12-101175V
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
P/t 'tr
AP
Ouilding e Single Family
Permit #: 12 -101175 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: LILJENBERG
Project Address: 1312 SW 340TH ST Parcel Number: 957814 0400
Project Description: ADD - Construction of 336 square foot deck.
Owner
Annlicant
Contractor
Lender
MARK & THERESA LILJENBERG
HILL & SON CONSTRUCTION INC
HILL & SON CONSTRUCTION INC
1312 SW 340TH ST
5611 72ND AVE SW
IULLSCI15OLK (1/6/14)
Occupancy #I - Use ...............................................
FEDERAL WAY WA
GIG HARBOR WA 98335
5611 72ND AVE SW
GIG HARBOR WA 98335
Census Category: 434 - Residential altladd - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.
336 0 0 0
Additional Permit Information
New / Additional Sq. Feet -1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck .........................336
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Other..........................0
New / Additional Sq. Feet - Total .......................... 336
Zoning Designation. ............................................... RS 7.2
New / Additional Sq. Feet - 2nd Floor...................0
Occupancy # 1 - Area (Sq. Feet).............................336
Occupancy # 1 -Construction Type ........................Type
V - B
New / Additional Sq. Feet - Garage.......................0
Occupancy #I - Class.............................................R-3
Plumbing to be Included?......................................No
Occupancy #I - Use ...............................................
Residence (1 or 2
family)
No Fixtures Associated With This Permit It
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Monday, September 10, 2012
Permit Issued on Wednesday, March 14, 2012
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 a nce with the laws, rules and regulations of the State of Washington
a the City of Federal Way.
Owner or agent: Date: .3
r7("uED 4 /IGO�12
CITY OF
Federal Way
PERMIT #:
12 -101175 -00 -SF
THIS CARD IS TO IN ON-SITE
r
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 1312 SW 340TH ST
Project: MARK & THERESA LILJENBERG FEDERAL WAY, WA 98023
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)
❑
Footings/Setback (4110)
Slab/Concrete Floor (4255)
Approved
Approved to place concrete
To be done prior to breaking ground
Approved to backfill
to place concrete
By
Date
By
Date
By
�Appp^roved
l/l Date 3— Z 2-
0
0
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved to place concrete
Date
Approved to backfill
By
Date
Approved to place concrete
By
Date
By
Date
By
Date
Floor Sheathing (4105)13
Underfloor Framing (4285)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Roof Sheathing (4220)
0
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Framing (4120)
Insulation (4150)
Prior to scheduling a Framing inspection;El
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
By
Date
By
Date
approved. IBC 109.3.4
0 Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
)..V& 0 PERMIT
Federal Way
COMM(INITYDEVELOPMENT SER C�-'�p p LI CAT I O N
253-835-2607• FAX 253-835-2
911 Y
MAR _ . vd &
SF F CO ME PL DE EN FP
0 -�
SITS ADDRESS�F
SUITS/UNIT i
LSA- oto
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 5 -
-5�-5 -? -ffL
TYPE OF PERMIT
IU BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/HomeoumerLast Name)
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PROJECT DESCRIPTION
Detailed description of urork to
be included on this permit only
PROPERTY OWNER
NAME
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PxzrARTPROIre
MAUMIG ADDRESS
E-KAIL
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-CITY
CITY
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CONTRACTOR
NiAII.DfG ADDRESS
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CITY G �
STATE
2M� 3�s
FAZ
SIA STATE CONTRACTOR'S LICENSE i
LLSCT 1�SoL\�
EXPIRATION DATE
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FEDERAL WAT EUSINIM LICENSE i
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APPLICANT
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CITY
G4 ffiffL
STATE
ZIP
9833c
FAX
W
CONTACT
NA=
VA
PRONE
(The individual to receive and
KAnM9G ADDRESS
E-KAD.
respond to all correspondence
concerning this application)
Nt-
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STATE
ZR
FAX
ALTERNATE CONTACT NANC<:
PRONE
E-MAIL
PROJECT FINANCING
NA= �
� OWNER -FINANCED
Required vahte of $5, 000 or more
KAnJNG ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 P"erai Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be nuuie by any person, including the undersigned, and filed against the city,
but only where such claim arises out reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a of-" application.
SIGNATURE: DATE3 lJ l `l/ 12-
1
PRINT NAME.•
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
Indicate how many of each type of fixture to be ins or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower comto)(Hand sidm) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNT SINKS (vawh_/uhl¢y) WATER HEATERS (Eieebsc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIZTIIRES
GENERAL INFORMATION
MECHANICAL FIXTURES
VALUE OF IMCHAMCAL WORE $
SSACR PURVEYOR
(a copy oLN&vrestimatemust be provided)
Indicate how many of each type of fixture to be installed or rel
as part of this project. Do not include exist" res to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FI CE INSERTS
HOODS (c.m i.4
BOILERS
FURNACES
HOT WATER TANKS (G.*
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOOD
Indicate how many of each type of fixture to be ins or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower comto)(Hand sidm) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNT SINKS (vawh_/uhl¢y) WATER HEATERS (Eieebsc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIZTIIRES
GENERAL INFORMATION
CRITICAL ARUM ON PROPZWrT?
WATER PURVETOR
SSACR PURVEYOR
VALUZ OF =8MG DD'ROVZ=NTS
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
EII8TMG/PRSVIoUs USE
LOT SDE Pu Sgoare Fat)
ZIUSTMG FIRS SPRINELM Sy"=?
PROPOSED FIRE sUPMOSION 87sTZM?
FIRST FLOOR (or Mobile Home)
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
- NEW OR ADDITION
Construction
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
ADDITION
FIRST FLOOR (or Mobile Home)
AREA DESCRIPTION
Area Occupancy Group(*) Construction
in Square Feet
# of
Stories
SECOND FLOOR
TOTAL BunmwG
COVERED ENTRY
- -- --- —
DECK
0%
%
(cg
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
0
�
3,
Hb
---- ----
**jaw mom= mom=
ori r►*
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area Occupancy Gro
in Square Feet
Construction
# of
Stories
Additional Information
NNW BUILDDIG
ADDITION
COMMERCIAL - REMODELITENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(*) Construction
in Square Feet
# of
Stories
Additional Information
TOTAL BunmwG
TwANT AREA ONLY
PR J = AREA O T
Bulletin # 100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
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