14-105551 •
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I. _ ' • wilding - Single Family
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City of Federal Way
Community&Econ.Dev.Services ,, Permit #: 14-105551 -00-SF
33325 8th Ave S
Federal Way,WA 98003 j LI Lit= a-`r"
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: JOHNSON
Project Address: 2812 SW 340TH PL Parcel Number: 010920 0500
Project Description: REM-Master bathroom remodel to include removal of a non load bearing wall and new
bath fixtures. Plumbing included.
Owner Applicant Contractor Lender
BRICE A JOHNSON ANNA A JOHNSON OWNER IS CONTRACTOR
ANNA A JOHNSON 2812 SW 340TH PL
2812 SW 340TH PL FEDERAL WAY WA
FEDERAL WAY WA 98023-7734
98023-7734
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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? No Plumbing Work Valuation9 500.00
Plumbing to be Included? Yes
Plumbing Fixtures
Lavatories 1 Showers I
PERMIT EXPIRES Wednesday, April 22, 2015
Permit Issued on Friday, October 24, 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
nd the City of Federal Way.
Owner or agent: , Jsi �i_.lX ---- Date: /0/2 ye CV/
--V ,_5,../y-\5..c.-Q.... ....
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` THIS CARD IS TO MAIN ON-SITE .
CITY OF 0 Construction In ection Record ,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 14-105551-00-SF Address: 2812 SW 340TH PL
Project: BRICE A JOHNSON FEDERAL WAY, WA 98023-7734
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) ❑ Initial Erosion Control(4365) ❑ Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By Date
Underfloor Framing(4285) ❑ Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing(4220) El Rough Plumbing(4230) Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By Date By %MIS Date t' lt- 6 By kp, Date I1 V 1 i q..
❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection; ❑ Framing(4120) 1
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date41-1-Ze
approved. IBC 1093.4 B //40/7
0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By " Date By Date By Date
'
El Final-Plumbing(4075) Final-Building(4050)
Approved Approved
By i\ 1c_ Date ‘ 3- , vl L1 By 0 Date 1 1_ ^,
El Rough Electrical1=11 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OFOCT 24201.4. PERMIT APPLICATION
Federal Way
' Y OF FEDERAL WAY V y,�
CDS OTC nj
PERMIT NUMBER / L� _ I Q SS S / — TARGET DATE r 27 20 Pi
SITE ADDRESSSUITE/UNIT#
; I 5� 5110 PL , fcJj ) Id ay
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ y, crc . restdethQI 0 10 q 2C') - Gsaa
TYPE OF PERMIT ❑ BUILDING XPLumBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING El FIRE PREVENTION
NAME OF PROJECT gam roc� R4_vnao I
PROJECT DESCRIPTION I rrio 1 ivrx rhat-11-11 rim sq�/ Z.—I°
description of work to by Yli1O u ►yi ( u- /J/ ie £J4J�UC h' tl
be included on this permit only /44
7 IA
S l L/� fr i�, _ L ( k L ,
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bivr Vly1e J44
NAME PRIMARY PHONE
PROPERTY OWNER 1 Y(e. ' . ,4no4t c )/imt7 2/j _ 83 qI3
MAILING ADDRESS VV VcE-MAIL
CITY5 ti) Szje PL
r r6t. i 12)6(9
STATE ZIP
FOO
7
NAME 5 l l F C pi,o k E co IAD V PHONY
MAILING ADDRESS I E•M .
CONTRACTOR
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CITY STATE ZIP FAX '' --�-
WA STATE CONTRACTOR'S LICENSE a EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME PRI PHONE
5F CpVI)
� r �.Li)VOL
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APPLICANT MAILING ADDRESS
CITY STATE ZIP FAX
NAME PRIMARY ONE
PROJECT CONTACT S-/F ( tarn C) 1,e} VIJ r
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING B V/llP (7 4 n vo j7 O y) OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZI /'� �' ��AA,, ��I l/i J�/} 7L; }� PHONE
(RCW 19.27.095) 7 /? 5 .346P21re WI I z✓3-
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 a part of this a plication. .'
SIGNATURE: r l2%j' AbADATE /O/2 1/76/V
PRINT NAME: VI D` t ST) 11 rij a V)
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture 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(Commeroral)
BOILERS FURNACES HOT WATER TANKS(ca.(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) 1 LAVS(Hand Swim) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS / SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kachen/utmtyl WATER HEATERS(Eleotnq
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USELOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
rtS t I ❑Yes,.No ❑Yes p(No
RESIDENTIAL - NEW OR ADDITION �-t-
AREA DESCRIPTION(in square feet) EXISTING PROPOS OTAL FOR OFFICE USE
�y�crf�rlsa:'n •tea .;tom .,'};a, ,;'yw ,-x."a -.�it ti:,,�,. i,,,..'js-":= �:- _ --- - ---•-- -.-.. ... ... ..... .....
-BASEMEN A v .F' i .r..:: «%,Miyy4iy. ,r ?_` 'r" I :t`?4.
FIRST •
FLOORFLOOR(or Mobile Home)
OD FLOOR :tb`- i'''. ..;;=,'A",,41`,17:0: -:;,:T.',',;.. `r ........ .. •- . . "' ..
COVERED ENTRY
DECK -
.. . , ,
GARAGE ❑ CARPORT 0
OTHER(describe)
=WING PROPOSID TOTAL
Area Totals
"'NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION A/A-
AREA DESCRIPTION fie& Occupancy Group s onatruction # of Additional Information
in Square Feet Type Stories
NSW BUILT'mo
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
AreaConstructionGroup(s) Construction N of Additional Information
in Square Feet Type Stories
TOTAL BUILDING r'G::t: s ,1: �y"l «.Ia,
TENANT AREA ONLY
PROJECT AREA ONLY -
Bulletin#100—January 1,2013 Page 2 of 3 lc:\Handouts\Permit Application