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 ---�—
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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
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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