Loading...
05-103757CIrY OF Federal Way i RFCEIV& JUL. 2 9 2005 PERMIT COMMUNITY DEVELOPMENT SERVICES 333258TH AVENUE SOUTH•PO13�+sC�F FERER 2�D35207 FAX253 -3. 2609 BUILDING D LIGATION wivmcihmffederalwmi m c� 191 SF F CO ME EL PL DE EN FP r09 / 02, /o The ollowin A !s_required information - an incom fete a lication will not be accented. Please print le ibl (in ink) or e. PROPERTY •• • SITE ADDRESS , S % PL. SUITE /UNIT # ASSESSOR'S TAX /PARCEL # �m� _ - ® j ( b LOT SIZE (sjrr 7 L 0/� O LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) �`' ► - �l 01 P; ✓� ' (. U IAltach s ate page for leiot @u/ legal description/ PROJECT • • TYPE OF PERMIT '] BUILDING \S PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on 1 0%1 — ..I w % tr 3_ • 1 - - - - r Q.•M. a �.�� � � ��c. `�.._S�tri � � c��c�i. r a dvr . PROJECT NAME (Name of Business or Owner Last Name) gso 6 rV'CM/ ` PEOPLE •• • PROPERTY OWNER CONTRACTOR APPLICANT NAME PRIMARY PHONE b\V11 t C, L R® ►11) S0 (Ul) sZ - -aq MAILING ADDRESS CITY, STATE, ZIP 3 4 %\A t 353' PL F to t-1L COMPANY NAME ` APPLICANT NAME OFFICE PHONE I NN'A ( ) - MAILING ADDRESS A A 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 COMPANY ' NAME APPLICANT NAME R G E N OFFICE PHONE (Z�;Z) S'TR -9100 MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT El Architect ❑ Tenant ❑ Agent )) Other (Describe) f C AT Lfz FAX NUMBER + (ZSJ)S8S3 ll$ b NAME PRIMARY PHONE E -MAIL ADDRESS GcM Per RCW 19.27,095: Lender information is required if project value exceeds $5.000 NAME MAILING ADDRESS CITY, STATE, ZIP EXISTING USE 4 .l 'x �f ;+f� A. o •� PROPOSED USE `ilk S k &- t-) & %N EXISTING ASSESSED /APPRAISED VALUE $ 0 Q 0 VALUE OF PROPOSED WORK $ / -T O 0 U SPRINKLERED BUILDING? ❑ YES - * NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES -�-V NO WATER SERVICE PROVIDER � LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDERS LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) r AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT FIRST j SECOND a A THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) o i DECK(COVERED ?) GARAGE'*Sl CARPORT ❑ © %4 K /' NUMBER OF FLOORS EX1r PROPOSED TOTAL TOTALE%ISTIN SF TOTALPROPOSED W �ALSF Z� * "NEW HOMES 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. MECHANICAL - - Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE GAS LOGS REFRIG. SYSTEMS BBQS HOODS )Commemiap WOODSTOVES BOILERS FIREPLACE INSEFPJ RANGES MISC (Describe) COMP RS FURNACES GAS WATER HEATERS PLUMBING + Z BATHTUBS )orT b /sh —C—bo) SHOWERS / WATER CLOSETS ITm)eq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS Z— LAVS )Bathroom Sinks) 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 ( *nature) f— A Y f l RELATIONSHIP TO PR CT ❑ ❑ Owner Agent ❑Contractor 11 Architect Other Bulletin #100 — January 7, 2005 Page 2 of 4 k \Handouts\Permit Application ` w City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835-7000 Fax: (253) 835-2609 Building - Single Family Permit #: 05 - 103757 - 00 - SF x,10 ?'l Inspection request line: (253) 835 -3050 Project Name: ROBINSON Project Address: 1834 SW 353RD PL Parcel Number: 926975 0650 Project Description: ADD - Construct a 240 -sqft addition at rear of house for closet and bathroom remodel/expansion Owner Applicant Contractor Lender DIANNE G ROBINSON JERRY OETGEN DIANNE G ROBINSON DIANNE G ROBINSON 1834 SW 353RD PL 135 S 340TH ST #A 1834 SW 353RD PL FEDERAL WAY WA 98023-3117 FEDERAL WAY, WA 1834 SW 353RD PL FEDERAL WAY WA 98023-3117 98003 FEDERAL WAY WA 98023 -3117 Includes: Census category: 434 - Reside #1 W2 li #3 #4 Occupancy -Gro u p — �- _ — . -- Construction Type: R -3 T ype V - B - - - —__ ,. � Occupancyl,mt v -_— Floor PERMIT EXPIRES March 20, 2006. Permit issued on September 21, 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 Feder 1 Way. Owner or agent: Date: C ii ,f 1& . I y• THIS CARD IS TO M MAIN ON-SITE, . 4 CITY OF ommunity Developm nt Inspection'Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 05- 103757 -00 -SF Owner: DIANNE G ROBINSON Address: 1834 SW 353RD PL FEDERAL WAY, WA 98023 -3117 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 4:, Date . G By e- ,j Date /v . CBY Date /0 ' /7- d ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) ❑ Slab /Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date `l / �(�� By Date By Date ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) ❑ Fire/Draft Stops (4095) Approved to install roofing Approved Approved By��/f Date By C�,� Date -T�"? �.,p By G Date 2v . O ❑ Framing 0120) ❑ Insutation (4150) scheduling a Framing (4120) trical, Plumbing & Mechanical Approved to insulate Approved to install wallboard e /Draft Stop inspections must be =Fire/Draft roved. IBC 109.3.4/UBC 108.5.4 By G &J Date By ❑ Gypsum Wallboard Nailing (4130) ❑ Final - SWM (4375) ❑ Final - Plumbing (4075) Approved to install mud & tape Approved Approved By Date By Date By Date Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved By Date By Date