06-100313 • _ e
Comm nIZ De eeopmentServices Building Single Family Permit #: 06-100313-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DIETRICH
Project Address: 4104 SW 317TH ST Parcel Number: 873198 2710
Project Description: REM-Bathroom - d: , mo g wall to accomod• / -w bathtub in master bathroom;
extending plu Ing ' aise chen ceiling ,
Owner • •Iic• CI ` •c or Lender
AMELIA DIETRICH AMgrir CH 104 ` 317TH ST
4104 SW 317TH ST 410 17 ST RAL WAY WA 98023
FEDERAL WAY WA 98023 FEDERAL WAY
Census Category: 434 es ential alt/add -no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
struction Type: Type V-B
cupancy Load:
Floor Area(sq. ft.) - 0 0 0 0
f Ad tt�al Permit,Information '
New/Additional Sq.feet-3rd Floor.,. 0 a News/Addition Sq.Feet-Basement
Occupancy#1 -Construction Type Type V-B Mechanical to be Included? No .
Occupancy#1 -Class R-3 Plumbing to be Included'? Yes
Occupancy#1 -Use ' Residence(1 or 2 • Zoning Designation RS 9.6
family)
Plumbing'Fixtures
Bathtubs 1
•
KlAisrvjildC TION
•
PERMIT EXPIRES Wednesday, January 23, 2008
Permit Issued on Monday, January 23, 2006
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: Date:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: DIETRICH Permit#: 06-100313-00-SF
Address: 4104 SW 317TH FP, 4
0
Includes: #1 4, #2 �► #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 *, , 0 0
F
Owner Name: AMELIA DIETRICH
AMELIA DIETRICH
Owner Name:
Owner Address: 4104 SW 317TH ST
FEDERAL WAY WA 98023
' Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon .
which it is situated. Such compliance is the responsibility of the owner and/or ocotpant of the premises.
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THIS CARD IS TO REMAIN ON-SITE
CITY OF ,A
Commune:Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-100313-00-SF
Owner: AMELIA DIETRICH
Address: 4104 SW 317TH ST
FEDERAL WAY, WA 98023-2136
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.
O Temp.Erosion Control(4365) ❑ Plumbing Groundwork(4190) 0 Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
35( Rough Plumbing(4230) Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
/ Rough-in and Fire/Draft Stop inspections must be
By Date 2/7/k: By Date 1 Y signed-off and approved. IBC 1093.4/UBC 108.5A
1* Framing(4120) R Insulation(4150) f Gypsum`,Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard i Approved to install mud&tape
By Date Z/7I06 :By : ` / '; DateZ/77c�, `; By P-4,./ :, Date Z. 06
O Final-SWM(4375) ❑ Final-Plumbing(4075) Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
❑Temp.Erosion Maintenance(4370)
Approved
By Date
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CITY OF FEDERAL WAY
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Building Division
CITY OF 33325 Eighth Avenue South
�.. Federal Way PO Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: r61�'r 5/1/ 3/ Int 57- #: /"C313 5F
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IF YOU HAVE ANY QUESTIONS CALL gikigivrid Fitfrep (253) 835- 23
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
4�J,, 0
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE / /
Page of /
un OF • 2
Federal Way RECEIVEC0--(� - .].:.Q -- ...Z
OOMMUtMDEVELOPME SERVICES PERMIT
NT SF MF CO ME EL PL DE EN FP
33,225 FEDERAL WAY, A 80�_97I8 Ap p LI CATI O`'' 21 3
253- 835.2607• FAX 2S3- 835 -2609
wwwcitwffederdwaymT CITY oF= ff��FnElIprr I�AL
The following is required information - an incomplete application t i[I�7f�'Hl'"aWplted. Please print legibly (in inkJ or tppe.
tr�ua*
SITE ADDRESS /D SW . f 7 L-
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # z 3 l C? _ - 92- -7 l LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page jor Iagtluj hgal desoipttanl
PROJECT • •
TYPE OF PERMIT BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
PRIMARY PHONE
MAILING AD S CITY, STATE, ZIP
b - � g33Y
COMPANY NAME APPLICANT NAME
OFFICE PHONE
OFFICE PHONE
-
MAILING ADDRESS CITY, STATE, ZIP
CITY OF FEDERAL WAY BUSINMS LICENSE NUMBER EXPIRATION DATE
v.5j aV'
CELL PHONE
FAX NUMBER
-X411?
7x.7-3.8
— — — — --B 'L /
CONTRACTORS REGISTRATION NUMBER (copy of card required with each appiicatioa)
EXPIRATION DATE
_
COMPANY NAME
J
APPLICANT NAME
OFFICE PHONE
-
MAILING ADDRESS
CITY, STATE, ZIP -
CELLPHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
_
�(p8 :5;� ..7 .Y( {.'i � •�'.Ca:3 A.i- �.a���ii.�X�A��
w
EXISTING USE . PROPOSED USE S
EXISTING ASSESSED /APPRAISED VALUE $ O O o VALUE OF PROPOSED WORK 750 -
SPRIIII{LERED BUILDING? ❑YES NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑YES NO
WATER SERVICE PROVIDER N ❑ BIGBLEKE 0 TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDE VEN ❑ HIGHLINE ❑PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
S . FT.
SO. FT.
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE O CARPORT O
NUMBER OF FLOORS 6QS°'a
rnorosw ror
* *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMAlftSELLING PRICE $
Indicate number of each type of furture to be installed or relocated as pa is project: Do elude existing factures to remain.
MECFIANICAL
Value of Mechanics( Work $
AIR HANDLING UNITS
APORATIVE COOLERS
GAS LOGS REFRIG. SYSTEMS
BBQS
FANS
HOODS (commerciaq WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES MISC (Describe)
COMPRES80
FURNACES
GAS WATER HEATERS
DU
GAS PIPE OUTLETS
PLUMBING
_ BATHTUBS (or7Lb /shower Combo)
SHOWERS
WATER CLOSETS jfoileq MISC
(Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (earhmomstolo)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I eert(fy 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. ! 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 Igformatton supplied to the city as a part of
this application.
NAME /TITLE
Ll,) DATE Z
lei T —T'
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin # 100 — Januaiey 7, 2005 Page 2 of 4 k\Handouts\Pcrmit Application