13-105204 0 Wilding.- Single Family
City of Federal Way *_^- - ,
Community&Econ.Dev.Services lr l : i 1,,-..._..1
Permit #. 13-105204-00-SF
33325 8th Ave S i
Federal Way,WA 98003 iii ate..:.) ,3 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DOMZALSKI
Project Address: 33016 MILITARY RD S Parcel Number: 152104 9137
Project Description: REP-Remove 21' full height wall and install beam,to create great room.
Owner Applicant Contractor Lender
RICH DOMZALSKI RICH DOMZALSKI OWNER IS CONTRACTOR
DONNA DOMZALSKI 33016 MILITARY RD S
33016 MILITARY RD S AUBURN WA 98001-9636
AUBURN WA 98001-9636
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 Included9 No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, June 2, 2014
Permit Issued on Wednesday, December 4, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be• accordance with the laws, rules and regulations of the State of Washington
,accordance
t�'�f Federal Way.
Owner or agent: r„�-ry U�L , Date: /"e/ /?
i/
V
FI.NI
LED
. 4***4%., -
THIS CARD IS TO vMAIN ON-SITE
CITY OF \.'
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-105204-00-SF Address: 33016 MILITARY RD S
Project: RICH DOMZALSKI FEDERAL WAY, WA 98001-9636
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) El Initial Erosion Control (4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) ❑ Shear Walls (4245) El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) prior to scheduling a Framing inspection
Approved Approved '. Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date
` approved. IBC 109.3.4 1
FramingEl 4120
( ) El Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By 1.4
Date., —I By Date By Date
El Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By v16 Date L.I. ( c/i ti
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date 1 By Date
R CEIVED
CITY OF NOV 2 0 2013 PERMIT'IPPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER -
/ /7
1die (- 5'F TARGET DATE 7 /////
SITE ADDRESS SUITE/UNIT#
33c ) / /&rY-R /C/ CEJ JS'cO /
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
7`.09. 6, 3J ` ` ` -
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
<6:01. v ( 6;
PROJECT DESCRIPTION
Detailed description of work to e°= /Pt
be included on this permit only
NAME r PRIMARY PHONE
PROPERTY OWNER 164 oil z4L -lC
MAILING ADDRESS
301C, yy�it/r f k�' 2i.] L,Get'
CITYSTATE ZIP
/— r.4,) i y„oa /
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
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT C)6'V 49 L:i
-- ---(-The individual-to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCINGA OWNER-FINANCED
�/..--e—)/12
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE, IP 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 nd 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 upplied to the city as n part this application..
SIGNATURE: r 4..11 DATE 7/�0 3
PRINT NAME: I ell 0 /9"&51-C[ \ )
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not i ,A-existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLE OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(co.....ercial)
BOILERS FURNACES HOT A TER TANKS(Gas)
COMPRESSORS GAS LOG SETS FRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to b- . stalled or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) AVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAIN SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
rCRITICAL ARE@S ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
y41/1,/ c�, 2L)a� Vc2 .�vU u
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes'KNo ❑Yes J No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TO 1 FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SE NG PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet •: Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMP' ► CEMENTS
AREA DESCRIPTION Area %ccupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application