07-106323FaderalWay RECE PERMIT SF F CO ME E
COMMUNITY DEVELOPMENT SERVICES L PL DE EN FP
3332S 8n AVENUE SOUTM - PG BOX 9714 � f 1 2 7
FEDERAL WAY, WA 98063 -9718 ') Q• A p� L I G A T I O N °
253- 835.2607• FAX 253- 835.2609
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I Y OF n�1���; ppEPT.
The following is rel4igd Plo"�ion -an incomplete application will not be accepted. Please print. legibly (in ink) or type.
PROPERTY •. •
SITE ADDRESS _ �� I (�✓ )� d� SUITE /UNIT M
ASSESSOR'S TAX /PARCEL i . — — _ _ _ _ - — _ _ LOT SIZE (s j)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(ilttaoh sepmate page for 1-wthy legal d- cHpdon) .
PROJECT • •
TYPE OF PERMIT #,BUILDING PLUMBING 'd MECHANICAL
O DEMOLITIOl����y WTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION T �, vide eta ' d des tiro o f work inc/lu ed this permit only) r
.a/V1 /iC'� �v�i..u: •--hti �n
G
s�z� ►.s
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
0
NAME
on bes-
PRIMARY PHONE
_ -(6 13
MAILING ADDRESS
CI�Y, STATE, ^
E-MAIL ADDRESS
COMPANY NAME
is yy .c .
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
CO ANY NAME
APPLICANT NAME
OFFICE PHONE
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.2,7.0951
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $ �EUGU ,per
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Offimi M-0—
AREA DESC ION ]MI TIN
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
LAVS (BathroomSinka)
URINALS MISC (Describe)
DISHWASHERS
FIRST
�—�
.
% SHOWERS
SECOND
V
SINKS
WASHING MACHINES
THIRD .
SUMPS
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
GARAGE fff> CARPORT ❑
NUMBER OF FLOORS
1C7O°TZ"o
rROTOeRO
TOTAL
TOTAL PMXTDM or
TOM rROPOS1W sr
rorAL OF
"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 rem' ain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA770N)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS i FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLUMBING'
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BATHTUBS (or Tub /Shower Combo)
LAVS (BathroomSinka)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
% SHOWERS
WATER CLOSETS lroiley '
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o YES o NO
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 certfy 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 urith 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 to
the city as apart of this application.
SIGNATURE: / % G, `���[� , % ' %�� ;
DATE / l c� � " G
Property Owner and/ r Authorized Agent
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
i
i
I
i
Bulletin # 100 = August 16, 2007
Page 2 of 4 .
k\Handouts\Permit Application
it y Development Services • °f Federal way
Community Building - Single Family Permit #• 07- 106323 -00 -SF
P.O. Box 9718
FAderal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: COOPER -�-- Zv
Project Address: 4231 SW 328TH CT
Parcel Number: 873204 0290
Project Description: REM - Master bath and bedroom remodel to include widen' closet door for bi -fold,
Replacing outer window with same size sliding hidr. Rem a tures, replace
tub /shower with fiberglass shower pan with thu plum g and mechanical.
/\ r
Owner
C ra or
Lender
KATHLEEN & CARL COOPER
KATHL C PER
231 328 C
4231 SW 328TH CT
n328T
DE L Y WA 8023- 4
FEDERAL WAY WA 98023-2654
FED 23 -2654
Census Categgf434 R d tial t/add - no a number of units
Includes: #3 #4
Occupancy Class:
Co nstxuction Type:
Uric Load:
Plobr Area tso. ft.) 1 0 d 0
Fans................. ............................... 1
P14 ' bind Fixtures e
Showers........... ............................... 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 21, 2009
Permit Issued on Wednesday, November 21, 2007
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 ty of Federal Way.
Owner or agent: _ Date.
OL
lotC��.
-0%
DATE O' AREA AND TYPE OF INSPECTION
w
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106323 -00 -SF
Owner: KATHLEEN & CARL COOPER
Address: 4231 SW 328TH CT
FEDERAL WAY, WA 98023 -2654
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.
Q
[]
SWM Precon Site Mtg (4400)
Approved to install roofing
Initial Erosion Control (4365)
0
Plumbing Groundwork (4190)
Approved
By
Approved
To be done prior to breaking ground
By
Approved to cover
NOTE: Prior to scheduling a Framing (4120)
By
Date
By
Date
By
Date
By
Date
signed - off and approved. IBC 109.3.4/UBC 108.5.4
Q
0
Underfloor Framing (4285)
0 Gypsum Wallboard Nailing (4130)
Floor Sheathing (4105)
0
Shear Walls (4245)
Approved to install mud & tape
By
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Q
Roof Sheathing (4220)
Approved to install roofing
By
Date
Approved
By
Gas Piping (4125)
Approved to release test
By
Date
By
Framing (4120)
Approved to insulate
Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date
t By Date j L By Date
Interim Erosion Control (4370)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved
Approved
By Date By Date
Rough Plumbing (4230)
Mechanical Rough -in (4165)
Approved
Approved
By
% Date /
By DatelZ 7
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved
inspection; Electrical, Plumbing &Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed - off and approved. IBC 109.3.4/UBC 108.5.4
Q
Insulation (4150)
0 Gypsum Wallboard Nailing (4130)
Approved to install wallboard
Approved to install mud & tape
By
Date ,(% .Q
By //111 Date
Final - Mechanical (4065)
1
fff Final - Plumbing (4075)
Approved
Approved
t By Date j L By Date
Interim Erosion Control (4370)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved
Approved
By Date By Date