11-100918f 4.
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: JACKSON
Project Address: 29219 3RD AVE SW
i
&ilding - Single Family
Permit #: 11 -100918 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 0664
Project Description: REM - Convert existing laundry room to bathroom. Includes plumbing and mechanical.
caner
Aoolicant
Contractor
Len er
JAMES & JEWEL JACKSON
NW SOLID ROCK
NW SOLID ROCK
JAMES & JEWEL JACKSON
29219 3RD AVE SW
CONSTRUCTION
CONSTRUCTION
29219 3RD AVE SW
FEDERAL WAY WA 98023
6218 MONTE VISTA DR SE
NORTHSR907LZ (6/30/12)
FEDERAL WAY WA 98023
1
AUBURN WA 98092
6218 MONTE VISTA DR SE
AUBURN WA 98092
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
New / Additional Sq. Feet - 3rd Floor .................0
Mechanical to be Included2...........: ..................Yes
Zoning Designation................................................RS 9.6
IS
Ducting........................................... 1 Fans................................................ 1
.{tea
•�
:;
6 a
'111
g
WOR
�
A Zx.,_x 4 G>3 . . 1.. s�.
. '. ..
Bathtubs .........................................
1
Laundry Washer Outlets................ 1 Lavatories.......................................
1
Water Closets .................................
1
PERMIT EXPIRES Monday, September 5, 2011
Permit Issued on Wednesday, March 9, 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 ith the laws, rules and regulations of the State of Washington
nd t City of Federal Way.
Owner or agent: Date: C'4'1 f V_ -z
THIS CARD IS TO MAIN ON-SITE
Cl" OF - is Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11 -100918 -00 -SF Address: 29219 3RD AVE SW
Project: JAMES & JEWEL JACKSON FEDERAL WAY, WA 98023-3529
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.
Underfloor Framing (4285)
Approved to sheath floor
By Date -;; -( e-- t 1
Roof Sheathing (4220)
Approved to install roofing
By Date
Gas Piping (4125)
Approved to release test
By Date
Prior to scheduling a Framin:Rough-in
ction;
[Electrical, Plumbing & Mechanicandire/Draft Stop inspections must d -off andapproved. IBC 109.
Final Erosion Control (4375) 0 Final - Mechanical (4065)
Approved Approved
By Date By Date
Final - Building (4050)
Approved
By Date
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Final Electrical
Approved
Plumbing Groundwork (4190)
Approved
By
To be done prior to breaking ground
By
Approved to cover
By
Date
By
Date
By
Date
Underfloor Framing (4285)
Approved to sheath floor
By Date -;; -( e-- t 1
Roof Sheathing (4220)
Approved to install roofing
By Date
Gas Piping (4125)
Approved to release test
By Date
Prior to scheduling a Framin:Rough-in
ction;
[Electrical, Plumbing & Mechanicandire/Draft Stop inspections must d -off andapproved. IBC 109.
Final Erosion Control (4375) 0 Final - Mechanical (4065)
Approved Approved
By Date By Date
Final - Building (4050)
Approved
By Date
to install mud & tape
Date z -,; Z,
E Final - Plumbing (4075)
Approved
By /n XA Date
0
Floor Sheathing (4105)
Shear Walls (4245)
Final Electrical
Approved
Approved to install flooring
Approved to install siding
By
Date �_ ` CS -
By
Date
E]
Rough Plumbing (4230)
E]
Mechanical Rough -in (4165)
Approved
Approved
Date
ire/Draft Stops (4095)1:1
Interim Erosion Control (4370)
Approved
Approved
Date �� I—'
By
Date
Framing (4120)
Insulation (4150)
Approved to insulate
Approved to install wallboard
Date �j- Z - ��
By
Date_5
to install mud & tape
Date z -,; Z,
E Final - Plumbing (4075)
Approved
By /n XA Date
0
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
COT or q
FLadera&
NA*ECEIVEDOPIERMIT
co=Nm, DE,=P=sER,=R 0 9 APPLICATION
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CITY OF FEDERAL WAY
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T"IM OF PERMIT
WUMDING ',4 PLUMING ),MECHANICAL
11 DEMOLITION 11 ENGINEERING 13 I= PREVENTION
NAME OF momcr
(Tenant lVame/Homeowner Last Mme)
JACIf-�N
vxA-
MOJIMT DESCRIPTION
A
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PHoxz
V-S3)qZ-1
MAILING ADDRESSM
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NAM & LU 0t
PHOUSZS3-355- '792.
CONTRACTOR
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Ilwiaz
VAX sol-JZaL, cc
'= LICENSE #
ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSESE
NAME
PHONE
APPLICANTALAEUNG
ADDRESS
EMAIL
CUT
STATE
zip
FAX
PROJECT CONTACT
NAM
PHONE
(The individual to receive and
respond to all correspondence
7=
E-MAM
concerning this application)
crry - U,
STATE
ZIP
FAX
CONTACT NAM
PHONE
19 -MAD.
(JUtOJECT FINANCING,)
SAM
0 OWNER -FINANCED
ReWived re
MAILING ADDRESS, CUT STATE, ZIP
PHONE
I certify under penalty of perjury that am the property owner or authorixed agent of the property owner. I cert(ry that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(& that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. Z understand that the
issuance of this permit do" not remove the ownees responsibility for compliance with local, ataGe, or federal laws regulating
construction or environmental laws
Zfurther agree to hold harmless the City of Federal Way an to any claim (Including costs, expense*, and attorneys' fees incurred in
the investigation and defense of such clainph which may be mads, by any person. Including the undersigned, and filed against the city,
but only when such claim arisen out of the reliance of the city, inckafing its qa%wrs and employees, upon the accuracy of the
information supplied to the city apart of this application.
SIGNATURE:'' DATE
,L?el '--E 7J11
PRINT NAM. r, I f' ` & I lQ I
Bulletin #100 -April 14, 2010 Pagel of k.\Handouts\Permit Application
M"
Venus OFl1I(F.CfUMCAL, WORK (a copy of bid or estimate must be romded
Indicate how man o each type o re to be installed or relocated as part o this project. Do not include ezistifixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Des e)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comumcwo
BOILERS FURNACES HOT WATER TANKS (Ga.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fvctures to remain.
BATHTUBS (--/Sh.C.meo) �_
LAVS (H�dSW*
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kirch./uuroty)
WATER HEATERS (E )
HOSE BIBBS
SUMPS
�_ WASHING MACHINES TOTALFHCTURES
CRITICAL AREAS OR PROPERTY?
WATER PQRVEYO
SEWER PIIRVEYOR
VALII&z� F ztmmmum ncmovEmzws
$ .J -J r-)-)o
WASTING/PREVIOUS USE
LOT SIZE Ila Square Feet#
E7QSTIIfO FIRE SYSTEM?
PROPOSED FUM 3 A SYSTEM[?
�-
�G�u
❑ Yes o _
a Yes No
Bulletin #100 -April 14, 2010 Page 2 of 3 k.\Handouts\Permit Application