17-100103 —'` Building - Single,Faniily
City of Federal Way Permit #:17-100103-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 •
Project Name: ARBUCKLE
Project Address: 31309 41ST PL SW Parcel Number: 873199 0150
Project Description: ALT-Add storage area in existing basement area; fur out existing walls. Replace GWB.
Owner Applicant Contractor Lender
ELVIRA ARBUCKLE BRUCE ARBUCKLE OWNER IS CONTRACTOR
31309 41ST PL SW 31309 41ST PL SW
FEDERAL WAY WA 98023-2114 FEDERAL WAY WA 98023-2114
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:
Floor Area(sq.ft.)
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1 -Construction Type Type V-B Mechanical to be Included? No
Is this an Online or O.T.C.application? Yes Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Zoning Designation RS 7.2
Total Valuation:750.00
,g 3 *dr" r�Y 3 ^l is 9i kw 5°r
�33 1 to actur,T SCsc1ated At1t ,11!!tre rit-
PERMIT EXPIRES Saturday,8 July,2017
Permit Issued on Monday,January 9,2017
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.
r r,
Owner or agent: ,�,,t Date: //q/7/T
THIS CARD IS TO REMAIN ON-SITE
3N' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT #: 17 100103 00 Address: 31309 41ST PL SW
Project: BRUCE ARBUCKLE FEDERAL WAY WA 98023-2114
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) ® Initial Erosion Control(4365) ® Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date By Date By Date
® Underfloor Framing(4285) ® Floor Sheathing(4i05) ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
.
Q Roof Sheathing(4220) ® Fire/Draft Stops(4095) ® Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By .1 : Date 2-1 44 /1 By Date
Prior to scheduling a Framing inspection; Ei Framing(4120) CI Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must be signed
off and approved IBL 109 3.4 D By , Date b4 GS Date 0. L
°l Gypsum Wallboard Nailing(4130) 0Final Erosion Control(4375) Final-Building(4050)
Approved to install mud&tape
Approved Approved
� Date 3--- -- .1--1_, By Date By fi r- Date —210-fl
El Rough Electrical El Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
A. maw PER
CITY OF MI' APPLICAZ'ION
JAN 0.9 2017 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
Crl Y OF FEDIAALWAY
PERMIT NUMBER / 7 _ / 0 ,0 / /\ 3 - 5 P -
(� TARGET DATE
SITE ADDRESS SUITE/UNIT#
T
/3 07 V/31L (PL, .�,J �cPer a.J 61 li'U 7 lo 2-3 L uu:Qr, id..2;. 4
PROJECT VALUATION ZO ING ASSESSOR'S TAX/PARCEL#
$
-,:-.. ..:=7---`m-7-.3-0 00 7.at , 7 ( _ O / mo o
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ,V. /Oly,q c` 6- J60 AA 0AA
PROJECT DESCRIPTION 6 cid Ar� „ W /��S 0 7 461 0-63 C o!,{ECJ? W I-L LS)
Detailed description of work toR PL,/9L'i> !3ey LU 4LL C>'1 y W 41-1, J aI Vt c r" /r5'oci>rl As7
be included on this permit only -i- di I W 0 r 00`)t4S t -1-t 4r '{- Si 2E,s
NAME PRIMARY PHONE
4rLcee 2tyi !l 70,1 Ektxpi- 2.6-3-6-,?-Y//
PROPERTY OWNER LING ADDRESS / 7 /
61309 1/t S' PL S c.() E-MAIL
ha�eJ a4(?Ferx ,)ie f
CITY STATE ZIP
p c DtF72 41- tit/R''( (AI Yl C i)2 -
NAME PHONE
()culler ri l!',G it i^b t,C,ec t.e N2-61S-57 17- 1,57>
MAILING ADDRESS E-MAIL
CONTRACTOR ha2r 1lie e cm Nur,
CITY STATE I 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 Oct 1-yl e-
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
When value is$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 a part of this application.
SIGNATURE: ® ' DATE��e3d�/{�
PRINT NAME: rti&(?- 41-14) �d1 Q
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• I .
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT 6o
k Do
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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ -16 --
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.
BATHTUBS(or Tub/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Descrihe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
I GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXIS /PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
( ,(� ❑ Yes;(No,No ❑ Yes ANo
Uv
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT / fa 0 [7 /g
FIRST FLOOR(or Mobile Home) I) so., t.i 1 $'i)c.,
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals ?Ar , I ?���,cx-
**NEW HOMES ONLY** I
ESTIMATED SELLING PRICE$ # OF BEDROOMS I
COMMERCIAL-NEW/ADDITION
Area in Construction # of I Additional Information
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction # of Additional Information
AREA DESCRIPTION Square Feet _ Occupancy Group(e) Type Stories
TOTAL BUILDING , GA:CC 1_,
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application