2 Plumbing Fixtures Description Quantity] Description Quanti Description _ Quanti -- -- - - — Bathtubs 1 Lavatories Showers Water Closets ! 2 I Mechanical Fixtures Description -lQua_ntityl i Description Quantity Description Quantityl Ducts �, 1 Fans 2 PERMIT EXPIRES April 10, 2006. Permit issued on October 12, 2005 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: ` /J�_�� ,/ /� Date: Z A� i City of Federal way Community Development Services Building - Single Family Permit #: 05 - 101822 - 00 - SF P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request Mile: (253) 835 -3050 Project Name: HENDRICKS Project Address: 119 S 317TH PL Parcel Number: 337530 0460 Project Description: ADD - Add 2nd story addition with plumbing/mech. Also adding front and rear entry porch (covered). Owner Applicant Contractor Lender Mark A Hendricks & Sharon L Hendr ROLLUDA ARCHITECTS Mark A Hendricks FIRST HORIZON 119 S 317TH PL 105 S MAIN Height 4000 HORIZON WAY FEDERAL WAY WA SEATTLE WA 98104 119 S 317TH PL IRVING TX 75063 98003 -5241 "` FEDERAL WAY WA des Includes: Census category: 434 - Reside 1 #1 #2 #3 !i #4 Occupancy Group: �_ s R -3 Construction Tvpe: Tvoe V - B� Floor ,� . 2nd�oor Prop ......................�, 11 Sr1= Census Category .. ...... _ :.... �4I2esidtial alt/add - no D , Sed Sq Ct X6.56 m Fit ri ►kl $ Req d + Height �.9 d Mecllaal w a Us Occupancy # 1 - C1 e R -3 "` umbin..:.. g des Total Building Sq. Feet ..:.... ........ .............3100 u, Total Prtlposed Sq. E ...:.. 163.55' Zoning Designation .............. ............................... RS 7.2 Plumbing Fixtures Description �IQua_ntlt I Description Q uantity Description Quanti _ Bathtubs I LLavatories 3 _ Showers � Water Closets 2 Mechanical Fixtures Description JIA uantity I Description Quantity Description Quantity Ducts - -1 j Fans CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC, Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable. PERMIT EXPIRES December 28, 2005. Permit issued on July 1, 2005 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: L'� Date: DATE INSPECTOR AIIEA AND,ryPE OF INSPECTION Q((' 73 �G112_ 4 S THIS CARD IS TO JJMVN ON -SITE CITY OF fommunity Develo m nt Inspection Record Federal Wa y IVR INSPECTION RE Q UEST PHONE # (253 ) 835 -3050 PERMIT #: 05- 101822 -00 -SF Owner: MARK A HENDRICKS Address: 119 S 317TH PL FEDERAL WAY, WA 98003 -5241 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 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. ❑ Temp. Erosion Control (4365) ❑ Footings /Setback (4110) ❑ Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By Date By tj Date $0 oe By Date ❑ Drainage/Downspout (4040) Approved to backfill By Date ❑ Plumbing Groundwork (4190) Approved to cover By Date ❑ Slab /Concrete Floor (4255) Approved to place concrete By Date ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) P Approved to sheath floor Approved to install flooring By Lj Date & fS.