09-104589City 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: JEIUWMS ADULT FAMILY HOME
Project Address: 1033 S 323RD ST
3
4fuilding - Single Family
Permit #: 09 -104589 -00 -SF
Inspection Request Line: (253) 835-3050
Project Description: Construction of ramp to existing adult family home
Parcel Number: 150240 0460
Owne
Aimlicant
Contracto
Lender
JULIANA C ILUMIN
JULIANA C ILUMIN
JERMILS ADULT FAMILY HOME
1033 S 323RD ST
1033 S 323RD ST
1033 S 323RD ST
FEDERAL WAY WA
FEDERAL WAY WA
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 1 0 0 0
Additiol l Pormilt Informatloo .. _ * V' _
New / Additional Sq. Feet - 1st Floor .................... 0 New Additional Sq'. Feet - 2nd Floor......... ......0 -
New / Additional Sq. Feet - 3rd Floor....................0 New/ Additional Sq. Feet - Basement .......... ;........ 0
New / Additional Sq. Feet - Deck..........................0 New /Additional Sq. Feet - Garage ............ ........... 0
Mechanical to be Included?...................................No New/ Additional Sq. Feet - Other .......................... 0
Plumbing to be Included?......................................No New/ Additional Sq. Feet - Total.......................... 0
No F%ctiures Associated With Tis'Permit 11.
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, May 22, 2010
Permit Issued on Monday, November 23, 2009
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: ) f f a 3 /0-3
s THIS CARD IS TO MAIN ON-SITE `
CrryoR Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09 -104589 -00 -SF Address: 1033 S 323RD ST
Owner: JULIANA C ILUMIN FEDERAL WAY, WA 98003-5929
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.
0
SWM Precon Site Mtg (4400)El
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Slab/Concrete Floor (4255)
Approved
Approved to place concrete
To be done prior to breaking ground
Approved to backfill
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
E]
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved to place concrete
Date
Approved to backfill
By
Date
Approved to place concrete
By
Date
By
Date
By
Date
Shear Walls (4245)
Sheathing (4105)
Underfloor Framing (4285)Floor
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
E:]
Fire/Draft Stops (4095)
Roof Sheathing (4220)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Framing (4120)
Insulation (4150)
or to scheduling a Framing inspection;
calPlumbing &Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
[FirdDrafftt'Stop,
inspections must be signed -off andaproved.
BY
Date
By
Date
IBC 109.3.4
Final - Building (4050)
Final Erosion Control (4375)
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
Approved
Approved
By
Date
By
Date
By
c 0 Date l �� •'O
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
"a . ..
CRT OF CEIVE
FS
e; � e rma y ERMIT
CDJ�Wr�CNDE m", 2 3 20039
253-M-5-2607- FAX 253-"5-2W9 APPLICATION
uww.dtw
0I - i OSS? J A *
CO ME EL PL DE EN FP
SITE ADDRESS
123 PIP sT P L-P,4b
SOSTE/tiDRT #
ZONING ASSESSOR'S TAWPARCEL
—7T--7
NAME OF Homeowner
rrenant or eowner Name)
TYPE OF PERMIT
DING 13 PLUMBING 13 MECHANICAL
0 DEMOLITION 13 ELECTRICAL 13 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAM
PRIMARY PHONE
PROPERTY OWNER
)&O'n/ - �/r
WAILING ADDRESS, CITY, STATE, ZIP
EMAIL
/6 Aa /I e 0 - .3 ? k P 'l' � --D& 47r� X003
OWNER IS ALSO:
A—CONTRACTOR APPLICANT El PROJECT CONTACT
CONTRACTOR
PRnffARTPHON3
WAILING ADDRESS, CITY, STATE, ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DA TZ
FEDERAL WAY BUSINESS LICENSS #
APPLICANT
NAME
-N (2,( A�-- '4s' Alf
PRIMARY PHONE
MAILING ADDRESS, CnT, STATE, W
FAX
PROJECT CONTACTEANE
PRIKART PHONE
(The individual to receive and
respond to all correspondence
concerning this application)
mAtuNG ADDRESS, CITY, STATE, zip
FAX
ALTERNATE CONTACT NAME:
PRIMARY PHONE
EMAIL
PROJECT FINANCING
Required for projects with
NAME
0 OWNER-FINANCIM
value of $5, 000 or more
#?= 19.27.0957
MAILING 1RTZ1 ZIP
rRnffAXrP8ONZ
(
Z certify under penalty of perjury that Z am the property owner or authorized agent of the property owner. I cert(& that to the
best of my knowledge, the irolormation submitted in support of this permit application is true and correct Z cortqg that Z will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. Z 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.
Zfarther 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 cluin), 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 offlcers and employees, upon the accuracy of the
fiVormation supplied to the city as apart of this application.
SIGNATURE. klvllti DATE 111a3
PRINT NAmz-
Bulletin #100 – 4A 2009 Page 1 of 4 k-\Handouts\Peffnit Application
GENERAL INFORMATION
MECHANICAL FIXTUaw
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include wdstingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Deambe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (comm w4
BOILERS
FURNACES
HOT WATER TANKS pvo
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
PROJECT VALUATION
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (.Tub/sbow�combo)
LAVS pima TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (xtrctien/utay) WATER HEATERS (Electric)
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL FIXTUIUS
GENERAL INFORMATION
PROJECT VALUATION
WATM PORVETOR
SEWER PORVETOR
VAIM OF FASTING DWROVShIS ITS
$ 46N -
BASEMENT
Additional Information
$
x3ar AO/PREVlOus USS
LOT SM (Ia Sgaue Feet)
EZIBTING FM SPRIInSLER SYSTEM?
PROPOSED FM SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESiDENTM,
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional Information
FIRS'i' FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
C0MWRCLkL RENJODEU NANT Il"ROVEMENTS',
COVERED ENTRY
Area
in Square Feet
Occupancy Group(s)
Construction
# of
stories
DECK
TOTAL
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTi k (descnl*
17'1
I
Area Totals
ZzuMe
rxoroam
E
TWAL
""wsoms
oz&r►*
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
CO
4MC AL NEVtjIAUDT ON
AREA DESCRIPTION
Area
In uare Feet
Occupancy Group(s)
Construction
Type
# of
stories
Additional Information
ADDITION
C0MWRCLkL RENJODEU NANT Il"ROVEMENTS',
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
stories
Additional Information
TOTAL
TENANT AREA ONLY
Bulletin #100 — 4/17/2009 Page 2 of 4 k-\Handouts\Pennit Application