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15-102994`City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax (253) 835-2809 Building Singre.Family FILEPermit #: 15 -102994 -00 -SF Inspection Request Line: (253) 835-3050 Project Name: ORMSBY Project Address: 1104 SW 29617H ST P umber: 119500`4775 Project Description: REP - Seismic retrofit (clamp house to foundation) and installation�f p pi ings in accordance with engineers report. 411F Owner LYNN ORMSBY ARRI"can ROBERT D ORMSBY Contractor Lender OWNER IS CO T OWNER IS LENDER ROBERT D ORMSBY 1104 SW 296TH AVE S Type V - B 1104 SW 296TH AVE S FEDERAL WAY WA 98003 Floor Areas . ft. FEDERAL WAY WA 98003 Census Category: 434 - Residential altfad -n e10Wmbe r of units Includes: #1 ,M;� #3 #4 Occupancy Class: R-3 Construction T Type V - B Occupancy Load Floor Areas . ft. 0 0 0 0 Perm anon New / Additional Sq. Feet - 3rd Floor .................... New / Additional Sq. Feet - Basement .................. 0 Occupancy #I -Construction Type........................Ty V - B Mechanical to be Included? ................................... No Occupancy # 1 - Class .................................. Plumbing to be Included? ...................................... No Occupancy #I - Use ........................ esidence (1 or 2 family) ' No R urea Aeso ted With This Permit !! RMIT RES Tuesday, December 29, 2015 PIssued on Thursday, July 2, 2015 1 hereby certify that th bove information is correct and that the construction on the above described property and the occupancy use will -be in accordance with the laws, rules and regulations of the State of Washington 0 nd the Ci f Federal Way. Owner or agent. Date: '% / CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 41:�A�Ly Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: �I p�{ Sitit z�6 S J PERMIT#: I -- �t��IMF[ All IF YOU HAVE QUESTIONS CALL Cic (253) 835-.267,( WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TQ4E*ADE WITHIN 15 DAYS. Sr [�)s- [S DATE INSPECTOR DO NOT REMOVE THIS NOTICE Pageof� CITY OF TIIIS CARD IS TO REMAIN ON-SITE ' M - Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 15 -102994 -00 -SF Address: 1104 SW 296TH ST Project: LYNN ORMSBY FEDERAL WAY, WA 9802;4254 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close Wd 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) SWM Precon Site Mtg (4400) 0 Initial Erosion Control (4365) Walls (4245) Footings/Setback (4110) Approved By To be done prior to breaking ground Approved to place concrete By Date By Date By Date 0 Underfloor Framing (4285) 0 Floor Sheathing (4105)Shear Walls (4245) Approved to sheath floor Approved to install flooring ,fY By Approved to install siding By Date By By Date By Date By Date ❑ Roof Sheathing (4220)Fire/Draft S ps (4095) Interim Erosion Control (4370) Approved to install roofing App ed Approved By Date By Date By Date Prior to scheduling a Framing inspection; ❑ raming (4120) 0 Insulation (4150) Electrical, Plumbing & Mechanical Rough -in and Approved to insulate Approved to install wallboard FireNraR Stop inspections must be signed -off and By Date By Date approved. IBC 1093.4 0 Gypsum Wallboard Nailing (4130)Final Erosion Control (4375) ❑ Final - Building (4050) Approved to install mud & tape Approved Approved By Date y Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date �--2v —15 OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing GEOTECHNICAL INSPECTION REPORT Report Number: 277634 Description: Piling Project: Robert Ormsby Project Permit Number: Address: 1104 SW 2961h Street, Federal Way, WA Job Number: Client: Robbins & Co. Client Address: Inspector Remarks and Date 15-102994-00 15-0561 818 SW 142nd Street, Seattle Scott Hoobler, Arrived onsite as requested to observe the installation of grip tite piers. The installation was post - PE poned. 