04-104651City of Federal Way Building - Single Family Permit #: 04 - 104651
Community Development Services - 00 - SF
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: FORD
Project Address: 416 S 318TH PL
Parcel Number: 794170 0320
Project Description: ALT - Covert bedroom into a master bathroom: remove closet walls, frame new walls and add
tub /shower, sink and toilet. Plumbing included. No mechanical.
Owner
Applicant
Contractor
Lender
Shelly Ford
Shelly Ford
Shelly Ford
NONE
1326 BEACON ST S
1326 BEACON ST S
RENTON WA 98055
RENTON WA 98055
1326 BEACON ST S
RENTON WA 98055
NONE
D_ e_s_cription Quantityj Description Quanti Descri tion Quanti
Bathtubs — ��� Lavatories Water Closets — 1�
Mechanical Fixtures
L- - - - - -- Descri tion 1Qat I Description Quantity Description Quanrql
Fans 1
PERMIT EXPIRES May 18, 2005.
Permit issued on November 19, 2004
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. _ n
Owner or agent: ) Date:
THIS CARD IS TOWMAIN ON -SITE
� Y
WY OF tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 104651 -00 -SF
Owner: SHELLY FORD
Address: 416 S 318TH PL
FEDERAL WAY, WA 98003 -5220
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)
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date
By
Date
❑ Rough Plumbing (4230)
Approved
By Date
Fire/Draft Stops (4095)
Approved
By Date Z
❑ Insulation (4150)
Approved to install wallboard
By Date
Mechanical Rough -in (4165)
Approved
B Date
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑ Final - Mechanical (4065) ❑
Approved
By Date `� (? By
❑Temp. Erosion Maintenance (4370)
Approved
By Date
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
❑ Gas Piping (4125)
Approved to release test
By Date
Framing (4120)
Approved to insulate
By MU 7_./ Date
Final - SWM (4375)
Approved
Date J l By Date
Final - Plumbing (4075 ) Final - Building (4050)
Approved Approved
j� Date 2 Q By Ag7 Date` 2
cmoF ` RECEIVED
Federal Way RECERD PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 D AVENUE SOUTH • 63 BOX 9718 p L I C A I_ l� n
FEDERAL WAY, WA 98063 -9718
253- 835 -2607• FAX 253 -835 -2609 lb
wtuu,.dhroffederalwau.com - '�p'�'Y OP FEDERAL WAY
The following is r TiYCtjj4pt`j%4t •rAyrx0ncomplete app, un PTt
f 9 'Knot be c
SF F CO ME EL PL DE EN Fr
D
cepted. Please print legibly (in ink) or tune.
SITE ADDRESS I VO .-�� �L SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # � ! 7 6 - C-� 3, C LOT SIZE (s1)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aft -h separate page for Icnohy Ie9aIW4—Wb.n)
TYPE OF PERMIT F BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name) T o,<D
PEOPLE I1 • I •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
761 Z_
MAILING ADDR CITY, STATE, ZIP
i-I
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( )
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
(166 ) $/ E 7012
RELATIONSHIP TO PROJECT -
— B L
❑ Architect ❑ Tenant ❑ Agenty❑ Other (Describe)
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
COMPANY NAME
I
APPLICANT FAME
OFFICE PHONE
-70 1?,
MAILING ADDRESU
CITY, TATE, Zia
CELL PHONE
'Fo`f--> r ? S
r 9&52
(166 ) $/ E 7012
RELATIONSHIP TO PROJECT -
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agenty❑ Other (Describe)
( JzS) 22•4o - �
NAME [PRIMARY PHONE E -MAIL ADDRESS
'TerCW,;l 27s095':Lender3nformationis NAME
R
`.;required if project value exceeds $5,000
MAILING ADDRESS CITY, STATE, ZIP
`
EXISTING USE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE
(-Y5, NZ
VALUE OF PROPOSED WORK $ D�
SPRINKLERED BUILDING?
❑ YES ONO
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER
AKEHAVEN
GHLINE
eGHLINE
❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER
XPAKEHAVEN
❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING SO. FT. I
PROMED S . FT. I TOTAL
!F1RST MEN T
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS aUvaomSirdc
DRINKING FOUNTAINS
SECOND K�u
RAINWATER SYST
HOSE BIBBS
THIRD
FOURTH
ELECTRIC WATER HEATERS
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU ?. o YES
o NO
PLATTED LOT? o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? ❑ YES
ONO
DECK (COVERED ?)
