17-104822 RECEIVED
CITY OF OCT�,...•+ 0 9 2017
PERMIT APPLICATION
PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
Fede ral Way CITY OF FEDERAL WAY 253 835 2607 + FAX 253 835 2609 +permitcenter@cityoffederalway.com
COMMUNITY DEVVELOPMENT
PERMIT NUMBER f _ I 0 �I (J _ r S 1
TARGET DATE
SITE ADDRESS SUITE UNIT#
, z Z Z a 2 c4I
ALA, a `! (=eu(er' ( y
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ Cc�(, `7 3 ! F5 _ 1 1 0 0
TYPE OF PERMIT �J BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT \'r�i j
PROJECT DESCRIPTION
i<<.4ri:_c-" f .ich loi�.�t �a��. ';., wrll� �b r.l<< ( ��1 0+
Detailed description of work to ?i v m�',A
be included on this permit only i
NAME PRIMARY PHONE
L.- A yl tsest.
PROPERTY OWNER MAILII G ADDRESS A E-MAIL
�z;1-
Gi:� (_ Srt:� i}v� iINE•( Z xx g Gw .4o�.z6CITY / STATE ZIP
:;{c rr�. /� 1 VI °`QC 2. .3
NAME 0 PHONE
In/✓�4. r
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEPRIMARY PHONE
A/t'1 A 1/4 h.i
APPLICANT- MAILING ADDRESS E-MAIL
3-z 2 2.b 's )id Ak,a" (.., Li
CITY STATE ZIP FAX
e �/
I� �.c r/ ;✓t. , U.1 E\ 1?0
NAME PRIMARY PHONE
A/C_
PROJECT CONTACT !V C_t Y c k c) 213 • 67o-ea/co
(The individual to receive and MAILING ADDRESS —;
^^ E-MAIL /
respond to all correspondence I<i/� irr� /i�'� �� lVLkI Z X /1G�v"IGIl/Ga'h
concerning this application) CITY /A STApTE ZIP } FAX
re
el
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIPPHONE
(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: /� ✓I� DATE /0 � 7
PRINT NAME: Air../ A !/4 ./
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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 $
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(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? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) I EXISTING I PROPOSED I TOTAL. 1 FOR OFFICE U
sI;
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals j
**NEW HOMES ONLY** I
ESTIMATED SELLING PRICE$ i # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
C �
AREA DESCRIPTION Occupancy Group(s) T<ruc et Additional Information
Semen,.Fort 4,r.. Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
L -F
l
Building Single Family
City of Federal Way FILE
Community Development Dept. Permit #.17-104822-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: YSTAD
Project Address: 32220 23RD AVE SW Parcel Number:873180 1160
Project Description: REM-Remove two non-load bearing walls in the kitchen area.No plumbing or mechanical.
Owner Applicant Contractor Lender
NEIL A YSTAD NEIL A YSTAD OWNER IS CONTRACTOR
32220 23RD AVE SW 32220 23RD AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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.) 0.00
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 0
New/Additional Sq.Feet-Basement. 0 Occupancy#1-Construction Type Type V-B
Mechanical to be Included? No Plumbing Work Valuation 0
Mechanical Work Valuation 0 Number of Stories 1
Is this an Online or O.T.C.application No 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:500.00
,
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday,7 April,2018
Permit Issued on Monday,October 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.
Owner or agent: -' ,/2/ Date: /0-. 6115/
.
4004 THIS CARD IS TO REMAIN ON-SITE
crrr or'
Fecral Wa Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104822 00 Address: 32220 23RD AVE SW
Project: NEIL A YSTAD FEDERAL WAY WA 98023-2504
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) , 1:1 Initial Erosion Control(4365) 1:1 Underfloor Framing(4285)
Approved To be done PRIOR to breaking ground Approved to sheath floor
By Date a By Date i By Date
® Floor Sheathing(4105) 0 Shear Walls(4245) ® Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofmg
By Date By Date By Date
El Fire/Draft Stops(4095) ® Interim Erosion Control(4370) Prior to scheduling a Framing Inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
By Date By Date off and approved. IBC 1093.4
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 .
12 Final Erosion Control(4375) .Y EI Final-Building(4050) `
Approved Approved
By Date ;By 1.1 Date 161/D t 7
E Rough Electrical 0 Final Electrical Ei Right of Way
Approved Approved Approved
By Date By Date By Date