17-104733 ti
464
Building - Single Family
City of Federal Way Permit #:17-104733-00-SF
Community Development Dept
33325 8th Ave S
Federal Way.,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 FILE
Project Name: CLAUSEN
Project Address: 808 SW 308TH ST Parcel Number: 178870 0260
Project Description: REP-Repair water damage under bathtub and verify structural integrity of framing.
Construction work to include installation of R15 insulation in areas where drywall was
removed,adding a bath fan and a laundry fan.Plumbing and Mechanical included.Kitchen
range is not included in this permit. ***2/27/18 ADD Relocation of gas hot water tank.***
Owner Applicant Contractor Lender
BRUCE CLAUSEN DEBRA PERRY OWNER IS CONTRACTOR
3790 S CIMARRON DR 1205 HEMLOCK ST
BULLHEAD CITY AZ 86442-8719 MILTON WA 98354
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.)
Additional Permit Information
Mechanical to be Included? Yes Plumbing Work Valuation? 200
Mechanical Work Valuation? 200 Is this an Online or O.T.C.application? No
Plumbing to be Included? Yes
Total Valuation:3,000.00
Fans 2 Hot Water Tanks 1
o s
Laundry Washer Outlets 1
PERMIT EXPIRES Tuesday, 17 April,2018
Permit Issued on Thursday,October 19,2017
I hereby certify that the above information is correct and tconstruction on the above described property
and the occupancy and the use will be in acs- an " olp, rules and regulations of the State of
Washingt• 'an• * ral Way.
Owner or agent: ��i�" Date: Z 7-
(, / ti
(mf
4 i
•
err. '1%N THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Fe«ierai way
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104733 00 Address: 808 SW 308TH ST
Project: BRUCE H CLAUSEN FEDERAL WAY WA 98023-8236
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 lea 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) Q Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to pace concrete
By Date By Date By Date
® Plumbing Groundwork(4190) ® Underfloor Framing(4285) ® Floor Sheathing(4105)
Approved to cover Approved to sheath floor Approved to install flooring
By Date By Date By Date
0 Shear Walls(4245) 12 Roof Sheathing(4220) El Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date By Date 133" --C - Date 4_Q—L
M Mechanical Rough-in(4165) M Gas Piping(4125) M Fire/Draft Stops(4095)
Approved Approved to release test Approved
Date S- • BSL Date_ �� Date . _"_ l
,
M Interim Erosion Control( 70) Prior to scbedithog a Framing inspection; 2 Framing(4120)
Approved Electrical,Plumbing&Mechanical RMgb-i Approved to insulate
and Fire/Draft Step inspections mast be signed-
off Date afla.d approved. IBC 109.3.4 BK7S Date C— (4 (6
® Insulation(4150) MI Gypsum Wallboard Nailing(4130) . M Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
Date 14 ( i By Date _ A By Date
j Final-Mechanical(4065) MI Final-Plumbing(4075) 11 Final-Building(4050)
Approved Approved Approved
By ` 5 Date /0 .2( ! ' By G G(fi Date IC) a r/ By 442 Date la .:2'
O Rough Electrical 0 Final Electrical o Right of Way
Approved Approved Approved
By Date By Date By Date
4.,„...4..., RECEIVED PERMIT APPLICATION
CITY OF
Federal WayOCT 19 2017 PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CfTY OF FEDERAL WAY r
' J
- `'UNNMVDLJ M J - § r O J / J
PERMIT NUMBER— — _ _ TARGET DATE
SITE ADDRESS SUITE/UNIT#
8oe S & $ 68 +4- ,S-t
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3, 0eoaw $ 7 0 - 026
TYPE OF PERMIT `Ap BUILDING PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C!!! L A 1A-5 Al
PROJECT DESCRIPTION (R e/ �'!Y (n)Ott c-Y- �y�0�-r^"a e 4�'!f K/,-"f e /?'' /I
Detailed description of work to )\e G 7) T'y c_ (- t S e — Re 7OS 1 f'/an !dots 11-Er 51.1? vybu yl
be included on this permit only
jlcnf) .11
_ NAMECe-7.5..,L PRIMARY PHONE
PROPERTY OWNER f rix c e- C /0,fit.' e x /G`f'e
MAILING ADDRESS E-MAIL
/2-05 1-k,/„ k ..5 .-
CITY.
STATE ZIP
'�f ait l/•q 9SYS y_ .__.
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAME / .pp (77,'"
_.. PRIMARY PHONE ._�..
DcbY'o.. /e '" >'/ -f
v� ree-)
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME fi, ___ PRIMARY PHONE
PROJECT CONTACT M 11 ley'r/ 2$3 6c //095
(The individual to receive and MAILING ADDRESS /� �/ ( E-MAIL
respond to all correspondence 1'205 //t% O c/\ T/ YL10s_P,Y`I^/1z0.f
concerning this application) CITY , /T O STATE ZI FAX q apt i/,C a N.,
n W 3 ✓
,...... _ NAME
PROJECT FINANCING OWNER-FINANCED
When value is$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 • •l by arty person,including the undersigned, and filed against the city,
but only where such claim arises out of t, reliance - city, including its officers and employees, upon the accuracy of the
information supplied to the ci as a part J th '• n.
SIGNATURE: 7r�'- / ,/tom i� .1 DATE /v -J - 2..0 I7
Al
PRINT NAME: r Al A
AZ
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
1
1 I1 a .■
Ue $ moo
Indicate how many of each type off%tlur,to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS Z c FANS GAS PIPE OUTLETS OTHER(Describe).
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 200
_
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) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR - SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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
3ASEMIgNF., 4-,x f��� :.
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
i ,y >, '1,00; ✓-s ,r�9'+ 6i.—'_-.._.__...___._....__......................._._.........__.....................__......_._.................._._..._..._....._.......---
W�..
v-,14 < • ., Ova, ... _. -.. —_ -_._.a
GARAGE ❑ CARPORT 0
• Og , c { Gr tr* —..._.._..______..._.__..__..._.__......_....._.._._.___.___.
OTHER(des6:1hep POT O "Y z
r
x
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
Ji `r-- s(
ax
,w rr� ��� ..q.r` �' o a ,,.„�-�, <, �,. . ,>.!»f a! r f�x�.,,''; �'�-„ xf � �oN `*<
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
uare Feet TY a Stories
e.a. fA DINGr r c✓ �r '+v^a 3.' s.9 h f�T 'S N^ :��' � 9 %44
,ax`s A��7Y,IVIG .x fr.^,o k .?.'f,!Ff'./r'' t �'I `'*s i ,:�,, ', °`', •f" f !
TENANT AREA ONLY
o-L,�F�,kr' Yrf yg{', r�,f
A A ONLY I- r : J drys ,
r5 v ,
:f r .��_.,� . e, '1,.,,.. >;9`,r .r��c%;evyr-•°`u' 44
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application