10-103372, * t
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
3
Building - Single Family
Permit #: 10-103372-00-S F
Inspection Request Line: (253) 835-3050
Project Name: BRUCHAL
Project Address: 33211 6TH AVE SW Parcel Number: 729803 0200
Project Description: ALT - Interior alterations to remodel master bathroom. Includes plumbing.
Owner
AoDlicant
Contractor
Lender
ALVIN & KAREN BRUCHAL
ALVIN & KAREN BRUCHAL
33211 6TH AVE SW
33211 6TH AVE SW
33211 6TH AVE SW
FEDERAL WAY WA 98023-6180
FEDERAL WAY WA 98023-6180
FEDERAL WAY WA 98023-6180
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
New / Additional Sq. Feet - 3rd Floor .........
Mechanical to be Included? ..........................
Bathtubs ......................................... 2
New / Additional Sq. Feet - Ba:
Plumbing to be Included?.........
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Tuesday, February 1, 2011
Permit Issued on Thursday, August 5, 2010
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 t City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN'ON-SITE
CITY OF J '
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #:
10 -103372 -00 -SF Address: 33211 6TH AVE SW
Owner: ALVIN & KAREN BRUCHAL FEDERAL WAY, WA 98023-6180
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.
E]
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
❑
Plumbing Groundwork (4190)
Approved
By
To be done prior to breaking ground
Approved to cover
By
Date
By
Date
By
Date
Insulation (4150) Gypsum Wallboard Nailing (4130) Final Erosion Control (4375)
Approved to install wallboard Approved to install mud & tape Approved
By Date By �� Date 1 1p lv By Date
Final - Plumbing (4075) Final - Building (4050)
Approved Approved
By Date lD By Date
Underfloor Framing (4285)
0
Floor Sheathing (4105)
❑
Shear Walls (4245)
Approved to sheath floor
By
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
❑
Roof Sheathing (4220)
Rough Plumbing (4230)
❑
Fire/Draft Stops (4095)
Approved to install roofing
A oved
Approved
By
Date
By
Date
By
Date
Interim Erosion Control (4370)FF�ire/Drafft
❑
Framing (4120)
eduling a Framing inspection;
Approved
bing & Mechanical Rough -in and
Approved to insulate
Date
inspections must be signed-offanBy
By
Date
pproved. IBC 109.3.4
Insulation (4150) Gypsum Wallboard Nailing (4130) Final Erosion Control (4375)
Approved to install wallboard Approved to install mud & tape Approved
By Date By �� Date 1 1p lv By Date
Final - Plumbing (4075) Final - Building (4050)
Approved Approved
By Date lD By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Building Division
CITY OF 33325 Eighth Avenue South
Federal
Way
PO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: :33z1/ _ �D 7 �� PERMIT#:
IF YOU HAVE ANY QUESTIONS CALL r`' /' (253) 835 -
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
1; �'/ 7 0 h �7 lq��
DATE 1 INSPECTOR
DO NOT REMOVE THIS NOTICE )
Page rof /
r�ederai Way
C0.W(INITY DEVELOPMENT SERVICES
2.53-835-2607• FAX 253-8 35-2609
i 1'1/.1:� ::lll•!'ai V (�^)'.]:i 1'I:�i_ ff'l:f
*PERMIT
APPLICATION -13st
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MF CO ME PL DE EN FP
RECEIVED
Asir, n K )nin
SITE ADDRESS _ SUITE/UNIT #
CITY OF FEDERAL WAY
PROJECTVALUATIONZONING
/r
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING 1� PLUMBING ❑ MECHANICAL
/❑'
El DEMOLITION ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Na- ne/Homeowner Last Name)-
_ rTa72r�r2 Jl ;z a -�I�rr
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PROJECT DESCRIPTION
$
Detailed description of work to
s � � 74jr�, WA V k14441,6 1Z4 e -'A 10 Ci,
be included on this permit only
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RAMS
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PRIMARY PHONE J;4/T/_-A/} "
PROPERTY OWNER
�-_
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'C ,, ,k, �v.r9
MAILING ADDRESS
Vj57 Se
E-MAIL
CITY ,Q aq
STATE
,
ZIP ,,, /g
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
4L
PHONE/
'C C r vs
(The individual to receive and
MAILING ADDRESS /
.3 -%/— cv ,f v e�: Su/
E-MAIL
respond to all correspondence
concerning this application)
CITY
5e 1
STATE
t1l,+
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE �-/b 04,E
E-MAIL
L53,r"
7 L
cs' bj'v �j a/C"' �irrt��._r7 rte,
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(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 apart of this application.
SIGNATURE: DATE
PRINT NAME: !�✓ .�.
Bulletin #100 - April 14, 2010 Page 1 of 3 k:\Handouts\Perriut Application
9T,
0
VALVE 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 (commcrcig,
BOILERS FURNACES HOT WATER TANKS (G-)
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) LAYS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS ptchen/Utility) WATER HEATERS (Elecuic)
WASHING MACHINES '?'?E'L?`1`jf15:?':t•.`:%>_
HOSE BIBBS SUMPS'•>%%�?��%`"��`
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEI[? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION Area Occupancy GroupConstruction # ofs) Additional Information
in Sauaze Feet I I Type I Stories
ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # Additional Information
in Squaze Feet Type Stories
TENANT AREA ONLY
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\Handouts\Perrnit Application