12-104998City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
wilding - Single` Vamily
Permit #: 12 -104998 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: CHELSEA COURT CONDOMINIUMS BLDG 6 UNIT 304
Project Address: 2524 S 317TH ST Unit 304 Parcel Number: 154180 0400
Project Description: REP - Replace insulation and drywall in master bedroom, bath and hallway due to fire
damage.
Owner
Applicant
Contractor
Lender
KRISTA J LIPSETT
SUSTAINABLE NORTHWEST
SUSTAINABLE NORTHWEST
2524 317TH ST UNIT 304
CONSTRUCTION LLC
CONSTRUCTION LLC
FEDERAL WAY WA 98003
2524 S 317TH ST UNIT 304
SUSTANC886D2 (3/22/14)
FEDERAL WAY WA 98003
2524 S 317TH ST UNIT 304
FEDERAL WAY WA 98003
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 1 0 0
Ad
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?.......................................No
---� 1214 12.
PERMIT EXPIRES Tuesday, April 30, 2013
Permit Issued on Thursday, November 1, 2012
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: p Date: . ;�r `, t: F
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -104998 -00 -SF Address: 2524 S 317TH ST Unit 304
Project: KRISTA J LIPSETT FEDERAL WAY, WA 98003-5016
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.
Final
SWM Precon Site Mtg (4400)Initial
Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
floor
Approved
Approved
To be done prior to breaking ground
Approved to install siding
Approved to sheath
By
Date
By
Date
By
Date
Final
Floor Sheathing (4105)
Shear Walls (4245)
Roof Sheathing (4220)
Approved
Approved to install flooring
Approved
Approved to install siding
Approved to install roofing
By
Date
Date
By
Date
By Date
Prior to scheduling a Framing inspection;
Interim ErosionControl 4370
on ( )
Fire/Draft Stops 4095
P ( )
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
By
Date
By
Date
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Insulation (4150)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date I _
By Date — s : -I—
L
Rough Electrical Final Electrical Right of Way
❑ Approved ❑ Approved ❑ Approved
By Date By Date By Date
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical Final Electrical Right of Way
❑ Approved ❑ Approved ❑ Approved
By Date By Date By Date
AV
CITY OF IP' -V' RECEIVE* PERMIT
Federal Way
COMMUNITY DE VELOPMENT SERVIW V , 0. 1
253-835-2607- FAX 253-835-2609 zoAPPLICATION
CITY OF FEDERAL WAY
rnc
12 - t Q-� -9
*MF CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ f-,- � r- f-
- (.�
I l 51 t 0 4- 0
.f%
TYPE OF PERMIT
[?"BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
CH
PROJECT DESCRIPTION
4
Detailed description ofwork to
be included on this permit only
PROPERTY OWNER
NAME k
PRIMARY PHONE 4y C
MAILING ADDRESS
E-MAIL
L
'it
CITYSTATE
Ft j ZIP
NAME
143 "A 71 t'
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
kx;4
41 ?
WA STATE CONTRACTOR'S LICE SE # EXPIRATION DATE
PEDERAL WAY BUSINESS LICENSE If
L4
NAME
PHONE
41,
APPLICANT
MAILING ADDRESS
E-MAIL
'4
CITY
STATE
ZIP
6
FAX
PROJECT CONTACT
NAME 7 a
PHONE
(The individual to receive and
MAILING ADDRESS 7?
E-MAIL
respond to all correspondence
concerning this application)
-rt
CITY
"Z--
STATE
7\j
ZIP
t'
FAX
ALTERNATE CONTACT NAME*
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value Of$5,000 or more
-[]
MAILINGDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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.
Ifurther 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.
SIGNATURE: DATE i v
PRINT NAME:
Bui ietin #100 —January 1, 2011 Page] of k:\Handouts\Permit Application
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