13-103398 • o.Iilding - Single Family
City of Federal Way
Community& Permit Dev.Services r ermit #: 1 3-103398-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ULRICH
Project Address: 1645 S 272ND ST Space 152 Parcel Number: 332204 9010
Project Description: ADD-Construction of a 200 square foot freestanding carport.
Owner Applicant Contractor Lender
JOHN A ULRICH JOHN A ULRICH OWNER IS CONTRACTOR
1645 S 272ND ST 1645 S 272ND ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
2
Census Category: 438 -Residential Garage or Carport
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- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Basic Plan? No New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No
New/Additional Sq.Feet-Other 200 Plumbing to be Included? No
New/Additional Sq.Feet-Total 200
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, March 12, 2014
Permit Issued on Friday, September 13, 2013
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
Viand the
i of Federal Way.
•
Owner or agent: Date: , ~ l 3
• • • THIS CARD IS TO MAIN ON-SITE
4411.
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-103398-00-SF Address: 1645 S 272ND ST Space 152
Project: JOHN A ULRICH FEDERAL WAY, WA 98003
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) 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
0 Foundation Wall(4115) 0 Drainage/Downspout(4040) '0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date By Date By Date
0 Underfloor Framing(4285) ElFloor Sheathing(4105) .El
Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
•
El Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) - ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
' •
0
Framing(4120) 0 Insulation (4150)
li Prior to scheduling a Framing inspection; Approved to insulate Approved to install wallboard
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
i
El Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) ' Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By V Date lo 1 (to it?
•
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RRCEIVED
PERMIISAPPLICATION
Federal Way AUG 01 2013
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / 3 _ / b 3 3 98 _ 5r--
TARGET DATE
SITE ADDRESS
SUITE/UNIT 41
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL ik
$ 6 ri /( (gam 3 -3 Z Z /
TYPE OF PERMIT DI BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 01.-R t e1-+
PROJECT DESCRIPTION D .Po
Detailed description of work to 1`
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER a etA.) LR L C.-H -5-act -
MAILING ADDRESS ald_O �_ E-MAIL 7�
CITY
� L
COM-V 0)/ti ZIPg rE.,•L' -
NAME (cUtnt2/ PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS 1C1 E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS Ill__"it E-MAIL
respond to all correspondence ��
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
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: Ct DATE
PRINT NAME:
Bulletin#100-January 1,2013 Page 1 of 3 k:U-landouts\Permit Application
( e
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(commercial)
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 fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKIN_-G FOUNTAIN$______ — SINKS((archon/utility)i WATER HEATERS caootric
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
-rr
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 00 — —
EXISTING PROPOSED TOTAL —.— —
Area Totals
**.risw-HOME.S o z ;;.
ESTIMATED SELLING PRICE$ #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
iY 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