05-104102City 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 - 104102 - 00 - SF
Inspection request line: (253) 835 -3050
Project Name: JOHNSON
Project Address: 140 S 297TIf PL Parcel Number: 776420 0040
Project Description: ADD - 2nd story addition to existing home. Includes plumb /mech.
Owner
Applicant
Contractor
Lender
PERTIS & GLORIA JOHNSON
RIVERBEND CONTRACTING INC
RIVERBEND CONTRACTING INC
PERTIS & GLORIA JOHNSON
29309 2ND AVE SW
PO BOX 7575
RIVERC *962NC 09/01/06
29309 2ND AVE SW
FEDERAL WAY WA 98003
BONNEY LAKE WA 98390
PO BOX 7575
FEDERAL WAY WA 98003
s
Floor Areapqwft
BONNEY LAKE WA 98390
Includes:
Census category: 434 - Reside
#1
#2 r #3
#4
Occu anc Group: --
P Y P:
- R -3
R -3 - _ —_I;= - -- - - - - --
s
Construction Type:
434 Residental alt/ad�i io +
_
Type V- B
YP -- =L -- - - - - - --
/ 1
Occupancy L
NrY „tip
Deck Propose Few . ... ........
��
--
s
Floor Areapqwft
u. M
__ -
Mechanical .....
1st Fippr Propki��t�
.. i0 "'
2nd Floor Proposed Sq. Feet <...
C �`
434 Residental alt/ad�i io +
Q,, �O tcY #2 - t Macao T7
/ 1
NrY „tip
Deck Propose Few . ... ........
��
i3i -
s
�ibt Std eture ..r,. ..:..
u. M
Mechanical .....
Yes�p
Opdpancy Clams
... 3
a,
Occupancy #2 - Class ...: .........
..R-3
.a4..,4.
Yes
Total Building Sq. Feet ..................... ...................2080
Total Proposed Sq. Feet .......................................
780
Zoning Designation .............. ...............................
RS 7.2
Plumbing Fixtures
Description Quantity I Description Quantityi Description ]Quanti
Bathtubs �j 1 � Showers 1 Smks
Mechanical Fixtures
Description _Quantity Description Quantity) Description Quantitv
Ducts - — Fireplace Inserts
PERMIT EXPIRES March 29, 2006.
Permit issued on September 30, 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 Federal Way. C
Owner or agent: Date:
aS-
' THIS CARD IS TO N ON -SITE , -'
CiW OF y fommunity Develo me t Inspection Record
Federal Wa IVR INSPECTION REQUEST PHONE # 253 835 -3050
� Q c �
PERMIT #: 05- 104102 -00 -SF
Owner: PERTIS & GLORIA JOHNSON
Address: 140 S 297TH PL
FEDERAL WAY, WA 98003
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.
pM
Temp. Erosion Control (4365)
Footings /Setback (4110)
19 Foundation Wall (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By
O j Date
B Date �� ?j�(�
By C Date
❑
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
By G 4j Date 3 - 6 - d
, Date Q
%
❑ Roof Sheathing (4220) ❑ Rough Plumbing (4239)
ZZ-
❑ Mechanical Rough -in (4165)
Approved to install roofing
Approved
Approved
By
G (� Date �j - d
By GW Date!3 • + C3&
By C W Date .. 40 4ax,
❑
gas Piping (4125)
❑ Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved to release te;;t
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire /Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/CJBC 108.5.4
By
C� Date -( `
By ge Cox) Date . V
Cox)
❑
Framing (4120)
❑ Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date .�
ByG C�.J Date �`
By �° Date --5L22 -
❑
Final - SWM (4375)
❑ Final - Mechanical (4065)
❑ Final - Plumbing (4075)
Approved
Approved
Approved
By
CA5 Date 4
By 19*,f Date 617 dli
By Date %
❑
Final - Building (4050)
[]Temp. Erosion Maintenance (4370)
Approved
Approved
By
— Date
By Diltee
RECEQ
Federal Way AUG 15 2005 PERMIT
C0MWfMTY DSVELOPMW SERVICES
33325 D AVENUE,WA 9•POEQjC97180F F E D E R „ELI CATI O N
FEDERAL WAY, WA 98t�3.9
2S3- 83S•2607• FAX 2S3.835 -2609 gU I L D I N D
www �itypffedaralvau com
The following is
- an
not be
-� 02- Z
S F CO ME EL PL DE EN FP
D
:cued. Please print legibW (in tnkl or tvoe.
SITE ADDRESS f (� S 2 9 /7 n-( 101-- All%? r/" i� (1/4. SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # VJ Z L L-) LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aamh ae- 9 -PWjar kn9ft toga(d- mipd*N
PROJECT • •
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl
_s s
d _ 00 t ..r 77. A 47
PROJECT NAME (Name of Business or Owner Last Name) -TOl-W S tag A
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
PEOPLE INFORMATION
NAME PRIMARY PHON
PRESS �o ,v5 ®� (z�) FP-7 - S bSa
MAILING ADDRESS CITY, STATE, ZIP
D S Z9 77k L %t.7/ i GJ ejA 9'6"P03
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
Cc7• -�T�z�
CELL PHONE
1 -
3'W L �/i.,l s; ax i
( 753) ZSS' -eo143�
MAILING ADDRESS
10/3 7
( 1 _
CITY, STATE, ZIP
�3a -cwt �- , c��� fie*'
CELL PHONE
(: 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE •-
FAX NUMBER
-
CONTRACTOR'S RREOISTTRATION NUMBEER� (copy of card required with each appReation)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
/j
CITY, STATE, ZIP —
CELL PHONE
1 -
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect o Tenant ❑ Agent o Other (Describe)
( 1 _
NAME PRIMARY PHONE E -MAIL ADDRESS
L t r✓tn� G i-+� (Z-53 255 - e
it 4c
"j, 7 ^it,CY•{ . (! iCsdX - X:C;.t: �r!X�eii :'..
EXISTING USE �� 5 (07 T1�- PROPOSED USE -51 -e 4-
EXISTING ASSESSED /APPRAISED VALUE OF PROPOSED WORK i$
SPRINKLERED BUILDING? 13 YES <NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES O
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE ;&TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE "B', RIVATE (SEPTIC)
of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Medianical Work
_ AIR HANDLING UNITS
BBQS
_ BOILERS
COMPRESSORS
L DUCTS
BATHTUBS (or Tub /Shower combo(
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bethmomsfidm
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
OAS PIPE OUTLETS
I SHOWERS
:Z- SINKS
SUMPS
URINALS
VACUUM BREAKERS
OAS LOGS
REFRIG. SYSTEMS
HOODS (commerciaq
WOODSTOVES
RANGES
MISC (Describe)
OAS WATER HEATERS
WATER CLOSETS (roast)
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cerWy under penalty of perjury that the Wormation 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. 1 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 onty where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the ir4formation supplied to the city as a part of
this application. L
NAME /TITLE 0/Z,/-5, DATE
(Signature
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent -X6ntractor
fritiel
❑ Architect ❑ Other
Bulletin #100—january 7, 2005 Page 2 of 4 MandoutsTennit Application