09-104165 •uhlding - Single Family
City of Federal Way
Community Development Services Permit #: 09-104165-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 " � Inspection tion Re uest Line: (253) 835-3050
Ph:(253)835-2607 Fax(253)835-2609 p q
Project Name: STEWART
Project Address: 1201 SW 296TH ST Parcel Number: 515320 0008
Project Description: REP- Repair settled foundation with push-piers on SW portion of existing residence. No
,I,
plumbing or mechanical.� , _f oje —o-�e it ec be, (,.,J I`w1 ?CSS.
Owner Applicant Contractor 1 Lender
DOUGLAS V STEWART ROBBINS&CO HOUSEMOVING ROBBINS&CO HOUSEMOVING KATHERINE B STEWART
KATI-IERINE B STEWAR I INC INC 1201 SW 296TH ST
1201 SW 296TH S-I 818 142ND ST SE ROBBICH169NQ(3/31/10) FEDERAL WAY WA 98023-3410
FEDERAL WAY WA 98023-3410 BURIEN WA 98166 818 142ND ST SE
BURIEN WA 98166
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
Nevv I A ditional Sy. Feet-3rd Floor 0 New/Additional Sq. Fect-ttasement 0
Mechanical to be Included9 No Plumbing to be Included? No
Zoning Designation RS 9.6
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, April 20, 2010
Permit Issued on Thursday, October 22, 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
1the City of Federal Way.
Owner or agent: 1 & i Q (i Date: t p� On
i
PINAaa fo/7t'/09
,
THIS CARD IS TC MAIN ON-SITE ..Construction In ection Record
Federal INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104165-00-SF Address: 1201 SW 296TH ST
Owner: DOUGLAS V STEWART FEDERAL WAY, WA 98023-3410
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) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) El Shear Walls (4245) ElRoof 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) . Prior to scheduling a Framing inspection; 1
\pproved 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) El 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) El Final-Building(4050)
Approved Approved
By Date By - ice. .. ,— Date ,
r
`i El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,„.... 1,t_a__13 . c1 _ ( o4i cos
CITY OF u
Federal WayA PERMIT ito MF CO ME EL PL DE EN FP
_ COMMUNITY
3 OE`DEVELOPMENT
AX 839 RWC a (vine APPLICATION / /
IT � ` ' PROPERTY
{
SITE ADDRESS
1 -kl1 e �� a
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
( S '-. 9N, 0 _ () 0 0
PROJECT
NAME OF PROJECT „---
(Tenant or Homeowner Name) ,% 5 re u-,),.9,Y`t --E'-51 Ck e vic e
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
� efi, cel t.,./-a!'Ce 1 i Ci�', '( v.SL's -?,*1`i
PROJECT DESCRIPTION y�
Detailed description of work to "”` ,-----
���' 1 '''' %�''� AO LA
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER `-t ky 1,..),A,"- t1- (`'.)`S'&) `t- (CI"? Z
MAILING ADDRESS,CITY,STATE,ZIP . „JL ;r E-MAIL
1 k ' 1 -1 -. iSt-)
OWNER IS ALSO: ❑ CONTRACTOR o APPLICANT ❑ PROJECT CONTACT
NAMEPRIMARY PHONE
14;
P.-e) bOAA £ LAO vi.P e‘v../ 0040)(;2(14/ -/Oz43
LING ADDRESS,CITY,STATE,ZIP I FAX G�
CONTRACTOR l f)y <E -u I A?...--_i_ � ) �'3(, `h -, ' I 1`f? (Axe ) 941 - /70 1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
P-meg+-o 04 i(r t IN Q / / 9c(-q,g -(o s- ztS_. 0 -8
NAME PRIMARY PHONE
APPLICANT ,' —� - c----e-o (.,T(�.i) /-tos -0 i i.-..3`i
MAILING ADDRESS,CITY,STATE,ZIP FAX
`! Zr= t� 5c �`t , ' q // ( ) -
PROJECT CONTACT NAM`, . t,. PRIMARY PHONE
(The individual to receive and j:.C<et �--S 1 < (y i;.. O ) '...(01-- e--+31
respond to all correspondence MAILIN DDRESS,CITY,STATE,ZIP I g 8!7 Eto 1(/z,..4 ;_ FAX
concerning this application) `,;,l� A,r 1 C 6 2V rut), WO q()YU (r-04%
Jr &P)Ar - q/C) I
ALTERNATE CONTACT NAME: C.:� PRIMARY PHONE dS" E-MAIL
(- e• 7/ .," V e Oc )_ ' / - t(:?:' Cha ne")rc(t2IIisaidw.(e
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with _
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tq the cit a part of this application.
SIGNATURE: .0,•
- DATE � }/"---)( �% �:�
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PRINT NAME: t.c, C3 5f✓'IS e_
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application .
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MECHANICAL FIXTURES
Value of Mechanical Work$ (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
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
tY 8..�� ❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
................................................................................................................................................................................................
BASEMENT
t'3140 r 3'(
FIRST FLOOR(or Mobile Home)
(C R) X 10
................................................................................................................................................................................................
SECOND FLOOR
................................................................................................................................................................................................
COVERED ENTRY
DECK
................................................................................................................................................................................................
GARAGE ❑ CARPORT ❑
................................................................................................................................................................................................
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
................................................................................................................................................................................................
ST) PO
"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
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