2(��
GARAGE /CARPORT
d Ov
HOW MANY FLOORS?
TOTAL EIQSTD(G
TOTAL PROPOSED
TOTAL EMSTQNG AND PROPOSED
�NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ i
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain..
MECEEAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS
FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (a,Tub /Shccombo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS aUvaomSirdc
VACUUM E
GAS LOGS
REFRIG. SYSTEMS
HOODSicommw1
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
�= WATER CLOSETS Roueq
MISC (Describe)
DRINKING FOUNTAINS
❑ NO
RAINWATER SYST
HOSE BIBBS
CHANGE OF USE? o YES
ELECTRIC WATER HEATERS
NEW ADDRESS REQUIRED? o YES o NO
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
RELATIONSHIP TO PROJECT
Owner ❑ Agent ❑ Contractor ❑ Architect Cl
1(h('1og
FOROFFICE USI�ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN? o YES
❑ 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? o YES o NO
DEMO PERMIT REQUIRED? ❑ YES
ONO
Bulletin #100 —March 30, 2004 — Page 2 of 4 k\liandouts — RevisedWermit Application
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
❑ Detached outbuilding or garage
(Inspected with service) $ 36.50
❑ Detached outbuilding or garage
(Inspected separately) $ 58.00
NEW MULTI - FAMILY (three units or more)
ALTERED SINGLE /MULTI FAMILY
Service
Feeder
❑ Up to 200 amp
$ 94.50
$ 28.00
❑ 201 - 400 amp
117.50
58.00
❑ 401 - 600 amp
161.00
80.00
❑ 601 - 800 amp
206.00
110.00
❑ Over 800 amp
294.50
220.50
ALTERED SINGLE /MULTI FAMILY
Z- # of circuits to be added /altered
(1 -4 circuits- $58.00; Add'n circuits $6.00 /ea)
❑ Mast or meter repair $ 43.50
SINGLE /MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
COMMERCIAL
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$ 94.50
Service or Feeder
❑ 0 to 200 amp
$ 72.50
❑ 201 - 600 amp
117.50
❑ over 600 amp
177.00
Z- # of circuits to be added /altered
(1 -4 circuits- $58.00; Add'n circuits $6.00 /ea)
❑ Mast or meter repair $ 43.50
SINGLE /MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
COMMERCIAL
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ 0 to 100 amp
❑ 101 - 200 amp
❑ 201 - 400 amp
❑ 401 - 600 amp
❑ 601 - 800 amp
❑ 801 - 1000 amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$ 94.50
$ 58.00
117.50
74.00
220.50
87.00
256.50
103.00
332.00
140.50
405.50
169.50
442.00
236.00
❑ Over 600 volts surcharge $ 74.00
❑ Mast or meter repair $ 80.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ # of circuits to be added /altered
(1 -5 circuits - $74.00; Add'n circuits, $6.00 /ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Service over 200 amps
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
Service or Feeders
❑ 0 to 200 amp
$ 94.50
❑ 201 - 600 amp
220.50
❑ 601 - 1000 amp
332.00
❑ over 1000 amp
369.50
❑ # of circuits to be added /altered
(1 -5 circuits - $74.00; Add'n circuits, $6.00 /ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 35% of Permit Fee
❑ Service over 200 amps
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only $ 58.00
TEMPORARY SERVICE
❑ Service and feeder $ 94.50
Commercial
Residential
HOME /RV PARK
❑ 0 - 100
$ 58.00
$ 51.00
_MOBILE
❑ # of service or feeders
❑ 101-200
74.00
51.00
(First service /feeder - $58.00; each add'n - $37.50)
❑ 201 - 400
87.00
n/a
❑ 401 - 600
117.50
n/a
❑ over 600
127.00
n/a
MISCELLANEOUS SERVICE / EQUIPMENT
❑ # of Thermostats
(First - $43.50; add'n - $13.50 /ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice Cabling
❑ Data Cabling
(Per System(s) 1, 2500 ft2- $51.00;
Each add'n 2500 ft2- 13.50) ' Per WAC 296 -46- 910(5)P)(i & ii)
❑ # of Signs
(First sign- $43.50; add'n sign $20.50 /ea)
❑ Swimming pool /hot tub ................ $87.00
(Includes additional circuit, if required)
❑ Yard Pole meter loops ..................... $58.00
❑ Additional Plan Review $87.00 /hour
(for modified submittals)
Bulletin #100 - March 30, 2004 Page 3 of 4 k \Handouts - Reviscd\Permit Application