09-100407City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
wilding Single Family
Permit #: 09- 100407 -00 -SF
Inspection Request Line: (253) 835 -3050
Project Name: BOX
Project Address: 2213 SW 333RD ST �^ Parcel Number: 9320901310
Project Description: ADD - Remove existing attached 580 sqft carport and replace with attached 214 sqft
carport; Non - structural interior alterations to replace sheet rock, insulation, windows, and
doors throughout existing dwelling. Includes plumbing and mechanical.
Owner
Applicant
"Contractor
Lender
JIMMY F BOX
HABITAT FOR HUMANITY OF
HABITAT FOR HUMANITY OF
HABITAT FOR HUMANITY OF
DEBRA J BOX
SEATTLE/ SKC
SEATTLE/ SKC
SEATTLE/ SKC
3507 53RD AVE NE
15439 53RD AVE S SUITE B
HABITFH972LD (04115110)
15439 53RD AVE S SUITE B
TACOMA WA 98422
TUKWILA WA 98188
15439 53RD AVE S SUITE B
TUKWILA WA 98188
Floor Areas . ft.
214
TUKWILA WA 98188
0
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1
#2
#3
#4
Occupancy Class:
U
Construction Type:
Type V - B
Occu anc Load:
Floor Areas . ft.
214
1 0 1
0
0
New / Additional Sq. Feet - 3rd Floor ....................0
New / Additional Sq. Feet - Basement ...................0
Mechanical to be Included ? ........ ............................Yes
Plumbing to be Included ? ........... ............................Yes
Zoning Designation ................... .............................RS 7.2
Occupancy #I Area (Sq. Feet) . ............................214
Occupancy # 1 -Construction Type ........................Type V - B
Occupancy # 1 - Class ............... ..............................0
Occupancy # 1 - Use ................ ............................... Carport
Ducting............ ............................... 2 Fans................. ............................... 2
Dishwashers .... ............................... 1 Sinks................ ............................... 1
PERMIT EXPIRES Sunday, August 2, 2009
Permit Issued on Tuesday, February 3, 2009
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 wip the laws, rules and regulations of the State of Washington
d the r of Federal Way.
Owner or agent: Date: 2-/3/01 ,
QJ
g �-� 0 1
THIS CARD IS T04VMAIN ON- SITE -
CITY OF 4tommunit Y Development ment Ins ection Record
Inspection
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 100407 -00 -SF
Owner: JIMMY F BOX
Address: 2213 SW 333RD ST
FEDERAL WAY, WA 98023 -2837
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.
❑
Mechanical Rough -in (4165)
❑ . Gas Piping (41 25)
Approved
❑ SWM Precon Site Mtg (4400)
By
0
Initial Erosion Control (4365)
❑
Footings /Setback (4110)
❑
Approved
NOTE: Prior to scheduling a Framing (4120) ,
To be done prior to breaking ground
inspection; Electrical, Plumbing &Mechanical
Approved to place concrete
Rough -in and Fire/Draft Stop inspections must be
By -c— 'a Date
Date
By
Date
By
Dat
�] Foundation Wall 44115)
❑
❑
Plumbing Groundwork (4190)
Drainage/Downspout (4040)
Approved to place concrete
Approved to backfill
Approved to cover
By Date
By
Date
By
Date
❑
❑
Floor Sheathing (4105)
❑ Slab /Concrete Floor (4255)
Underfloor Framing (4285)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By Date
By
Date
By
Date
❑
Shear Walls (4245)
❑ Roof Sheathing (4220)
Approved to insulate
Approved to install siding
Approved to install roofing
By
Date
By Date !I-V3,
❑
Mechanical Rough -in (4165)
❑ . Gas Piping (41 25)
Approved
Approved to release test
By
Aj Dateg..20:0
L
By Date
❑
Interim Erosion Control (4370)
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
❑ Insulation (4150)
Approved to install wallboard
By Date 3. %T -c7
Final - Mechanical (4065)
Approved
❑ Rough Electrical
Approved
By Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By L; C"13 Dated- 4;
❑ Final - Plumbing (4075)
Approved
Date -2
Rough Plumbing (4230)
Approved
By ^ 71 Date
❑ Fire/Draft Stops (4095)
Approved
By G,.Aj Datea -Z o
❑
Framing (4120)
Approved to insulate
By
Date _
❑
Final Erosion Control (4375)
Approved
By
Date
Final - Building (4050)
Approved
❑ FINAL - Electrical
Approved
By _T Date „ 14
Date ? .
