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CITY of • THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105898-00-SF Address: 4461 SW 313TH ST
Project: ROBERT J BUDNICK FEDERAL WAY, WA 98023-2146
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.
El SWM Precon Site Mtg(4400) - ❑ Initial Erosion Control(4365) ElFootings/Setback(4110)
Approved Tobe done prior to breaking ground Approved to place concrete
By Date By Date By Date
0 Plumbing Groundwork(4190) Underfloor Framing(4285) ❑ Floor Sheathing(4105)
Approved to cover Approved to sheath floor Approved to install flooring
By Date By Date By Date
® Shear Walls(4245) ❑ Roof Sheathing(4220) El Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date By .,\e,,, Date 4- w,r ? L. By Date
0 Mechanical Rough-in (4165) �� Gas Piping(4125) • �0 Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By Date
,El Interim Erosion Control(4370) � � � ® Framing4120
Prior to scheduling a Framing inspection; ( )
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date
a
approved IBC 109.3.4 BY Date
® Insulation(4150) 'El Gypsum Wallboard Nailing-013-0) El Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
Final-Mechanical(4065) ' 0 Final-Plumbing(4075) ••® Final-Building(4050)
Approved Approved Approved
By Date By Date By f Date 4 l,,, /„.
Rough Electrical Final Electrical El Right of Way
Approved r]Rough
Approved
By Date By Date By Date
. .
R•EIVED PERMIT APPLICATION
cin OF
Federal Way Nov 19 2015
f CITY 0OF FEDERALWAY
PERMIT NUMBER / _ ft —/ -�- —�=
/ ((( 111 TARGET DATE
SITE ADDRESS .4 - ,6 / s f 3 l /. S-t- SUITE/UNIT#
—-j .'f,2-e)e,(c I WC t y 0 2 3
PROJECT ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /-5 to d G� c (lc_
PROJECT DESCRIPTION n /1/ /� „ s /P
Detailed description of work to � A.&(,''( "` .X.t ,, , zyz)( / l E' /uct abf�-
be included on this permit only _� � �v v v
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY D STATE ZIP
NAME ( PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME 0PRIMARY�' PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME 7 • PRIMARY PHONE
PROJECT CONTACTand 1-f ""v�/�1"L � �3� 7!".3 4-37-6
MAILING ADDRESS44.6) , , II/ . .3/ rh 5 t EMAIL '
z receive and ']/(��C
respond to all correspondence
g4.1(-6)‹..2 / G" i
concerning this application) CITY (' g ,y�� ST•A ZIP7Ji 23 FAX
NAMEI !/ V
PROJECT FINANCING WNER-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,Rpart oft is ••plication.
7
SIGNATURE: � t I ,� I' DATE
4x.(L PRINT NAME: .Jf f t/cP/if C/-C
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(commerce)
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 existing factures 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 SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT Cl
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application