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08-102897City of Federal WayR Community Development Services Lull g — Single Family Permi : 08 -102897 -00 -SF P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: MOTZ Project Address: 818 SW 295TH ST Parcel Number: 119600 2775 Project Description: ADD - Construct a 329 sq/ft master bedroom and bath addition to the residence. Plumbing and Mechanical are included. Owner Applicant Contractor Lender WALTER MOTZ DAVID THORSTAD 818 SW 295TH ST WALTER MOTZ HARIKLIA MOTZ 406 S 289TH ST FEDERAL WAY WA 98023 818 SW 295TH ST 818 SW 295TH ST FEDERAL WAY WA 98003 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023-8212 Census Category: 434 - Residential alt/add - no change in number of units New / Additional Sq. Feet - 1st Floor....................329 New / Additional Sq. Feet - 3rd Floor...................0 New / Additional Sq. Feet - Basement...................0 New / Additional Sq. Feet - Deck..........................0 Mechanical to be Included?...................................Yes New / Additional Sq. Feet - Other.........................0 New / Additional Sq. Feet - Total .......................... 329 Zoning Designation................................................RS 15.0 Ducts.............................................. 1 Bathtubs......................................... 1 Water Closets ................................. 1 New / Additional Sq. Feet - 2nd Floor...................0 Occupancy # 1 - Area (Sq. Feet).............................329 Occupancy # 1 -Construction Type ........................Type V New / Additional Sq. Feet - Garage.......................0 Occupancy # 1 - Class ............................................. Plumbin to be Included? es 11 g............................... ... Occupancy #I se ................................ ..........Residence (1 or 2 family) • Mechanical Fixture Fans .................................. 2 V Plumbing Fixtures Lavatories ................................ CONDIT115NS: OTC - Subject to field inspection with plans. sU 2werL�..................................... 1 1 `\ PERIIWEXPIRES Wednesday, Decembe"7, 2008 , ermit Issued on Friday, June 20, 20 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: �, THIS CARD IST MAIN ON-SITE ' CITY OF Community Develop ent Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08 -102897 -00 -SF Owner: WALTER MOTZ Address: 818 SW 295TH ST FEDERAL WAY, WA 98023-8212 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. Approved to release Approved ByC tj Dafi 00' ' By Date ❑ SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ❑ Footings/Setback (4110) _CA ❑ Approved NOTE: Prior to scheduling a Framing (4120) To be done prior to breaking ground. Framing (4120) Approved to place concrete Approved By Date By AsDate 40..vt% By C, ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) ❑ Insulation (4150) Approved to place concrete ❑ Approved to backfill Approved to cover Approved to install mud & tape By L w Date(o., _ Bp (S Date ���Q `Q� By Date Date ❑ Final - Mechanical (4065) ❑ ❑ ❑ By Slab/Concrete Floor (4255) Underfloor Framing (4285) Floor Sheathing (4105) Approved 0;��Date .l //I I/q Approved to place concrete Approved to sheath floor Approved to install flooring By Date By AV Date 7/z 3 By Date ❑ Shear Walls (4245) ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) Approved to install siding Approved to install roofing Approved By Date d4VQ Da By � Date �_ too —67 ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) Approved Approved to release Approved ByC tj Dafi 00' ' By Date By Date ..p _CA ❑ Interim Erosion Control (4370) NOTE: Prior to scheduling a Framing (4120) ❑ Framing (4120) Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate Rough -in and Fire/Draft Stop inspections must be By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 By CC04j Date _ ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) ❑ Final Erosion Control (4375) Approved to install wallboard Approved to install mud & tape Approved ByG Date _ O By AZDate By Date ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) ❑ Final - Building (4050) By Approved Date ,. — Q Approved By �Date ,/�'A /j, By Approved 0;��Date .l //I I/q For ins ector reference only ' ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By, S Date r • �/?/ 1 OfyorA — 1 0 2 Fe�vaECEI4'E ---�— � �ERMI COMMUNMDEVBLOPMENTSERVICES T SF MF CO ME EL PL DE EN FP 33335 D AVBNUB, WA 98063-9718 • Po BOX 9718 JUN l s WP P LI C AT I O N FEDERAL WAY, X 93063 -260 / / 453-63ST607• PAX 453.335-2609 7 �uu�ur. dtun/kdervGrwu. aom The ollowi,, O� FEDERAL WAY f OV ng 4u{re {rf?ap fen -an incomplete application will not be accepted Please print legibly (in ink) or type. SITE ADDRESS 4k ASSESSOR'S TAX/PARCEL b LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) T �`- plauh OW -10 vW1tw b•eW 1Vd d—oda y SUITE/UNIT 0 LOT SIZE (s.0 =, Z PROJECT• • TYPE OF PERMIT ■BUILDING LUMBING >0ECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included PROJECT NAME (Name of Business or Owner Last Name) 644n—Z- JLtPo� c>A PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER V i Y :/ S ! ri 1 a rL'�a u. . COMPANY NAME APPLICANT NAME i I OFFICE PHONE MAIUNO ADDRESS CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS COMPANY NAME APPUCANT NAME OFFICE PHONE M_jUN0 ADD , ATE, ZIP CEL, PROMS RFfATIONSHIP TO.PROJECT IL Kh2&1b4= AX NUMBER s Architect c3Tenant c3ni _ NAME PRIMARY PHONE — E-MAIL ADDRESS NAMEC , ' / t ' Per RCW 19.27.095: Lender Wormation is required if prq/ect value exceeds $5,000 MAIUNO ADDRESS CITY. STATE, ZIP PHONE EXISTING USE �� PROPOSED USE 'I -L -� EXISTING ASSESSED/APPRAISED VALUE $ _ k2 VALUE OF PROPOSED WORK $ 1777. Dot:, SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ■ NO WATER SERVICE PROVIDER ! LAKEIIAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ■ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA A DESCRIPTION r - EXISTING SQ. FT. PROPOSED 8 Q. FT. TOTAL SQ. FT. BASEMENT a YES ONO BASIC PLAN? a YES FIRST ZONING DESIGNATION CHANGE OF USE? SECOND o NO NEW ADDRESS REQUIRED? o YES a NO THIRD o YES a NO PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? o YES ONO New DECK (❑ COVERED OR ■ UNCOVERED?) GARAGE ❑ CARPORT ❑ C.1Q /�+ NUMBER OF FLOORS ° ' ss TMAL sr ror rs sr ror s "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this c:ni, J w . fedi 11 Work $ (A COPY OF BID OR ESTIMATE MU LUDE12 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS BBQS FANS GAS WATER HEATERS BOILERS FIREPLACE INSERTS HOODS (commmdq COMPRESSORS FURNACES RANGES DUCTS GAS LOO SETS REFRIG. SYSTEMS BITHTUBS (or Tub/shewwcemuol Z► LAVS (Bethm.sh*o URINALS DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS trou q ELECTRIC WATER HEATERS SINKS WASHING MACHINES . HOSE BIBBS SUMPS WOODSTOVES MISC (Describe) MISC (Describe) I eert{%y under penalty of perjury that I an the property owner or authorised agent of the property owner. I eert{/y that to the best of my knowledge, the Wormatlon submitted in support of this permit application is true and correct. I cert ft 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 rosponsibility 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 q ffieers and employees, upon the accuracy of the bVormation supplied to the city as a part of this application. SIGNATURE: o NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES ONO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SII? o YES a NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES ONO New Bulletin #100 — January 1, 2008 Page 2 of 4 Mandout0ermit Application JUN I cm OF eoep.,V_ COS