04-103085 c '1 _1 ;
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Comnuny Development Services Building - Single Family Permit #:04 - 103085 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: TAN
Project Address: 2125 SW 338TH ST Parcel Number:330620 0175
Project Description: ADD- Addition of(1)bathroom and (2)rooms with plumb&meth
Owner Applicant Contractor Lender
Edna B Tan Edna B Tan Edna B Tan Edna B Tan
2125 SW 338TH ST 2125 SW 338TH ST 2125 SW 338TH ST
FEDERAL WAY WA FEDERAL WAY WA 2125 SW 338TH ST FEDERAL WAY WA
98023-7759 98023-7759 FEDERAL WAY WA 98023-7759
Includes:
Y #1 #2 ,1— #3 �; #4
Census category: 434 Reside
Occupancy Group: . — R 3 T=�.
Construction Type: Type V-N iI
OccupancyI oa P _ __
Floor Area(Sq.Ft.):
—s
1st Floor Proposed Sq.Feet '616 Census Category 434-Residential alt/add-no .
Mechanical Y;s Occupancy Group#1 R-3
Plumbing Yep Tol`w Proposed Sq.Feet 616
Plumbing Fixtures
Description 7Quantity _ Description - ,;Quantayj- Description Quantity;
Lavatories I S iov.ers 1 r
Sinks 1
Water Closets �� 1 _
.u•
Mechanical Fixtures
Description: IQuantity __ Description J_Quantity` Description Quantity
Ducts I _[Falls I 1
J
PERMIT EXPIRES January 31,2005.
Permit issued on August 4,2004
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: Date: S 4^ d
VI t �' THIS CARD I"STO EMAIN ON-SITE 1 . • ' •
rw
CITY OF -451
tornmurnty Developm it Inspection Record.
WayIYR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103085-00-SF
Owner: EDNA B TAN
Address: 2125 SW 338TH ST
• FEDERAL WAY, WA 98023-7759
This card is part of your required inspection documents. 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 Temp.Erosion Control(4365) ❑ Footings/Setback(4110) ❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
y / Date(y e.. 1--- O j By Date .9" •-O y By ICZ Irate '-2' 1
10 Drainage/Downspout(4040). ❑ Plumbing Grounder ark(4190) 0 Slab/Concrete Floor(4255) -
Approved to backfill Approved tc cover Approved toplcce concrete 4
j
By jr-f'<-
Date / By Date By Date
0 Underfloor Frank g (4215—)4-1 ❑ Floor Sheathing(4105) Shear Waits(4245) Y
Approved to sheath froor Approved to install flooring Approved !o:nsga!1 siring 1
j�j t
By i'/�- Date /Z27441 P`� Date jd 4 1 BiL i, Date kitve;z'.
..___________________
---, ,--r---_-_---�__ . ---- —
ILl , Roc;Sheathing(4220) 0 • P.oagb Plumbing(42205-i— D Mechanical ougn-in (41.65) _
Approvd to install rco`ing Approved Approvei
v0 D +e B F Date �l l �' Da;e j
By0
4 i I , Gas Piping(4125)—1 � -Fire/Draft Stops (4095) 1 NOTE: Prior to scheduling a Framing(4120)
Approved to release test 1 Approved inspection;Electrical,Phimbi g&:Mechanical ;
1 / , Rough-in and Fire/Draft Stop inspections trust be
IllDate By Date J i�0 j signed-oft and approved. IEC 1119.::..4/UBC 108.5.4
6666
i Framing(4120) 0 Insulation (4150) IgGypsum Wallboard Nailing (4130)1
Approved to insulate Approved,o install wallboard Approved to install mud&tape
•
Oh
--elk.--BY Date By Date it 1n B3�1h � D:tte
❑ Final- SWM(4375) irff Final-Mechanical(4065) ❑ Final-Plumbing(4 75)
Approved Approved Approved
By Date i By Date + By Date
Pr Final-Building(4050) •❑Temp.Erosion Maintenance(4370)
Approved npprov;d
B7 C._3 Date Z•/r:d By Date
of RECEIVED . (� SZ----r--
Federal Way • -1
I PERMIT F CO ME EL PL E EN FP
COMMUNITY DEVELOPMENT SERVICES AUG 0 2 0
33530 FIRST WAY SOUTH• BOX 9718 I C AT I O N
FEDERAL WAY,WA 98066 3-9718 TD /
253-661-0115•FAX 2536614129 ITY OFF L
www.dttp/Iederalwau.00rn BUILDING DEPT.
T
The ollowin• is re•uired in ormation-an inc.41,•tete a.•lication will not be acce•ted. Please •rint le.ibl (in ink)or . r
PROPERTY INFORMATION
SITE ADDRESS ;.Z. . ' S•LA) , 3 a . GTO tiK., K/ 'kc3S1 SUITE/UNIT# _
ASSESSOR'S TAX/PARCEL# Z 0 (p 7— 0 - a t 7 C I- ` D
r7 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legd desoipoon)
PROJECT INFORMATION
TYPE OF PERMIT "BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlit)
k104911- t®t•.) k 2. cvt `4-'
li
PROJECT NAME(Name of Business or Owner Last N.me)T44_,)
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER 1-c-, p `C. 5PcL96 ''CPs ( 2.53).2"1Lk - 3Z.gZ
MAILING ADDRESS CITY,STATE,ZIP 75 0
21 7A S.tom . 33S S . 'eVaL t) , u376<----
CONTRACTOR
om "CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
' C ) -
MAILING ADDRS CITY,STATE,ZIP �
CELL PHONE
/
1 ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - B L / / (
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAM r APPLICANT NAME OFFICE PHONE
MAILING ADDRE S CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME I PRIMARY PHONE E-MAIL ADDRESS
iii
LENDERPer RCW 19.27.095r Lender information is NAME
required if project value exceeds$5,000'
MAILING ADDRESS CITY,S , P -
DETAILED BUILDING INFORMATION
•
EXISTING USE .FPROPOSED USE 5rF pp V D
EXISTING ASSESSED/APPRAISED VALUE $ /55;S( tiro VALUE OF PROPOSED WORK $ 30 617°
Or t P �
SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 0 NO
WATER SERVICE PROVIDER 14 LAKEHAVEN 0 HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE )(PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST Uo
SECOND
6244—
THIRD
FOURTH
—
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTnyexpeoss TOTAL ERISTRPc AND exoe
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING iPP�RR_]'I1Cl`�lE//�f�Sill
FIXTURES
Indicate number of each type offixture to be installer or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ uStfp
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS t FANS HOODS(commerdai) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS _ FURNACES GAS WATER HEATERS
LDUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) I SHOWERS 1 WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS ) SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
tLAVS(Bathroom Sinks) CUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. �Q j
NAME/TITLE E Ot i C. v3 P( ,f9/� --c1<ti DATE �j U'' 4 o f
(Signature) (Title)
RELATIONSHIP TO PROJECT A Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application