15-102225City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 VILE
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: SHERLES
Project Address: 29830 23RD AVE SW
Project Description: ADD - Construction of a new 1700 square feet.
wilding - Single Family
Permit #: 15-102225-00-S F
Inspection Request Line: (253) 835-3050
Parcel Number: 012103 9152
Owner
GREG SHERLES
ARPiicant
GREG SHERLES
Contractor
PEDERSONS CLASSIC HOMES
Lender
2515 S 283RD PL
2515 S 283RD PL
INC
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
PEDERCH973134 (8/31/15).
27148 12TH AVE S
DES MOINES WA 98198
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
Floor Areas . ft.
0 1 0 0 1 0
Additional Permit Information
New / Additional Sq. Feet - I st Floor .................... 0 New / Additional Sq. Feet - 2nd Floor ................... 0
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ..................0
Occupancy # I - Construction Type .......................Type V - B New / Additional Sq. Feet - Deck .......................... 1700
New / Additional Sq. Feet - Garage.......................0 Mechanical to be Included? ................................... No
Occupancy #I - Class.............................................R-3 New / Additional Sq. Feet - Other .......................... 0
Plumbing to be Included?......................................No New / Additional Sq. Feet - Total.......................... 1700
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, December 13, 2015
Permit Issued on Tuesday, June 16, 2015
I hereby certify that the above
the occupancy and the use w
Owner or agent:
in
is
pct and that the construction on the above described property and
ce with the laws, rules and regulations of the S37tate hington
the City of Federal Way. �
Date: K In _e_
d.- - '&
Federal Way
PERMIT #:
Project:
. THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
15 -102225 -00 -SF Address: 29830 23RD AVE SW
GREG SHERLES FEDERAL WAY, WA 98023
- -
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 Underfloor Framing (4285) 0 Floor Sheathing (4105)
Approved to sheath floor Approved to install flooring
By fAf, _ Date g -7—i By Date
Roof Sheathing (4220)
Approved to install roofing
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
FirelDraft Stop inspections most be signed -off and
approved IBC 1093.4
0
SWM Precon Site Mtg ( 0)
0
Initial Erosion Control (4365)
0
Footings/Setback (4110)
0
Approved
0
To be done prior to breaking ground
1
Approved to place concrete
By
Date
By
Date
By
Date
0 Underfloor Framing (4285) 0 Floor Sheathing (4105)
Approved to sheath floor Approved to install flooring
By fAf, _ Date g -7—i By Date
Roof Sheathing (4220)
Approved to install roofing
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
FirelDraft Stop inspections most be signed -off and
approved IBC 1093.4
0
Foundation Wall (4115)
Final Erosion Control (4375)
0
Drainage/Downspout (4040)
Date
0
Slab/Concrete Floor (4255)
0
Approved to place concrete
Approved to insulate
Approved to backfill
Date
Date
Approved to place concrete
By
Date
By
Date
By
Date
0 Underfloor Framing (4285) 0 Floor Sheathing (4105)
Approved to sheath floor Approved to install flooring
By fAf, _ Date g -7—i By Date
Roof Sheathing (4220)
Approved to install roofing
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
FirelDraft Stop inspections most be signed -off and
approved IBC 1093.4
0
Fire/Draft Stops (4095)
Final Erosion Control (4375)
Approved
By.
