00-102404a
R
City of Federal Way
Con�mity Development Services
Applicant
Building - Single Family Permit #: 00 -102404 - 00 - SF
Lender
PAUL & MARY ANN GOBAT
PAUL & MARY ANN GOBAT
Feder 1st Way S
Federal Way, WA 98003-6210
PAUL & MARY ANN GOBAT
Inspection request line: 253.661.4140
P 9
Ph: 253.661.4000 Fax: 253.661.4129
Showers
(3:30pm cut-off for neat day inspections)
FEDERAL WAY WA
Project Name: GOBAT
Project Address: 1114 SW 296TH ST
Parcel Number: 119600 4790
Project Description: RESIDENTIAL ADD/ALT - Construct main floor addition for kitchen remodel & interior alterations
throughout existing single family residence
Owner
Applicant
Contractor
Lender
PAUL & MARY ANN GOBAT
PAUL & MARY ANN GOBAT
PAUL & MARY ANN GOBAT
PAUL & MARY ANN GOBAT
1114 SW 296TH ST
1114 SW 296TH ST
Showers
1114 SW 296TH ST
FEDERAL WAY WA
FEDERAL WAY WA
1114 SW 296TH ST
FEDERAL WAY WA
Floor Area (Sq. Ft.):
FEDERAL WAY WA
Includes:
Census category: 434 - Reside
#1 #2
#3
#4
Occupancy Group:
R-3
Lavatories
Construction Type:
Type V - N
Showers
Occupancy Load:
Floor Area (Sq. Ft.):
2nd Floor Proposed Sq. Feet................................100 Census Category ................................................. 434 - Residential altladd - no
Height of Structure..............................................19 Mechanical................................................. Yes
OccupancyGroup#1........................................... R-3 Plumbing ................................................. Yes
Total Building Sq. Feet........................................2918 Total Proposed Sq. Feet ....................................... 100
Zoning Designation ............................................. RS 15.0
Plumbing Fixtures
Descrintion Qu) antic l DescriDtioh Quant Description - QUanti
Dishwashers
1
Laundry Washer Outlets
Bathtubs
Lavatories
Water Closets
Showers
Sinks
Mechanical Fixtures
[--:::::::-Description. Quanti Description JQuanti Descri tion Ctuanti
Fans Hoods
CONDITIONS:
1) No building shall encroach onto any building setback line or easement shown or not shown.
2) Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
3) Service connections for electrical and communication facilities shall be placed underground per section 16-48
of the Federal Way City Code.
4) Prior to any clearing or grading on a lot, the owner/builder shall install temporary erosion/sedimentation
control facilities approved by the City. These facilities must insure that dirt or sediment laden water does not
enter the public drainage system, adjacent lots or public streets. The owner/builder bears the responsibility to
maintain the facilities in proper working order, replacing as necessary. The facilities may be removed only after
such time as construction is complete and landscaping is installed. See attached for standards and site plan for
location of silt fencing. A
7 ° r
POSWS CARD ON THE FRONT OF BUILD*
� ®BUILIDNG DIVISION
ERAL_
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00 -102404 -00 -SF
OWNER'S NAME: PAUL & MARY ANN GOBAT
SITE ADDRESS: 1114 SW 296TH
()
FOOTINGS/SETBACKS�15'9 () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE -IS APPROVED
() DRAINAGE: Line () Connection
DO NOT SOUR SLAB UNTIL THE VEIS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
Gas piping
() SHEATHING Roof If 5 Floor
() SHEAR WALLS lJ d0 fj
() ELECTRICAL ROUGH -IN Ditch Cover
() FIRE/DRAFTSTOPS
() FRAMING/FIRESTOPPING
ABOVE MUST
U,
GD PRIOR, TO _J
CTION
() INSULATION: Flo orsL //yf/ "-Wallsell
/�/��/-7"Aldc&' / !K A/f
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCE
() WALLBOARD NAILING ��.ZT��u �$ () SUSPENDED CEILING
THE ABOVE MUSTBEAPPROVED PRIOR TU TAPiNG,OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
( ) PLANNING FINAL.
( ) PUBLIC WORKS FINAL
() FIRE FINAL
---TEE
( ) BUILDING FINAL
BE APPROVED PRIOR TO BUILDING DEPARTI�IENT FINAL ---` -
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAI, IS A'PROVED
F
BUIIAINGDiv7S10N
"OF G 33530 First Way South
E�I�IZAL A PR I Federal Way, WA 913003
AY c y (253) 661-4000
�A i Y u'-• vcv , ;L vd,y Fax (253) 661-4129
BUILDING DEPT
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 042 lU Z K O 1/ UO
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>`••>.::.;:.:.>:.::.::.::•...:;.:.::..».,.;;.:.. Site address
Tenant name Lot # Assessor's Tax #
Building O Qer; Name 4. �^n,,. Address
Lq 6406 -Ir S11)
City I'.[�N:i2�C1 _ I J 1A State U)A- zi,I Phone
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1i: Mi][•]I•�:::�i�:�'1X�•.Y.R•F::::::•:::::::::::::::•:::::::::�:5::::::?::::::?:::•:ice
...........................................................................
Federal Wav Business License #
Company Name O r �J(/V
W f.,� �, /
Address
K
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (carat must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name r,E Ivl-'' A- s - T -66T-5
Address Po PJ O
I
Ci
State
Zi
Contact Person Z
RJ �T [>
Phone
Fax ^�
LEGAL DESCRIPTION
..........................
-sting Use
City
MW Proposed Use
Zip
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Phone
Fax
rU,,n,, .1
Expiration Date
Verified 13 Yes 0 No
Permit includes:
Building
0 Plumbing
0 Mechanical
0 Other
Type of Work: E3 Residential
E3 Now
[fRemodel
IJ #of bedrooms
13 Deck
0 Commercial
0 Addition
0 Repair
13 Garage
0 Shed
Enter 1st Floor sq ft
2nd Floor
sq ft 3rd Floor _
sq ft
Existing Floor Area
sq ft
Area Basement sq ft
Docks
sq ft Garage
sq ft
Proposed Total Area
sci ft
Water Availability 0 Sewer AvailablIBY
0 On -Site Septic System AvailabilitV
0
Project Valuation
1$ /OOjDUO
Zoning Ps— IF; . 0 1
Lot Size 1:2
- 27 -50
Existing Bldo Valuation
is
Contractor Name Address
City state
Contact Phone
. ... ....... ...... - ---------- -
A
Fax
Date
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
rU,,n,, .1
Expiration Date
Verified 13 Yes 0 No
Showers
Sinks
Dish Washers
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the bed of my knowledge, and further, that I am authorized by the owner of
the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and
attorneys! fees incurred in investigation and defense of such claims which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only
whom such claim. out of the reliance ofthe city, including its officers and employees, upon the accuracy of the information supplied to the o4 as a part of this application.
Owner/Agen(7 Date:/71od
Bw niw.Aw
REV'SE05118199