19-102825 Building - Single Family
City of Federal Way Permit #:19-102825-00-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: GIBSON
Project Address: 3123 SW 302ND PL Parcel Number:012103 9080
Project Description: REM-Add master bath in existing walk-in closet;remove and replace GWB. Includes
plumbing and mechanical.
Owner Applicant Contractor Lender
JAMIE GIBSON JAMIE GIBSON OWNER IS CONTRACTOR
3123 SW 302ND PL 3123 SW 302ND PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
•
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? 4000
Mechanical Work Valuation? 3500 Number of Stories 2
Is this an Online or O.T.C.application? Yes Plumbing to be Included? Yes
Total Valuation:750.00
a
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Fans 1 Gas Piping 1 Gas Pipe Outlets 1
Hot Water Tanks 1
a-a 4ti 9 a F;7 d$ # s'� i I ,,;tp,h
k. n uc .. r.� aJl:� :r"6,. .; ,.d.4,,;„ -. 6 ' .,cfm:-..,�3 Ls ,. dx'71
.
Laundry Washer Outlets 1 Lavatories 1 Showers 1
Water Closets 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday,8 December,2019
Permit Issued on Tuesday,June 11,2019
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
ashingt and the City of Federal Way. Q�
Owner or agent: Date: Li?) I )
THIS CARD IS TO REMAIN ON-SITE
CITY Of
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 102825 00 Address: 3123 SW 302ND PL
Project: JAMIE GIBSON FEDERAL WAY WA 98023-2342
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.
El SWM Precon Site Mtg(4400) ® Initial Erosion Control(4365) El Plumbing Groundwork(4190)
Approved i To be done PRIOR to breaking ground I Approved to cover
By Date . By Date • By Date
® Underfloor Framing(4285) ® Floor Sheathing(4105) ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
7❑ Roof Sheathing(4220) ® Rough Plumbing(4230) ® Mechanical Rough-in(4165)
Approved to install roofing Approved / Approved Q
/lf
-By Date .By��f Date �' l /�., ��By&l Dater 22 '
ElGas Piping(4125) Fire/Draft Stops(4095)/// j 12 Interim Erosion Control(4370)
Approved to release test I Bl
Approved Approved
By Date By` Date71-2 By Date
Prior to scheduling a Framing inspection;[
Framing(4120) �4 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed- Approved to install wallboard
off and approved. IBC 109.3.4 By Date By((e. Date/
El Gypsum Wallboard Nailing(4130) El Final Erosion Control(4375) El Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
BIW> Date By Date j By�� Date
__ / /3 hoz
1 ti Final-Plumbing El Final-Building(4050)
Approved I Approved
By Date !0.2) By GlJ-.S Date /.) .70 ,.
•
0 Rough Electrical 0 Final Electrical0 Right of Way
Approved Approved Approved
,By Date By Date By Date
A. IEDEIVED
CITY OF �..,• y PERMIT APPLICATION
Federal Way ` 1 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcentel@cityoffederalway.com
L .'; -RAL WAY
WV': 21 EVELOPMENT
PERMIT NUMBER /v? _ / _ TARGET DATE
SITE ADDRESS SUITE/UNIT#
"�
1 2P1_ fi--oL 14
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 03 - 908D
,i,tf ._;.ii.
TYPE OF PERMIT A BUILDING ER PLUMBING WMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT EV, I\ '2 - /A - -,L 1)0 -7- t,L
t i Lt,`-T- Y_-L ..�k 1 lit l z1-— - > k�
PROJECT DESCRIPTION .\ --1__F---
�� , �\� (� ��) A t\ ` {�
Detailed description of work to # t LI i V .m �l 1 V.� l 1 !=—. V\) 'tom' 1
be included on this permit only , j nQ
. PRNII �I1M�ARY PHONE Z
PROPERTY OWNER WALING ADDRESSl�i\ E-MAIL
ff L � $ A 16bZ% ' f "`
g'lr"N Ails I')!U—�` )VIVS ' e, PHO1� - ) f II .
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IMAILING 115)1 E-MAIL
CONTRACTOR Z1. Lc
1$'\
__12 1. l J V 'A / ) FAX
' ,t�A STA�CONTRACTOR'S LICENSE�� EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N 1� (� C7/r-5-12-0\- -. 7 01-1931\1E1
, ��—' PRIMARY PHONE
MAILING ADD S E-MAIL
APPLICANT-
` CITY STATE ZIP FAX
PRIMARY PHONE
PROJECT CONTACT l� ow 1(`^�)
(The individual to receive and MAILING ADD s E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING X 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 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: `j AN.,?,N.9➢ \v'At. e) DATE (.9/ / I j i i
PRINT NAME f l—1 i / i t)
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type ofre to be installed or relocated as art of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS I GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES T HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ qfoo c
Indicate how many of each type of fixture to be installed or relocated of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) 1 LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS I 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
BA" f
FIRST FLOOR(or Mobile Home)
/:',!$ / /� � ^i ,' fes?J /.%" -_-_-.--_.-._....................._..........._..._....._.............................._._.._...._.................._..._.._..
r` �'
COVERED ENTRY
DECK r ',.; F �'
GARAGE ❑ CARPORT ❑
OTHER
EXISTING PROPOSED TOTAL
Area Totals /gyp
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
�.r$r` "INnw DING i ;:'•',�,. ` }•- ', - 4 d 1 'i`£ *'{ �.���"
_ , , ��'. .'���� � s-
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
f .0000'Zie ry' ,a
s.f',., .. ,i: ** 44 444k, .,ti<si-..
TENANT AREA ONLY
{��„,r��r' s�',�" � tt �'u!' �, "y ri ���% /�"sem,,• ��
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application