14-100836 rt • t
_.,. Building - Single Family
City of Federal Way Permit #: 14-100836-00-S F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SIMUEL
Project Address: 1013 S 301ST ST Parcel Number: 515390 0300
Project Description: REM-Convert portion of garage to bedroom.
/ Owner Applicant Contractor Lender
ROBERT SIMUEL ROBERT SIMUEL OWNER IS CONTRACTOR
PO BOX 4773 PO BOX 4773
FEDERAL WAY WA 98063 FEDERAL WAY WA 98063
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►I
CONDITIONS:
NOTE: Work was completed prior to permits.
PERMIT EXPIRES Wednesday, August 20, 2014
Permit Issued on Friday, February 21, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy ,: e use 11 be in accordance with the laws, rules and regulations of the State of Washington
-nd the Ci - d:ral Way.
Owner or -•ent: - ,All.oraftgais miaow. 2 Date: -/
THIS CARD IS TO REMAIN ON-SITE r.
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835 3050
PERMIT#: 14-100836-00-SF Address: 1013 S 301ST ST
Project: ROBERT SIMUEL FEDERAL WAY, WA 98003-4110
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) 0 Initial Erosion Control(4365) 0 Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
o 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
0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) prior to scheduling a Framing inspection, a
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 1093.4
.
0 Framing(4120) El Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date 3 �1 By Date By Date
C
`Pa\-v , "`4
O Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By ��. Date .3 '-11 —1 4
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
ECEIVED
arOF PERMITIPPLICAT
Federal Way FEB 21 2014 ION
CITY OF FEDERAL WAY /4:0
CDS
/
PERMIT NUMBER / y - / 6 0 S 3 / - F
v IP TARGET DATE
SITE ADDRESS
SUITE/UNIT#
sc),
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ /oma S / S 3 9v - 03 v o
TYPE OF PERMIT BUILDING ❑PLUMBING ❑ MECHANICAL ❑DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 14360P5/Mu EL
PROJECT DESCRIPTION Q
Detailed description of work to / 0- CAR ( 17 M;,& &4 L 2 r z i 4-04Q.
be included on this permit only
PHONE
PROPERTY OWNER kej e-r ,1 t/ le �, PRIMARYS777��9
a2-( !
M.MING ADD E-MAIL
raVt,
ST ZIP
e4OA/ �
NAME j PHONE ----
DUDI
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
-
NAME --- - ----
PRIMARY PHONE
APPLICANT MAILING ADDRESS
CITY STATE ZIP FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.2710951
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 an. -• e of such claim),which may be made by arty person,including the undersigned,and filed against the city,
but only wher- ch claim arises out of the reliance o • city, including its officers and employees, upon the accuracy of the
informatio - pplied to th, city as a part o his app .n. /
SIGNA : DATE r�
PRINT NAME: 1 3E -r- MLI et_ J R
Bulletin#100-January 1,2013 Page 1 of 3 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 existi 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? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRI SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ o ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION jf
AREA DESCRIPTION(in square feet) EXISTING PROPOSE 9 TOTAL FOR OFFICE USE
IA-
FIRST FLOOR(or Mobile Home) MEM
B l l l°1°IB, �s?%" .- — ---
dll ��
".t ��4s '#� ,$'i�jtrzl�d'e8,,jl�I)Il}rsi °�il����IIl+�Ili�llri4�rtll,ti�i�! s .
COVERED I
GARAGE ❑ CARPORT 0
0 s s< to n!VA Wz / ,>�
!EXISTING PROPOSED
Area Totals
4= ,,.,.,`x"11:. .,00:% A
11C�W$ 11FLP"'�� 'R"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application