08/10/2015 Copies to Owner Contractor Architect Building Dept. Technical Responsibility: Engineer Anthony C ne, Senior Yhgineer This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax (206) 723-2221 Form No,: ADMIN -100-01 (Rev 01/05) OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing GEOTECHNICAL INSPECTION REPORT Report Number: 277084 Description: Grip-Tite Pier Installation Project: Robert Ormsby Project Permit Number: 15-102994-00 Address: 1104 SW 296th Street, Federal Way, WA Job Number: 15-0561 Client: Robbins & Co. Client Address: 818 SW 142nd Street, Seattle Inspector and Date Remarks Scott Hoobler, Arrived onsite as requested to observe the installation of 3 -inch diameter hydraulically -driven Grip - PE Tite piers driven into the subgrade using SPX Power Team hydraulic cylinder jack. Listed below are 08/11/2015 the pier locations (see the attached figure), the final installation depths (in feet), final installation pressure (pounds per square inch or psi), and final installation load (measured in pounds). The final installation depth is measured from the top of the bracket of the Grip-Tite. Grip-Tite Pier Location Refusal Depth (feet -inch) Final Installation Pressure (psi) Final Installation Load (pounds) 8 3'-10" 4000 38480 9 18'-9" 3300 31746 10 6' 3600 34632 7 T-2" 3600 34632 6 14' 3300 31746 5 11'-2" 3000 28860 3 11' 3400 32708 2 9'-7" 3600 34632 13 9'-7" 3500 33670 17 12'-7" 3800 36556 When the final pressure was obtained, the pressure was held for at least 5 minutes. No pressure drop or vertical movement of the residential structure was observed when the maximum installation pressure was held for at least 5 minutes. The installation of the Grip-Tite Piers was done in accordance with the approved project plans. Copies Owner Contractor Architect Building Dept. Technical Responsibility: Engineer Anthony Coy n Senior Engineer This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm is strictly prohibited. Page 1 of 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax (206) 723-2221 Form No.: ADMIN -100-01 (Rev 01/05) OTTO ROSENAU & AS 'OCIATES, INC. Geotechnical Engineering, Construction Inspectioi & Materials Testing Job Name: Robert Ormsby Project Job No.: 15-0561 Report No.: 277084 Page 2 of 2 OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing GEOTECHNICAL INSPECTION REPORT Report Number: 317902 Description: Grip-Tite Pier Installation Project: Robert Ormsby Project Permit Number: 15-102994-00 Address: 1104 SW 2961h Street, Federal Way, WA Job Number: 15-0561 Client: Robbins & Co. Client Address: 818 SW 142nd Street, Seattle Inspector 38480 and Date Remarks Tsegaye Hailu Arrived onsite as requested to observe the installation of 3 -inch diameter hydraulically -driven Grip - 8/12/15 Tite piers driven into the subgrade using SPX Power Team Hydraulic cylinder jack. Listed below are 3800 the pier locations (see the attached figure), the final installation depths (in feet), final installation 18 pressure (pounds per square inch or psi), and final installation load (measured in pounds). The final 4000 installation depth is measured from the top of the bracket of the Grip-Tite. Grip-Tite Pier Location Refusal Depth (feet -inch) Final Installation Pressure (psi) Final Installation Load (pounds) 14 15'-00" 4000 38480 15 12'-5" 3800 36555 16 13'-6" 3800 36556 18 12'-6" 4000 38480 19 9'-9" 4000 38480 When the final pressure was obtained, the pressure was held for at least 5 minutes. No pressure drop or vertical movement of the residential structure was observed when the maximum installation pressure was held for at least 5 minutes. The installation of the Grip-Tite Piers was done in accordance with the approved project plans. Copies to: Owner Contractor Architect Building Dept. Technical Responsibility: 1 % Engineer Anthony Coyn , Senior En neer This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm is strictly prohibited. Page 1 of 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax (206) 723-2221 Form No.: ADMIN -100-01 (Rev 01/05) OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing Job Name: Robert Ormsby Project Job No.: 15-0561 Report No.: 317902 Page 2 of CITY OF Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE ` Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 15 -102994 -00 -SF Address: 1104 SW 296TH ST LYNN ORMSBY FEDERAL WAY, WA 98023-8254 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. Underfloor Framing (4285) SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ❑ Footings/Setback (4110) Approved to sheath floor Approved Approved to install flooring To be done prior to breaking ground Approved to place concrete By Date By Date By Date Underfloor Framing (4285) E] Floor Sheathing (4105)Shear Final Electrical Approved Walls (4245) Approved to sheath floor Right of Way Approved Approved to install flooring Date Approved to install siding By Date By Date Date By 0 ,4, Date 0_ O Roof Sheathing (4220) E] Fire/Draft Stops (4095)Interim Erosion Control (4370) Approved to install roofing Approved Approved By Date By Date By Date Framing (4120) Insulation (4150) Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed -off and By Date By Date approved. IBC 1093.4 E] 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 Right of Way Approved By Date By Date By Date CnV Or A Federal Way ,- PERMIIIkPPLICATION WMVW PERMIT NUMBER C - � (/ - JUN 192015 � "1 �j �115— crry MMDWL SITE ADDRESS j b4 5 L Zq(n-nfi ejrx. Z -a SUITE/UNIT # .._ PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL # n TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT �l-} AS �- � ��M op �� _ 1 N DP 0 N , S 41 c O P P -#b •fiC--�-- �flU h7 Ri�"ia ti � �' 1 N JS -Ff (� ! C.��' 4 /L� � PROJECT DESCRIPTION Detailed description of work to ''� AA PP yy IkA U p JA -C F" OCA Y' S 1 C(L) W ^ 54LC C '7��� �(CL be included on this permit only ,u. At- w G R lr= IJ Aglico PROPERTY OWNER R l jS H nrA C& 9; 9-44. j G ADDRESS � 0 e7 `7 CO � 8 -MAIL S ` �-�-e� Y, t:1 6C cITY '9 023 M<vl , Cco �'Yl --. _ JJ 5 ^ TOR MAILIN CJG �-f.� E-MAIL 0 r , •Tb P; CITY ar �g I / V ro Fr '2�(0� -I (— / /o/ / WA W' vJ ...9f0R'8 LICENSE # ASPIRATION DATE FEDERAL WAY BUSDOW LICENSE # 8 L-- PHONE SAILHIGAQDRE88 ©uM T APPLICANT lit% CITY 06-Q ST-Nm � 0'2.3 F�2�3 8 1 C PDRASE SPR �� ( PHONE cpf %/ CONI 1C J 0 The individual to receive and YpAH'�G ADDRESS r >>r>ywu 1 �� q01 I �C- respond to all correspondence CITYSTA zip FAX concerning this application) PROJECT FINANCING RARE OWNER -FINANCED Required value of $5,000 or more (RCW 19.27.095) SAmm ADDRESS, CITY, STATE, ZIP PHONE I certify under penalty of perjury that I am the property owner or authorised 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 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 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 information suppjfadJo the city as a part of this application. SIGNATURE: DATE r 7-0 is— ^ PRINT NAME: o� ,S.R1 U . © M -S dv Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application ILA a 'ovu VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfuctures to remain.. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial( BOILERS FURNACES HOT WATER TANKS (Gaa) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? U -KJ )IJ WATER PURVEYOR LAV-C4A(/9'(1) VALUE OF PLUMBING WORK PLUMBING PERMIT EXISTING/PREVIOUS USE LOT SIZE (In Sgnare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? �� 1 1-350 $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain. BATHTUBS (or Tub/sboiver combo) LAVS (Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DECK DRINKING FOUNTAINS SINKS (Kitchen/utdity) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? U -KJ )IJ WATER PURVEYOR LAV-C4A(/9'(1) SEWER PURVEYOR ZA kF 1-IA(fEk) VALUE OF EXISTING IMPROVEMENTS $ 21 ,z,cco EXISTING/PREVIOUS USE LOT SIZE (In Sgnare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? �� 1 1-350 ❑ Yes X No El Yes ,� No RESIDENTIAL - NEW OR ADDITION 00 ^j C - AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT Additional Information NEW BUILDING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL — REMODEUTENANT IMPROVEMENTS COVERED ENTRY Area In Square Feet Occupancy Group(s) Construction a # of Stories DECK TOTAL BUILDING GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY Area Totals SRISM0 PROPoaso TMAL __......... _.......... _.__..._. **1=W SO1M OALY** ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL — REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area In Square Feet Occupancy Group(s) Construction a # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application