07-101965v
City of Federal Way
Community Development Services Building - Single Family Permit #: 07-101965-00-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: BUSHEY
IUM
Project Address: 30506 12TH PL SW
Parcel Number: 178850 0070
Project Description: REM - Remodel kitche i In i ad
i xt 'or dows & door. Includes
plumbing & mechanic / 0
l mbi f efer is maker & washing
machin
Owner � a
Cont or
lender
RICHARD & LINDA BUSHEY & LINDA BU EY
3050612
RICHARD & LINDA BUSHEY
30506 12TH PL SW 30506 12TH PL SW F
ERAL WAY A 9 3 -8229
30506 12TH PL SW
FEDERAL WAY WA 98023 -8229 FEDERA WA WA- 0 -8
FEDERAL WAY WA 98023 -8229
Census C t eside tial alt /add - no change in number of units
Includes: #1 #2
#3 #4
occupancy Class:
R -3
traction Type:
-Type; e ►' - B
c Load:
a s. ft.
0
0
0
0
't'Md w ,::k anx City, 'S4 n ,p,"" Nak't
mt� i at
New/ Additional.'l het - 3rd Floot ................0
New I Additional Sq. Fert - Basement .........c........0
Occupancy # 1 -Construction Type ........................Type V - B
Mechanical to be Included? ................................... Yes
Occupancy #1 - Class ................. ............................R -3
Plumbing to be Included? ...................................... Yes
Occupancy #1 - Use ......................... ......................Residence (1 or 2
family)
Mechanical Fixtures
Ranges............. ............................... 1
Plumbing Fixtures
Dishwashers .... ............................... 1 Laundry Washer Outlets................ 1 Other Plumbing Fixtures ............... 1
Sinks............... ............................... 1
PERMIT EXPIRES Monday, April 13, 2009
Permit Issued on Friday, April 13, 2007
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.
Owner or agent: Date:
K 00
1 .
City of Federal Way Building - Single Family Permit #• • 07-101965-00-SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 inspection Request Line: (253) 835 -30550
Project Name: BUSHEY
Project Address: 30506 12TH PL SW Parcel Number: 178850 0070
Project Description: REM - Remodel kitchen, including addition of exterior windows & door. Includes
plumbing & mechanical.
Owner
Applicant
Contractor
Lender
RICHARD & LINDA BUSHEY
RICHARD & LINDA BUSHEY
30506 12TH PL SW
RICHARD & LINDA BUSHEY
30506 12TH PL SW
30506 12TH PL SW
FEDERAL WAY WA 98023 -8229
30506 12TH PL SW
FEDERAL WAY WA 98023 -8229
FEDERAL WAY WA 98023 -8229
FEDERAL WAY WA 98023 -8229
Census Category: 434 - Residential alt /add - no change in number of units
Includes:
# 1
#2
#3
#4
Occupancy Class:
R -3
nstruction Type:
Type V - B
0ccu ancy Load
m
Urea s. ft.
d
0
0
0
New/ Adilitiialq fed" 3rd Floor .........
Occupancy # 1 -Con ttwrction Type
........
Occupancy # I - Class ................. ...:........................R -3
Occupancy #1 -Use ......................... ......................Residence (1 or 2
family)
Plumbing to be Included ? ........... ...........................Yes
Mechanical Fixtures
Ranges............. ............................... 1
Plumbing Fixtures
Dishwashers.... ............................... 1 Sinks................ ................... ............. 1
PERMIT EXPIRES Monday, April 13, 2009
Permit Issued on Friday, April 13, 2007
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.
Owner or agent: Date: '-/ 13 '0%
THIS CARD IS TO REMAIN ON -SITE ~
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -30,50
PERMIT #: 07- 101965 -00 -SF
Owner: RICHARD & LINDA BUSHEY
Address: 30506 12TH PL SW
FEDERAL WAY, WA 98023 -8229
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)
❑ Mechanical Rough -in (4165)
❑
Gas Piping (4125)
Approved
Approved
Approved to release test
By
4 ` Date ?,17,07 _
By Date
By
Date
❑
Fire/Draft Stops (4095)
r to scheduling a Framing (4120)
❑
Framing (4120)
Approved
ectrical, Plumbing & Mechanical
Egned-off
Approved to insulate
ire/Draft Stop inspections must be
B
t Date 'j —Z —p
pproved. IBC 109.3.4/UBC 108.5.4
Da te 7 — _
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final - SWM (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date 7_ - p
By Date p % _-VS, o-1
By
Date
❑
Final - Mechanical (4065)
❑ Final - Plumbing (4075)
❑
Final - Building (4050)
Approved
Approved
Approved
By
Date
By Date
By
Date
❑Temp. Erosion Maintenance (4370)
Approved
By Date
c1fYOP..� uCCD
Federal Way
'
COMMUNITY DByELOPMENTSERVICES APR 13 200 PERMIT '201� SF MF C EL L E EN FP
33325' AVENUE SWTH • PO BOX 9718 , I C AT I O N
FEDERAL WAY, WA A 98063.9718 TD
.253 - 835- 2607• FAX 253- 835 -2609 CITY OF FE E A
uww.ci1uaffedem6oaa.com BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print legibly (in inkj or type.
