14-101391 •
Building = Single Family
Cit,ofFederal way Permit #: 14 101391 00 SF
F ILE
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (2
53)835,3050Ph:(253)835-2807 Fax:(253)835-2609
Project Name: BURPEE
Project Address: 28715 11TH AVE S Parcel Number: 515296 0420
Project Description: REM-Expand master bath to add shower. Includes plumbing&mechanical.
Owner Applicant Contractor Lender
DENNIS R BURPEE WASHINGTON STATE KITCHEN WASHINGTON STATE KITCHEN
PAMELA W BURPEE &BATH &BATH
28715 11TH AVE S 12601 NE WOODINVILLE DR E4 WASHISK927BT(3/16/16)
FEDERAL WAY WA 98003 WOODINVILLE WA 98072 12601 NE WOODINVILLE DR E4
WOODINVILLE WA 98072
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
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
Mechanical to be Included? Yes Plumbing Work Valuation? 2000
Plumbing to be Include& Yes
Mechanical Fixtures
Fans 2
Plumbing Fixtures
Bathtubs 2 Showers 1
PERMIT EXPIRES Tuesday, September 23, 2014
Permit Issued on Thursday, March 27, 2014
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 e City of Federal Way.
Owner or agent: Date: VX- c-(
THIS CARD IS TO REMAIN.ON-SITE
cn~oF Construction Inspection Record a
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 14-101391-00-SF Address: 28715 11TH AVE S
Project: DENNIS R BURPEE FEDERAL WAY, WA 98003-3141
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.
O SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) Ei Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By Date
O Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
O Roof Sheathing(4220) Rough Plumbing(4230) ❑ Mechanical Rough-in(4165)
Approved to install roofing Approved Approved
By Date By Yl,e3 Date 5'(2L I►y By Date
O Gas Piping(4125) CI Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to release test Approved Approved
By Date By (A-43 Date (Sr 12Z It 4 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 (A.✓', Date S-1 2.1.i tt4 By (Alb Date s 21 tci
O Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) 0Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
By w L Date _z c j t By Date By Date
'
O Final-Plumbing(4075) EllFinal-Building(4050)
Approved Approved
By Date By Date
E Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
2
C
CITY OFBuilding Division
I 1! Ia
33325 Eighth Avenue South
Fede ayFederal Way,WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
s'
CORRECTION NOTICE
ADDRESS: 2—ir1 IS (k '— Ave , S . PERMIT#: �'- 1°134
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IF YOU HAV- QUESTIONS CALL 11\i`'ct ft (253) 835- Z(v 2-3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
11-1
D TE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF • Building Division kii,
Federal Wa 33325 Eighth Avenue South
Y Federal Way,WA 98003-6325
Phone 253 835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: P.W-115 0-411. v4 LN-c- PERMIT#: I t} �\ b1 3 'A ) -- c '
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CA— `. W`R i) .p 1,....
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IF YOU HAVE QUESTIONS CALL (253) 835- '1L)--1
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY O►'`A
MAM 7 2014 PERMIT &PPLICATION
Federal Way
CITY BOE FEDERAL WAY
CDS
PERMIT NUMBER / q _ / O ( 3 / - S F ' _____)
TARGET DATE r
SITE ADDRESS�� J2�7/ �/,�. , j �. t Low,((.....cz y y-, 0:.r7 SUITE/UNIT#
274 U 00, ` / �Y� �// qO /�J
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT X BUILDING UMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 7
2x/ s
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER ✓ 4Fli /: .`e-
MAILING ADDRESS --,? E-MAIL
Z /J- // -- 4ZIPFeitzi.7,-� hi i all S-/ pl k c�-co
CITY / STC/-
NT/5X (/ PHONE
MAILING ADDRESS `o E-MAIL
/ Z
CONTRACTOR t)/R ,(/t-_CA)C F / L7 4 /> 4)347,-r wl� �'C G.�`
CITY L /'�fri" 1"t_... S� `� � F� 41/14- V
WA STATTEE.COONT/'�RAACT/ORB LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE ii
/ /
NAME PRIMARY PHONE
APPLICANT MAILINS + E-MAIL
CITY STATE ZIP FAX
NA//ME, PRIMARY PHONE
PROJECT CONTACT Cwt/(t
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence )
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME/6/11...........„
1/ Y1 0 OWNER-FINANCED
Required value of$5,000 or more MAILING DRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 a part of this application.
SIGNATURE: 7
DATE �Z'7 y
/(
PRINT NAME: .e /Z —. 111//
Bulletin#100-January 1,2013 Page 1 of 3 k:\ andouts\Permit Application
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
5-O
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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
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 I 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
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER S = - ? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
RESIDENTIAL - NEW.S R ADDITION
AREA DESCRIPTION(in square eet) EXISTING PROPOSED . OTAL FOR OFFICE USE
Illin.moi' i'' ` 2 ✓y
FIRST FLOOR(or Mobile Home)
✓ ✓ ?rr tiff t
COVERED ENTRY
g,,,*r?F*1011MPRNIMd.nlrdilelgafaNVVKt
41
GARAGE 0 CARPORT ❑
OTH � N
EXISTING PRO'•=ED TOTAL
Area Totals
imettonmentESEVailt
ESTIMATED SELLING PRICE I #OF BEDROOM
COMMERCIAL YEW/ADDITION '
Area *.nstruction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square FeetType Stories
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griPagniggaiiirniatentiMitEgg
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
BUILDINfs' r r 2a R rv In
FmiagtsgMME
TENANT AREA ONLY
` O _ S 3 "orf 4' W. ,�' i} i& .S`• '�'' c P E �^a'� 'f�- r
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Bulletin#100—January 1,2013 Page 2 of 3 k:\l-Iandouts\Permit Application