15-103137t RECEIVM
ifPERMIT 4KPPLICATION
�,T.oF JUN 3 2015
• Federal Way 4 40�
CITY OF FEDERAL WAY 4
PERMIT NUMBER 1 ✓ _ `
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
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1 � `-- '�11 , Y�, J
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL i
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
6.(A-rori- �v EVic_.I05'4d 6C42
PROJECT DESCRIPTION
Detailed description of work to
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v cf
lit 1�/t
12-lq �
be included on this permit only
PROPERTY OWNER
NAME�
hG Vla (�► r Fri (4 i/
PRIMARY PHONE /�./�
Z��l I.. I 60
0
MAILING ADDa-j7ss��
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E-MAIL
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NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACTel
NAME
VM
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
Q OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.0951
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 apart of this application.
SIGNATURE: DATE
PRINT NAME: G{ } v i^ '•l
Bulletin #100—January 1, 2013 Page 1 of k:\Handouts\PermitApplication
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type o re to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
..... _
�WATER
�/PURVEYOR
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offtxWre
to be installed or relocated as
part of this project. Do not include existing tures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DECK
DRINKING FOUNTAINS
SINKS )Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
PURVEYOR
SEWER
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
..... _
�WATER
�/PURVEYOR
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
")
❑ Yes E2.No
❑ Yes K No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
..... _
BASEMENT
Additional Information
NEW BUILDING
_.......... ..... ....... ...................... ....................................... _............................. .......... .......................................... __........
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
COVERED ENTRY
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
DECK
TOTAL BUILDING
GARAGE X CARPORT 1ffi
Z � j C;
i Z c(
......._.._.... ------- ...----- -------- — _.... - --...._....._..._................
OTHER (describe)
PROJECT AREA ONLY
Area Totals
PROmm
..........-.-----_.._._._.__..._....__.._......_.....-----------..__..__..........._._..._..............._......---- ._.........
"NEW HOMES ONLY"*
ESTIMATED SELLING PRICE $
I # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
in Sqarra Feet
Occupancy Groups)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
f City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Single -FamAy
Permit #: -15-403137�06'SF
"Mm I I F= Inspection Request Line: (253) 835-3050
Project Name: BJORKLUND
Project Address: 30426 8TH AVE S Parcel Number: 091800 0016
Project Description: ADD - Carport converted to a garage. Add-3ft retaining wall and increase slab 129 sq ft.
Owner
Annlicant
Contractor
Lender
RANDY B BJORKLUND
RANDY B RJORKLUND
OWNER IS CONTRACTOR
30426 8TH AVE S
30426 8TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load-
oadFloor
FloorAreas . ft.
0 0 0 0
Additional Permit information
New / Additional Sq. Feet - 1 st Floor .................... 0 New / Additional Sq. Feet - 2nd Floor ................... 0
New Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Occupancy # 1 -Construction Type........................Type V - B New / Additional Sq. Feet - Deck .......................... 0
New / Additional Sq. Feet - Garage .......................129 Mechanical to be Included? .................................... No
Occupancy # 1 - Class.............................................R-3 New / Additional Sq. Feet - Other .......................... 0
Plumbing to be Included?.......................................No New / Additional Sq. Feet - Total.......................... 129
Occupancy # 1 - Use ............................................... Residence (1 or 2
family)
No FixturesAssociated With This Permit It
PERMIT EXPIRES Tuesday, March 1, 2016
Permit Issued on Thursday, September 3, 2015
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:
CITY OF `
Federal Way
PERMIT #: 15 -103137 -00 -SF
Project: RANDY B BJORKLUND
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 30426 8TH AVE S
FEDERAL WAY, WA 98003-4113
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. Rork 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.
❑
SWM Precon Site Mtg (4400)
Floor Sheathing (4105)Shear
Initial Erosion Control (4365)
Footings/Setback (4110)
Approved to sheath floor
Approved
Approved to install flooring
To be done prior to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
" Date -J I It (I C_
Foundation Wall (4115) Drainage/Downspout (4040) E] Slab/Concrete Floor (4255)
Approved to place concrete Approved to backfill Approved to place concrete
By 'A4 Date 'I I It Its— By Date By V-43 Date 18 I t 1 5"
Underfloor Framing (4285)
Rough Electrical
Approved
Floor Sheathing (4105)Shear
Final Electrical
Approved
Walls (4245)
Approved to sheath floor
Date
Approved to install flooring
Date
By
Approved to install siding
By Date
By
Date
By
Date
b
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By j �J Date �� `'
By
Ci Date
By
Date
Prior to scheduling a Framing inspection;
Framing (4120)
❑
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
By
Date
By
Date { _
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By 1.:1 Date $I �
b
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
a__._a`^ _
Randy Bjorklund,
Federal Way, WA Carport to Enclosed Garage Conversion -2015 Site An 2l;#mi
Q ! Y OF FEDERAL IWAY
cs