09-104040 • building - Single Family
- City of Federal Way
Community Development Services Permit #: 09-104040-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: STONEWELL
Project Address: 30234 1ST PL S Parcel Number: 339180 0190
Project Description: REP-Repair/replace drywall in kitchen and family room due to water damage; also
replaced(2)windows; added a wall in the garage for a hallway.
Work Completed Prior to Permit
Owner Applicant Contractor Lender
CLARENCE STONEWELL CLARENCE STONE WELL OWNER IS CONTRACTOR
30234 1ST PLS 30234 1ST PLS N/A
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:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
�A ttiti rtaI 1! ' ati t
New/Additional Sq. Feet-3rd Floor 'T,.,. ' -'T1lew/AdditionalSq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included"' No
Zoning Designation RS 9.6
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, April 12, 2010
Permit Issued on Wednesday, October 14, 2009
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: /I ll�ri.e� �` Date: /Q/7`AP-e)a
Ft 6likt.Lieb lofts/0(4
THIS CARD IS TO MAIN ON-SITE
U'Y . Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104040-00-SF Address: 30234 1ST PL S
Owner: CLARENCE STONEWELL 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.
0 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 Boor
By Date By Date By Date
fl Floor Sheathing(4105) El Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
El Fire/Draft Stops(4095) El Interim Erosion Control(4370) r 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
El Framing(4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
El Final Erosion Control (4375) ❑ Final-Building(4050)
Approved Ap roved
By Date By Date Ng /5 4 I
n Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
(031 /:(51 e)
Federal Way OPERMIT $R SF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
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SITE ADDRESS ,, ,(�
30,23,-/ c�r"� 1i'�' S LiL W , IAA 963'0 Q'
SUITE/UNIT N ZONING ASSESSOR'S TAX/PARCEL#
PROJECT .
sE
NAME OF PROJECT
(Tenant or Homeowner Name) 71-0h;C`t,C/� C'r ���
I1BUILDING ❑ PLUMBING 0 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
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PROJECT DESCRIPTION y
Detailed description of work to '�� e/49,4/4,'� .4-1C3 Q�a mZ W/,vc�� t A,vd ,4d�Lsxf u�A��la1
be included on this permit only 7,4eqy C, 2 .ls//pry..
NAME PRIMARY PHONE 'es
PROPERTY
-
PROPERTY OWNER ('G/-11nCi(%eE ,41.e/Ei t-W S. jA-Jelti ( - f --- 7%'f r�—
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
,3ewy t tae • Al7 w14 9GO C3 e ® y 4 z ,-T
OWNER IS ALSO: `CONTRACTOR APPLICANT e PROJECT CONTACT
NAME PRIMARY PHONE
•
MAILING ADDRESS,CITY,STATE,ZIP
CONTRACTOR /�,._ � Wg/,wp y'8C 3 FAx
..............c.,t„te�....,., -.__.. EXPIRATION DATE FEDEtc_u,he__LwiS SS a,ICENSE#
NAME --
PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT NAME • C y. PRIMARY PHONE --
(The individual to receive and - - - ( '
respond to all correspondence MAILING ADDRESS,CI ',STATE,ZIP e } FAX C
concerning this application)
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Require for projects with O �..Q,
value o $5,000 or more MAILING ADD 3,CITY,STAT IP PRIMARY PHONE
(RCW 19.27.095) r-`+_, 1. \i\)0\\ `✓tel i I
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 e city as a part of this application.
SIGNATURE: CC. ✓z DATE /0/,y/024:90?
PRINT NAME:
Bulletin 14100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
• MECHANICAL FIXTURO
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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 FIXTURES
Indicate number 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
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 5 OOO . O C) $
STING/PREVIOUS USE / LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL -NEW/ADDITION
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application