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12-100802City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: MIDDLETON Project Address: 718 SW 294TH ST wilding - Single Falmily Permit #: 12 -100802 -00 -SF Inspection Request Line: (253) 8353050 Parcel Number: 119600 0340 Project Description: REM - Construction work to remodel and reconfigure bathroom, including plumbing work. Ducting on this permit. Owner ARRIlicant Contractor Lender ROBERT T MIDDLETON SUSAN T MIDDLETON 718 SW 294TH ST SUSAN T MIDDLETON SUSAN T MIDDLETON 718 SW 294TH ST FEDERAL WAY WA 98023-3542 718 SW 294TH ST 718 SW 294TH ST FEDERAL WAY WA 98023-3542 FEDERAL WAY WA 98023-3542 FEDERAL WAY WA 98023-3542 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 New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0 Mechanical to be Included?....................................Yes Plumbing to be Included?...................................... Yes Zoning Designation................................................RS 15.0 Plumbing Fixtures Lavatories ....................................... 2 Showers.......................................... 1 Water Closets................................. 1 CONDITIONS: Subject to field inspection with plans. PERMIT EXPIRES Sunday, August 19, 2012 Permit Issued on Tuesday, February 21, 2012 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 Stashington and the City of Federal Way. Owner or agent; i / ` r TRIS CARD IS TO REMAIN ON-SITE C,nS Construction Infection Record r.. FederrIVWay INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 12 -100802 -00 -SF Address: 718 SW 294TH ST Project: ROBERT T MIDDLETON FEDERAL WAY, WA 98023-3542 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. Insulation (4150) Approved to install wallboard By Date Final - Building (4050) Approved By ......._...... Date - Gypsum Wallboard Nailing Approved to install mud & tape Date // --:-->U . Final - Plumbing (4075) Approved B^ Dates___V� Plumbing Groundwork (4190)Underfloor ❑ Roof Sheathing (4220) Framing (4285) P Floor Sheathing (4105) Approved to cover Approved to install roofing Approved to sheath floor Approved Approved to install flooring By Date By Date By Date Insulation (4150) Approved to install wallboard By Date Final - Building (4050) Approved By ......._...... Date - Gypsum Wallboard Nailing Approved to install mud & tape Date // --:-->U . Final - Plumbing (4075) Approved B^ Dates___V� Shear Walls (4245) ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) Approved to install siding Approved to install roofing Date Approved By By Date By Date By Date _ S Fire/Draft Stops (4095) Prior to scheduling a Framing inspection; Framing 4120 (ulate ) Approved Electrical, Plumbing & Mechanical Rough -in and Approved togs B Date 11� tc � Z Fire/Draft Stop inspections must be signed off and approved. IBC 1093.4 By Date —�— Insulation (4150) Approved to install wallboard By Date Final - Building (4050) Approved By ......._...... Date - Gypsum Wallboard Nailing Approved to install mud & tape Date // --:-->U . Final - Plumbing (4075) Approved B^ Dates___V� Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date uTr of Federal wa CE 4EERMIT COMMUNITY DEVELOPbfE,VT SERJ= KATION 253-835-2607• FAX 253-835-2609 ii �r �F FEB 1 _ 2012 CS F CO ME PL DE EN FP SITE ADDRESS� OF FE RA{'''V V /""� Sw W SUITE/UNIT M PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL * $ �s, o0® < < R (,, © d - v 3 -4" 0 TYPE OF PERMIT 'E%BUILDING $,PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT h (Tenant Name/HomeoumerLast Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME �/� b -r 15Q {� `'� PRIMARY PHONE 253 �`� - 2 73 3 MAILING ADDRESS � <� �3 W a I A 5t' E-MAIL SL�e_m"ude "' r c vyw 1. «rr CITYa G W n � V� STA ZIP NAME W VklfY- S PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N NAME tk>✓ idle, V1 PHONE ;2�53 "4-Z133 MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive and NAME I DV) I f \\ lQiZ O1n PHONE )-53 = IM - ak-7 1 MAILING ADDRESS ,t 1 1 � 5� 94n 5� - E-MAIL M'iAA�GV" Got• Cow respond to all correspondence concerning this application) C� r, �� W"' � eAC4ALTERNATE STATE tV,UJ 71`\ ZIP � ©� FAX CONT¢CT NA E: PHONE E-MAIL PROJECT FINANCING NAME -( OWNER -FINANCED Required value of $5,000 or more 7 MAILING ADDRESS, CITY, STATE, ZIP PHONE (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. 1 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 o the city as a part of this application. L' 7 SIGNATURE. � � DATE v 2 [ ( Z PRINT NAME: 6&_ 0A i M �fiT ff�n Bulletin #1100 — January 1, 2011 Page] of 3 k:A.Handouts\Permit Application 0 VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) _ ---- Indicate how many of each type of tur, to b nstalled or relocate s part of this project. Do not include psrYng fixtures to remain. AIR HANDLING UNITS FANS IGAS PIPE OUTLETS., , OTHER (Describe) AIR CONDITI.(>� FIREP`A� S HOODS)co BOILHOTWATER TANKS icas> �.. e�MPRESSORS G aG 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. BATHTUBS )or Tub/Sho rCombo) 2- LAVS (HandSmks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS I SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (k;«br./umay) WATER HEATERS (El -t—) � HOSE BIBBS SUMPS WASHING MACHINES 1`OTIiLFtIUR CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS No Lukd-,a ven $ EXISTING/PREVIOUS USE LOT SIZE (In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? 2�`��Y'D ©tin r- I 0 -we, ❑ Yes � No r-, Yes 1*00 f � AREA DESCRIPTIO Area Occupancy Group(s) AREA # of Addit' in Square Feet a nformation Stories af bM,� s 3 ADDITION " �$ � Area ``�• AREA DESCRIPTION O,G¢>fpancy Gro'1�(£! Construction # of Additional Information in Square Feet Type Stories TENANT AREA ONLY Bulletin #100 -January 1, 2011 Page 2 of 3 k:'•.Handouts Permit Application