10-102513l �
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Building - Single -Family
Permit #: 10 -102513 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: BAERENWALD
Project Address: 4129 SW 328TH ST Parcel Number: 873203 0280
Project Description: REM - Kitchen remodel, including mechanical for range hood. No plumbing, to comply
with violation #10 -102477 -00 -VO.
wn r
Applicant
Contractor
Lender
RYAN BAERENWALD
RENEWAL CONSTRUCTION
RENEWAL CONSTRUCTION
RYAN BAERENWALD
4129 SW 328TH ST
14110 CANYON RD E
RENEWCI995NW (8/16/10)
4129 SW 328TH ST
FEDERAL WAY WA 98023-2628
PUYALLUP WA 98373
14110 CANYON RD E
FEDERAL WAY WA 98023-2628
PUYALLUP WA 98373
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 Areas . ft.
0 1 0 1 0 1 0
New / Additional Sq. Feet - 3rd Floor....................0
Calculated Structure Valuation..............................15000.00
Mechanical to be Included?....................................Yes
Plumbing to be Included?.......................................No
Zoning Designation................................................RS 7.2
Fans................................................ 1
New / Additional Sq. Feet - Basement.................0
Occupancy # I -Construction Type .......:.........Type V - B
Occupancy # l - Class.............................................R-3
Occupancy # I - Use ............................................... Residence (1 or 2
family)'
CONDITIONS:
All work subject to field Inspection.
PERMIT EXPIRES Saturday, December 18, 2010
Permit Issued on Monday, June 21, 2010
1 hereby certify that the above intfxrnation is correct and that the construction on the above described property and
the occupancy and the use wleo in accordance -w",@ laws, rules and regulations of the State of Washington
l rW f Federal Way.
Owner or agent: z� ( / Date:
r
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -102513 -00 -SF Address: 4129 SW 328TH ST
Owner: RYAN BAERENWALD FEDERAL WAY, WA 98023-2628
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.
Gas Piping (4125)
Approved to release test
By Date
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
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date l /�
Final - Building (4050)
Approved
By Date
rs;. Fire/Draft Sto
Approved
By / Date
Framing (412
y5 Approved to insulate
By Date
Final Erosion Control (4375)
Approved
By Date
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
1:1Approved
Approved
7
To be done prior to breaking ground
Approved to sheath floor
By
Date
By
Date
By
Date
Gas Piping (4125)
Approved to release test
By Date
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
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date l /�
Final - Building (4050)
Approved
By Date
rs;. Fire/Draft Sto
Approved
By / Date
Framing (412
y5 Approved to insulate
By Date
Final Erosion Control (4375)
Approved
By Date
Floor Sheathing (4105)
Approved to install wallboard
Shear Walls (4245)
Date
1:1Approved
Roof Sheathing (4220)
7
Approved to install flooring
Approved
Approved to install siding
Date
By
Approved to install roofing
By
Date
By
Date
By
Date
Gas Piping (4125)
Approved to release test
By Date
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
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date l /�
Final - Building (4050)
Approved
By Date
rs;. Fire/Draft Sto
Approved
By / Date
Framing (412
y5 Approved to insulate
By Date
Final Erosion Control (4375)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By
Date
1:1Approved
Right of Way
7
Final - Mechanical (4065)
Approved
By
Date
Gas Piping (4125)
Approved to release test
By Date
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
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date l /�
Final - Building (4050)
Approved
By Date
rs;. Fire/Draft Sto
Approved
By / Date
Framing (412
y5 Approved to insulate
By Date
Final Erosion Control (4375)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
DATE
INSPECTOR
AREA AND TYPE OF INSPECTION
A 4 a se K,,6
a a e
cffluy Je%
Feder PERMIT
-R'S2607-FX253-R SR 5 a�-AP LICATION
rc-�Y of FE�eRAL
0
CSF MF
/0a��-L3-
CO ME PL DE EN FP
SITE ADDRE
SUITE/UNIT #
ys� l2
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING G PLUMBiNG MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/ Homeowner Last Name)
PROJECT DESCRIPTION
y
p r ,
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILIN DRESS E-KAjL
,
CITY J STA ZIP
NAME ` PHONE
✓� rI
t
.,. L
MAILING ADDRESS E -MAA.
✓
olaa
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(
STATE Z
1 3 -
tn�
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WA S NTRA91rOR1S
LICENSE # ��(� E29PMATION DATE FEDERAL WAY BUSINESS LI SE #
� Y
NAME zigle� PHONE
APPLICANT
MAILDIG ADDRE E-MAIL
CITY STATE I ZIP FAX
PROJECT CONTACT
NAME PHONE
(The individual to receive and
MAILIIYG ADDRESS E-MAIL
respond to all correspondence
concerning this application)
CITYSTATE
ZIP FAX 4J
/
ALTERNATE COACT - N PHONE E-MAIL
NM
LA
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of SS, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP PHONE
(RCW 19.27.095)
T certify under penalty ofperjury 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.
T 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 Ises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th ci as a part of this 1 ation.
/
SIGNATURE DATE �i"f �v l
f #.
PRINT NAME:
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Perrnit Application
1
M
ME
VALUE of MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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
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
j_ DISHWASHERS RAINWATER SYSTEMS URINALS _� OTHER (DesFribe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (xitche muhtp) WATER HEATERS (sect ic)
HOSE BIBBS SUMPS
WASHING MACHINES
4..;:
:...:.: •::: •::::::::: •:::::::::::::::.ntl•. :.:.:.
CRITICAL AREAS ON. PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Y* L H - C - P $
E]IISTIIRG/PREVI US USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? _PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION din square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
::.............:.
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
B=STIRG I PROPOSED TOTAL
AREA DESCRIPTIONI in Square Feet I ea Occupancy Groups)
ADDITION
AREA DESCRIPTIONI in Square Feet I ea Occupancy Group(s)
TENANT AREA ONLY
Construction( # of I Additional Information
Tvne Stories
Construction( # of I Additional Information
Tvve Stories
Bulletin #100 — April 14, 2010 Page 2 of 3 UI-landoutsTermit Application