04-103168 , *.:.1 41111 III 0 - i
CommuuyDevelopmentServices Building - Single Family Permit #:04 - 103168 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FRENK
Project Address: 31014 39TH PL SW Parcel Number:758200 0040
Project Description: ALT-Interior remodel of kichen,laundry,pantry layout,master bath,main bath,and master
bedroom.Includes plumbing&mech
Owner Applicant Contractor Lender
Joel William Frenk POTTER CONSTRUCTION POTTER CONSTRUCTION Joel William Frenk
31014 39TH PL SW POTTER CONSTRUCTION POTTECIO16RL 11/05/05 31014 39TH PL SW
FEDERAL WAY WA 5606 CALIFORNIA AVE SW POTTER CONSTRUCTION FEDERAL WAY WA
98023-2179 SEATTLE WA 98136 5606 CALIFORNIA AVE SW 98023-2179
Includes:
Census category: 434-Reside #1 #2 #3 #4
LOccupancy Group R-3
L Construction Type _ Type V-N dEll_
Occupancy Load:
oor Area(Sq.Ft.): —
Census Category 434-Residential alt/add-no Mechanical Yes
Occupancy Group#1 R-3 Plumbing Yes
■
Plumbing Fixtures
[ Description__ Quantity Description !Quantity! Description LQuantit
I!r--_ J L Laundry -11--- 1
Bathtubs 1 Dishwashers 1 Laund Washer Outlets
rLavatories 2 Showers 1 Sinks L 1
Mechanical Fixtures
r Description _ (;Quantity Description Quantity Description iQuanti y
[-Fans 1 1 j Ranges 1
PERMIT EXPIRES February 6,2005.
Permit issued on August 10,2004
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.
Owner or agent: � / Date: 9"00--c7/
0,I ' . O
alk.\
•
i
P
DATE INSPECTOR AREA AND TYPE OF INSPECTION
07a r -5/17-ace71- /1/?71)
0 THIS CARD IS TO •MAIN ON-STrE '
CITY OF r . Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE #(253) 835-3050
PERMIT #: 04-103168-00-SF
Owner: JOEL WILLIAM FRENK
Address: 31014 39TH PL SW
FEDERAL WAY, WA 98023-2179
This card is part of your required inspection documents. Schedcled 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.
r❑ Temp.Erosion Control(436 0 Plumbing Groundwork(4190) 0 Underfloor Framing(4285)
To be done prior to breaking groimd Approved to cover Approved to sheath floor
By Date ) By Dale By Date
El Floor Sheathing(4105) i-O-
Shear Walls (4245) 0 Roof Sheathing(4220) `
Approved to install flooring Approved to instill siding Approved to install roofing
By Date _- Ligy ... Dale By Date
❑ ; Rough Plumbing(4230) F-NrechanicalRough-in(4165) I ❑ Gas Piping (4125) 1
�M�- � Approved
� Appm�e i 'P:pproved to release test
i I
1 fly. .._ �:L. Date I B By Date
re it Stops (4095) NOTE: Prior to scheduling a Freming(41 to) rd Framing(4120)
Approved inspection: Electrical.Plu mnbiog Sc Meek aical Approved to ins!i?zie
Rough-in 210 Fire/Dra€t Stopinspeetiors must be ;�
(signed-off and approved. IBC 109.3.4/4312C 108 4 ----44
Lt.tv,. Date By loh.AP Date Ci
rte.
t:.isulation (4150) ❑Gypsum Wallboard Mailing(�i130) ❑ Final-SWM(4375)
Approved to install wallboard Approve to instal.mud&tape Approved
By��`�' Date q .. By Dnte0, .'Ll• By Date
J
_____
mak
[� Final-Mechanical(4065)r0 Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved Approved
By Date By �`�� Date i( By O By Date
J
Temp.Erosion Maintenance(4370)
Approved
By Date
1
Federal Way -+�- Ss
V PERMIT
COMMUMIYDEVELOPMEM'SERVICES
F CO ME EL PL DE EN FP
33530 FIRS1'WAY SOUTH•Po BOX 9718 p p L I C AT I O N
FEDERAL WAY,WA 98063 649718 AUG`1 1 O ^L Q D / /
253-661 4 115•FAX 25361729
www.cituoffederalway.com
The ollowin• is :•414 f•J S. •ctn inco •fete a..lication will not be acce•ted. Please •rint le•ibi (in ink)or .
PROPERTY INFORMATION
SITE ADDRESS 3 10 I LI 31 tit I . S U`1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(4) -...„,
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onitO
rKV.1►•e_ Tt� u " u 'rGkw A
04 A1T1 L CA. all
,(c t
PROJECT NAME(Name of Business or Owner Last Name) Pr.e.v K.
k
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Z-0-EA F r-eN 1C (743 )93$ -319/
MAILING ADDRESS CITY,STATE,ZIP
I 310 14 3 CO1' 121, ,S(-Li fed.{..a.l w A' (...in- 9 Sct�23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
o T r Gr..)A-) Tr u c:i 0A., ,SCo TI D!ec / (2o6 )?3.5 a
g
MAILING ADDRESS CITY,STATE,ZIP
CELL PHONE
SI 06 on.h4.0 y« A.ve, sc.✓ Se'.77/t wj - TV36 (266 )7 -OS39
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER " EXPIRATION DATE FAX NUMBER
- - - B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
PQrzEisa _L bR /� lc /off
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
POW'Cr des N ST"ieteti*do S0alr 0 va✓0 (ze6 ) ?Jr -l67
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
SGoN6 co!o�-F+•��v.� A-ve sc.� ,S�ITJc, t►r/i4- �fl/.�(_ (Lo6 )799 -ar3V
FAX NUMBER
❑ Architect ❑ Tenant ❑Agent pe6ther(Describe) (lD A•1•/ ere)r• ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Ste 0 d,(-V6 2o6 9 S^ - 9(94 co Ire/eT To Pe.eeysrroenit !-
LENDER Per RCW 19.27.095: Lender information is NAME 1***‘'
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE - (M.:• PROPOSED USE St}-A"G_
EXISTING ASSESSED/APPRAISED VALUE $ 0C/9 B&) VALUE OF PROPOSED WORK $ JS O• �'' was
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
^SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) `4015.,J a .
� ,tom
-GARAGE/CARPO' '
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Wor DD
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS ' FANS HOODS(commercial( WOODSTOVES
BOILERS FIREPLACE INSERTS i RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tab/Shower Combo) I SHOWERS WATER CLOSETS(roitoq MISC(Describe)
I DISHWASHERS 1 SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
I WASHING MACHINES URINALS HOSE BIBBS
2.. LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 ___„ed a DATE 7-2 5(4-0i
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent petStractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
�/� Bulletin t#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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