12-100252milyCity of Federal Way 6, wilding - dingle Fa�y
Community & Econ. Dev. Services Permit #: 12 -100252 -00 -SF
33325 8th Ave S
Federal Way, WA 98003 L Inspection Request Line: (2
53) (253) 835-2607 Fax: (253) 835-2609 p q (53) 835-3050
Project Name: HABITAT FOR HUMANITY
Project Address: 32804 22ND AVE SW
Parcel Number: 894510 0170
Project Description: REM - Primarily interior remodel of existing residence. Work includes new windows,
siding, roofing, mechanical and plumbing fixtures, one new wall, and insulation. Includes
plumbing & mechanical.
Owner
Applicant
Contractor
Lender
HABITAT FOR HUMANITY OF
HABITAT FOR HUMANITY OF
HABITAT FOR HUMANITY OF
SEATTLE
SEATTLE
SEATTLE/ SKC
560 NACHES AVE SW SUITE 110
560 NACRES AVE SW SUITE 110
RABITFH972LD (4/15/12)
RENTON WA 98057
RENTON WA 98057
15439 53RD AVE S SUITE B
TUKWILA WA 98188
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 1 0 1 0
Mechanical to be Included?....................................Yes Plumbing to be Included? ...................................... Yes
Zoning Designation................................................RS 7.2
Fans ................................................ 3 Gas Piping ...................................... 1 Hot Water Tanks............................ 1
Laundry Washer Outlets ................. 1 Hose Bibbs..................................... 2
PERMIT EXPIRES Monday, July 30, 2012
Permit Issued on Wednesday, February 1, 2012
1 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
an th ity of Federal Way.
Owner or agent: Date:
A 15/1 L
AMWTHIS CARD IS TO MAIN ON-SITE
CITY OF• Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 12 -100252 -00 -SF Address: 32804 22ND AVE SW
Project: HABITAT FOR HUMANITY OF SEA' FEDERAL WAY, WA 98023-2802
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)
❑ Plumbing Groundwork (4190)
Approved
To be done prior to breaking ground
Approved to cover
By Date
By Date -/
By Date
Gypsum Wallboard Nailing (4130)
,Approved to install mud & tape
By Date e,4-
Final - Plumbing (4075)
Approved
By Date-�-�
Final Erosion Control (4375) E] Final - Mechanical (4065)
Approved Approved
By Date By, ,C4e" Date
Final - Building (4050)
Approved
By Date
Underfloor Framing (4285)
Floor Sheathing (4105)
Final Electrical
Approved
Shear Walls (4245)
Approved to sheath floor
By
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date Z &--/
Roof Sheathing (4220)
Rough Plumbing (4230)Mechanical
Rough -in (4165)
Approved to install roofing
Approved
Approved
By
`L f Date Z .. yg /�
By C S Date 2
By
/IV Date 3 _
Gas Piping (4125)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to release test
Approved
Approved
By
Date
By
A /
" Date y- 5 /Z
By
#1& Date 3 Z 3 - /7,
4 112
Framing (4120)
Prior to scheduling a Framing inspection;
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
BY
C
2/ Date —S '/Z.
By
Date
Gypsum Wallboard Nailing (4130)
,Approved to install mud & tape
By Date e,4-
Final - Plumbing (4075)
Approved
By Date-�-�
Final Erosion Control (4375) E] Final - Mechanical (4065)
Approved Approved
By Date By, ,C4e" Date
Final - Building (4050)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 'A '*PERMIT
Federal Way
CO2 835- E,G EAPPLICATION
www. t OM
I & M 19 2012
=/
MF CO ME PL DE EN FP
�7
OLas
SITE ADDRESS
WA
SUITE T #
VALUATI D
ZONING
ASSESSOR'S TAX/PARCEL CEL #
I/+. 0 v
V (4
TYPE OF PERMIT
C5AUILDING PLUMBINGMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeoumer Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
��~� nth WtwcloalS s+� �'po1r+�•t�.�
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PROPERTY OWNER
NAME�a�� T c �Jw�aw Sari• S C
PRD&ARY PHONE
2DG -Zq2 5211 (7
MAILINPG oDRESS �d�i gQbl
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k% +Lles�,�_�I..�,�,�
CITY
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NAME ScJ14. J VL L
-
PHG�� - qZ j - [ 07fa
MAILING ADDRESS
CONTRACTOR
STATEeC,)VFAX
CITY lk[Vk t: A
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F^ -L V�/
P4 1
WA STATE CO R'8 LICENSE #
E%PIRAI ION � TEZ
WAY BUSINESS LICENSE #
PHONE
APPLICANT
MAMING ADDRESS
EMAIL
CITY T TE ZIP
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
MME , I
"t
PHONE
W(, - Z
MAIIdNG ADDRESS
A
E-MAIL
CITY ST44IJ
FAX
ALTS �ONTALGONAhM
l�
PHONE
7_04 Z0(2' S L10M
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING 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 cert(fy that to the best
of my knowledge, the igfornlation submitted in support of this permit application is true and correct. I cert(fy 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 ch claim), which ay be made by any person, including the undersigned, andffiled against the city,
but only where such claim out of the rel nee of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci as a p his plication.
%
SIGNATURE: DATE !l iq ( d 1z
PRINT NAME: �. r✓
Bulletin #100 -January 1, 2011 Page I of 3- k: flandoutsTermit Application
I
15
E
"
BATHTUBS (or 7116/Shower Combo(
WATER PURVEYOR
VALUE OF MECIIAMCAL WORK $
71F—
LSCO
(a copy of bid or estimate must be provided)
Lkele 0 n
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing jtxtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Commercial)
BOILERS
FURNACES
L HOT WATER TANKS (Gas(
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
icate how many of each typE
"
BATHTUBS (or 7116/Shower Combo(
WATER PURVEYOR
DISHWASHERS
71F—
DRAINS
Lkele 0 n
DRINKING FOUNTAINS
1.
HOSE BIBBS
. mow. ... -
r offixture to be installed or relocated
LAYS (Hand Sinks)
RAINWATER SYSTEMS
SHOWERS
b� SINKS (Kitchen/unlity)
SUMPS
f this project. Do not include existi
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Electnc)
WASHING MACHINES
ng fixtures to remain.
WATER PIPING
OTHER (Describe)
TOTAL FECrUREd
u „r
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
A0
Lkele 0 n
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
01 1 �00G
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes 41 o
PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes X -No
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application