Feder EIED*
COMMUIM DEV=,*MBdT SERVICES
333258m AVENUB SW/Tfl • PO ISO
FEDERAL WAY, WA 98063
253 - 835.2607• FAX 253.835-2609
The fo�i�u n� "fFWP
SITE ADDRE33 — SUITE /UNIT #
ASSESSOR'S TAR /PARC LOT g� ( K
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PERMIT a5os
2009 APPLICATION
Wiz- r0-0 1197-
SF F CO ME EL PL DE EN FP
Z/ 13 / o,? i
WAY
on - an incomplete application will not he accepted Please print legibly (in ink/ or type,
13 S w 3 33 vl� Sr"- *,Ie l Gcla.�
ELF �3 2D q' O- l 3 � O
(�F4wJa►y>�►d V " I
PROJECT •- •
TYPE OF PERMIT BUILDING � PLUMBING � MECHANICAL
DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit on1u)
` ,eeke -< Cav'PoV+1 v /v01 10 in4 -5v/ &44011 , I.JjndowS . i7oovS _
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
1 PEOPLE INFORMATION
NAME
i�ebblc 3o�c
PRIMARY PHONE
(206) ?/Y - 958 z
MAHMO ADDRESS
2-213 S Lo 3 3 St
CITY, STATE, ZIP
GJa Wa
E-MAIL ADDRESS
'i M(pp 4
Wk
cE�
CELL PHONE -S187
COMPANY NA1ME
chi � ��' ✓w�aK�i-
APPLICANT NAME
M.\(-c `'GL
qvf-
OFFICE PHONE
(Zo(11 ) 2-92 - SL`f0
MAILING ADDRESS
- 3 Ave- SIDS 3
'i M(pp 4
Wk
RELATIONSHIP TO PROJECT
CELL PHONE -S187
CITY OF FEDERAL W BUSINESS LICEN NUMBER
�o -- Ic 132-
4
EXPIRATION DATE
FAX NUMBER
c��� 2-1 - sz-I
CONTRACTOR'S P- ZG18TRATION NOMBBR
N DATE
E-MAIL ADDRESS
L�
> S
zo/d
COMPANY -
APPLICANT NAME
OFFICE PHONE
AVULANki ADDRESS t
CITY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant a Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
%h 1<L (eL c,,, -— 20 (o °i - 5118,? rh ► lC1TTr.q9QV�t z3N+u,� . IN
NAME r J_
`I
Per RCW 19.37.095. —
10
Loader injbrmation is required if project value eveoods $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EIOSTING USE
PROPOSED USE -FeS i dCtt]',f 4
EXISTIN �ED/pRAj3ED VALUE $tf_�'7J C$ VALUE OF PROPOSED WORE3�
SPRINKLERED BUILDING? 13 YES 41 'Pa FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ><LAI(EHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN ❑ HIGHLI E ❑ PRIVATE (SEPTIC►
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
l ell
G
FURNACES
1 (a
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
s
2
THIRD
BATHTUBS (. T.W9b..0 W*
LAYS (aaMro.msrolcy
ADDITIONAL FLOORS (DESCRIBE)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DECK (❑ COVERED OR ❑ UNCOVERED ?)
SHOWERS
WATER CLOSETS fra"4
ELECTRIC WATER HEATERS
GARAGE ❑ CARPORT
WASHING MACHINES
HOSE BIBBS
SUMPS
NUMBER OF FLOORS
yvdeuo
rsaro.so�
zoreiser
7°"" er"�'
—NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fmiure to be butalled or relocated as part of Ods project. Do not mckude existing fvdures to remain.
AE&CZFAA7C" 040 Medumical Work $ 1-->W - — (A COpY OF BID OR ESTIMATE MUST BE INCLUDED WTM APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
� FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS f
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
s
2
o YES ANO
BATHTUBS (. T.W9b..0 W*
LAYS (aaMro.msrolcy
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS fra"4
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I cwtVj *order penalty ofperla'y that I are the property owner or authorized agent of the property owner I certify that to the beat of my
knowledge, the ir4formation submitted in support of this permit application is true and correct I aw t(fg that I will comply with all oppiioable
City of Federal Wags regulations pertaining to the work authorized by the issuance of a permit: t understand that the issumoe of this permit
aloes not remove the owner's responsibility for compliance with local, state. or feder+at laws regulating construction or eneironmentat laws.
I further agree to hold harmless the City of Federal Way as to arty chd- (including costs, expenses, and attorneys' fees incurred in the
investigatKon and defense of such ctalaq, which may be made by any Person, including the undersigned, and jtled against the city, but oniy
where such claim arises out of the reliance of the atty, including its offloers and employees, upon the accura cy of the ir{formallon supplied to
the atty as apart of this appiiartion.
SIGNATURE: DATE L2_ 10
a NEW DITION
/&ALTERATION a RSPAIR a TENANT iMPIRpVEMENT
BUILDING SHELL ONLY?
o YES
BASIC PLAN?
a YES
NO
ZONING DESIGNATION
. -2- 3J (77(7
CHANGE OF usE?
a YES
NO
NEW ADDRESS REQUIRED?
o YES ANO
UP /SEPA /SU?
a YES
NO
PLATTED LOT?
,4 YES a NO
DEMO PERMIT REQUIRED?
a TES
vtfNO
Bulletin #100 —January 1, 2009 Page 2 of 4 k\Handouts\Permit Application