14-103906City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: STUTE
Project Address: 29633 21ST AVE S
Ailding - Single Fandly
Permit #: 14 -103906 -00 -SF
Inspection Request Line: (253) 835-3050
Project Description: ADD - Construction of a new patio cover and concrete pad
Parcel Number: 931510 0070
Owner
ARlicant
Contractor
Lender
WILLIAM C STUTE
WILLIAM C STUTE
SUMMIT CONTRACTING
OWNER IS LENDER
29633 21ST AVE S
29633 21ST AVE S
SUMMIC*995PE (2/13/16)
FEDERAL WAY WA 98003-4245
FEDERAL WAY WA 98003-4245
14317 68TH AVE E
PUYALLUP WA 98373
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 1 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Deck .......................... 0
Mechanical to be Included?...................................No
Plumbing to be Included?.......................................No
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total .......................... 0
PERMIT EXPIRES Sunday, February 1, 2015
Permit Issued on Tuesday, August 5, 2014
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 C' of Federal Way.
Owner or agent: Date: �- S
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
14 -103906 -00 -SF Address: 29633 21 ST AVE S
WILLIAM C STUTE FEDERAL WAY, WA 98003-4245
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 log3ed on the back of this card.
Underfloor Framing (4285)
Approved to sheath floor
By Date
Roof Sheathing (4220)
Approved to install roofing
Dat _ 30 -
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved IBC 1093.4
Floor Sheathing (4105)
Approved to install flooring
By Date
Fire/vratt ata
Approved
Date
Framing
Approved to
Shear Walls (4245)
Approved to install siding
By Date
11 Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
E] Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) Final - Building (4050)
Approved to install mud & tape Approved Approved
By Date By Date By Pfo - Date 6
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
B
00,
Date
Underfloor Framing (4285)
Approved to sheath floor
By Date
Roof Sheathing (4220)
Approved to install roofing
Dat _ 30 -
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved IBC 1093.4
Floor Sheathing (4105)
Approved to install flooring
By Date
Fire/vratt ata
Approved
Date
Framing
Approved to
Shear Walls (4245)
Approved to install siding
By Date
11 Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
E] Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) Final - Building (4050)
Approved to install mud & tape Approved Approved
By Date By Date By Pfo - Date 6
Rough Electrical
Approved
Final Electrical
Approved
` Slab/Concrete Floor (4255)
By
Drainage/Downspout (4040)
Foundation Wall (4115)
Date
Approved to place concrete
By
Date
Approved to backfill
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing (4285)
Approved to sheath floor
By Date
Roof Sheathing (4220)
Approved to install roofing
Dat _ 30 -
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved IBC 1093.4
Floor Sheathing (4105)
Approved to install flooring
By Date
Fire/vratt ata
Approved
Date
Framing
Approved to
Shear Walls (4245)
Approved to install siding
By Date
11 Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
E] Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) Final - Building (4050)
Approved to install mud & tape Approved Approved
By Date By Date By Pfo - Date 6
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
VECEIVED
C.CW.& A11 0 6 X0;,1 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL 1Il/.AY
COS/ 0 ,(—
PERMIT NUMBER _ 9/ a / �., _ � � TARGET DATE
SITE ADDRESS
SUITE/UNIT i
9G elddqGAJ
'?1 ,
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ /15-1 '? /O—`
`%' 3 -S- / 0_ 0 0 7 0
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
Ar ?" C f%E tf[' ire
4-,4,e-4- (3 ,Z -,N SljP ,x41r)4 QJ P c70 2
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
/r�A C T
.25-3 ~
MAILING ADDRESS
_A_1
E-MAIL
CITY STATE 1 ZIP? `0 �3
NAME
PHONE
d .A/ -r,R4C 7-/ Al
2s 3" a1' 7 _tet -7.7-
MAILING ADDRESS ; y r'
1 ✓'e— `
E-MAIL M1 VA /` "Tt<)e3%�'®)
G t L . Ca X -1,,A
CONTRACTOR
CT
� • .� l!
ST TE
R
ZIP
I?e3 71
FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
S"(.l F e - E / t 3/
NAME
�-
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
li 2eo Rot—, /U 4, 0 -
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
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 authorised agent of the property owner. I certify that to the best
of my knowledge, the Warmation 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 offYcers and employees, upon the accuracy of the
Information supplied tootthe as a part of this application.
�city
p
SIGNATURE: ��Ul/(/GC%N!y LK/ DATE
4V1f It iQ,,, C
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\-IandoutsiPermit Application
•
VALUE OF MECHANIC AL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project, Do not include exisling fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (connin iai)
BOILERS FURNACES HOT WATER TANKS )car)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
BASEMENT
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE IIn Square Feet)
$
Indicate how mang o each type offixture
to be installed or relocated as
part o this project. Do not include existingfixtures to remain.
BATHTUBS )arTub/sh.—rCnmbn)
LAVS )Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Additional Information
DRINKING FOUNTAINS
SINKS )Kitchen/Utility)
WATER HEATERS (6i-tnc)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
BASEMENT
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE IIn Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
SECOND FLOOR
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
# of
Stories
Additional Information
NEW BUILDING
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
ADDITION
COVERED ENTRY
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
DECK
Z
Occupancy Groups)
----------- _ _ _ __ --------
GARAGE ❑ CARPORT ❑
Additional Information
TOTALBUILDING
OTHER (describe)
_
Area Totals ElasTNG
PROM
TOTAL
**lvaw xOMs ONLY"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEWIADDITION
AREA DESCRIPTION
Area
in Square Feet
OccupancyGroup(s)Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in mare Feet
Occupancy Groups)
Construction
# of
Stories
Additional Information
TOTALBUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — January 1, 2013
Page 2 of 3
k:\Handouts\Permit Application