14-102514City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
•FILE
Project Name: ROBINSON
Project Address: 416 SW 297TH ST
fuilding - S. ingle Family
Permit #: 14 -102514 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 720510 0090
Project Description: ADD - Construction of 45 square foot addition for elevator shaft (elevator by others, permit
through L&I).
Owner
CLARENCE R ROBINSON
RIicant
WILLIS HOMES INC
Contractor
OWNER IS CONTRACTOR
Lender
OWNER IS LENDER
416 SW 297TH ST
PMB #220
FEDERAL WAY WA 98023
1420 LAKE TAPPS PKWY E SUITE
AUBURN WA 98092
Census Category: 434 - Residential altladd - no change in number of units
Includes #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load-
Floor
oadFloor Areas . ft. 0 1 0 1 0 1 0
Additional Permit Information
PERMIT EXPIRES Wednesday, July 29, 2015
Permit Issued on Friday, January 30, 2015
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: ALCate: / 3 l
�& CITY OF 0
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -102514 -00 -SF Address: 416 SW 297TH ST
CLARENCE R ROBINSON FEDERAL WAY, WA 98023-3553
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.
Foundation Wall (4115)
SWM Precon Site Mtg (4400)
Drainage/Downspout (4040)
Initial Erosion Control (4365)
Footings/Setback (4110)
Approved to place concrete
Approved
Approved to backfill
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By P,& L_ Date _ 1 S — ISS
Foundation Wall (4115)
Rough Electrical
Approved
Drainage/Downspout (4040)
❑
Slab/Concrete Floor (4255)
Approved to place concrete
IJ
Approved to backfill
By
Approved to place concrete
Date_4_ 1 _ t S'
By
C 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 P4,L— Date
Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)Interim
Erosion Control (4370)
Approved to install roofing
Approved
Approved
By f At— Date 5 - (�_ [�'
By
(� Date S —111 —, S
By
Date
0
Framing (4120)
Prior to scheduling a Framing inspection;
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
approved IBC 109 3.4
BY
Date _ t 5
By
A (, Date rZR
❑ Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
i
By 101q, Date T..'29 `- S
By
Date
By
C Date `
Rough Electrical
Approved
0
Final Electrical
Approved
IJ
Right of Way
Approved
By
Date
By
Date
By
Date
1
IR EIVE� PERMIT %PPLIC„,,oF GATION
Federal Way JUN 02 2014
-�]T bF FEDERAL war
PERMIT NUMBER CISY F,'b��E. /�
1� �_E TARGET DATE
SITE ADDRESS
L4 [ Co w ��� �+-
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ i3 xT p
TYPE OF PERMIT
)(BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
7
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY HONE
D G
MAILING ADDRESS y
E-MAIL
CITSTAT
ZIP
NAME q
rill G I
PHONE
2
MAILING ADDRESS 1�
A 5 WC �” ItKW
CONTRACTOR
E-MAIL
I4G/S % I11F5//�iG
CITY
STgTE
ZI
FAX
//�J
'✓ 0
�)'`Vl Yds
b
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E.MAL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
G.
PRIMARY PHONE
75-3-3,-v 5bCJ
- - ----(The individual -t0 receive and
respond to all correspondence
-MAILING ADDRESS
E-MAIL
G+Jt wl+j 15 V'
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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 Z
PRINT NAME: Z'74 -4(!V
Bulletin # 100 – January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
CrOA,
F1