18-102808I
City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: ACCLAIMED CARE AFH
Building - Single Family
Permit #:18 -102808 -00 -SF
Inspection Request Line: (253) 835-3050
Project Address: 34122 28TH AVE SW Parcel Number: 010921 0480
Project Description: ADD - Construction of a ramp to the front door.
Owner
Applicant
Contractor
Lender
ROBERT MASON
ROBERT MASONACCLAIMED
OWNER IS CONTRACTOR
54
34122 28TH AVE SW
CARE AFH LLC
Occupancy #1- Construction Type.........................
Type V - B
FEDERAL WAY WA 98023
34122 28TH AVE SW
New / Additional Sq. Feet - Garage ........................
0
Mechanical to be Included? .....................................
FEDERAL WAY WA 98023
Number of Stories ...................................................
I
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction T
Type V - B
Occupancy Load:
54
Floor Area (sq. ft.) 1
54.00
Additional Permit Information
New / Additional Sq. Feet -1st Floor .....................
0
New / Additional Sq. Feet - 2nd Floor....................
0
New / Additional Sq. Feet - 3rd Floor .....................
0
Occupancy #1- Area (Sq. Feet)..............................
54
New / Additional Sq. Feet - Basement ....................
0
Occupancy #1- Construction Type.........................
Type V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage ........................
0
Mechanical to be Included? .....................................
No
Number of Stories ...................................................
I
New / Additional Sq. Feet - Other ...........................
104
Is this an Online or O.T.C. application?..................
No
Plumbing to be Included? ........................................
No
New / Additional Sq. Feet - Total...........................
104
Occupancy #1- Use ................................................
Residence (1 or 2
Comprehensive Plan Designation...........................
SF - High -Density
family)
Residential
ZoningDesignation .................................................
RS 7.2
Total Valuation: 2,022.80
PERMIT EXPIRES Monday, 24 December, 2018
Permit Issued on Wednesday, June 27, 2018
I hereby ce ' t the above information is correct and that the construction on the above described property
anCag.
ccupan and the use will be in dance With the laws, rules and regulations of the State of
Washi on he Ci of Federal Way.
Owner oDate:
crry oP
Federal Way
PERMIT #: 18102808 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 34122 28TH AVE SW
Project: ROBERT MASON FEDERAL WAY WA 98023-7603
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)
® Initial Erosion Control (4365)
® Footings/Setback (4110)
Approved
To be done PRIOR to breaking ground
Approved to place concrete
By Date
By Date
By A^r Date
®
Foundation Wall (4115)
®
Drainage/Downspout (4040)
®
Slab/Concrete Floor (4255)
Approved to place concrete
Approved to backfill
Approved to place concrete
By
Date
By
Date
By
Date
®
Underfloor Framing (4285)
®
Floor Sheathing (4105)
®
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
90
Roof Sheathing (4220)
El
Fire/Draft Stops (4095)
92
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection; 13 Framing (4120) 94 Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must besigned-
offand approved. IBC 1093.4 By Date R/'7 By Date
96
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
17
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By
Date '
By
Date
By
Dat l
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVE®
411 PERMIT APPLICATION
CITY OF JUIN 2 7 201
PERMIT CENTER + 33325 811,Avenue South +Federal Way, WA 98003-6325
Federal WayCITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitceriter@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ ®t? _ �5F TARGET DATED 7C
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
VBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
F LL(—
ve9
t 6Z
PROJECT DESCRIPTION
Detailed description of work to
-e,
be included on this permit only
NAME -
PRIMARY PHONE
r i� t7 h
/
X53-350-"3 LO
PROPERTY OWNER
MAILING ADDRESS
2� �.�' SvJ
E-MAIL
rl--hfo nek3 wall
CITY ^ �
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STATE
ZIP
NAME
PHONE
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C..V �
MAILING ADDRES
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STAT - NTRACTOR'S LICENSE #
EXPIRATION DAT
FEDERAL WAY BUSINESS LICENSE #
NAME ��y,L t1
�-C.- C� � -e cc Cit. r'e r - I ` L-11 C
ONE
MAILING ADDDRErS�S Q� q Q
E-MAIL
APPLICANT.
CITY
5�4zv-kl Wa
STATE
WCL
ZIP
Sb 1;1-3
FAX
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PRIMARY PHONE t
1 c T
PROJECT CONTACT
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MAILING ADDRESSnn �Gi 1-
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E-MAIL
(The individual to receive and
to all correspondence
STATE
K
W3
ZIP
a _
FAX
concerning this application)cITY
NAME
OWNER -FINANCED
PROJECT FINANCING
When value is $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. 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 claim es os o reliance of the city, including its officers and employees, upon the accuracy of the
information pppled thhTitysas rt oft applfcation.SIGNAT
DATEPRINT
NAME• S
Bulletin #100 - January 29, 2016 Page i of 2 kAl landoutsTermit Application
6A
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
tA
$
E)aSTING/PREVfOUS USE
C
LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? '
❑ Yes o
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes
KNo
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
�,7^""Ra '�S"
'ter... y-," x1 . . F a+ . .�2..:J.
-- �-t,±t'f
FIRST FLOOR (or Mobile Home) .
COVERED ENTRY
&�� deal :"✓ a.�d3t;� �� c. 1 ;a€ 3""f .� �_ -x�'l{? _ � .'�re�,�,t �'�.�� �.:,,5�' µ �. r3�..-
B�w,� s�+�' '��l✓�PPF� C�9.?�. �f � s�4'7'4 az�s` s9, 'fit .t ,*."._ia�^,v ��<'�,a
ESTIMATED SELLING PRICE # OF ROOMS
COMMERCIAL - NEWIADDITION
AREA DESCRIPTION Area in Construction # of
square Feet Occupancy Group(s). Type Stories Additional Information
fav '�'"'^
ADDITION
COMMERCIAL - REMOD EN.ANT IMPROVEMENTS
AREA DESCRIPTION Occupancy Group(s) onst._ru_ction ,#,_ _o,_
_ Additional Informatiott
TENANT
Bulletin #100 — January 29, 2016 Page 2 of 2 k:lHandoutslPermit Application
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