11-104747 ' K building - Single Family
7
City of Federal Way
Community&Econ.Dev.Services � I ` Permit #: 11 -104747-00-SF
33325 8th Ave S L. t , ta..'m z
Federal Way,WA 98003
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WILLIAMS
Project Address: 2004 S 282ND PL Parcel Number: 422231 0170
Project Description: REM- Constructing 2 new walls to enclose a new bathroom; fixtures on separate permits.
, fi ,
Owner Applicant Contractor Lender
PATRICIA JEAN SMITH PATRICIA JEAN SMITH 2004 S 282ND PL
2004 S 282ND PL 2004 S 282ND PL EDERAL WAY WA 98003-3241
FEDERAL WAY WA 98003-3241 FEDERAL WAY WA 98003-3241 .'
At
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Krea(sq. ft.) P 0 0 6'1 0
Additional Permit Information
�
� . New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq, eet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
Zoning Designation RS 7.2
No Fixtures Associated With This Permit I! 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday, May 27, 2012
Permit Issued on Tuesday, November 29, 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 jaws, rules and regulations of the ate of Washington
., nd the . y o F der ay.
inOwner or agent: it (,f ( �, , `,! Date:
Viv 3/1V1 4
Vit4A1,(44:•
,* 1
THIS CARD IS TO EMAIN ON-SITE
CITY OF WIL'O ' • Construction I ection Record
Federal INSPECTION REQUE TS: (253)835-3050
t
PERMIT#: 11-104747-00-SF Address: 2004 S 282ND PL
Project: PATRICIA JEAN SMITH FEDERAL WAY, WA 98003-3241
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.
Prior to scheduling a Framing inspection; 0 Framing (4120) ❑ Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date ",, —i - By Date
❑Gypsum Wallboard Nailing(4130) ❑ Final-Building (4050)
Approved to install mud&tape Approved
By - Date / By r(�r
/ Date 3 (3. (3
0 Rough Electricalri Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• cards ' 'ERMIT
Federal W EF CO ME PL DE EN FP
COMMUNITY DEI PE ^ APPLICATION
253-835-2607. .. 35-2609
SITEADDRESS
FE) �.. SUITE/UNIT#
96 •-- *ie r
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 4#
c)C4 _ -
TYPE OF PERMIT iKBUILDING LI PLUMBING ❑ MECHANICAL '
❑ DEMOLITION 0 ENGINEERING ❑ FI7E PREVENTION
NAME OF PROJECT (1 tO t. e if/..111 .--') ,(.}l �C �N�has 1N
(Tenant Name/Homeowner Last N e) 'f)lk.a t w 7G �v
/1,042
I
PROJECT DESCRIPTION 1 1((1/
/�/y,/JDetailed description of work to ,(f L!)�L
be included on this permit only
E \ / /PROPERTY OER Vl% 7) /(77O ADD ESS (/') X^'�[ Jf
D�ilElMio
,IA
IV� S ,;5'►-77 9
ZI
NAME` R (4\ a 1 ( g /2,
PHONE
MAILING ADDRESS/, f N E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
Sep
NAMI` O 4, 1/A) PHONE
APPLICANTMAILING AADDESSS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT N9 �C-- `" �� a � PPHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
D OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP 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 arty 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/....
-to he city as a part of this applicati-n.
SIGNATURE: i'(ViC(�FG'1* O ( `l 4 DATE // �? ` /
PRINT NAME:
Bulletin 1/100—January I,2011 Page I of 3 k:\Handouts\Permit Application
�� �. r,?-- s � e a
10,117<;•;-;;;;
� � � :`��} � ,
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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(commerciaI)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
' w.zae, a v, ,
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
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Derv.)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GFWERAI 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
OR ADDITIaf� v: '. 4 .. ..
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
om.
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
110 ar.
._,` • .` a-.., .-.lf.`�-is.. ,y a, rrr..H-:-' __
GARAGE LI CARPORT ❑
EXISTING PROPOSED TOTAL
Area Tota is
ESTIMATED SELLING PRICE$ #OF BEDROOMS
a ,
a
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In Square FeetType Stories
NEW BUILDING .m
a
ADDITION
: -:COMMERCIAL— E11fit �. T RO'�' I'�tTS
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
BWLDINQ
TENANT AREA ONLY
PRO IECT AREA ONLY
Bulletin#100-January 1,2011 1',q!.c 2 of 3 k:AHandouts\Permit Application