15-101854 Building - Singk Emily
Clti of Federal WayPermit #: 15-101854-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal1Nay,VVA 98003 LE
Inspection Request Line: (253)8353050
Ph:(253)835-2607 Fax(253)835-2609 I
Project Name: CLEMENT
Project Address: 4113 SW 315TH ST Parcel Number: 873198 2830
Project Description: REM-Permit to complete work under expired permit 12-103700-00-SF.Work is to remove
windows at 2nd floor;install new header,add window box and(3)new windows,and now
includes some minor plumbing and mechanical work.
Owner Applicant Contractor Lender
ALBERT CLEMENT ALBERT CLEMENT OWNER IS CONTRACTOR ALBERT CLEMENT
4113 SW 315TH ST 4113 SW 315TH ST 4113 SW 315TH ST
FEDERAL WAY WA 98023-2131 FEDERAL WAY WA 98023-2131 FEDERAL WAY WA 98023-2131
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.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 Yes Plumbing to be Included? Yes
Zoning Designation. RS 7.2
Mechanical Fixtures
Gas Piping 1
Plumbing Fixtures
Drains 1 Showers 1 Hose Bibbs
PERMIT EXPIRES Monday, October 12, 2015
Permit Issued on Wednesday, April 15, 2015
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
nd the City of Federal Way.
Owner or agent: Date: LSI ts1
FeTHIS CARD IS TO REMAIN ON-SITE - -•-
CITYOF at a Construction Inspection Record •'• •
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-101854-00-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.
O SWM Precon Site Mtg(4400) Q Initial Erosion Control(4365) El Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By Date
. . . p
O Underfloor Framing(4285) Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
O Roof Sheathing(4220) 0Rough Plumbing(4230) 0 Mechanical Rough-in(4165)
Approved to install roofing Approved Approved
By Date By Date By Date
O Gas Piping(4125) El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to release test Approved Approved
By totO Date to (y I is" By Date By Date
Prior to scheduling a Framing inspection; 0 Framing(4120) 0 Insulation(4150)
Approved to insulate Approved to install wallboard
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By Date By Date
Ei Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) 0 Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
By Date By Date By Date
'
CI Final-Plumbing(4075) El Final-Building(4050)
Approved Approved
By Date By Date
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way
ROO ERMIT
APR 15 ZW5
APPLICATION
CITY Ov FEDERAL WAY
PERMIT NUMBER ' _ ✓t,:; —4 _ F ( ) TARGET DATE Oa—
SITEADDRESS
4l`tC `� W
Ls�an
-6 v �
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PA1 C
0 CAS CAAlAF*A1,t
PROJECT DESCRIPTION
Detailed description of work to
5
�.
be included on this permit only
PROPERTY OWNER
N E
, �-
nPRIMARY PHONE•► 1
p`5 -a�
MAILING D5 `V� t51 1
E-MAIL
I.QITY t
STAT
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
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
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. 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 cit as apart of this application.
{
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SIGNATURE: DATE 6to
PRINT NAIME:
Bulletin #100 - January 1, 2013 Pagel of 3 k: l-landoutsTermit Application
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
OFFICE USE
-.__....... --................_...---........ _... _........ --- - ---
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'rVALUE OF MECHANICAL WORK
MECHANICAL PERMIT
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many or each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
AREA DESCRIPTION
BOILERS
FURNACES
HOT WATER TANKS (Gas)
FIRST FLOOR (or Mobile Home)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
Stories
DUCTING
GAS PIPING
WOODSTOVES
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,'r ECOAIIS��/��'fFry�
J
TENANT AREA ONLY
UALITE PL , NG ORK
PLUMBING PERMIT
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$ ( �
Indicate how many of each type of fixture
to be installed or relocated as
part of this project. Do not include existffigfixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
—-------
DRINKING FOUNTAINS
SINKS (Kitchen/UtMM
WATER HEATERS (Electric)
l
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
OFFICE USE
-.__....... --................_...---........ _... _........ --- - ---
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Type Stories
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
r
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTALFOR
OFFICE USE
-.__....... --................_...---........ _... _........ --- - ---
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Type Stories
4WPM
BASEMENT
��ff
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ADDITION
..... ..... ___..._._._....._ ....................
COMMERCIAL — REMOD ENANT IMPROVEMEN
AREA DESCRIPTION
AreaConstruction
Occupan roup(s)
# of
FIRST FLOOR (or Mobile Home)
in Square Feet
Typa
Stories
BIJILDINCi
,err%
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J
TENANT AREA ONLY
COVERED ENTRY
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,
GARAGE ❑ CARPORT ❑
—-------
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EXISTDP6
PROPOSED
TOTAL
Area Totals
**xs•w �a
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ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESC PTION Area
Occupancy Group(s)
Construction # of
Additional Information
in Square Feet
Type Stories
4WPM
NEW BUIL
ADDITION
COMMERCIAL — REMOD ENANT IMPROVEMEN
AREA DESCRIPTION
AreaConstruction
Occupan roup(s)
# of
Additional Information
in Square Feet
Typa
Stories
BIJILDINCi
,err%
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ref �%i
/TOTAL
TENANT AREA ONLY
`3c
PROJECT.
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Bulletin #1<Janu 013 Page 2 of 3 k:\-landouts\Permit Application