14-104056I
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City of Federal Way
Community & Eoon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609,
Project Name: LIVINGSTON
Project Address: 4204 SW 315TH ST
Silding Single Family
Permit #: 14 -104056 -00 -SF
F11 L Inspection Request Line: (253) 835-3050
Project Description: REM - Moving bathroom door, infilling to create new closet.
Parcel Number: 873198 2610
Owner
ARRlicant
Contractor
Lender
KEITH M LIVINGSTON
EXCEL CONST & CSTM
EXCEL CONST & CSTM
SUSAN A LIVINGSTON
CABNTRY LLC
CABNTRY LLC
4204 SW 315TH ST
2678 SW 334TH PL
EXCELCC932C8 (2/28/15)
FEDERAL WAY WA 98058
FEDERAL WAY WA 98023
2678 SW 334TH PL
FEDERAL WAY WA 98023
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 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?...................................No Plumbing to be Included9...................................... No
Zoning Designation...............................................RS 7.2
No Fixtures Associated With This Permit I!.
PERMIT EXPIRES Saturday, February 7, 2015
Permit Issued on Monday, August 11, 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
a the City of Federal Way.
Owner or agent: Date:
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THIS CARD ISTO MAIN ON-SITE
CITY OF
, V&
Federal Way Construction In ection Record
y INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -104056 -00 -SF Address: 4204 SW 315TH ST
Project: KEITH M LIVINGSTON FEDERAL WAY, WA 98023-2132
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)
Framing (4120)
Shear Walls (4 45)
1:1Approved
Approved to sheath floor
By
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Fire/Draft Stops (4095)
Approved
1:1Approved
Framing (4120)
1:1Approved
eduling a Framing inspection;
By
Date
bing & Mechanical Rough -in and
EFire/Draft
Date
Approved to insulate
By
By
;�,n (
// Date IZZproved.
inspections must be signed -off and
IBC 1093.4
By
Date 2
Insulation (4150)
Gypsum Wallboard Nailing (4130)
❑
Final - Building (4050)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date& -,; 1
By
KAA Date t
Q
I S
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF `
Federal Way
PERMIT NUMBER /
AUG 112014
PERMIT APPLICATION
CITY OF FEDf RAL WAY_
- AUC 17 -S
— — — TARGET DATE
SITE ADDRESS �DrD�1 ' ' PA
SUITE/UNIT #
PROJECT VALUATION
ZONING
TAX/PARCEL #
/01 &00
:ASSESSOR'S
-----------
TYPE OF PERMIT
OKBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
V s
PROJECT DESCRIPTION
Detailed description of work to
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Cry wC--
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
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CITY
STATE
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NAME �� s c�L PHONE -Z -
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MAILING ADDRESS (� E-MAIL
7 SW3 3 �–
CONTRACTOR
CITY
_
STATE
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ZIP FAX
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WA STATE CONTRACTOR'S L CENSE #
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EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
NAMEGPRIMARY PHONE 7�,
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MAILING ADDRESS�g.�� E MAIL
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APPLICANT
CITY
fko�q
STATE
ZIP FAX
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PROJECT CONTACT
NAME �w llPRIMARY PHONE
(.� v 2-0 --ZZ –
MAILING ADDRESS A _ E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP 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
in oimation suppiie o Elie -city asap rt o,�'-tTi' application.
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SIGNATURE: DATE
1
PRINT NAME:ST�N
Bulletin # 100 – January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
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