16-101990ai A
City of Federal Building - Single Family
Community & Econ. Dev. Services
33325 8th Ave S Permit #: 16 -101990 -00 -SF
Federal Way, WA 98003 Inspection Request Line: 2 K
Ph: (253) 835-2607 Fax: (253) 835-2609L Q 53) 835-3050
- a
Project Name: ARBUCKLE
Project Address: 31309 41ST PL SW
Parcel Number: 873199 0150
Project Description: REM - Remodel of daylight basement to include addition of a kitchen. Includes
mechanical; plumbing by separate permit.
Owner
TODD & ELVIRA ARBUCKLE
A2nlicant
BRUCE & LINELL ARBUCKLE
Contractor
OWNER IS CONTRACTOR
Lender
OWNER IS LENDER
BRUCE & LINELL ARBUCKLE
31309 41ST PL SW
31309 41 ST PL SW
FEDERAL WAY WA 98023-2114
FEDERAL WAY WA 98023-2114
' N
J
Census Category: 434 - Residential afic.10 c"ge number of units
Includes: #1 4F #3 #4
Occupancy Class: R-3 AS
Construction Type: Type V - B
Occupancy Load ♦ i
Floor Areas . ft. 0 0 0
New / Additional Sq. Feet - 3r
Calculated Structure Valuation...
Mechanical to be Included? ................
Mechanical Work Valuation?............
Plumbing to be In ded?
itional Permi ormation
r...... ....0 New / Additional Sq. Feet - Basement...................0
....... ........7000.00 Occupancy # 1 - Construction Type .......................Type V - B
... ..............Yes O Plumbing Work Valuation? ................................... 5000
.................200 Occupancy #I - Class ............................................. R-3
...................No Occupancy # 1 - Use ............................................... Residence (1 or 2
family)
echanical Fixtures
I0
/lease
LCONDITIONS:
'Basean Acce�ry Dwelling Unit (ADU). A Restrictive Covenant must be recorded against the
propo final inspection/approval. The applicant is responsible for payment of the King County
recorcontact Becky Chapin, Associate Planner at 253-835-2641or
beckityoffederalway.com, to obtain the document needed for recording. The document must be
and notarized.
PERMIT EXPIRES Sunday, October 23, 2016
Permit Issued on Tuesday, April 26, 2016
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
p and the City of Federal Way.
Owner or agent: &,Pff- r X Ld-A-" Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16 -101990 -00 -SF Address: 31309 41 ST PL SW
Project: TODD & ELVIRA ARBUCKLE FEDERAL WAY, WA 98023-2114
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.
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
0
Underfloor Framing (4285)
Approved to install flooring
Approved
By
To be done prior to breaking ground
By
Approved to sheath floor
By
Date
By
Date
By .
Date
Floor Sheathing (4105)11
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
By
Approved to install roofing
By
Date
By Date
By
Date
Date
Mechanical Rough -in (4165)Gas
Piping (4125)
E]
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
Date -
By Date
By
Date -,
Interim Erosion Control (4370)
Framing (4120)
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
By
Date
approved. IBC 109.3.4
S
Insulation (4150)
Gypsum Wallboard Nailing (4130)
❑
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date
By
Date
Final - Mechanical (4065)
Final - Building (4050)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
40k
PERMIP APPLICATION
CITY OF
Federal Way ReCEIVED
PERMIT NUMBER J ( ` _'S F �T�2 6GET D TE
S f( !!! CITY OF FF;nr-DA1 IAiAv
SITE ADDRESS //^\\ j ( Sf CDS
3 i �V 9 q 1 P[CA e— SW .7
SUITE/UNIT 1t
PROJECT VALUATION
$ ,•6
ZONING
ASSESSOR'S T7PAR� N
TYPE OF PERMIT
BUILDING PLUMBING XMEC I AL ❑ DEMOLITION ElENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
A&(,kc-k\es ball i' C,�o,av� — (2A oj,-- ot.* boo
PROJECT DESCRIPTION
Detailed description of work to
h C,
t
be included on this permit only
NAkE (�� 1 f/(
r V,VJV ck—(
PRIMARY PHONE
23— 51 7— St
PROPERTY OWNER
MAILING ADD S I
a " P �5 w
E-MAIL
(i6 �vv�cds
CITY STATEZIP
Edeyat W
�So
NAME
PHONE
MAILING ADDRESSL, ``
3 o Q 5 I a C U)
E-MAIL /',
1? l to' � co W C S ,
CONTRACTOR
CITY STATE
�is , .A
ZIP
q a-3
F
WA STATE CONTRACTOR'S LI NSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAKE� ru Uk `�
PRIMARY PHONE r � _ 85
l
MAILING ADDRESS
-
KAM
APPLICANT
CITY
STATE
APRIMARY
Z� � O � �
FAX
NAME
PHONE
17Y-!3
PROJECT CONTACT
6rm Cp— r
" -
MAILING ADDRESSf
Q S `1 1 U SW
MAIL
a- !o 'f 6& i/t e`5t
The individual to receive and
respond to all correspondence
CITY
—
STATE ZIP
O�
FAXFAX
concerning this application)
PROJECT FINANCING
NAME 1' OM r lrl.
Arb E{y ire �4fbvl
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
1
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.
SIGNATURE: t/ DATE
PRINT NAME: If
Bulletin #100 — February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c—rout)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
&_ /
VALUE OF PLUMBING WORK
$_;-)or, C.)
Indicate how many of each type o
re to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/Sho— Combo)
EXISTING/PREVIOUS USE
LAVS (Hand Sinks)
TOILETS
—jL WATER PIPING
f DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
✓ DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
v/ I
SINKS (kitchen/Utility)
WATER HEATERS (Ei—mt )
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWWEER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
.-... - ....
.......-- .... __...-- -- -- - -- - --------
BASEMENT
{G,�
l D 00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
.-... - ....
.......-- .... __...-- -- -- - -- - --------
BASEMENT
I IO U
l D 00
l
FIRST FLOOR (or Mobile Home)
j
SECOND FLOOR
COVERED ENTRY
DECK"
GARAGE ❑ CARPORT ❑
OTHER (describe)
_.. ---- ---------- - - -----
/�
Area Totals
EXISTING
PROPOSED
TOTAL.
_....... ....- ......
**NEW HOMES
ONLY**
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet a Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application