10-100402Awilding -dingle Family
City of Federal Way
Community Development Services Permit #: 10-1 00402-00-SF
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: (253
) 835-3050Ph: (253) 835-2607 Fax: (253) 835-2609FILE
Project Name: CLARK
Project Address: 619 S 331ST PL
Parcel Number: 132140 0340
Project Description: ADD - Construction of a 14 x 19 roof cover over existing 12 x 17 deck.
Owner
Applicant
Contractor
Lender
RICHARD S & MARGARET
RICHARD S & MARGARET
PO BOX 24724
RICHARD S & MARGARET CLARK
CLARK
CLARK
FEDERAL WAY WA 98093-1724
PO BOX 24724
PO BOX 24724
PO BOX 24724
FEDERAL WAY WA 98093-1724
FEDERAL WAY WA 98093-1724
FEDERAL WAY WA 98093-1724
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
T e V- B
OCC! anc Load:
Occupancy #1 -Class ........................................ .....
l*loor Area (sq. ft.)
266 0 0 0
New /
New /
- 3rd Floot`................
New / Additional Sq. Feet - Basement...................0
Occupancy #I -''Arca (Sq. Feet)........... ........266
New / Additional Sq. Feet - Deck ..........................
0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................266
Occupancy #1 -Class ........................................ .....
New / Additional Sq. Feet - Total ..........................
266
Zoning Designation................................................RS
7.2
New Additlonal, Sq. Feet - 2nd Floct:..... . . .....0
Occupancy #I -''Arca (Sq. Feet)........... ........266
Occupancy # I -Construction Type ........................Type
V B•. '.
New / Additional Sq. Feet - Garage.......................0
Occupancy #1 -Class ........................................ .....
R-3
Plumbing to be Included? ......................... ..............
No
Occupancy # 1 - Use ...............................................
Sheds
- a ..+` r-. _ kx .�i�y;e'"i€,5�\im.�.�•n ,..4��i. ,ttu�a."�, '. �vi ,ens . _ y1,,�1...��+%, ,���. , , ,, �t aS.; _ \ �° �i�
1W"AFvA�
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWRC
Chapter 19.185 and fill out a Hazardous Materials Inventory Statement, if applicable.
PERMIT EXPIRES Saturday, July 31, 2010
Permit Issued on Monday, February 1, 2010
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: nmg ft Ar H alai Date: 211110
Cr" OF VA ��
Federal Way
THIS CARD IS TOIN ON-SITE
16 Construction In ction Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10 -100402 -00 -SF Address: 619 S 331 ST PL
Owner: RICHARD S &. MARGARET CLARK FEDERAL WAY, WA 98003-5903
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 Z 9 ��
By � �^ Date l!e2
By Date 43` 1—
E]
Foundation Wall (4115)
E]
Drainage/Downspout (4040)
❑
Slab/Concrete Floor (4255)
By
Approved to place concrete
By
Approved to backfill
By
Approved to place concrete
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Underfloor Framing (4285)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
❑
Roof Sheathing (4220)
Fire/Draft Stops (4095)El
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By /': Date2Z /0
By
Date
By aookS Date 2 /
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Approved to insulate
By Date `k f
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130) E] Final Erosion Control (4375) E Final - Building (4050)
Approved to install mud & tape Approved Approved
By Date By 0/15' Date ��� By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
SITE ADDRESS CDS E:%, L - -L V
619 S. 331 st Place, Federal Way, WA 98003
SUITE/UNIT # ZONING Single Family ASSESSOR'S TAXIPARCEL # JAN
N/A I Residential, RS 7.2 132140-0340 - _ ,
NAME OF PROJECT Clark Roof over Deck CD5
(Tenant or Homeowner Name)
X BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
Build 14' x 19' roof over existing 12' x 17 `deck
PROJECT DESCRIPTION Install asphalt composition shingle roofing matching house roofing
Detailed description of work to Install lattice screen on west side
be included on this permit only Install gutter & downspout
PROPERTY OWNER
Richard and Margaret Clark 253-661-3735
MAILING ADDRESS, CITY, STATE, ZIP E-MAIL
P.O. Box 24724, Federal Way, WA 98093-1724 margarethclark@comcast.net
OWNER IS ALSO:
X CONTRACTOR X APPLICANT X PROJECT CONTACT
NAME
( PRIMARY PHONE
CONTRACTOR
l -
MAILING ADDRESS, CITY, STATE, ZIP
/ FAX
1 -
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
Margaret Clark
235-334-2637
respond to all correspondence
concerning this application)
MAILING ADDRESS, CITY, STATE, ZIP
P.O. Box 24724, Federal Way, WA 98093-1724
FAX
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5, 000 or more
(RCW 19.27.095)
1 1 _
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
dtto�the city as a part of this application. �J
SIGNATURE: ••,,CIAO-lDATE
PRINT NAME: MckrA wMle 416 at 0.A&
Bulletin #100 —January 1, 2010
Page 1 of 4
k:\Handouts\Permit Application
I rij VcluNDf Mecharif KXork $ (ACOP 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 fixtares 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
Indicate number of each type c
BATHTUBS (or Tub/Shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as
LAYS (Hand sinks)
_ RAINWATER SYSTEMS
SHOWERS
_ SINKS (Kitchen/Utility)
SUMPS
this project. Do not include
TOILETS _
URINALS _
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES
fixtures to remain.
WATER PIPING
OTHER (Describe)
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$4,700 $_$303,000.00
EXISTING/ PREVIOUS USE LOT SIZE (In Sgnaze Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
6,485 ❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 —January 1, 2010 Page 2 of 4 k:\Handouts\Permit Application
619 S. 330 Place
Lot 34, Campus Glen
Owners: Richard and Margaret Clark
(2) WAl
METERS
S. 330 Places—
One inch represents 20 feet
PROPOSED WORK: Build 14'x 19' roof over existing 12'x 17 `deck
Install asphalt composition shingle roofing matching house roofing.
Install lattice screen on west side!
Install gutter & downspout.
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CITY OF FEDERAL WA"
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