Date
Approved to install mud & tape
0
Framing (4120)
Approved to insulate
By
Date
0 Shear Walls (4245)
Approved to install siding
By Date
0 Interim Erosion Control (4370)
Approved
By Date
❑ Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By
Date
Rough Electrical ❑Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF ` PERMIT *PPLICATION
Federal Way MqY 0 S 2015
1f pF FEDERAL WAY
PERMIT NUMBER / _ Q (D9, _ 5 TARGET DATE
SITE ADDRESS
2 1836 9 3
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
r
ORL'lC
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
„L (V k7 --v A ,—S
PRIMARY PHONE �7
2 2-(-2 Z % /
MAILING ADD SS /
E-
CITY
STATE I
ZIP
NAME �- / ((
PHOY^, (a
V
CONTRACTOR
MAILING ADQPMS
2 -h Aee,
E-MAIL
CITY
/v v
STATE ZIP f�
* j4 (/
FAX
WAIT NTRACTOR'S LICENSE # EXPIRATION DATE
D
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
2 777
APPLICANT
MAILING ADD
,18S(
E-MAIL
CITY
6L,"
STATE
ZIP
FAX
PROJECT CONTACT
NAME ( %
�(�C-�/1--�j 7=- U,A it
PRIMARY PHONE
2S,;--22-1-2 �7 7
MAILING ADDRESS
��• A C �
E-MAIL /�
�-�� C AW11
(The individual to receive and
respond to all correspondence
CITY
STAT
ZI
FAX
concerning this application)
PROJECT FINANCING
Required value of $5, 000 or more
(RCW 19.27.095)
NAME
�c 6-1 Irv( ���
❑ OWNER -FINANCED
MAILING ADDRESS, TY, STATE, ZIP
d �,, ' �„ 1t1A-
PHONE
2 r.- - -
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), w ch maybe made by any person, including the undersigned, and filed against the city,
s
but only where such claimes out fiance of the city, including its officers and employees, upon the accuracy of the
information supplied to th as art is application.
SIGNATURE: DATE
!
PRINT NAME:
Ur
Bulletin 4 100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
we,%,
14-W,
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER rR/Y/�R
p�/
VALUE OF MEC CAL WORK
MECHANICAL PERMIT
E31ISTING//1 5 USE
LOT SIZE (In Square Feet)
gElYes
O�
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many of each type offixture
to be installed or relocated as
part of this project. D include existingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE ETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
H (Commercial)
'''' f Fr✓, �. ;' r,:. t 4asv�"ai� "" r,
,� �.1,r
BOILERS
FURNACES n
HOT WATER TANKS (G—)
COMPRESSORS
GAS LOG SETS V
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
GARAGE ❑ CARPORT ❑
Construction
VALUE OF PLUMBING WORK
PLUMBING PERMIT
'S
��y'Tr �
Stories
T'$4;
Indicate how many of each type of
be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/Show Combo)
LAYS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING F TAINS
SINKS (Kitchin/utility)
WATER HEATERS (electric)
HOSE S
SUMPS
WASHING MACHINES
'�,
� TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER rR/Y/�R
p�/
SEWER PURVE ORI0
V \
VALUE OF EXIST �GjI�MPROVEMENTS
$ v
E31ISTING//1 5 USE
LOT SIZE (In Square Feet)
gElYes
O�
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes j;� No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED TOTAL
FOR OFFICE USE
F
OM
Construction
of
Additional Information
in S uar eet
FIRST FLOOR (or Mobile Home)
Stories
-..v.._..._.._W_
5
f', •l 'i ':' � r<, '/ td .lr^' §'+'}.,�� ''�i'SS;: -
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'„
F
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COVERED ENTRY
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Or
ADDITION
COMMERCIAL — REMODEL/TENANT IMP MENTS
GARAGE ❑ CARPORT ❑
Construction
# of Additional Information
' ���`�
f"'r//f
'S
��y'Tr �
Stories
.'n ^'.x ',��, +b,�. '.fy . 3`°:4.E` 'f✓ 1 � u
r' �Fa'r"?. r"' t,
_—_
ESISTDPG
Area
PROPOSED TOTAL
TENANT AREA ONLY /
gTotals
001 V miry
..
ft16,
:.,,
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — N DITION
AREA DESCRIPTION
ea Occupancy Group(s)
Construction
of
Additional Information
in S uar eet
Stories
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" s'.
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'„
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s",',: d ,�i�.,#I' l
r,.
. "'`/ .'iy r
�t�
r,�/
ADDITION
COMMERCIAL — REMODEL/TENANT IMP MENTS
AREA DESCRIPTION Area ccupancy up(s)
Construction
# of Additional Information
in Square Feet
e
Stories
y
YX ""k"' ' /f '.r ,Y ry'qY�fe4lFZ�£j��` '^�Sl � f .., F
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TENANT AREA ONLY /
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`fin'"%
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application