12-104797-"S�
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City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S ` -,• s
Federal Way, WA 98003 i
Ph: (253) 835-2607 Fax: (253) 835-2609 p`
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Project Name: KEENEY
Project Address: 34529 5TH PL SW
lbuilding - ghglt *Family
Permit #: 12 -104797 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 132170 0210
Project Description: ADD - Construction of 2 -story addition; includes plumbing & mechanical.
Owner
Applicant
Contractor
Lende
TODD KEENEY
AMERICAN DREAM DESIGN
AMERICAN DREAM DESIGN
TODD KEENEY
MELANIE KEENEY
BUILD
BUILD
34529 5TH PL SW
34529 5TH PL SW
606 N MERIDIAN
AMERIDD933DE (3/6/13)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
PUYALLUP WA 98371
606 N MERIDIAN
PUYALLUP WA 98371
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# 1 #2 #3 #4'
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load-
oadFloor
Occupancy #1 - Class.............................................R-3
FloorAreas . ft.
5,197 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 243
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck .......................... 0
Mechanical to be Included?....................................Yes
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total .......................... 1299
Zoning Designation................................................RS 7.2
New / Additional Sq. Feet - 2nd Floor...................734
Occupancy # 1 - Area (Sq. Feet).............................5197
Occupancy 41 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Garage .......................322
Occupancy #1 - Class.............................................R-3
Plumbing to be Included? .......................................
es
Occupancy # 1 - Use ...............................................
Residence (1 or 2
family)
Mechanical Fixtures
Ducting........................................... 1 Fans................................................ 1
Lavatories....................................... 2 Showers.......................................... 1 S' ............../....................... 1
Water Closets ................................. 1
PERMIT EXPIRES Wednesday, May 1, 2
Permit Issued on Friday, November 2, 2012
I hereby certify that the above information is correct and that the construe n on the ove described property and
the occupancy and the use wl be in accordance with the laws, rules and gulatio s of the State of Washington
and the City of Federal Way.
Owner or agent: Date: l
,T y
CITY OF 4A, ��
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104797 -00 -SF Address: 34529 5TH PL SW
TODD KEENEY FEDERAL WAY, WA 98023-8300
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.
❑
SWM Precon Site Mtg (4400)
E]
Initial Erosion Control (4365)
E]
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
—Date
By
Date
Foundation Wall (4115)
E]
Drainage/Downspout (4040)
Electrical
Approved
Plumbing Groundwork (4190)
Approved to place concrete
By
Approved to backfill
Approved to cover
By
Date _
By
DatelZ AY -/z
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date _
By
Date •� .�
Shear Walls (4245)
❑
Roof Sheathing (4220)
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Approved
By
Date ?Q /3
By
�,% Date - /y- fq
By
Date $ ��
Mechanical Rough -in (4165)
E]
Gas Piping (4125)
`j,
Fire/Draft Stops (4095)
Approved
Approved to release test /p
Approved
By
Date 2 -?_l
By
Date 2- 7�(3
By
Date fa_ 9 -
Interim Erosion Control (4370)
prior to scheduling a Framing inspection;
Framing (4120)
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
ByA0
Date -,
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
By
C, Date -
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
r:]Z Date 5. -YD
By
�GF Date ?,-// -/3
By
Date
r Final - Mechanical (4065)
Approved
Final - Plumbing (4075)
Approved
Final - Building (4050)
Approved
By
Date 3
By
1 Date Z
By
Date
Rough Electrical
Approved
DFinal
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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MY OFA
Federal Wa E�
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COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609 19 APPLICATION
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*MF CO ME PL DE EN FP
SITE ADDRESS C11 YDS
SUITE/UNIT #
WAV IVA O e023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 1/ g00.P-
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BUILDING I<PLUMBING §KAMHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME -r 'j "i,e PR �,5ItY i7 Pao015 — t 38
MAILING ADDnRESS
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CITY � STATE
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ADDRESS
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CONTRACTOR
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STATE
WA
ZIP
FAX
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WA STATE CONVkACTOR'd LICENSE #
EXPIRATION DATE
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NAME
PAONE
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MAILING ADDRESS
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E-MAIL
APPLICANT
C STATE ZIP
FAX
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CONTACT
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PHONE 3
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MAILING ADDRESS, 1 ` tA
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respond to all correspondence
concerning this application)
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ALTERNATE CONTACT NAME: PHONE
E-MAIL.
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, 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. 1 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 a part of this ap lication.
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SIGNATURE: DATE RC1
I
PRINT NAME: V ��'�• w (L.%I� rZ., �� (—
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECiiANICAL WORK $ A k000 1013 (a copy of bid or estimate must be provided)
Indicate how many of each type of facture 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 (comm— aU
BOILERS FURNACES HOT WATER TANKS (Gas)
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 fixtures to remain.
BATHTUBS (or 7Ub/shower Combo)
I—
LAVS (Hand Stk.)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
�_
SINKS (Kitchen/attuty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES ", X13 VZKTV=s -
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (in Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ YesNo ❑ Yes VNo
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
aT.°F Frl Federal CEIVED O PERMIT
COMMUNITY DEVELOPMENT SAJ��S 1 g 2012 A P P L I C A T I O N
253-835-2607• FAX 253-83�5++-
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CITY OF FEDERAL WAY
z- 10.5 2.55
MF CCj<0 PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
JqJ o" .P4- -5, Lo
PROJECT VVALUATION
j
1 2S�('7�p
ZONING
ASSESSOR'S TAX/PARCEL #
� X/ 4 �]
✓ `ELl 7 0 - O ( 4 O
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ,KMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
E
PROJECT DESCRIPTION
Detailed description of work to
14 L2 P'
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
(� i pt lJ � J t� (� z �j � IF? 1 .- t)
ADDRESS
MAILING '
t cJP
E-MAIL
C TY STATE ZIP
abe
NAME
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PHONE
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MAILING ADDRESS
Z l Z 6- S 1
E-MAIL
CONTRACTOR
STATE
ZIP q IA -3 7
FAX
WA STA E CONTRACTOR CENSE # IRRATION DATE
E2 I 130 13
FEDERAL WAY BUSINESS LICENSE #
NAME '(0 (3 L2t::m1
PHONE2-55 °3SS-�?,//
MAILING ADDhESSA&M A4-+
2-401 1 (O J 7 CrO
E-MAIL
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APPLICANT
CITY STATE ZIPq 1
IIS✓ (r �T
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
GQ V 6 0122(/3"'�!s'"�7
PHONE
MAILING AD RESS �rr_
1
4o i ( T — S 7
E-MAIL
CITY
STATE
����4
ZIP
Q
FAX
ALT ATE CONTA T NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
rMAILING 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 sup 1' y as a part of this aRplication.
SIGNATURE: DATE/�--
PRINT NAME: ,, P 77
Bulletin #100 - January 1, 20f 1 Pagel of 3 k:\Handouts\Permit Application
y�
VALUE OFMECHAMCAL WORK,
Z
(a copy of bid or estimate must be provided)
TOILETS
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include e
sting fixtures to remain_
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
THER
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
(Describe) n
l' o/i/.�
BOILERS —4—
FURNACES
HOT WATER TANKS (cas)
HOSE BIBBS
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 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 (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
FIIx
•.••
CRITICAL AREAS ON PROPERTY?
EXISTING/PREVIOUS USE
WATER PURVEYOR
LOT SIZE (In Square Feet(
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
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