15-105505City of Federal Way
- Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: COTA
• �6
Building - Single Family
Permit #:15 -105505 -00 -SP
Inspection Request Line: (253) 835-3050
Project Address: 1328 SW 350TH ST Parcel Number: 502860 0770
Project Description: ADD - Constructing a 1st floor, 500 sqft addition. Includes plumbing & mechanical.* **3/10/17
--*REVISED PROJECT SCOPE TO CONSTRUCT 41X6' ROOM ENCLOSURE FOR GAS
WATER HEATER AND FURNACE***
Owner
Applicant
Contractor
Lender
GLENDA COTA
GLENDA COTA
OWNER IS CONTRACTOR
OWNER IS LENDER
1328 SW 350TH ST
1328 SW 350TH ST
New / Additional Sq. Feet - Deck ...........................
0
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Mechanical to be Included?.....................................
Yes
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V- B
Occupancy Load:
0
Floor Area (sq. ft.T_1
0.00 1 0.00
Additional Permit Information
New / Additional Sq. Feet - 1st Floor .....................
500
New / Additional Sq. Feet - 2nd Floor....................
0
New / Additional Sq. Feet - 3rd Floor .....................
0
New / Additional Sq. Feet - Basement....................
0
Occupancy #I - Construction Type .........................
Type V - B
New / Additional Sq. Feet - Deck ...........................
0
New / Additional Sq. Feet - Garage ........................
0
Mechanical to be Included?.....................................
Yes
Plumbing Work Valuation? .....................................
1000
Mechanical Work Valuation?..................................
1000
Number of Stories ...................................................
2
New / Additional Sq. Feet - Other...........................
0
Is this an Online or O.T.C. application? ..................
No
Plumbing to be Included?........................................
Yes
New / Additional Sq. Feet - Total ...........................
500
Occupancy #1 - Use ................................................
Residence (I or 2
family)
Comprehensive Plan Designation ........................... SF - High -Density
Residential
Total Valuation: 56,325.00
Ducting 1 Fans
Lavatories 1 Water Closets
PERMIT EXPIRES Wednesday, 21 September, 2016
Permit Issued on Friday, March 25, 2016
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: 60*4 Date: 03— (0- 1
F � ncoltb
ity of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S r
Federal Way, WA 98003
Ph: (253) 835.2607 Fax: (253) 835-2609
ii i
Building'- Single 'Family
Permit #: 15 -105505 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: COTA ,
Project Address: 1328 SW 350TH ST Parcel Number: 502860 0770
Project Description: ADD - Constructing a Ist floor; 500 sqft addition. Includes plumbing & mechanical.
Owner
ARI2111can
Contractor
Lender
GLENDA COTA
GLENDA COTA
OWNER IS CONTRACTOR
OWNER IS LENDER
1328 SW 350TH ST
1328 SW 350TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential altladd - no change in number of units
. Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:-
oadFloor
FloorAreas . ft.
0 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 500 New / Additional Sq. Feet - 2nd Floor ................... 0
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Occupancy # 1 - Construction Type ........................Type V - B New / Additional Sq. Feet - Deck .......................... 0
New / Additional Sq. Feet - Garage.......................0 Mechanical to be Included? ................................... Yes
Occupancy # 1 - Class.............................................R-3 New / Additional Sq. Feet - Other .......................... 0
Plumbing to be Included? ....................................... es New / Additional Sq. Feet - Total.......................... 500
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
Mechanical Fixtures
Ducting........................................... 1 Fans................................................ 1
Plumbing Fixtures'
Lavatories ....................................... 1 Water Closets................................. 1
PERMIT EXPIRES Wednesday, September 21, 2016
Permit Issued on Friday, March 25, 2016
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: GJD C� Date: 03
r
ql )ql )
` � THIS CARD IS TO REMAIL. -SITE -
C,n of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -105505 -00 -SF Address: 1328 SW 350TH ST
Project: GLENDA COTA FEDERAL WAY, WA 98023-6940
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.
