15-101519City of Federal way
A ulicant
ERIC M PETERSON
Community & Econ. Dev. Services
33325 8th Ave S
Lender
Federal Way, WA 98003
FILE
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: PETERSON
Project Address: 2234 S 292ND ST
Building - Single Family
Permit #:15 -101519 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 422290 0030
Project Description: REM - Bathroom remodel to include addition of shower, fan, framing of one non-structural
wall, and adding smoke detectors to bedrooms.
Owner
ERIC M PETERSON
A ulicant
ERIC M PETERSON
Contractor
OWNER IS CONTRACTOR
Lender
2234 S 292ND ST
2234 S 292ND ST
FEDERAL WAY WA 98003-3822
FEDERAL WAY WA 98003-3822
Census Category: 434 - Residential alt/add - no change in number of units
Includes. #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?...................................No Plumbing to be Included? ....................................... No
No Fixtures Associated With This Permit 11
CONDITIONS:
SUBJECT TO FIELD INSPECTION ***WITHOUT PLANS****
PERMIT EXPIRES Saturday, September 26, 2015
Permit Issued on Monday, March 30, 2015
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: "--> 2 1 S
OF V&
Feeral Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -101519 -00 -SF Address: 2234 S 292ND ST
ERIC M PETERSON FEDERAL WAY, WA 98003-3822
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.
10
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Walls (4245)
Underfloor Framing (4285)
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
10
Floor Sheathing (4105)Shear
Approved to insulate
Walls (4245)
0 Roof Sheathing (4220)
Approved to install flooring
By
Approved
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
0
Fire/Draft Stops (4045)
Interim Erosion Control (4370)
eduling a Framing inspection;
Approved
Approved
bing & Mechanical Rough -in and
FFireffiraft
Date
By
Date
inspections must be signed-o(f andBy
_J
pproved IBC 109.3A
Gypsum Wallboard Nailing (4130)
Approved to iin�stall mud & tape
—Date Zi, _ lCo
Framing (4120)
Approved to insulate
By
Date
Final Erosion Control (4375)
By
Approved
By
Date
Gypsum Wallboard Nailing (4130)
Approved to iin�stall mud & tape
—Date Zi, _ lCo
Insulation (4150)
Approved to install wallboard
By
Date
Right of Way
Approved
By
Final - Building (4050)
Approved
By
Date
Gypsum Wallboard Nailing (4130)
Approved to iin�stall mud & tape
—Date Zi, _ lCo
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
'02 NfthZ-----
Federal Way
ReC�NE°D
MARZor PERMIT 41PPLICATION
30 5
CITY OF FEDERAL WAY
CDS _
PERMIT NUMBER 11 _ L 0 L:!i L 7— _ 7�i
0 TG
TARGET DATE XIA
SUITE/UNIT #
SITE ADDRESS
3 Lj �,c Sy -
PROJECT VALUATION
$ �e �
ZONING
ASSESSOR'S TAX/PARCEL #
y ,2 � 2 o- 6 0 3 ?�
TYPE OF PERMIT
19 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
Qi ro t7p
�•
be included on this permit only
PROPERTY OWNER
NAME
6
PRIMARY PHONE
_. -"_ .7
MAILING ADDRESS p� J
'/ ` ,
E-MAIL
san /
CITY
STATE
�,�
ZIP
% 3
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
rWA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
•,�c Pj
S,L1r�.Q
MAILING ADDRESS
�h
E-MAIL
APPLICANT
TY
ZIP
FAX
/C
gSTATE
• V
�o
C� oo
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
.® OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
p
SIGNATURE:/^''' `�1� DATE
PRINT NAME: `�✓ CA�C'a�1
Bulletin 4100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
Y, /
VALUE OF 9EC 'NI CD$ WORK
MECHANICAL PERMIT J I
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include46xistin ures 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 a
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
VALUE OF LU BING WORK
PLUMBING PERMIT
OTAL
FOR OFFICE USE
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not inclu le existin ures 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 (Electric)
HOSE BIBBS SUMPS
WASHING MACHINES
TOTAL FIXTURES
COVERED ENTRY
Area
in Square Feet
Occupancy Group(s)
GENERAL INFORMATION
# of
Stories
DECK
CRITICALQN� PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
//�''AREAS
L�V`-"�
TENANT AREA ONLY
w* ^ G
OTHER (describe)
/ ' l///
PROJECT AREA ONLY
_.._.._ _.... -- ...... _......... -- ..... ... -....... -....................... ...... ---------- --..
$
EXISTING
EXISTING/PREVIOUS USE
LOT SIZE (In Squue Feet)
ElffSTING
FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ESTIMATED SELLING PRICE $
# OF BEDROOM
❑ Yes r�p—o
❑ Yes 141&1�
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
ROPO D
OTAL
FOR OFFICE USE
BASEMENT
Additional Information
NEW BUILDING
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
COVERED ENTRY
Area
in Square Feet
Occupancy Group(s)
Construc on
Type
# of
Stories
DECK
TOTAL BUILDING
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
_.._.._ _.... -- ...... _......... -- ..... ... -....... -....................... ...... ---------- --..
Area Totals
EXISTING
PROPOSED
TOTAL
**.IVEWHOaIEs o2YLY**
ESTIMATED SELLING PRICE $
# OF BEDROOM
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
#
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construc on
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin 4 100 - January 1, 2013 Page 2 of 3 k:\14andoutsTermit Application