04-101877f • r.
C;ty of Fed±ral Way '
Community Deve opment Services Building Single Family Permit #: Or- 101877 - Od - S
33530 1 st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: PHENGPHACHANH
Project Address: 2416 SW 332ND ST
Parcel Number: 894500 0350
Project Description: ALT - Enclosing & converting existing carport to create new heated family room. No plumbing or
mechanical.
Owner
Applicant
Contractor
Lender
Pranom P Phengphachanh & Tane Ph4
Pranom P Phengphachanh
Pranom P Phengphachanh
NONE
2416 SW 332ND ST
2416 SW 332ND ST
;Floor Area (Sq. Ft )4
FEDERAL WAY WA
FEDERAL WAY WA
2416 SW 332ND ST
98023 -2835
98023 -2835
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside
i Occupancy Group _
#1 ��f
R -3
#2�
L
#3
#4
Construction Type
Occupancy Load:1
Type V - N
L�
E �- F--�
;Floor Area (Sq. Ft )4
Census Category , ....... ......................
Occupancy Group # 1 ....... .......................
Zoning Designation........, ............. .....
434 - Residential alt/add - no Mechanical ... ............... ........ No
R -3 Plumbing ............................... No
RS 7.2
PERMIT EXPIRES November 10, 2004.
Permit issued on May 14, 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.
Owner or agent: D ate: =-1
�Jk
\ 1-
THIS CARD IS TO REMAIN ON SITE
COMMUNITY DEVELOPMENT INSPECTION
RECORD
IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: Dy I 019-74 -00 PROJECT NAME: i-ij m q �aCka&L
L/
❑ TEMP. EROSION CONTROL (4365)
❑ FOOTING /SETBACKS (4110)
❑ FOUNDATION WALLS (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By Date
BI Date
By Date
❑ DRAINAGE/DOWNSPOUT (4040)
❑ RE -STEEL (4 i }rte j
❑ GROUNDWORK PLUMBING (4190)
Approved to backfiill
Approved to place concrete or grout
Approved to cover
By Date
By Date
B Date
❑ SLAB ON -GRADE (4255)
❑ UNDERFLOOR (4285)
❑ FLOOR SHEATHING (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
B Date
By Date
B Date
❑ SHEAR WALLS (4245)
Approved to install siding
❑ ROOF SHEATHING (4220)
Approved to install roofing
❑ ELECTRICAL ROUGH -IN (4225)
Approved
By Date
By Date
By Date
❑ PLUMBING ROUGH -IN (4230)
❑ MECHANICAL ROUGH -IN (4165)
❑ GAS PIPING ROUGH -IN (4125)
Approved
Approved
Approved to release test
Ex Date
By Date
By Date
❑ FIRE STOPPING (4095)
Approved
NOTE:
prior to framing inspection, all rough -in &
❑ FRAMING (4120)
Approved to insulate
firestopping sign -off s must be approved.
By Date
IBC 109.3.4 / U13C 108.5.4
B Date
❑ INSULATION (4150)
❑ GYP. WALLBOARD NAILING (4130)
❑ SUSPENDED CEILING dRID 4265)
Approved to install wallboard
Approved to mud & tape
Approved to drop the
B Date per`
-/
B �- i� Date• '%�
$ Date
❑ FINAL- FIRE ( 060)
❑ FINAL- PLANNING (4070)
❑ FINAL- PUBLIC WORKS (4080)
Approved
Approved
Approved
By Date
By Date
$ Date
❑ FINAL- S.W.M (4375)
FINAL- ELECTRICAL (4090)
FINAL- BUILDING (4050)
Approved
Approved
Approved
By Date
Date
B Date 8
V;A�Akl
APPLICANT NAME
C" of
Federal Way
ECEAD PERMIT
COMMUNITY DEVELOPMENT SERVICE
FEDERAL WAY, FAX 98063 -9718 �� {..!
33530 DR A WAY SOUTH • 6 BOX 9718 T p L I C AT I O N
253-661-4115- FAX 2way.c 4129 'lf
ww.dI
ww w. d (uo((ede ral wa v. com
CELL PHONE
The following is r!!
q cofifFG o6ft— VAIncomplete application will not be
SITE ADDRESS ,244 (0 3q2 N/�d �--{�
ASSESSOR'S TAX /PARCEL # O L T s0 C>
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
TYPE OF PERMIT
PROJECT
(Attach separate page for lengthy legal desc tpdon)
-L
MF CO ME EL PL DE EN FP
Please
SUITE /UNIT #
LOT SIZE (sj)
or
HUILDING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
E 1 � PRIMARY P ONE
f z - Y1 a ✓Y1 rV1Y 1� �.c.% 1r-� s ) q"14 -) $b'3
MAILING ADDRESS I I I CITY, ST E, ZIP
1 (' SL1 33Z S* , "- X23
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
-
MAILING ADDRESS
CELL PHONE
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( _
— — — — — --B
L
E -MAIL ADDRESS
CONTRACTORS REGISTRATION NUMBER (copy of card
required with each application)
EXPIRATION DATE
Per RCW 19.27.095. LLeenderiniinnfOrmation is
NAME
required if project value exceeds $5,000
COMPANY NAME
APPLICANT NAME
OFFICE.PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( _
PRIMARY PHONE
L�pv
E -MAIL ADDRESS
- �
Per RCW 19.27.095. LLeenderiniinnfOrmation is
NAME
required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, Z1P
EXISTING USE f- (r- PROPOSED USE -) ( -K -
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK $� U�
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER �ILAKEHAVEN AKEHA N ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FANS
HOODS tcommemdail
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
❑ YES
❑ NO
FOURTH
YES ❑ NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DECK (COVERED ?)
❑ YES
❑ NO
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL EMSTUM
TOTALPROPOSED
TOTAL EMSTDIG AND PROPOSED
••NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS tcommemdail
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
❑ YES
❑ NO
PLUMBING
BATHTUBS (or Tub/Sho— combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS froiieq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
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. _ A a
NAME /TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent
❑ Contractor ❑ Architect Cl
DATE ✓ r
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —March 30, 2004 Page 2 of 4 k\l landouts — Revised \Permit Application