14-100433P 10�
wilding - Single Family
City ofFede& Econ.rel way Permit #: 14 -100433 -00 -SF
Community Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Vi
Ph: (253) 835-2607 Fax: (253) 83-5-2609 k Inspection Request Line: (253) 835-3050
Project Name: VANDERARK
Project Address: 616 SW 293RD ST Parcel Number: 119600 0485
Project Description: REM - Construct interior walls infill (1) window and add windows & doors to reconfigure
bedrooms. Plumbing & mechanical included.
Owner
Anolicant
Contractor
Lender
THOMAS J VANDERARK
ROBERT HUMBLE
CIOTTA CO
OWNER IS LENDER
KAREN F VANDERARK
HYBRID ARCHITECTURE
CIOTTCs088NO (12/10/15)
616 SW 293RD ST
1205 E PIKE 2D
325 S 293RD ST
FEDERAL WAY WA 98023-3538
SEATTLE WA 98122
FEDERAL WAY WA 98023
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 1 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Mechanical to be Included?...................................Yes Plumbing Work Valuation? .................................... 6000.00
Plumbing to be Included? ....................................... es Zoning Designation ............................................... 9.6
Mechanical Fixtures
Fans................................................ 1
Plumbing Fixtures
Lavatories ....................................... 2 Showers.............................. 1 Water Closets.......................... 1
............ .......
PERMIT EXPIRES Monday, July 28, 2014
Permit Issued on Wednesday, January 29, 2014
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:
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V4 _LQt 0q "b� O a
4-1a1elg7 EL-
THIS CARD IS TO MAIN ON-SITE
CITY., Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 83-5-3050
PERMIT #: 14 -100433 -00 -SF Address: 616 SW 293RD ST
Project: THOMAS J VANDERARK . .. FEDERAL WAY, WA 98023-3538
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) Floor Sheathing (4105) El Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
13
Roof Sheathing (4220)
Framing (4120)
Approved to install roofing
By
Date
cal, Plumbing & Mechanical Rough in and
Right of Way
Approved
Approved to insulate
Gas Piping (4125)
Approved to release test
By
Date
0 Mechanical Rough -in (4165)
Approved
B Date4 _ t 0-- (e4
Interim Erosion Control (4370)
Approved
By Date
or to scheduling a Framing inspection;
Rough Electrical
Approved
Framing (4120)
Final Electrical
Approved
Insulation (4150)
cal, Plumbing & Mechanical Rough in and
Right of Way
Approved
Approved to insulate
Date
Approved to install wallboard
[Fire;/DraftStop inspections must be signed off and
approved IBC 109.3.4
ByC
Date ^ (�� (
Date
By
Date
0 Gypsum Wallboard Nailing (4130)
Final - Mechanical (4065)
Final Erosion Control (4375)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By
Date
0 Final - Plumbing (4075) Final - Building (4050)
Approved Approved
By Date S.By 0 Date
Rough Electrical
Approved
Final Electrical
Approved
IJ
Right of Way
Approved
By
Date
By
Date
By
Date
cm of "�.�' �•
'Federal Way
• PERMIT NUMBER /
PERWe,#�?PLICATION
JAN 2 9 2014
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3-3 �r ATEy
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SITE ADDRESS
&Re SW 2G3'= -,,-.. F MlL..w�`1',WA �18oz3
SUITE/UNIT i
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ C.e U 000
— — - — —
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
GO
PROJECT DESCRIPTION
Detailed description of work to
t
o
P W'O By-yV,0q1 wOLL's +0 P
be included on this permit only
PROPERTY OWNER
NAME ,
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PRIMARY PHONE
.9 C1 q . 66815
MAILING ADC r
EMAIL r V I I' t0 rn
CITY
STATE)
ZIP
NAME (G
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
E
NAMPRIMARY
PHONE
�/
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�(/ t� 2,&7
MAILING ADDRESS
1205 F P�k� zp
E-MAIL
roto J vVe • 44
APPLICANT
CITY' L
"G
STATE
W A
ZI
CSJ{ ZZ
FAX
PROJECT CONTACT
NAME
�L�
PRIMARY PHONE
26 1 9 ZZ 1
MAILING ADDRESS
20J� �. 7�
E - ,7L
✓ J2Yc • Ila_
(The individual to receive and
respond to all correspondence
CITY
ST TEZIP
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
PRINT NAME:
Bulletin # 100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
2
VA
MECHANICAL PERMIT LUE O MECHANICAL WORK
Indicate how man o each type o velure to be installed or relocated as art o this project. Do not include a tin res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
__BOILERS _ FURNACES _ _ HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
`44
Additional Information
NEW BUILDING
$ '250,00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each type o
acture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
BATHTUBS (or Tub/shower combo)
Z LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
T
DRAINS
1 SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
`44
Additional Information
NEW BUILDING
$ '250,00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
...............................................................................................................................................................................................
BASEMENT .
Lv
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
................................ _.......................... .............. ... ..... ...... .... .............................................. ........................ ............................
DECK �.
GARAGE ❑ CARPORT ❑
................................................................................................................................................................................................
OTHER (describe)
................................................................................................................................................................................................
Area Totals BRISTIEO PROPOSED TOTAL
**JwwsO=S Oi1/LY"a
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
•
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application