- D S By Date s - ZZ By ❑ Roof Sheathing (4220) Approved to install roofing By rGf Date 11/z, �`✓/ ❑ Gas Piping (4125) Approved to release test By Date ❑ Framing (4120) Approved to insulate By Date G 'Y_3 . C ❑ Rough Plumbing (4230) Approved By Date % ❑ Fire/Draft Stops (4095) Approved By Date 10-1-3- Shear Walls (4245) Approved to install siding Date 7/Z Mechanical Rough -in (4165) Approved By Date Z�O/4'7ld NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to install wallboard Approved to install mud & tape By Date By •`" Dat 3 - Q ❑ Final - SWM (4375) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date Final - Building (4050) , I UTemp. Erosion Maintenance Approved i Approved By ®,mil Date/ /'Z.. -7jg rl By Date 5 -101 02�- eralWay PERMIT .NAMDEVELOPMENTSERVICES 2 v 2005 8^ AVENUE SO77f•PO �4DERAL WAY, WA 98063 -9718 C F ,? PLI CATI O N 3- 835- 2607•FAX253 -835 -2609 A ww.dtyo ederalwayc0m )/N �E� Ile 31 b -in-L&.za MF CO (VIE) EL/,(PIV DE EN FP The following is required information - an incookalete application will not be accepted. Please print legibly (in inkl or SITE ADDRESS I �� � 7' �L SUITE /UNIT # ASSESSOR'S TAX /PARCEL # 3 T - �}- C J LOT SIZE (sf) O 2 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 0 T 1% 6, llS io E k E 1(s hT S (Attach separate page for lengthy legal desaipd-) TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) A o o PA 2T1 rA L- 2 ° STV 2 v TO 6y i.3 Tf j 6 12 t= 51,E c -- d i f 'FO. /,.I C L L., DE' NeLi '"'.9ST6 2 �L OQ u,?`. -i. A 6L'&-ST GC a(tyorwt A"jo f? 11 nwl. QEvISC fCn.jT t a. &Pr 0- C- '1'7'2v f) 0V /fs PROJECT NAME (Name of Business or Owner Last Name) �ROAICIVC7 s PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE M SPAR -cN r/o>z c (263) 994,-Y/28 MA7/0/ NG ADDRESS CITY, STATE, ZIP S —7 L fE L LJq y Litc) 99vo-7 COMPANY NAME APPLICANT NAME OFFICE PHONE � 1 - MAILING ADDRESS CITY, STATE, ZIP • CELL PHONE 1 - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ( 1 - RELATIONSHIP TO PROJECT B L Architect ❑ Tenant ❑ Agent ❑ Other (Describe) CONTRACTORS REGISTRATION NUMBER (copy of cud required with each application) EXPIRATION DATE MPANY NAME (i IIL'o Aac , APPLICANT NAME OFFICE PHONE (UL,) -I/ zzz MAILING ADDRESS CITY, STATE, ZIP - CELL PHONE /05- S /►7 A I S`C- -T Tt 6 U t o ( 1 - RELATIONSHIP TO PROJECT FAX NUMBER Architect ❑ Tenant ❑ Agent ❑ Other (Describe) (201� ) [, Z Y - L/ 2 2 G NAME PRIMARY PHONE E- MAILADDRESS LE (Za -ilk _ er (W Y9 2x 95 ndeT (n Or!ltation iS' NAME MAILING ADDRESS CITY, STATE, ZIP /-/000 o,A; %j Ta%'I,-j U c If EXISTING USE J/ ! t_ C rA t n I c i. ,c C' 1 1 s r J( a PROPOSED USE G L L % il^ sr\ I L. EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK >$ / d C) O SPRINKLERED BUILDING? ❑ YES WNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ALAKEHAVEN ❑ HIGHIdNE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER )KLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE A CARPORT ❑ n exisnKa NUMBER OF FLOORS Q N C= ? "NEW HOMES ONLY " NUMBER OF BEDROOMS EXISTING I PROPOSEL 16 TOTAL ESTIMATED SELLING PRICE 57? ' N• Indicate number of each type of f xture to be installe&or relocated as part of this project. Do not include existing fixtures to remain MECHAHICAL ) Value of Mechanical Work $ ✓�-"� i'( 66 � l � to l et/ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (comm,miaq WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING i J f 4ER BATHTUBS (or Tub/Sho— Combo) �_ HOWERS 2 CLOSETS (Toikq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS -3 LAVS (Bathroomsiat,Il I VACUUM BREAKERS ELECTRIC WATER HEATERS 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 (Signature) (Title) RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other Bulletin # 100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application