09-101066M r r City of Federal Way juilding
- Single Fitmily
'• Q
Community Development Services Permit #. 09-101066-00-S F
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: LAZZARETTI
Project Address: 33819 36TH AVE SW
Parcel Number: 921150 0600
Project Description: ALT - Interior remodel to remove restroom wall and construct a new wall to enlarge the
master restroom. No mechanical, Plumbing is included on this permit. **4/14/09 - add
mechanical for relocation of ducting vent.**
Owner
Applicant
Contractor
Lender
HEATHER LAZZARETTI
JAY PEARSON
OWNER IS CONTRACTOR
HEATHER LAZZARETTI
33819 36TH AVE S
18541 ASHWORTH AVE N
New / Additional Sq. Feet - Total ..........................
33819 36TH AVE S
FEDERAL WAY WA 98023-2956
SHORELINE WA 98133
FEDERAL WAY WA 98023-2956
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 0 1 0 1 0
New / Additional Sq. Feet- 1st Floor .................0
New / Additional Sq. Feet - 3rd Floor....................0
BasicPlan?...........................................................
No
New / Additional Sq. Feet - Garage .......................
0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total ..........................
Ducting........................................... 1
Bathtubs ......................................... 1
Subject to field inspection without plans.
(7 V t/ "D
1 - / AUUlLl V11Q1 JL.i. l "' -..- I VVI...................v
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck..........................0
Mechanical to be Included?....................................Yes
Plumbing to be Included? ....................................... es
0
CONDITIONS: G�
PERMIT EXPIRES Wednesday, September 16, 2009
Permit Issued on Friday, March 20, 2009
I 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
and the City of Federal Way.
Owner or agent: Date: W114 /,04
THIS CARD IS TO MAIN ON-SITE y
CITY OF ftommunity DevelopAt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -101066 -00 -SF
Owner: HEATHER LAZZARETTI
Address: 33819 36TH AVE SW
FEDERAL WAY, WA 98023-2956
This card is part of your required inspection documents. 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
❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing (4220)
Approved to install roofing
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.14/UBC 108.5.4
❑ Rough Plumbing (4230)
Approved
By ("a), Date 'Y-1 Y -06i
❑ Fire/Draft Stops (4095)
Approved
By I ". _,% Date
❑ Framing (4120)
Approved to insulate
By Date ..v
❑ Gypsum Wallboard Nailing (4130) ❑ Final Erosion Control (4375)
Approved to install mud & tape Approved
BDate — q,og By Date
❑ Final - Plumbing (4075) ' ❑ Final - Building (4050)
Approved Approved --77
B Date B Date ��li �'
❑ Mechanical Rough -in (4165)
Approved
By Date —
❑ Interim Erosion Control (4370)
Approved
By Date
❑ Insulation (4150)
Approved to install wallboard
By Date
❑ Final - Mechanical (4065)
Approved
B �s Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
A y ' C//�J /�
' cm of A a �, 1 — _� lJ ( o l4 r
Federal WayRPERMIT
MF CO ME EL PL DE EN FP
COMMUNI7YDEVELOPMENT SERVICES
/ vi•�
33325 D AVENUE, WA 9 • 63 BOX 9718 MAR %' AIP P L CATION .7 -
FEDERAL WAY, FAX
98063 -260 D
253-835-2607• FAX 253-835-2609 A
www.cituoffedernlwnu.com W `
The following �Q+4fo I)qm - an incomplete application will not be accepted Please print legibly (in ink) or type.
SITE ADDRESS �q pD �J� �f1aEPa GC/.o ti 9&P-5 SUITE/URIT 9
ASSESSOR'S TAIL/PARCEL i ` x S- U O LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1 )
PROJECT INFORMATION
TYPE OF PERMIT 19 BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
«/ M
PROJECT NAME (Name of Business or
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
/1 NGLkR�L.S ��+fii�c�l/NL GH�y �✓!� 9�tIR41ti 'T'�*t9 �M>/✓ f7•�7.a/�ry�0•t�
NAME,/��
7
L //
n��
PRIMARY PHONE
2JJ
( ) Mar
MAILING ADDRESS
/ Q4j41
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( -
MAILING -ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
(
CONTRACTOR'S REGISTRATION NOIt88R rXPUtATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, SIATE, ZIP
CELL PHONE
i
9
-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant gent ❑ Other
( -
NAME ]—'PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27 095:
Lender btformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE 6F PZ PROPOSED USE `A±'«
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER g LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 74 AKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
CHANGE OF USE?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
UP/SEPA/SU?
❑ YES
DECK (❑ COVERED OR ❑ UNCOVERED?)
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
o NO
NUMBER OF FLOORS
msrua
M01018D
Toren.
7'o7',u. eaffira�o sr
7'orwc rxoroesn Sl
7'al'nt 8l
W HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercial
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub/shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom sink
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (Toilet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? o YES)OO
I cert(jy under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I cert{jy 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 o t of the reit ee of the city, including its officers and employees, upon the accuracy of the iriformation supplied to
the city as a part o plication.
SIGNATURE DATE
Property 0AWkdidlor Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION
ALTERATION
o REPAIR o TENANT IDgPROVEMENT
BUILDING SHELL ONLY? o YES)OO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin # 100 — January 1, 2009 Page 2 of 4 k\Handouts\Permit Application