13-100394s �
0 Ouilding -'Single Family
Comm nicety & Econ. Dof Federale aServices _ P Permit #: 13 -10`(Y394 -00-S F
33325 8th Ave S I
Federal Way, WA 98003
Ph: (253) 835-2607 Fa -c (253) 835-2609 U Inspection Request Line: (253) 835-3050
Project Name: CROW-GUIBERSON
Project Address: 35620 12TH AVE SW
Parcel Number. 440560 0005
Project Description: REM - Interior remodel of non -load bearing walls, window replacement, water damage
repair to parts of exterior SW section, ceilingsheet rock and wall insulation replacement.
Plumbing and mechanical included.
Owner
ApRlican
Contractor
Lender
.KELLY A CROWE-GUIBERSON
JACOB JOHNSON
OWNER IS CONTRACTOR
OWNER IS LENDER
3562012TH AVE SW
411 HARVARD AVE 304
FEDERAL WAY WA 98023-7236
SEATTLE WA 98102
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . fL 0 1 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement;
Mechanical to be Included?...................................Yes Plumbing to be Included?.. ............................... Yes
Zoning Designation...............................................RS 9.6 4 3
Mechanical Fixtures
Fans................................................ 3 Furnaces......................................... 1
Plumbing Fixtures
Bathtubs ......................................... 1 Dishwashers................................... 1 Laundry Washer Outlets................ 1
Lavatories....................................... 2 Showers.......................................... 4 Sinks............................................... 1
Water Closets ................................. 2 Water Heaters................................. 1
CONDITIONS:
Electric service & Electrical permits by TACOMA POWER
IK
PERMIT EXPIRES Wednesday, July 24, 2013
Permit Issued on Friday, January 25, 2013
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.
1 Owner or agent — Date: 2 j
AIL
r THIS CARD IS TO MAIN ON-SITE
CnnoF Construction InFection Record
Federal a INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -100394 -00 -SF Address: 35620 12TH AVE SW
Project: KELLY A CROWE-GUIBERSON FEDERAL WAY, WA 98023-7236
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)
0
Initial Erosion Control (4365)
El
Plumbing Groundwork (4190)
Shear Walls (4245)
Approved
Approved to sheath floor
To be done prior to breaking ground
Approved to install flooring
Approved to cover
By
Date
By
Date
By
Date
Underfloor Framing (4285)
0
Floor Sheathing (4105)
El
Right of Way
Approved
Shear Walls (4245)
Date
Approved to sheath floor
Date
Approved to install flooring
Date
Approved to install siding
By
Date
By
Date
By
Date
0
Roof Sheathing (4220)
Rough Plumbing (4230)
Mechanical Rough -in (4165)
Approved to install roofing
Approved
Approved
By
Date
By
/ ��
i W Date Z -L..S` 13
By
� Date .2-Z� -�
Gas Piping (4125)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to release test
Approved
Approved
By
DateBy
Date 2 —? -�3
By
Date
to scheduling a Framing inspection;
Framing (4120)
Insulation (4150)
l, Plumbing & Mechanical Rough -in and
ENWDraft
Approved to insulate
Approved to install wallboard
Stop inspections must be signed -off and
approved IBC 1093.4
By
Date Z-Zf ' /7
By
Date `�
y
Gypsum Wallboard Nailing (4130)
E]
Final Erosion Control (4375)
Final - Mechanical (4065)
Approved to install mud & tape
Approved
Approved
By
/ Date 3_// -/By
Date
By
Date ti l
Final - Plumbing (4075)
Final - Building (4050)
Approved
Approved
'3 ''e t ,
1 ,
By
Date - a 3
By
°`I`ll-- Date �
Rough Electrical
Approved
Final Electrical
Approved
1:1
Right of Way
Approved
By
Date
By
Date
By
Date
MyOF , P-ERMI*APP-LICATION
Federal Way RECEIVED
PERIIDT NUMMR _ J C) _ ®�1AN 2013
-- ------—crTrO EFEDERANAFDATE,
SITE ADDREW F=05
SUITE/UNIT #
tup , � 2
PROJECT VALUATION
ZONING
ASSESSOR'S TA%/ CEL
pec
%
— — — — — — — — — —
TYPE OF PERMIT
BUILDING PLUMBING 4ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C�6L(0; . t Z, e -L. -
`='� ' w �ti l eLeA LJ
PROJECT DESCRIPTION
Detailed description of work to
-
7� p
be included on this permit only
PROPERTY OWNER
NAa�
GARY PHONE
B9AD IN@ ADD
`a C�Za tqUe_ S w�
g MAH,
CITY
STATE
ZD'
NAMEI� C
PHONE
RIMING ADDRESS
E MAD,
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
E8PM&TION DATE
FEDERAL WAY Buenas LICENSE #
NAME �cx-cD6
ONE
APP-LY�AN�'
MAMIN@ ADDRE88
"111 -H���,���ct taut `"C�1-k
MAD,
CITY-� � �� �
STATE
�S I C �
PAX
N
PHONE
PROJECT CONTACT
(The individual to receive and
MAD.DI@ ADD n /
t
14l
E MAD
respond to all correspondence
V !°
oI
sTA
Zip (A
Z1/�
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
7�
Required value of $5, 000 or more
iRCW I9.2ZOR9
MARMG ADDr, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the properly 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 certQy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 taws 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 offlcers and employees, upon the accuracy of the
ir{formation supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME: �eC L -C, L2
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\landouts\Permit Application
LF- _,
MECHANICAL PERMIT
CRITICAL AREAE ON PROPERTY?
—
VALUE OF MECxa= est WO
VALUE OF EBIBTnre IMPROVEMENTS
V �
-S 6o
Indicate how many of each type o
re to be installed or relocated as
part o this ro' t Do not include ftctures to remain
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS )commewwj
RAINWATER SYSTEMS
BOILERS
FURNACES
HOT WATER TANKS (Gee)
DRAINS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAE ON PROPERTY?
WATER PURVEYOR
VALUE o> Pu�ixanvG�WC
VALUE OF EBIBTnre IMPROVEMENTS
V �
Indicate how amny of each type offwture
to be installed or relocated as art of this project. Do not include e)dstinq
jivfttresexist' to remail.
BATHTUBS (or Tub/Shower Combo)
2 LAVS (H—ShAs)
-'� TOILETS
ESIBTINO FIRE SPRINKLER SYSTEM?
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
❑ Yes i' o No
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/umityj
�� WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
�_ WASHING MACHINES
TOTAL Fn=UREB
GENERAL INFORMATION
CRITICAL AREAE ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EBIBTnre IMPROVEMENTS
V �
EXISTING/PREVIOUS IIBE
LOT SIZE (In Sq—e Feet)
ESIBTINO FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
r� s
❑ Yes i No
❑ Yes i' o No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTIONS I Area Occas Groh B Construction # of
is pe pare Feet _ P�cY P(1 Tystories Additional Information
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
Area Occupancy P() Construction # of
AREA DESCRIPTIONS rare Feet _ Gros s TV" stories Additional Information
TF,}QART AREA 03UY
Bulletin #100 - January 1, 2013 Page 2 of 3 kAHandoutsTermit Application