15-103269w 4
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809 FILE
Project Name: HANSEN
Project Address:. 28844 11TH AVE S
Building -Single fam' ily
Permit #: 15 -103269 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 720580 0060
Project Description: REM - Interior remodel work to include construction of new walls,removal of existing load
bearing wall and replace with beam, window replacements, infill existing exterior door and
install new window. Plumbing and mechanical included.
Owner
ERIC HANSEN
9RRlicant
ERIC HANSEN
Contractor
OWNER IS CONTRACTOR
Lender
OWNER IS LENDER
28844 11TH AVE S
28844 11TH AVE S
Occupancy Load
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 434 - Residential altladd - no change mbew4units
".K
Includes:
#1 #2 'f #4
Occupancy Class:
.11-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
0 0 0
• 1
Add' ftnit Inf ation
New / Additional Sq. Feet - 3rd Floor .................. '` N itional Sq. Feet - Basement ................0
Occupancy # 1 - Construction Type . .................. ...Type Vy- B ical to be Included?................................... Yes
Occupancy # 1 -Class ................... .......�..:.....
�R- bing to be Included? ....................................... es
Occupancy #1 - Use........................,Residence (1 or 2
family)
60
e a Fixtures
Fans............................ .... 1
! C `Plumbing Fixtures
SO.......� . :. ..................... 1 Sinks............................................... 1
f„.
PERMIT EXPIRES Tuesday, February 2, 2016
Permit Issued on Thursday, August 6, 2015
I hereb ertify that the above information is correct and that the construction on the above described property and
the o upancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
/ner or agent:'` Date:
THIS CARD IS TO REMAIN ON-SITE
CITY. Construction Inspection Record _
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -103269 -00 -SF Address: 28844 11TH AVE S
Project: ERIC HANSEN FEDERAL WAY, WA 98003-3705
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 (4110)
Approved
To be done prior to breaking ground
ApprowA.1p place concrete
By Date
By Date
By Date
Date
Approved to sheath floor
1
��-
SPICe, —
'Deg, r\111n5 & V � ,r
� r
4 1-30 -f s - S�-w't P,.P4 -tt,+ A.
❑
Plumbing Groundwork (4190)
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Right of Way
Approved
Approved to cover
Date
Approved to sheath floor
By
Approved to install flooring
By
Date
By
Date q — — t
By
Date
Shear Walls (4245)
Roof Sheathing (4220)
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
Mechanical Rough -in (4165)
Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
V4 Date i 13 I 1 r
By
Date
By
Date
❑
Interim Erosion Control (4370)
Framing 4120
g ( )
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
approved IBC 109 3.4
j�
By j L Date S
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
DateC1 _Q _(�
C DateC I t
By
Date
0
Final - Mechanical (4065)
Final - Plumbing (4075)
Final - Building (4050)
Approved
Approved
A...
Approved
By
Date
By
Date
By
Date
��-
SPICe, —
'Deg, r\111n5 & V � ,r
� r
4 1-30 -f s - S�-w't P,.P4 -tt,+ A.
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
#0
CITY OFA
Federal Way
PERMIT NUMBER t S
PER LICATION
'
JUL 07 2015
OFF
CDS
SITE ADDRESS
2-J�6,eiy Il1 �.vE s, E �,,, �.�b JtCC,3
SUITE/UNIT #
PROJECT VALUATION
✓✓OF (PERMIT
ZONING
:1
ASSESSOR'S TAX/PARCEL
TYPE
❑ BUILDING ❑ PLUMBING El MECHANICAL ❑l DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
NA��E� 1 X51 �FNC C�E�pV�T�Ch� Q-eA—\toCIE
PROJECT DESCRIPTION
Detailed description of work to
Fz.ES►r?Ew�� �rnnt�.�L G-Ot�ISlS"Cb O�— aZE�o�1►vv �or,n�
A
E'Ft`snw WAA1 C_ 41 C'0"-'5V00Cs►0N of cvorv\r
P1J V,\\O \ N g, tJ f V Q 'OCA---wr'I O 1: -% Y'Tyde'b kV'i
be included on this permit only
IL►TZj 9' .tJ41 kpa.- v7'
PROPERTY OWNER
NAME
Ea -1 C-- �,� N
PRI Y PHONE
.t) W -j g44bi
MAILING ADDRESS�-
y 11 F-
E-MAIL
CITY
FFI wA
STATE
ZIP
a 7.
NAME
Eai ,.
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
�2a cr \An d.i s1'c�/
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME 11 ''
Ewe- H sEtJ
PRIMARY ONE
4k(CC —(J4
MAILING ADDRESS
2- �i ` , r 1 A,\JE- 5
E-MAIL
Z.1 • t`J' - ' I
(The individual to receive and
respond to all correspondence
CITY
-FFTFQ'L� WW
STATE
wP
ZIP
3
FAX
concerning this application)
PROJECT FINANCING
kNAME
EVA C IdN S
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 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), 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 supplied to the city as apart of this application.
SIGNATURE: -- !% % DATE `O - 71-2-,0 %, 5
PRINT NAME: EV -1 C, kA Niy
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ C�, 0 0
Indicate how many of each type offixture to be installed or relocated as part o this project. Do not include existingfixtures to remain_
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS < HOODS (Combmrcial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR SEWER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
I--- /-*,- V -.P- a" eN
(DESCRIPTION
777,77-77,77,
in Square Feet
$
EXISTING/PREVIOUS USE
$ 2 (0 0 0
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existingfixtures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand Sinks) �_
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
I _ SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
Z SINKS (Kitchen/Un7ity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
,,► o r-li C-
I--- /-*,- V -.P- a" eN
(DESCRIPTION
777,77-77,77,
in Square Feet
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
p�sII.Ir�
❑ Yes ❑ No
❑ Yes ❑ No
O�
Ivo c.H
�S
RESIDENTIAL - NEW OR ADDITION
AREA (in square feet)
EXISTING
PROPOSED
TOTALLI
FOR OFFICE USE
(DESCRIPTION
777,77-77,77,
in Square Feet
Occupancy Group(s)
Type
Stories
Additional Information
.......... _....... _ --
FIRST FLOOR (or Mobile Homy
Ivo c.H
�S
._—__
ADDITION
COVERED ENTRY
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
SEC fj
Additional Information
in S uare Feet
fy x
Stories
/
F
- -- ---
GARAGE ❑ CARPORT ❑
''
."TOTAL'BvILn"nva
/' F.
A ME
/r/`r
//=
/
Area Totals
F.7QSTRfG
PROPOSED
OTAL
T77
PROJFiCT
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEWIADDITION
Area
Construction
# of
AREA DESCRIPTION
in Square Feet
Occupancy Group(s)
Type
Stories
Additional Information
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in S uare Feet
Type
Stories
F
'j'��
''
."TOTAL'BvILn"nva
/' F.
/r/`r
TENANT AREA ONLY
�;`O.{L
PROJFiCT
J
/,r
Bulletin # 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application