08-101804 A Skg`i 344 +
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CITY OF `yw` Aye,
Federal Way
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COMMUNITY DEVELOPMENT SERVICES �R SF MF CO ME EL PL DE EN FP
33325 801 AVENUE SOUTH•PO BOX 9718 1 2O�U
253-835-2607.
WAY,WA FAX 253-835-2609 0 �,Ifi
5 P P L I C AT I`� D
W,,,,,,.atUa��.dPml,�,a,,G„� � ,. OF FEDERAL A a■
CITY
The following is required information-an incomplete application kGijl)Ct be accepted. Please prin gibly(in ink)or type.
III PROPERTY INFORMATION -
SITE ADDRESS -.,,Q(C 9 3t 71, ?L + SUITE/UNIT#
`' , 0j
_
ASSESSOR'S TAX/PARCEL# a ( / S f - �JL! LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 00 tVl t'(( '?4 ( 0-2
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION •
TYPE OF PERMIT CI BUILDING 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)
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PROJECT
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PROJECT NAME(Name of Business or Owner Last Name)
IN PEOPLE INFORMATION
PROPERTYNAME
,Pestle... PRIMARY PHONE
e `
OWNER � "�-. �—�` _Tv,�1�1. ( �\ � �"(- ( -C�5fi /
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
7
Sfold 3016 PL. r- P cA71i4- ' ( p Ijohes'cc t€j`v4w c ''''N.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Lig,. .e ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect ❑ Tenant 0 Agent ❑ Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT a S Ciriev: . ( ) -
LENDER NAMEPer ROW 19.27.095:
tA- - Under information is required if project value exceeds$5,000
MAILING AD CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE C: PROPOSED USE �
EXISTING ASSESSED/APPRAISED VALUE$ 9-S 1 OCICi �'�000
VALUE OF PROPOSED WORK $ ie
N-....
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES KNO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) '
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr
**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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo( LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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_c ty, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: 1 :7-6-••._ !. o,. DATE 'Will //t./P)Property Owner and/or Authorized Agent I
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
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City of Federal way Buildin - Single Family Permit 111108-101804-00-S F
Community Development Services
PO.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: JOHNSON
Project Address: 4615 SW 317TH PL Parcel Number: 211551 0020
Project Description: REM Adding skyliin kitchen between existing rafters and partial wall removal in
kitchen.
Owner Applicant Contractor Lender
PETER&LAURA JOHNSON PETER&LAURA JOHNSON 4615 SW 317TH PL
4615 SW 317TH PL 4615 SW 317TH PL FEDERAL WAY WA 98023-2181
FEDERAL WAY WA 98023-2181 FEDERAL WAY WA 98023-2181
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
New/Additional Sq.Feet-3rd Floor 0 New!Additional Sq.Feet-Basement. ..............0
Mechanical to be Included? No Plumbing to be Included?.., No
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Friday, April 16, 2010
Permit Issued on Wednesday, April 16, 2008
I hereby certify that the above._Oformation is correct and that the construction on the above described property and
the occupancy and the Ae wiltbe in accordance with the laws, rules and regulations of the State of Washington
fynct :;'City of Federal Way.
.yr
Owner or agent: 1 Date: L�
flNk / o/t
` THIS CARD IS TO REMAIN ON-SITE
CITY OFCommunity Developnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101804-00-SF
Owner: PETER & LAURA JOHNSON
Address: 4615 SW 317TH PL
FEDERAL WAY, WA 98023-2181
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.
0 SWM Precon Site Mtg (4400) ❑ Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
— ❑ Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
Fire/Draft Stops(4095) Interim ErosionControl(l4370
El Fire/Draft ❑ l ) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date By
and approved. IBC 109.3,4/UBC 108,5.4
❑ Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
'AO CS Date 7—I-626 By Date By Date
■ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By ,!, Date j
.. -----___ •
0,/ie
, s-e, v
.
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date