Shear Walls (4245)
Approved to install siding
By /4 t`% Date 301 it
Mechanical Rough -in (4165)
Approved
By tJ13 Date 3 J
SWM Precon Site Mtg (4400)Initial
ling a Framing inspectio]and
Prior to s:approvvc
Erosion Control (4365)
E]
Footings/Setback (4110)
j
Approved
El
To be done prior to breaking ground
Approved
Approved to place concrete
By
Date
By
Date
By
A J Date `f' La) f G
Shear Walls (4245)
Approved to install siding
By /4 t`% Date 301 it
Mechanical Rough -in (4165)
Approved
By tJ13 Date 3 J
Foundation Wall (4115)
ling a Framing inspectio]and
Prior to s:approvvc
Approved to install roofing
Drainage/Downspout (4040)
Date
j
Plumbing Groundwork (4190)
El
Approved to place concrete
Approved
Approved to r leass�est
Approved to backfill
Date
Date -1 %
1 Jed
Approved to cover
By
At-) Date N' z 64
By
Date
By
Date
E]
Gypsum Wallboard Nailing (4130)
El
Slab/Concrete Floor (4255)
Framing (4285)
Floor Sheathing (4105)
Approved to install mud & tape
Approved to place concrete
Approved
By
pproved to sheath floor
By t4ny Date
By
Approved to install floorin
By
Date
Final - Plumbing (4075) fe
;Und;erfloor
Date �_ l �_
El
By
A rJ Date � fi
Shear Walls (4245)
Approved to install siding
By /4 t`% Date 301 it
Mechanical Rough -in (4165)
Approved
By tJ13 Date 3 J
Roof Sheathing (4220)
ling a Framing inspectio]and
Prior to s:approvvc
Approved to install roofing
By
Date
j
Electrical, Plg & Mechanical Rough-iFire/Draft
El
Gas Piping (4125)
Approved
Approved to r leass�est
Date 3IZ
Date
Rough Plumbing (4230)
ling a Framing inspectio]and
Prior to s:approvvc
Approved
By rS
Date 1
j
Electrical, Plg & Mechanical Rough-iFire/Draft
Fire/Draft Stops (4095)
Approved to insulate
Approved
By
Date 3IZ
Interim Erosion Control (4370)
ling a Framing inspectio]and
Prior to s:approvvc
1:1Approved
Framing (4120)
Approved
Electrical, Plg & Mechanical Rough-iFire/Draft
By
Approved to insulate
By
Date
Stotions must be signed-o
IBC log_
By
Date -1 %
1 Jed
Date
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date v ybf
By t4ny Date
By
Date
Final - Mechanical (4065)
Final - Plumbing (4075) fe
El
Final - Building (4050)
Approved
Approved
Approved
By
Date 7125-
By Date 7 J
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
11
Right of Way
Approved
By
Date
By
Date
By
Date
WECEIVED PERMII*APPLICATION
-:iry of
Federal Way OCT 2 g 2015
CITY OF
F�WAY
PERMIT NUMBER
_ �" 1
_ TARGET DATE 5UlS
SITE ADDRESS
SUITE/UNIT #
1328 5va 3Sob s+ Pedergl , AA 4t5023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 3
5 (a -7�n
TY E OF PERMIT
iU/ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
COTA
S-00 add i +1C)11
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
a 1enc6
PRIMARY PHONE
8dS S
PROPERTY OWNER
�/Q
2CC, -S-7q
MAILING ADDRESS
2S sw 3 VOA 61
E-MAIL -
eo zoo 6e
CITY
r I
I STATE
WA
ZIPp
- L5023
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
--
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
Co -!n,
PRIMARY PHONE
7Cf0 - y -
MAILING ADDRESS
132.$ s 3s s+ •
E-MAIL
1N,d,4_-a4o, =&
APPLICANT
CITY
Fede►A
STATE
Iwo,
F ZIP
`t02,3
WAX
NAME
CD -I c�
PRIMARY PHONE
2� ' q- 00$C -
PROJECT CONTACT
MAILING ADDRESS 1
/ 32A3 'I� -
3
E-MAIL
(The individual to receive and
respond to all correspondence
l T
CITY �/
CCL)& ,jq / 1NWgy
STATE
UUA
ZIP 4)0023AX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, 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 apart of this application.
SIGNATURE:JA/A at DATE
G 6nC4
PRINT NAME:
Bulletin # 100 -January 1, 2013 Page I of 3 k:\Handouts\Permit Application
tot.
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK_- 10�
MECHANICAL PERMIT
L Vlp
L ul)
$ I 52, occ
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
$
Indicate how many of each type offixture
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)
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
L Vlp
L ul)
$ I 52, occ
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
$
Indicate how many o each h1pe offlxture
to be installed or relocated as
part o this project. Do not include
existigg 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
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
L Vlp
L ul)
$ I 52, occ
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
&(000
❑ Yes IL No
❑ Yes tZ No
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW"BUILDi2t3 ,
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S uare Feet a Stories
T{TAI" BVILTlII$f4 f!✓ /✓
TENANT AREA ONLY
-------------
PRGd AREA 0`XLY i
r
Bulletin 4 100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
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