PROPERTY •- •
SITE ADDRESS .?OSO� - % /OL S j� f SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 12 - Q -7— Q LOT SIZE (sj) O
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) GOT CZ Cm, Ali-It 4 LANe Dfil!St onl V iy
/Atlad aeparata page for lengthy legal descrtplion] '
PROJECT INFORMATION
TYPE OF PERMIT ABUILDING, PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work ihcluded on this permit only)
>'•C'�y ��✓ l�P_ xtOG'P/r/ T� /nil jvt?�r!' /!t!1i�2 /rv� ,Z C /r'C Gn C�i i S .��, /,<
1 a",1511 e2-, laity 601 Ati 1211 .camed
� 4 T 4a A4 ti' 5 / tV /c An/W ex lS i Iry
"i7C/Ai✓ CPS' i ?f'�ld'a /N�i t1I/G'/l i.c>,a �� Anlrf Tl SCI L01-J d& LJS ,
4 tyd
PROJECT NAME (Name of Business or Owner Last Name) J3 U jLj � �y
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
COPY of c"d regalred
with a- eppli —ti..
APPLICANT
PROJECT
CONTACT
LENDER
NAME
13U_5k P v "O2 0/
PRIMARY PHONE
(2 ) - D
MAILING ADDRESS CITY, STATE, ZIP
•3
E -MAIL ADDRESS
CO NY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
). -
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE EMAIL ADDRESS
s YS - 3Yo
NAME
He N 6 (
Pir RCW 1927.095.
Lender ify formation is required if project value exceeds $5.000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE / lG�p,V n_ p PROPOSED USE
EXISTIN ASSESSED APPRAISED VALUE $� D �,;OC%%1 _ UL E OF PROPOSED WORK $
�7
SPRINKLERED BUILDING? ❑ YES "0 1 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES aNO
WATER SERVICE PROVIDER JOAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SERVICE PROVIDER "AKEHAVEN ❑ HIGHLINE •PRIVATE
AREA DESCIUIW
EXISTING `- —PROPOSED
S ; FT: S . FT.
TOTAL
SQ.-FT.
BASEMENT
BUILDING SHELL ONLY?
o YES o NO
FIRST
o YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
THIRD
NEW ADDRESS REQUIRED?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT?
DECK COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS
1S77aer [No
PROPOSED
TOTAL
TOTAL R=7JNO AF
70741. FROPOSM SF
TOTAL SF
* *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.
MErlifuvic:eL
Value of Mechanical Work $ 4 5 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (com serci q
COMPRESSORS FURNACES �_ RANGES
D(ICTg{ GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
BATHTUBS (orTuti /sower combo) LAVS (Bich- Sinks) URINALS MISC (Describe)
NJ l/ DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (ro))eq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certgy 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 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 fi(ed,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 iryforrnation supplied to the city as a part of
this application.
NAME /TITLE
RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
o NEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100— January 1, 2007 Page 2 of k\iiandouts\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
- : E. XTRICAL PERMIT
Service or Feeder Each Add'n
INFORMAZ
_ .+N .
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) ; $47.00
❑ 201 - 400 amp 280.00 111.00
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 W - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) ; $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI - FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder '
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE /MULTI FAMILY
❑ 201'- 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ 0 to 200 amp $ 92.50
❑ over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑ # of circuits to be added /altered
❑ over 600 amp 225.50
0 -5 circuits - $94.50; Add'n circuits, $7.00 /ea)
��# of circuits to be added�altere
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1 -4 circuits ,$14.00; Add'n circuits 7.00 /ea)
$94.50 plus 35% of Permit Fee
E3 Service - 1;000 amps or greater
Mast or meter repair $55.00
❑ Medical /Educational /Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential/MWU- Family $65.00
❑ # of service or feeders
(First ser6ice /feeder - $74.00; each add'n - $48.00)
CommerciaWndustrial Service or Feeder.Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $55.00; adWh- $17.00 /ea)
(First sign - $55.00; add'n sign $26.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00 /hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑Automation Fee on all Permits $5.00
❑
..
1.1 2500 W- $65.00;
Each add'n 2500 f0417.00) 'PerWAC296- 46- 910(S)(bJ(i do uJ
Bulletin #100 -January 1, 2007 . Page 3 of 4 k \Handouts \Permit Application