11-101308 Epuilding - Single Family
City of Federal Way Permit #: 11 -101308-00-SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 FiLE Inspection Request Line: (253) 835-3050
Project Name: SISTERS OF PROVIDENCE
Project Address: 32861 38TH AVE S Parcel Number: 614360 0085
Project Description: REP-Repair/replace framing,insulation and sheetrock.
Owner Applicant Contractor Lender
SISTERS OF PROVIDENCE D L H LANDSCAPING D L H LANDSCAPING
1801 LIND AVE SW UNIT 9016 MAINTENANCE&HOME REPAIR MAINTENANCE&HOME REPAIR
RENTON WA 98057 4918 S 360TH ST DLHLNLM952P1(10/21/11)
AUBURN WA 98001 4918 S 360TH ST
AUBURN WA 98001
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 7
l'�errntt Information 4, .� �.
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement...................0
Mechanical to be Included? No Plumbing to be Included? No
4 tNo Fixtures Associated With This Permit f!
PERMIT EXPIRES Tuesday, October 4, 2011
Permit Issued on Thursday, April 7, 2011
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
an the City of Federal Way.
Owner or agent: /-2Date: - 7 2-0i/
t
i5 r(
THIS CARD IS TO EMAIN ON-SITE
CITY OF S=a: "" • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-101308-00-SF Address: 32861 38TH AVE S
Project: SISTERS OF PROVIDENCE FEDERAL WAY, WA 98001-9665
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) El 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
•
. •
El Floor Sheathing(4105) 0 Shear Walls(4245) El
Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
• ' '
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) `"
Prior to scheduling a Framing inspection
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed off and
By f^ y� Date ��n _1 ' By Date y approved. IBC 109.3.4
. �i`Y�'1ti o
El Framing(4120)
0 Insulation (4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Q.Ark Date .I By J Date _g_ 1 B Date
El Final Erosion Control(4375) ' ElFinal-Building(4050)
Approved ms. Approved
By Date By e -- Date I,��cs..`i l
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
OPERMIT . ..,,... F CO ME PL DE EN FP
f Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION...- 0 TC253-835-2607•FAX 253-835-2609
wu.�u�. y(terirra/wia_cngi APR 0 "� <,"17 D
a �
\SITE ADDRESS OF FEDERAL W A� SUITE/UNIT#
5� } l 3 .,: .. � 'TV f-Ds
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
�� f - ( , ( �-( 3 6 0 - v
TYPE OF PERMIT f�BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT' r
(Tenant Name/Homeowner Last Name) y1 s S Q-�- rm(JV
l'
C
PROJECT DESCRIPTION •
"i`i°25 /9-A42 £'VSi.i 49ji'O,r/ i' >✓ 0' 6v'i3
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER _5/1.5.- A,5 ,4/y' ve;/q���C�Cyt j7v �J' (/J/) '/L5"—5-2 57-- 3 3rr7
....�,..-._.-� MAILING/ g !,ADDRESS
k--( ✓L N r V_v v s -{-'l- 7 ld/ ., E-MAIL
` cITY V STATE ZIP
NAME PHONE
i' . /// / c•� ICdlf.�/7 :''-.9"--.3 7318 7e y.3
MAILING ADDRESS E-MAIL
CONTRACTOR //r %G ? i H
CITY STATE ZIP FAX
11 i- -/ 1.1 ,/9 - ,+5-C. /
WA STATE CONT oil-
LICENSE# ,t+EXPIRATION DATE FEDERAL WAY B , MESS LICENSE#
N1)i • oli�l— ,1; �t .2.') I I C / / /_ ' PHOL
C
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE
STATE ZIP FAX
PROJECT CONTACT NAME • ENE
(The individual to receive and ` ''� 1-1Cid �- `` 5� Z
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) ------CITY STA IP FAX"'�
ALTERNATE CONTACT NAME, PHONE E-MAIL
2‹
PROJECT AME OWNER-FINANCED
Required ,.lue of$5,000 or more
(RCW 19.27.09,5) MAILING ADDRESS, -, PHONE
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 a part of this application.
SIGNATURE: /J e �j� DATE `-, 7 '2�//
PRINT NAME: /41/1 �I J{1�t - --
�ulletin#100 January 1,201 I Page 1 of 3 k:AHandouts\Permit Application
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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 OT `R(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
:''- as v ` -x 1 3'^ @ `:,i' 4. ,.< ,,,..•: . ',+
Indicate how many o -ach type of fixture to be installed or relocated as part of this project. Do not int ude existing fixtures to remain.
BATHTUBS(or Tub/Sh. rCombo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKE'S
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATE'. (Electric(
HOSE BIBBS SUMPS WASHING MA' INES TOTAL FIXTURES€ 4%'
, . ° . - , 1°,t�. ,,
CRITICAL AREAS ON PROPERTY? WATER PUR 4 YOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Squar- eet) EXISTING FIRE S RINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ es ❑ No Li Yes ❑ No
Iiiiii
FsfEN 14 ,0,: oiti..- rION
AREA DESCRIPTION (in square feet) EXISTING' PRO'i SED TOTAL FOR OFFICE USE
,i �� gkikArmBASEMENT �Wa ¢-
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
two
GARAGE ❑ CARPORT ❑
'OTHER(describe)
EXISTING PROPOSED
Area Totals
„SNE.' HOMES ONLY'5 47
ESTIMATED SELLING PRICE$ _ -_ _ 1 #OF BEDROOMS_______/_
Area Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type ` Dries
` NEW BUILDING
ADDITION j
a,,:F.4,. .. ui,i,<;,¢ .. ,...,., . �OM.M �RC.IAL—RE111ODF Es A.NTIMPROVEMENTS
Area Construction # of
AREA DESC ION Occupancy Group(s) Additional Information
in Square Feet .e Stories
m - ; ',_n , .— -.+' a a� q r '-'
.r ,z r ,4
TOTll,BUILDING - -,..,r,,..--,.,f; <
„
-
TENANT AREA ONLY
.�..
PROJECT AREA ONLY I
Bulletin#I00—January I,2011 Page 2 of 3 k:\Handouts\Permit Application