14-103266 1
S liailding - Sid le.„Family
City of Community&Econ Federal
S
Services Permit #: 14-103266-00-SF
33325 8th Ave S FILE
Federal Way,WA 98003
Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 R
Project Name: REX
Project Address: 836 SW 364TH PL Parcel Number: 779645 0460
Project Description: Remodel to add shower in existing powder room.
Owner Applicant Contractor Lender
KARL REX KARL REX OWNER IS CONTRACTOR
836 SW 364TH PL 836 SW 364TH PL
FEDERAL WAY WA FEDERAL WAY WA
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? No Plumbing to be Included? Yes
Plumbing Fixtures
Showers 1
PERMIT EXPIRES Tuesday, December 30, 2014
Permit Issued on Thursday, July 3, 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 the City of Federal Way.
Owner or agent: les.P Zit./ Date: ` 5' /"/
3
THIS CARD IS TO ON-SITE
CITY OF4 Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103266-00-SF Address: 836 SW 364TH PL
Project: KARL REX FEDERAL WAY, WA 98023
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 Rough Plumbing(4230) Prior to scheduling a Framing inspection; 1 ❑ 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 109.3.4 By Date
0 Gypsum Wallboard Nailing(4130) 0 Final-Plumbing(4075) 0 Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By I-At.. Date 11— l L-x y By P Date j z —/Z —/Y
GI Rough Electrical f® Final ElectricalEl Right of Way
Approved Approved Approved
i
By Date By Date By Date
3 CITY OF Reran ! PERM I PPLI CATIO N
Federal Way
JUL 032014
CI D L ACCC///��\
PERMIT NUMBER / L OFFD _ F.
TARGET DATE
SITE ADDRESS l www TTT SUITE/UNIT#
836 SW 364TH Place Federal Way WA 98023 n/a
P-.JECTVALUA -ION ZONING ASSESSOR'S TAX/PARCEL#
62 Residdential 779645 - 0460
e - IT BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
Installing 37x37 shower in downstairs restroom. Will be converting a portion of an existing
PROJECT DESCRIPTION den/office adjoining closet to house the shower.
Detailed description of work to There is one load bearing wall that will be framed to meet code.
be included on this permit only There is an existing Bath Fan already installed.
No electrical is being installed or moved.
NAME PRIMARY PHONE
PROPERTY OWNER Karl Rex 253.307.8757
MAILING ADDRESS E-MAIL
836 SW 364TH Place karl.rex(live.com
CITY STATE ZIP
Federal Way WA 98023
NAME PHONE
Owner
MAILING ADDRESS E-MAIL
CONTRACTOR n/a
CITY STATE ZIP FAX
n/a
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
n/a
APPLICANT MAILING ADDRESS E-MAIL
n/a
CITY STATE ZIP FAX
n/a
NAME PRIMARY PHONE
PROJECT CONTACT Karl Rex 253.307.8757
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 836 SW 364TH Place karl.rex@live.com
concerning this application) CITY STATE ZIP FAX
Federal Way WA 98023 n/a
NAME
PROJECT FINANCING n/a ❑ OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
n/a
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: DATE 4-s-
�9
PRINT NAME: 15(Alt (
Bulletin#100—January 1,2013 Page 1 of 3 k.\Handouts\Permit Application
w ti
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $0.00
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
$250.00
Indicate how many of each type offixture 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 1 WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
1 DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 3 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
a/a a/a n/a
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
a/a a/a No 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 ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
..sEw HOMES any.*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(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 Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application