19-101921 Building - Single Family
City of Federal Way Permit #:19-101921-00-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
Project Name: GRIFFITHS
Project Address: 932 S 291ST ST Parcel Number: 515330 0110
Project Description: ADD-Remove existing deck. Construct a 240 square foot deck.
Owner Applicant Contractor Lender
MYRTLE&BOB GRIFFITHS ADAM ROGERSZIA ADAM ROGERSZIA OWNER IS LENDER
932 S 291ST ST CONSTRUCTION LLC CONSTRUCTION LLC
FEDERAL WAY WA 98003 3015 LOWER DORRE DON WAY S 3015 LOWER DORRE DON WAY SI
MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
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
New/Additional Sq.Feet-Deck 240 Mechanical to be Included? No
Number of Stories I Is this an Online or O.T.C.application9 Yes
Plumbing to b ncluded9 No New/Additional Sq.Feet-Total 240
Total Valuation: , 68.00
,z .A_,:6ru ;N:a..},I. .__ - f. w.,.� 'r,ER ... -, a% ... <�_tiva..,i 3 .. ..,,,.�.,..,. . �� un3N �A�:. ,.,,, ,
PERMIT EXPIRES Sunday,20 October,2019
Permit Issued on Tuesday,April 23,2019
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 and the City of Federal Way.
Owner or agent: — Date: .041/2.3/2(679
Pia(
• THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101921 00 Address: 932 S 291ST ST
Project: MYRTLE&BOB GRIFFITHS FEDERAL WAY WA 98003-3700
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 Mfg(4400) ® Initial Erosion Control(4365) ® Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date By Date By i Date 5/7 J 9
0 Foundation Wall(4115) ; ® Drainage/Downspout(4040) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
i
By Date , By Date By Date
Q Underfloor Framing(4285) '! 0 Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor i Approved to install flooring Approved to install siding
By Date By Date By Date
El Roof Sheathing(4220) ® Fire/Draft Stops(4095) ElInterim Erosion Control(4370)
Approved to install roofmg Approved Approved
By Date i By Date By Date
Prior to scheduling a Framing inspection; 3[
Framing(4120) a Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspections must be signed-
off and approved. IBC 109.14 4 By Al Date p , / By Date
-Y
El Gypsum Wallboard Nailing(4130) 1 El Final Erosion Control(4375) El Final-Building(4050)
Approved to install mud&tape I Approved Approved
By Date 1 By Date ; By /0 5 Date G t!
a C
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
e i.
.A. RECEIVED PERMIT APPLICATION
CITY OF
APR 2 3 2019 PERMIT CENTER♦33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607+FAX 253-835-2609+permitcenter(d,citvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 11 - 1 O/ IA / - S E -re }.n 4TC , Vita-
TARGET DATE N �3
SITE ADDRESS SUITE/UNIT#
613 •PROJECTVALUATION2q is ciree ,c'eaerak WES•
: i WTAA
q b
$ I(914-- Ilk £ I S 3 d 0 - 0 1 10
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /•`lr4te- 4- (;019 C j ' e4 Q oL
cEN
PROJECT DESCRIPTION
Tear d d O t& de 4 'o
ovwed `a t."1 24 .�k S . Dedc
Detailed description of work to QreSSir2.—rTQ0€M Svkj ck VC ' � US l4e \-)eck‹.4. 4
be included on this permit only /� JS`, _ n_`1•
`,n'1M`�Q 'ft. �M
NAME PRIMARY PHONE
916V, d- i�r-%- Q. �,ckhs 204.5k% . 12S2-
PROPERTY
OWNER m�eqn�L.ING ADDRESS E-MAIL
`''l�2 S. 2G1 t4 MirAobT..'t-0c�rr u\•ow.-
CITY STATE ZIP
Feata/A 0 A-1 OA -1/ P,
NEI c* Con -t ucAa \ LLC PHONEc6 .q30 • Ck3g4
MAILING ADDRESS E-MAIL
CONTRACTOR 2SOAS Le..aer Deere_ Von vJwy SE Rjercbv►l4-0c�r \. c..w-
CIA���"�T//JJc`' t 4,N/ B,R;A�+ ZIP���� F
WA STATE CONT\RRACTOR'S LICENSE# W EXPIRATION DATE FEDERALYW BUSINESS LICENSE#
-
RIMARY
N dphn ( ocer. 5455. G130a5g4
APPLICANT MAILING ADDRESS E-MAIL
23c15 Lowcr Deme. Den IIJ SzrP oc�.rS4w1keiromI.t ow-
CITY `4. V 44\4 V34 CA
X
.. _.. 953 NAME �^ PRIMARY PHONE
PROJECT CONTACT ACJI(Am aelers 505 .Oi .'134'4
(The individual to receive and MAILtNG ADDRESS ` S J ,�1+(� (l r,01/,�
respond to all correspondence 2$015 Lower Perra, A� W�Sy� ►
concerning this application) CITY ATE ZIP FAX
NAME
PROJECT FINANCING Cole% iIM S cAY `i X, OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
4132 S. 2Rct* checA-1Ftder4 hJhi,(AA x4001) 2 .511. 1232
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 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 application.
SIGNATURE: DATE 04 kt(
PRINT NAME: MAW\liO. (2.01eX,J
Bulletin#100-January 29,2016 Page 1 of 2 k:\I-Iandouts\Permit Application
A
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(commercial)
BOILERS FURNACES HOT WATER TANKS(coo)
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/stmwerCombo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Uwity) 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 n No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
S COR
COVERED ENTRY
D1+L''IC
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
.* sw maknoS oar**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NwBvt 6
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL
TENANT AREA ONLY
PR Ar ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
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?ate L�`"�)-? c` \c�-
- RECEIVED
APR ?I 2019
cormNRY DEVELOPMENT