11-104343City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ANSARI
• Building - Single Family
Permit #: 11-104343-00-S F
Inspection Request Line: (253) 835-3050
Project Address: 4338 SW 307TH PL
Parcel Number: 112103 9031
Project Description: REM - Construction of 200 square foot loft area above open 1st floor area. No plumbing or
mechanical.
Owner
Annlicant
Contractor
Lender
SHAISTA ANSARI
BOHREN CONSTRUCTION &
BOHREN CONSTRUCTION &
SHAISTA ANSARI
IRFAN A ANSARI
DESIGN
DESIGN
4338 SW 307TH ST
4338 SW 307TH PL
135 S 293RD PL
BOHREC1994KW (5/14/12)
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98003
135 S 293RD PL
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Areas . ft.
200 1 0 0 1 0
New / Additional Sq. Feet - 3rd Floor....................0 Occupancy # 1 - Area (Sq. Feet) ............................. 200
New / Additional Sq. Feet - Basement...................0 Occupancy # 1 -Construction Type ........................ Type V , B'
Mechanical to be Included?....................................No Occupancy # 1 - Class ............................................. R-3
Plumbing to be.Included?......................................No Occupancy #I - Use............................................... Residence (1 or 2
family)
Zoning Designation................................................SE
CONDITIONS:
1. A separate permit is required for the alteration to the fire sprinkler system.
2. Subject to field inspection with plans.
PERMIT EXPIRES Monday, April 23, 2012
Permit Issued on Wednesday, October 26, 2011
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: ��V Date:_1 O/26 I1(
' THIS CARD IS TO MAIN ON-SITE '
C� of Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11 -104343 -00 -SF Address: 4338 SW 307TH PL
Project: SHAISTA ANSARI FEDERAL WAY, WA 98023
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)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By f6 Date '
By Date //—If --/
By Date
Roof Sheathing (4220) E] Fire/Draft Stops (4095)
Prior to scheduling a Framing inspection;
Approved to install roofing Approved Electrical, Plumbing & Mechanical Rough -in and
By Date By �� Date � % Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Approved to insulate
By Date ` 1 _I %
Final - Building (4050)
Approved
By ^ " _ Date
11
Insulation (4150)
Approved to install wallboard
By Date
Approved to install mud & tape
By SCS Date"- l?__
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
40e .'.
Federal Way PERMIT
COMMU35-260 -FA E 1 PLICATION
253-835-2607 FAX 5
,ugotuo edgajy a"Nt
Oct n511
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MMF CO ME PL DE EN FP
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SITE ADDRESS [�
SUITE/UNIT M
-5!0A
S4-- 52& - "-i, WA. cl 9022
PROJECT VALUATION
$ 000 °"
ZONING
ASS R'S TAR/PARCEL M
i o�
a J
TYPE OF PERMIT
b BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
A n S0. '
tCkt LV -P+ MaFAAA
oY�^ t
PROJECT DESCRIPTION
k
Detailed description of work to
����
p v A q%` — '
be included on this permit only
PROPERTY OWNER
NAM
�' � C -�
PRDl1ARY PHONE
2 ,3-3t�—2 oS
•ren ING ADDRESS �T
Lava sio
E-MAIL
` ^ I
ZIP
NAMEl?S�Yv�iln
PHONE
5
KAILING ADDRESS
1335S
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX •
10A
qvdaz
STATE CONTRACTOR' SEM
iiREG t"MLFK
EXPIRATION DATE
85-i t�} i F2
FEDERAL WAY BUSINESS LICENSE N
NAME
D34.W26
PHONE
l Qr—
:f
MAILING ADDRESS
I Z 3V`PLI
E-MAIL
APPLICANT
AeA�/ ZIP l OOG3
4PROJECT
FAX
CONTACT
NAMF v
PHONE
W6--4(5-
6--4(3respond
(The individual to receive and��
MAILING ADDRESS
IC -MAIL
respondto all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME-
PHONE
E -MAA.
PROJECT FINANCING
NAME
� � ( ��E
�A�S
'OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY,3JSTATE, ZIP
LTL13u?QQr `C7�+,+ t7vTly�fw" t�(R�
HONE
� r � �Q
(RCW 19.27.095)
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 fincluding costs, expenses, and attorneys' fees incurred in
the investigation and defense of such clafm), 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 ofthis application.
(-4)SIGNATURE:
&L^ L--- DATE
1 7 I 1/
PRINT NAME:
BOR RSP4
_
Bulletin #100 — January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
VALUE OFMECRAMCAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many o
re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FA
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERT
_ HOODS (commerciaq
BOILERS
FURNACES
TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
or u
LAVS (Hand Sime.)
TOILETS WATER PIPING
DISHWASHERS
STEMS URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utiL'ry)
W RS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES WAR "M ,r
Bulletin #100— January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application