12-102276i It
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LEZON
Project Address: 4152 SW 314TH ST
Building - sifigk Family
Permit #: 12 -102276 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 873199 0180
Project Description: ADD - Remove and replace existing 364 sqft deck and add 495 sgft feet
Owner
ARplicant
Contractor
Lender
MICHAEL E LEZON
MICHAEL E LEZON
4152 SW 314TH ST
MICHAEL E LEZON
4152 SW 314TH ST
4152 SW 314TH ST
FEDERAL WAY WA 98023-2172
4152 SW 314TH ST
FEDERAL WAY WA 98023-2172
FEDERAL WAY WA 98023-2172
id
FEDERAL WAY WA 98023-2172
v
Census Category: 434 - Residential alt/add - .q�n njmber of units
Includes: #1 #A #3 AA #4
Occupancy Class:
Construction Type: dF
Occupancy Load
Floor Areas . ft. 0 0 0
;PIRES Sunday, December 16, 2012
Issued on Tuesday, June 19, 2012
I herebV%CifyJhfft above information is correct and that the construction on the above described property and
the occup an a use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner o�agen -/- c \ ( L, Date: (,,:, - 0 - 12
THIS CARD IS TO REMAIN ON-SITE
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -102276 -00 -SF Address: 4152 SW 314TH ST
Project: MICHAEL E LEZON FEDERAL WAY, WA 98023-2172
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
Final Electrical
Approved
(4110)
0
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
Drainage/Downspout (4040)Slab/Concrete
Final Electrical
Approved
Floor (4255)
0
Approved to place concrete
By
Approved to backfill
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing (4285)
Floor Sheathing (4105)11
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Roof Sheathing (4220)
Fire/Draft Stops (4095)Interim
Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Framing (4120)
Insulation (4150)
o scheduling a Framing inspection;El
Plumbing &Mechanical Rough in and
EFire%raft
Approved to insulate
Approved to install wallboard
Stop inspections must be signed -off and
BY
Date Z
Z ,
By
Date
approved. IBC 109.3.4
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
Approved
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
F
os
Federal v CEIVED OPERMIT
COMMUNITY DEVELOPMENT SERVICES -
607. 2012 APPLICATION
253-835-2FAX 253-83 70
unf.u'. cityoffederalwaL-_
CITY OF FEDERAL WAY
(**F CO ME PL DE EN FP
4M% &' /?0/90 00f0
SITE ADDRESSCUS ITIVt
X182 'S VQ 5. wAy wP, 9-_604_2"�>
SUITE/UNIT N
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL M
$ k'5- C)
S14
3 J g
TYPE OF PERMIT
)4 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
i C' L
a t 3 6 - 7 F6 I
MAILING ADDRE88
E-MAIL
CITY
STATE
ZIP
9 6z 3
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NAME
AL
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
Zn?
FAX
WA STATE ONTRACTOWS LICENSE M
ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY�v ^
�T
ZI�
FAX
PROJECT CONTACT
NAME
�"'�'�
PHONE
Z�53 "2q f `-
(The individual to receive and
MAILING ADDRESS �y
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EMAIL
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respond to all correspondence
concerning this application)
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FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $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 irgformation 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 such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
Wormation supplied to the city as a part of this application.
( l
SIGNATURE: DATE /� Z a /2.
PRINT NAME:
Bulletin #100 —January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
r
alfthl V' V*15FMit1jWd0FWo (a copy of bid or estimate must be provided)
Indicate how ny of each type of fucture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLI ITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerciet)
BOILERS FURNACES HOT WATER S (Gas)
COMPRESSORS GAS LOG SETS REF TION SS;)
DUCTING S PIPING ODSTOVES
Indicate how many of each type of fixture to be installe reldtated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or7Vb/Shower combo) LAVS dSink.) TOILETS WATER PIPING
DISHWASHERS ATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS V UM BREAKERS
DRINKING FOUNTAINS SINKS Kitchen/uturyl WATER ATERS (Electric)
HOSE BIBBS SUMPS WASHING M HINES
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
RES U BMI-ffOF comm"r"'Ev" Suvzca
33325 8* Avenue South
my* F 4440PI& PO Box 9718
IjV, �UN 1 g 2012 Federal Way WA 98063-9718
F
�l 253-835-2607; Fax 253-835-2609
CITY OF FEDERAL WAY www.cibMffederalway con
CDS
. RESUBMITTAL INFORMATION
This completed frim MUST accompany all resubmitta/s
"please nod • Additional orrevlsed plans ordocunwo fbran active pgiert willnotb o aacaepted unless
sac...... ed by this completed fovm. Awed resubmInals OW db not indude Ws fbrm or that do not
contalntheaonrectnunberofcopveswlllber+etumedordiscambd Youawwxounag*dtbsu&n*a11&&w
in person and to conAW t* Customer Service Counterp ar to subvr Ong ifyou ere not sure about the
number ofagoles requslned.
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Project Name: L-,Rz-C)N
Project Address:
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Project Contact; � L- ���� Phone: �4TZ� t t
RESUBMITTED ITEMS:
# of Copies ** I
Description of Item
Always submit ft sans number of copies as required foryour iniftl app✓icohm
Resubmittal Requested by: Letter Dated:R"U" WOMW
Bulletin #129 — August 8, 2006 Page 1 of 1 k UlandoutMesubmittal Information
Sol DOA*nnNT of CommwN1TH DEVn. wmzNT Wtvicss
AVM 1"3(13-4:10 AID 33325 86 Avenue South
PO Box 9718
21(2 9 ; Nnr Federal Way WA 98063-9718
253-835-2607; Fax 253-835-2609
www.citvoffedwaway.com
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RESUBMITTAL INFORMATION
This completed form MUST accompany all resubmittals
"Please note.• Addidom l o rreviwd plans ordocwmts fbren srfte projea iWl not be accepted ur*w
accon pared by Ws aompleAad form. Mailed rusubmIals diet do not include this tban or that do not
contain#mconectnumderofc willberoWnwdor&scan*d. You&vw=uraWdtosrnbrrdta/lil4e w
In person and to ciantact llie Customer Service Counter prior to submitting if you are not sure about the
numberofcopies r+mQuir .
Project Number._
L o R - - -
Project Name: -1 -
Project Address: !-1 6e -;L '3W E f�� (S'.
Project Contact: J Phone:
RESUBMITTED ITEMS:
#Of copies ** I,
r_.,.,.:.. 1 r::. M --
Letter
Letter Dated:
Bulletin #I Z9 — August 8, 2006 Page I of 1 k UHandoutsNResubmittal Information
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SITE COPY
Plans to be on-site &
available to Inspector
RECEIVED
MAY 2 3 2012
CITY DE FEDERAL WAY
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