12-103700Suilding - Single Family
City of & FedeEconral Dev. S Permit #: 12-103700-00-S F
Community8 Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: CLEMENT
Project Address: 4113 SW 315TH ST 000Parcel Number: 873198 2830
Project Description: REM - Remove windows at 2nd floor; i tall new hea r, add window box and (3) new
windows. .r
Owner A li an
ALBERT CLEMENT ALB EMEN
4113 SW 315TH ST 411 SW 5TH ST
FEDERAL WAY WA 98023-2131 FEDERAL AY A 980:
New aural Sq.
Mech to be Inc.
Zoning Designation..
I hereby certify th
the occupancy a
Owner or agent:
0
iti
Lender
ALBERT CLEMENT
4113 SW 315TH ST
FEDERAL WAY WA 98023-2131
(add - no change in number of units
#2 1 #3 L A
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VED WERMIT S F CO ME PL DE EN FP
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COMMUNITYT SERVICES
S3-835-2607- FAR 253-835-2609NUS 3 zA P P L I C A T I O N
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SITE ADDRESSSUITE/UNIT
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PROJECT VALUATIPN
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ASSESSOR'S TAX/PARCEL #
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TYPE OF PERMIT
LDING ❑ PLUMBING O MECHANICAL
Q DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
6
PROJECT ESCRIPTION'\
Detailed descrip I o
e' X i h k tJ e-ut L
be included on this permit only
-
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING �ADDRESS S�
E-MAIL
T-QlTr�v"f)l
SW x
zi`\� V tT
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
-...
– -- — -----
NAME
P)
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAME
P ONE
-
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
1RCW 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 (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 to the city as apart of this application.
--
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GNATURE: __ _ - �,� DATE
PRINT NAME: --� 1` C-W&,C�/� - - _--
11<1k-it
lletin #100 - January 1, 2011 Page 1 of 3 kA landouts\Permit Applicatw
Bulletin #100 —January 1, 2011 Page 2 of 3 kA\Handouts\Permit Application
THIS CARD IS TO REMAIN ON-SITE
CITY of41,
Construction Inspection Record '
` .
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-103700-00-SF Address: 4113 SW 315TH ST
Project: ALBERT CLEMENT FEDERAL WAY, WA 98023-2131
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.
0 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Shear Walls(4245) *0 Roof Sheathing(4220)
Approved to install flooring 0/ ..,//‘Approved to install siding Approved to install roofing
By Date By Date 0,, ,,,,J 'By ' Date
0 Fire/Draft Stops(4095) • 0 Interim Erosion Control 43770) prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
r- Fire/Draft Stop inspections must be signed-off and
By ����Date 4,/Zf/j ._By Date approved. IBC 109.3.4
0 Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date ' ,%,$4/By Date By Date
�0 Final Erosion Control(4 75) 0 Final-Building(4050)
Approved Approved
By Date By Date
•
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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