15-105857 Buifding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-105857-00-SF
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax (253)835-2609 P q 835-3050
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Project Name: DIBBLE
Project Address: 29244 13TH PL S Parcel Number: 720560 0010
Project Description: REM-Close off exterior door,install window,install drywall and add interior door all in
existing basement. _
Owner Applicant Contractor Lender
JASON DIBBLE STEVEN HOLMES .H M&R
' THERESA DIBBLE H M&R HMR**R"913J2(10/23/17)
29244 13TH PL S PO BOX 1894 PO BOX 1894
FEDERAL WAY WA 98003 MILTON WA 98354 MILTON WA 98354
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
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 6000.00 Occupancy#1 -Construction Type. Type V-B
Mechanical to be Included? Yes Mechanical Work Valuation? 100
Occupancy#1-Class R-3 Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Sunday, June 26, 2016
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Permit Issued on Tuesday, December 29, 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 C' oof ederal Way.
Owner or agent: _ �� i• i Date:
t ,lir•�.�1,,, FINALE°
• 91-
I ,
THIS CARD IS TO REMAIN ON-SITE F • -4
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105857-00-SF Address: 29244 13TH PL S
Project: JASON DIBBLE FEDERAL WAY, WA 98003-3743
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
O 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
O Mechanical Rough-in(4165) '❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By P r' Date 405/j4,
❑ Interim Erosion Control(4370) ' ` "
Prior to scheduling a Framing inspection; ❑ Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed off and
By Date approved IBC 109.1By ' Date It115/j4
❑ Insulation(4150) '❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375)
Approved to install wallboardLApproved to install mud&tape Approved
By Date r/u 1/¢ 11252.-------s Date 6--._ (q_ ( By Date
❑ Final-Mechanical(4065) '❑ Final-Building(4050)
Approved Approved
By Date By IN4 Date 1124 I I V
Rough ElectricalFinal ElectricalEllRight of Way -�'Approved Approved Approved
Li
y Date By Date By Date
" ..0 s. 0
RECEIVED
Federal
Novi 7 2015 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER 1 5 - 5 5 _ s12/21 16
TARGET DATE
SITE ADDRESS .794-6? SUITE/UNIT#
2i2-
_ 44. ' 131b IPI- 3. Feder4 WajU`, A. - _a
PROJECT VAwATION ZONING ASSESSOR'S TAX/PARCEL#
$ (v 00 0. 0 -7 -2 O (o 0 - 0 D I 0
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT t) I
.54
4/?O L a 5 moth A n ' (,L 1Fc FFAT:PROJECT DESCRIPTION t
Detailed description ofwork to �Q .4- ppV7Tn<LW'jaw. Iv CA ISTpru_ i yIApIU—
be included on this permit only ADD/ n^ ve: El_raecfL NAT- rY5 aG `nie I'`cr
,o0Mif
NAME rP�RIIMMARRY PHONE G
PROPERTY OWNER CJ / I F'p, L .55 447 i O 06
MAILING AnTmEN88 E-MAA.
0,1315 '�971`t y f 3.'''' 1'�- ATE zIP jngt.4. 1�b�jejtehnlla)�.e"
p c,� e cL j 1dera 1 Way �v 915rs0
PRONE
NSTE 1 Ai 40L✓ 5 25 3-717-'IcZir
MAIL/NG ADDRESS E-MAIL
CONTRACTOR -P.O. t394 fl) C1 nd V'651/liar]1 ►arp'1
` WO 61 ,,OT,./j7Us FAR
CJ� 1 ID 4/ ;,..) Ti /0
EXPIRATION/ / FEDERAL WAY BUSINESS LICENSE M
NAT Con/rc der 54„L a as a.bo PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
• - ' % ? CITY STATE ZIP FAX
isiF
PROJECT CONTACT N Con 2�/��lC. OIC .-'1 e tie 17U i Yyl.es PRIMARY PHONE
L .77 SS Z go
(The individual to receive and ruoMAILING ADDRESS
respond to all correspondence f[J. a`1$9IMin
concerning this application) air1. STATE ZIP FAX J
PROJECT FINANCING NAM
ITA/L/ 1)1 eN'J X OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP ,�'PHONE A
(RCW I9.27.095)
Z53— 'c,/J /y (,
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 t city as a part of this application.
SIGNATURE: -,x, -_ DATE /Y2-7//5
/5
PRINT NAME:_G! _IDVELV K OD(t Y 1
Bulletin#100—October 26,2015 Page 1 of 3 k:\Handouts\Pemiit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ X00 vim.
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commemiat(
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESS RS �,/ GAS LOG SETS REFRIGERATION SYST
OL DUCTING / INJ GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
D V1 LU $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIREER SYSTEM? PROPOSED FIRE SU ON SYSTEM?
�1..V _ ,n ❑Ye% o ❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals =STING PROPOSED
TOTAL
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Permit Application