05-1065640 0
City of Federal Way
Community Development Services Building - Single Family Permit #: 05-106564-00-SF
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: ROGERS
Project Address: 236 S 317TH PL
Parcel Number: 337530 0360
Project Description: REM - Install a barrier -free shower, move existing vent over 3 inches into walk -in closet,
install new shower valve, widen doorway that enters bathing area, widen bedroom doorway
to 32" from 28 ". Plumbing included, no mechanical.
Owner
Applicant
Contractor
Lender
ANTHONY C ROGERS
ROBERT CIRO
CIRO ENTERPRISES INC.
ANGELA ROGERS
CIRO ENTERPRISES INC.
CIROEI *999QR 12/6/07
236 S 317TH PL
PO BOX 81
PO BOX 81
FEDERAL WAY WA
WAUNA WA 98395
WAUNA WA 98395
98003 -5242
Census Category: 434 - Residential alt /add - no change in number of units
New / Additional Sq. Feet - 3rd Floor ...................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included? ...... .............................No Plumbing to be Included ?...... ...........................Yes
Zoning Designation ................ ............................... RS 7.2
Plumbing Fixtures
Other Plumbing Fixtures ................ 1 Showers........... ............................... 1 Sinks................ ............................... 1
CONDITIONS:
Subject to field inspection.
PERMIT EXPIRES Saturday, December 29, 2007
Permit Issued on Thursday, December 29, 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
a he C' of Federal Way.
Owner or agent: Date:
0 THIS CARD IS T(WMAIN ON -SITE `
C17TOF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 106564 -00 -SF
Owner: ANTHONY C ROGERS
Address: 236 S 317TH PL
FEDERAL WAY, WA 98003 -5242
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) ❑ Plumbing Groundwork (4190) ❑ 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)
Approved to install flooring
By
Date
❑
Rough Plumbing (4230)
_..Approved
By
Date
❑
Framing (4120)
Approved to insulate
By
Date 3 vT-
❑
Final - SWM (4375)
Approved
By
Date
❑Temp. Erosion Maintenance (4370)
Approved
By
Date
❑
Shear Walls (4245)
Approved to install siding
By
Date
Fire/Draft Stops (4095)
Approved
By
Date
❑
Insulation (4150)
Approved to install wallboard
By
Date
❑
Final - Plumbing (4075)
Approved
By
Date 3 �`
❑ Roof Sheathing (4220)
Approved to install roofing
By Date
NOTE: Prior to sleduling a Framing :(4 0)
inspection; Electrical, Plumbing& Meccal
Rough -in -and Fire/Draft Stop inspections st be igned -off and approved. IBC 109.3.4/UB8.5.4
,P
❑ GypsumVallboard Nailing (4130)
Approved to iustall mud & tape. `
By Date 3,(
❑ Final - Building (4050)
Approved
By / Date /A d�
Federal Way d • PERMIT
OOMMUN17YD8VELOPMENT SERVICES 2aa5
33325 8TH AVENUE SOUTH • 63 BOX 9718 DEC 9A I C AT I O N
FEDERAL WAY, WA 98063 -9718
253 -835 -2607• FAX 253-835 -2609
°` ede r CITY OF FEDERA A�
BUILDING DEPT,
The following i . reau ;red rtformation - an incomplete application will not be
'y '' ERTY INFORMATIO
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #k
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
RF)MF (0 .� CO ME EL PL DE EN FP
nep d. Please print legibly (in lnlr) or tune.
SUITE /UNIT i
LOT SIZE (sj)
(Attach separate page f- I gft legal duaooN
PROJECT • •
TYPE OF PERMIT BUILDING K PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlul N
I/ :..Q a r!'; ?r Free A0 Me- 5'1
/ /V%y Avet it �, C /65 : T Lou, ii& I
`/r i'y ,-7 - - � — -T . _ - . - . -',Ii Ld _ .. re /1 c— ,
i I&C-t/ — It, ;.6., d.,. /- f Q s.v.�.R s.n Ca.,1 u 7ri1 ? 7
r
PROJECT NAME (Name of Business or Owner Last Name) TP - 7 ,5 e-5� IV
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
i'�� e'er �Q ( 3) 6 _R
MAILING ADDRESS CITY, STATE, ZIP JW
COMPANY NAME
MA NO ADDR
APPLI NT NAME
OFFICE PHONE
APP LI
NAME
OFFICE PHONE
/-f
'0'j ;
SPRINKLERED BUILDING?
❑ YES NO
CITY STATE, ZIP
/CELL PHONE p
4�' Q "�!3 l
CITY OF FED
( _
UMB ER
SEWER SERVICE PROVIDER
M �ER
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"BUSIIJE
ikz
�1
103
CONTR.CTS
of card reqdked
�y
witil
each application)
EXPIRATION DATE
GL.NSE
COMPANY NAME
�rd ��r - /ids
APPLI NT NAME
OFFICE PHONE
AILING ADDRESS
CITY, STATE, ZIP —
LL PHONE
SPRINKLERED BUILDING?
❑ YES NO
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other (Describe)
( _
HAMS - PRIMARY PHONE EMAIL ADDRESS
`>.: `�.1,'�f's tiet'�.� v.�r'.f-� 1 +�1`l;�lii •i%l�i.��,.
EXISTING USE J / u
�QZL�2!� ,
PROPOSED USE rr,- G r
/fie 44# // __
EXISTING ASSESSED /APPRAISED VALUE
t'J0 VALUE OF PROPOSED WORK !$
SPRINKLERED BUILDING?
❑ YES NO
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED?
r
13 YES PNO
WATER SERVICE PROVIDER
❑ LAKEHAVEN
❑ IIIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER
❑ LAKEHAVEN
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
OKI
AREA DESCRIPTION
EXISTING
S Q. FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST �,,/ i0 otlyl
/
iJ
v�
GAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS(coo erdaq
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES
MISC (Describe)
FOURTH
FURNACES
GAS WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
SHOWERS
WATER CLOSETS (foileq
MISC (Desc
ctusrata raorosco rorAL _....
NUMBER OF FLOORSc
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
MECU4MCAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS(coo erdaq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PL INIG
BATHTUBS (or'n,b /showerCombo)
DISHWASHERS
SHOWERS
WATER CLOSETS (foileq
MISC (Desc
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
% Z��, C t A
WASHING MACHINES
URINALS
HOSE BIBBS
F lJ
LAVS (aat}uoom stot<.)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the fq formation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 ncluding its officers and employees, upon the accuracy of the Information supplied to the city as a part of
this application.
n
NAME /TITLE , DATE X-2 ;V lE° d S'
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin # 100 — January 7, 2005
Page 2 of 4
k \Handouts\Pcnnit Application