13-103584 . ' Building -•Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-103584-00-SF
33325 8th Ave S
F.
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 ILE. p q ( ) 835-3050
Project Name: DELVES
Project Address: 2809 S 284TH ST Parcel Number: 730320 0020
Project Description: REM-Interior modifications to convert garage to habitable space(2 bedrooms) and divide
existing family room into(2)separate bedrooms. No plumbing or mechanical. May be
used as single family residence.
•
Owner Applicant Contractor Lender
SAKISHA A DELVES CLIFF ROBINSON OWNER IS CONTRACTOR
PO BOX 523 24906 38TH AVE S
KENT WA 98032 KENT WA 98032
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 Included9 No Plumbing to be Included? No
Zoning Designation RS 7.2
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, October 15, 2014
Permit Issued on Friday, April 18, 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 City of Federal Way.
Owner or agent: l1 Date:7/1 /7
E'
t�
pL
THIS CARD IS TO REMAIN ON-SITE a
CITY OF ';.
Construction Inspection RecordFederal WayINSPECTION : (
PERMIT#: 13-103584-00-SF Address: 2809 S 284TH ST
Project: SAKISHA A DELVES FEDERAL WAY, WA 98003-3315
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.
EI 4365
(SWM Precon Site Mtg(4400) 0 Initial Erosion Control
Approved
Date By ) Underfloor Framing(4285)
To be done prior to breaking ground
DateApproved to sheath floor
By
By Date
0 Floor Sheathing(4105) i10 Shear Walls 4245
Approved to install floorin ( ) 0 Roof Sheathing(4220)
g Approved to install siding Approved to install roofing
By Date By Date
BY Date
® Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
„>
a" Prior to scheduling a Framing inspection;
Approved Approved
Electrical,Plumbing&Mechanical Rough-in and
By Date 11,-2_, By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4
Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
++,A�,� Approved to insulate Approved to install wallboard Approved to install mud&tape
By ►vim Date 5 11-1.114 By Date 1 Ili 1+p By Date to'``r - t . ,
0 Final Erosion Control (4375) ElFinal-Building(4050)
Approved Approved
By Date By Date el(31- 'i
Li Rough Electrical Li Final Electrical Right of Way •
Approved Approved Approved
By Date 1 By Date
By Date
REVIVES:.
CITY OPA AUG 15 2013 PERMI APPLICATION
Federal Way
CITY OF FEDERAL WAY 47\4�{�2
CDS /yam 7
PERMIT NUMBER — / / i / c cJ C/ _
V TARGET DATE 1
SITE ADDRESS SUITE/UNIT#
4 '• '4 ?147 49114-11 CT. ..W.r49fdit• IARY "0,00
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT BUILDING ❑ PLUMBING
D MECHANICAL�AEl DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT I% N/0 0 t7 (fV V ``C / 7 tt '& 1;r AT2 OAI
PROJECT DESCRIPTION `/ -+�(�/Y l b'v ��; 1W(
Detailed description of work to 9 1\1(( P r l*VA I 1 POOM 1 -7 ' ie=,71-r--,4(w-
be included on this permit only .r 0;200,M4,
/
NAME PRIMARY PHONE
PROPERTY OWNER 5 A �ivt.t_s ,,...„/)
4,3-4. gs---Z .e9. 4
MAILING ADDRESS is E-MAIL
,2iJ X' 323% Ai-.. S J
CITY STATE Z
NAMEOt +N' PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 44 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
/ /
NAME PRIMARY PHONE
tJ>ff ‘idadmn.s4) Zo4. gs ,c,,
APPLICANT MAILING ADDRESS E-MAIL
0/417,4 313 44M So /Din-6cl".. c`0 pininsl/,iii -
- CITY STATE ZIP FAX
,k-vey IAA 5-Y 43'
NAME PRIMARY PHONE
PROJECT CONTACT C/iff gAL,P,6 J,J
(The individual to receive and MAILING ADDRESS 4E-MAIL
respond to all correspondence gdL' 3$' 41" - 6 D
concerning this application) CIS _ STATE ZIP 3
FAX
NAME i( ' OWNER-FINANCED
PROJECT FINANCING /Vv
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP/ PHONE
(RCW]9.27.095)
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 a part of this application.
SIGNATURE: DATE 01/ /3
PRINT NAME: A:lielibi�So d
Bulletin#100—January 1,2013 Page 1 of 3 k:AI-Iandouts\Permit Application
• 4111
I VALUE OF MECHANICAL WORK
4MECHANICAL 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)commo,�)
BOILERS FURNACES HOT WATER TANKS tom'"" '
--------
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT ��, /-J ' $
Indicate how many of each type of fixture to bg installed or relocated as part of this project. Do not include existing fixtures to remain.
)o�Tun/shoe combo) LAV,,,SS_....,--
BATHTUBS oo sem) TOILETS WATER PIPING
DISHWASHERS �,..-TtAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS i" SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS a,
SINKS)Kacb /utility) WATER HEATERS(EXmmr(
,
HOSE BIBBS f SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
I
EXISTING/PREVIOUS US LOT SIZE[In Square Feet) EXISTING FIRE SER SYSTEM? PROPOSED FIRE S ON SYSTEM?
fIC / � ( _ ❑Yeo ❑Yes o
RESIDENTIAL()NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) N.
SECOND FLOOR
6
..As
COVERED ENTRY6 1(.. 1) _______
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**IVEW 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 I Ii _ 1. ENTS ------..—_„
AREA DESCRIPTION Area Occupancy Groups ruction #of
Additional Information
in Square Feet Type Stories
TOTAL BUILDING
...�''�
TENANT AREA ONLY �
PROTECT AREA ONLY „..,
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application