04-103457 1 i:ity of Federal Way
•
• •
I Community Development Services Building - Single Family Permit #:04 - 103457 - 00 - SF
33530 1 st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: COSTALES
Project Address: 2210 SW 308TH ST _- - Parcel Number:416790 0310
Project Description: ALT/ADD-Bathroom bumpout and plumbing for new tub.New windows(same locations),new front
door&back door. No mechanical on this permit.
Owner Applicant Contractor Lender
Robert C Costales Robert C Costales Robert C Costales NONE
2210 SW 308TH ST 2210 SW 308TH ST
FEDERAL WAY WA FEDERAL WAY WA 2210 SW 308TH ST
98023-7819 98023-7819 FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 F #2 #3 1 #4
Occupancy Group �� R-3 JjE__
—
Construction Type Type V-N j
Occupancy Load �I J
Floor Area(Sq.Ft): iff---- j
Census Category 434-Residential alt/add-no; Mechanical No
Occupancy Group#1 R-3 Plumbing Yes
Zoning Designation RS 9.6
Plumbing Fixtures
Description Quantity Description 'ILQuantityl Description Quantity
Bathtubs
-------------- ---1
• PERMIT EXPIRES March 2,2005.
Permit issued on September 3,2004
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
4401
Owner or agent: — if, Date: q- 3 -°4
g -
3I a/05
P , . . I . 1 . . r
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�' THIS CARD IS TOP AIN ON-SITE .
CITY OF t.ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103457-00-SF
Owner: ROBERT C COSTALES
Address: 2210 SW 308TH ST
FEDERAL WAY, WA 98023-7819
This card is part of your required inspection documents. 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.
❑ Temp.Erosion Control(4365) f❑ Plumbing Groundwork(4190)
0 Underfloor Framing (4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
.❑ Floor Sheathing(4105) ❑ Shear Walls (4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Rough Plumbing(4230) 0 Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By DateO By Date ,signed-off and approved. IBC 109.3.4/UBC 108.5.4'
Framing(4120) El Insulation(4150) El Gypsum Wallboard Nailing(4130)
X-J Approved to insulate Approved to install wallboard Approved to install mud&tape
B Date C By �s—at. Date /9/5--74)7/ By Date
.❑ Final- SWM(4375) ® Final-Plumbing (4075) �❑ Final-Building(4050)
Approved Approved Approved
By Date / By It Date to�j - By G,- Date -2_5-... ie+ ,
'❑Temp. Erosion Maintenance(4370)
Approved
By Date
or. . • Ili el - ®1- 3. _is7
Federal WayIVED P�{ EMIT
COMMUNITYDEVELOPMELw�1 , SF - F CO ME EL PL DE EN FP
33530 FIRST WAY,SOUTH9 6 BOX 9718 APPLICATION
FEDERAL WAY,WA 98063-9718 / r
253-661-0115•fAX 253,-661 ]2 / �`,�
uww.dtyojlederalu,nIjt'ot V 1 2004 �A`
The olloufirp is,r-•wired' otation-an inco •lete a.•iication will not be acce.ted. Please •rint le.ibl (in ink)or -.
PROPERTY INFORMATION •
SITE ADDRESS ? ,0 5tI ''--3b% ST
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 44 I 4 I 0 - 0 3 ( 6 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
)Attach separate page for lengthy legd description)
PROJECT INFORMATION
TYPE OF PERMIT iBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 5„,,,,.e. (t,Ce...t'f ve4,5 l
13 Krtkrterow` 3 U iI,k42 o,fT rNro R.E.w“oo E.L 1 Me1 0 Kd
(l'uoa r/3 .e Lbor)
PROJECT NAME(Name of Business or Owner Last Name co Sty-(e.,-c--7
PEOPLE INFORMATION .
PROPERTY NAME
Ntn PRIMARY PHONE ROA3ER`j A' < c wh STA,LE-c
053 ) ss'"--"31ai
MAILING ADDRESS CITY,STATE,ZIP
.5a .io suJ `3o s T '� cam- `i (1.-3.r3
CONTRACTOR COMPANY
NAME APPLICANT NAME OFFICE PHONE
(. U3'.( Q r ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB ER
_ _ B L / /
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is - NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE S e 1 PROPOSED USE 5pY.-
EXISTING ASSESSED/APPRAISED VALUE $ ,r VALUE OF PROPOSED WORK $ !=''r:• 4° j 5O)
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER ❑ AKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ AKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST ( � � L4 G d Z.3
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL MISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
lBATHTUBS I.-Tub/ShowerCombo) SHOWERS WATER CLOSETS troit«) MISC(Describe)
1 DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
NAME/TITLE ► I 401 DATE l �0
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION • CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application