12-105480 r 3
• ing - Single Family
City of ay
Community&Econ.ral Dev.Services Permit #: 12-105480-00-SF
33325 8th Ave S
Federal Way,WA 98003 rx° Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
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Project Name: WALTER
Project Address: 30212 1ST PL S Parcel Number: 339180 0330
Project Description: ADD-220 square foot addition to master bedroom for closet& bathroom. Includes
plumbing& mechanical.
Owner Applicant Contractor Lender
SARA WALTER DOAK HOMES INC DOAK HOMES INC
SHANE WALTER 11812 26TH AVE SW DOAKHI*092NZ(8/13/13)
30212 1ST PLS FEDERAL WAY WA 98146 11812 26TH AVE SW
FEDERAL WAY WA 98003 FEDERAL WAY WA 98146
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- 1st Floor 220 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? Yes New/Additional Sq.Feet-Other 0
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 220
Zoning Designation RS 9.6
Mechanical Fixtures
Ducting 1 Fans 2 Gas Piping 1
Plumbing Fixtures
Bathtubs 1 Lavatories 1 Showers 1
Water Closets 1
CONDITIONS:
Subject to field inspection with plans. ‹9
visAc\ 1 PERMIT EXPIRES Wednesday, June 5, 2013 e�
Permit Issued on Friday, December e 7, 2012 j
301(3
\I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy rand th will be in .ccordance with the laws, rules and regulations of the State of Washington
d the C` 4'Federal Way.
Owner or agent: Date: 1 _ 7-I L
,� THIS CARD IS TO MAIN ON-SITE
•
CITY OF ..,... Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-105480-00-SF Address: 30212 1ST PL S
Project: SARA WALTER FEDERAL WAY, WA 98003-4037
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) ElFootings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By ii4g Date IS-2.7.-a-/2 By ,frifi Date /2.- . /2___ By Date
O Foundation Wall(4115) El Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to backfill Approved to cover
By Date By Date By A4C Date f--Z/-72_
•
Slab/Concrete Floor(4255) Underfloor Framing(4285) LJ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
ByDate By Date By Date
, •
El Shear Walls (4245) Roof Sheathing(4220) •� Rough Plumbing(4230) '
Approved to install siding Approved to install roofing Approved
By 0..._ _ Date r� 1 ._\,3 By �(77- Date 0 -(0.7-43 By C \b� Date :. ,),\._V .)
▪ Mechanical Rough-in(4165) ,El Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release testApproved
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By ( • � Date ' .).\-- --- .By Date 2 / �- C sBy e Date -2.0-t3
Interim Erosion Control(4370) ..............................a Framing inspection; I❑ Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By 001/4(A- Date ., `.-3 ,
N.
o Insulation (4150) 0 Gypsum Wallboard Nailing(4130)' '❑ Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By ��� Date a `• 1\-` By Date Z -g7-aBy Date
O Final-Mechanical(4065) Final-Plumbing(4075) El Final-Building(4050)
Approved Approved Approved
`B Date3 2e f Date -- 2 X/2 Bye__- Date _,a '-
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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4rr OF -
FederaUgMITTED PERMIT SF F CO
ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES - APPLICATION
253-835-2607•FAX 253-835-2609 2
www.cluoffederalwau.comDEC O 12 L
CITY OF FEDERAL WAY
SITE ADDRESS SUITE/UNIT#
302_ J �e S FederalI��w° / N� 98003
PROJECT VALUATION ZONING ASSESSOR'§frAX/PARCEL#
TYPE OF PERMIT ISLBUILDING 1g-PLUMBING l ..MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT V, a(
(Tenant Name/Homeowner Last Name) -{t-7vo,(./
2.2-0 5c ware— —0D4 act,-hem _0451s"li ci. &'4'1l.✓oo14,i
PROJECT DESCRIPTION p
Detailed description of work to O� IC)' wa(k. (✓1 doS�f
be included on this permit only
NAME • I PRIMARY PHONE
PROPERTY OWNER 5 ht e F` Sara lAct,I+ 2s 3S2 —
MAILING
DRESS1 Plae 5. a r'via✓i 0203@ `ii c•
cArct w60.3g00$�� 3
NAmcE0Oatrktes hz 7-O&-Zi46-6
CONTRACTOR
MAILING
I 811 S26-th cl-ve SW USCI ly
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CIT, -)
V1r1� er/�l-& FZO6'. 246 -S`r1 I
STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
OK�KH-T409ZNZ 08 ! 3 �2o13 12- IDS- _.0o-`L
__- � _- - PHONE _
N Gir °Jvak �1r. 206 4013 36 ( 1
APPLICANT � ' D�7/—f'Gl Ave Cu � ( t�h0 5€ ri'm. .cm
cll �CCJ� r+�`CJ �J s 2181`16
W6-2-14 6-S I
PROJECT CONTACT ,
N PHONE
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(The individual to receive and ��1 (CONTACT ,
r' 2<:k �{C�� 36
respond to all correspondence M i S
(G AD_DR�s ,/1J"e tben es el eii t ( c! (
concerning this application) Z /-TW
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tell
S, , f�
gI 6 z Z46 599/
RNATE CONTA NAME:. W PHONE E-MAIL
ci,c-rtf( tet k r. 266 3'-Z ZZ So
PROJECT FINANCING 1,160_ C a.\ st(.f. - 1:21..„OWNER-FINANCED
Required value of$5,000 or more 1 J '/ G�'
(RCW 19.27.095) O ADDRESS,CITY, TATE,ZIP PHONE
02 f 2 �+ Glare '
Federal' ��ay 98OO) ZS3 5Z' 2 2_3
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 o the reliance of the city, including its officers and employees, upon the accuracy of the
information supp ' o city as a pa o .is application.
_
SIGNATURE: DATE
PRINT NAME: ✓ (N( I ock_ ✓.
Bulletin#100—January 1,2011 J Page 1 of 3 k:AHandouts\Permit Application
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I���MEACH %n�,,,ANICAL FIXTURES %/i��
VALUE OF MECHANICAL WORK $ /lj-)4a`�'z—`' (a copy of bid or estimate must be provided)
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 Z 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 I GAS PIPING WOODSTOVES
PLUMBING FIXTURES �.r, Fri; ° t
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not utclude existing fixtures to remain.
) BATHTUBS(or Tub/shower Combo) I LAVS(Hand Sinks) 1 TOILETS 3 WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS .1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES (—I TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
I-Gt L--ak2howcA l $ 12`3, ooO
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
<i , p _ �� �b0 ❑Yes�Q No Yes ` No
i RESIDENTIAL NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT v i 1-(
FIRST FLOOR(or Mobile Home) I ( ` ` -
SECOND FLOOR ;\°(')-
COVERED ENTRY 4//-1
DECK 2, .
GARAGE ElCARPORT ❑ ;sir
OTHER(describe)
PROPOSED
Area Totals 14 C /SSL#
'14 - **NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITIONy"
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
In Square Feet Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application