01-103306CkyorF�Way
Conununity biDevelopment Services Building - Single Family Permit #:01 - 103306 - 00 - SF
vel
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4010 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: RAY
Project Address: 821 S 310TH PL Parcel Number: 081850 0070
Project Description: RES REMODEL- non-structural interior alterations to existing dwelling unit of duplex building;
includes plumbing and mechanical work.
Owner
Applicant
Contractor
Lender
June L Ray
June L Ray
ANDERSON'S KTCHN/BTH CNTR 1
NONE
819 S 310TH PL
819 S 310TH PL
ANDERKC037M5 (7/25/02)
FEDERAL WAY WA
FEDERAL WAY WA
328 W MEEKER ST
98003-9008
98003-9008
KENT WA 98032
NONE
Includes:
Census category: 434 - Reside #1
#2
#3 #4
Occupancy Group: R-3
Quantity
Laundry Washer Outlets
Construction Type: Type V - N
Lavatories 1
Water Closets
Occupancy Load:
Showers 1
Floor Area (Sq. Ft.):
Census Category ................................................. 434 - Residential alt/add - no, Mechanical................................................. Yes
OccupancyGroup#1...........................................R-3 Plumbing ................................................. Yes
Zoning Designation ............................................. RM 3600
Plumbing Fixtures
. `Description. = =
Quantit "
:. Description Quantit
Description
Quantity
Laundry Washer Outlets
1
Lavatories 1
Water Closets
1�
Showers 1
Mechanical Fixtures
5, .Description ,u,x-pj Quantity :Description Quantity
Ducts 1 Fans 2
CONDITIONS:
1. Separate Electrical permit required for new or altered electrical work.
2. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES March 5, 2002, IF NO WORK IS STARTED.
Permit issued on September 6, 2001
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:
POST THIS CARD ON THE FRONT OF BUILD(r
BUIING DIVISION
•
W, ff0FrzAL INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01 -103306 -00 -SF
OWNER'S NAME: June L Ray
SITE ADDRESS: 821 S 310TH
() FOOTINGS/SETBACKS () FOUNDATION WALL
x DO NOT POUR CONCRETE=; L}iIE ABODE IS APPROVED p .°-
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN.
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors
( ) Connection
f' Water piping
Gas piping
Roof Floor
Ditch Cover
CYSINK TII
'T t OHROCPRRG ETR
Walls Attic
( ) WALLBOARD NAILING CQ Ve (C
( ) ELECTRICAL FINAL
( ) PLANNING FINAI
( ) PUBLIC WORKS FINAL
W/a
SUSPENDED CEILING
() FIRE FINAL
�. , '� o TU, OVE MSTB�AP«lt'ROVED'�PRTOR TU��I7ILDII�O����ARRTIYIENT FYN'AL''' ''-°'
() BUILDING FINAL
BUYIfbTfiG UT UI"WoDNG FN aq aS APPROVED `.
..: -
crrr of �—
• CONSTRUAON PERMIT APPLICATION
�� �Y PPLICATION NUMBER:
PPLICA-RON NUMBER:
PPLICATION NUMBER:
- -
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PR
!� • • •
SITE ADDRESS:/ /'� ASSESSOR'S TAX/PARCEL #:-C 07,
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): L"r 74
PR03ECT INFORMATION -
TYPE OF PROJECT (This application): BUILDING XPLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
�N'C'�R•1o� h�QE�oyik-Tlon( ®ntY � L�4sTiti� �N�'�
PROJECT NAME: niTE 4R IO f2 Re -NO �rct do t -,c —N5� U Ni f -
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, NSTATE, ZIP):
gat°v � u � ►. � /0�` �L . 'FES 9S60:?'
NAME:
DAYTIME PHONE:
MAI AD -DRESS (STREET ADDRESS; CKY,
STATE, ZIP):
EVENING PHONE:
32
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE
NUMBER:
FAX NUMBER:
^
CONT CTOR'S REGISTRATION
EXPIRATION DATE:
��NUU"MBBER:
(Cwy of Cid re�ced) 6 V
APPLICANT: NAME: DAYTIME PHONE:
JM!4E RAY (a5 ) t-0
MAILING ADDRESS (STREET A DRESS; CITY, STATE, ZIP): EVENING PHONE:
2, 6-11- PL ( a5 -�) q q (- a
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: X PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE: ' EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ li dzk;
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES M.-9 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES 5116 -"
WATER SERVICE PROVIDER: [;� LAKEHAVEN El HIGHLINE El TACOMA El PRIVATE (WELL)
SEWER SERVICE PROVIDER: 9< LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
E
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.'.PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture ,�. //nn/��,,
MECHANICAL V e,,c6, ?
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) -0 REFRIG. SYSTEMS)
BBQ(S) — FAN(S) HOOD(S) V WOODSTOVE(S)
BOILERS) FIREPLACEINSERT(S) RANGE(S) O MISC.( )
COMPRESSOR(S) FURNACE(S)
_ DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:'�NFLECTRIC
PLUMBING
BATHTUB(S) t LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC Lel GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
ITSCLATMER/STGNATURE BLC
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.
NAME/TITLE: LM
PROPERTY OWNER ❑ APPLIC NT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
DATE:
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO