04-105166 Laity of Federal Way III •Building
g -,Single
Community Development Services Permit #: 04-105166"-01-S FamilFy
P.O.Box 9718
Federal Way,WA 98063-9718 2t Line: 35-3050
Inspection R ues
Ph:(253)835-2607 Fax(253)835-2609 Ins p `q ( /
c
Project Name: GILBERT
Project Address: 213 SW 331ST PL Parcel Number: 729802 0050
Project Description: ALT-Finish basement with drywall,including removal of two walls,construction of two
walls,sheetrock and insulation,install plumbing fixtures. **REVISION: Modifications to
door locations and addition of kitchen to create ADU** ****11/17/09 adding gas
furnace****
Owner Applicant Contractor Lender
STEVEN&PAMELA GILBERT STEVEN&PAMELA GILBERT 213 SW 331ST PL STEVEN&PAMELA GILBERT
213 SW 331ST PL 213 SW 331ST PL FEDERAL WAY WA 98023-6182 213 SW 331ST PL
FEDERAL WAY WA 98023-6182 FEDERAL WAY WA 98023-6182 FEDERAL WAY WA 98023-6182
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
y
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? Yes Occupancy#1 -Class R-3
Plumbing to be Included? Yes Zoning Designation RS 9.6
Furnaces 1 Hoods 1
Bathtubs 1 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 1 Sinks 1
PERMIT EXPIRES Friday, August 29, 2008
Permit Issued on Tuesday, August 29, 2006
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 accordance with the laws, rules and regulations of the State of Washington
and the City
of Federal Way.
C ,,4
Owner or agent: . " it "� Date: I
Rfiti
.I r.0 -
City of Federal Way •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: GILBERT Permit#: 04-105166-01-SF
Address: 213 SW 331ST PL
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: STEVEN&PAMELA GILBERT
STEVEN&PAMELA GILBERT
Owner Name:
-Owner Address: 213 SW 331ST PL
FEDERAL WAY WA 98023-6182 /
Buildin(I Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
1
' 6 1 itilVai pie
6
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*Building -.Single"Family
' 0 City of Federal Way w
Community Development Services P.OBox 9718 r 1,41E411t Permit #: 04-105166-01-S F
.
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 �� p Q
9
Project Name: GILBERT
Project Address: 213 SW 331ST PL Parcel Number: 729802 0050
Project Description: ALT-Finish basement with drywall,including removal of two walls,construction of two
walls,sheetrock and insulation,install plumbing fixtures. **REVISION: Modifications to
door locations and addition of kitchen to create ADU**
,
l
Owner Applicant Contractor Lender
STEVEN&PAMELA GILBERT STEVEN&PAMELA GILBERT 213 SW 331ST PL STEVEN&PAMELA GILBERT
213 SW 331ST PL 213 SW 331ST PL FEDERAL WAY WA 98023-6182 213 SW 331ST PL
FEDERAL WAY WA 98023-6182 FEDERAL WAY WA 98023-6182 FEDERAL WAY WA 98023-6182
Census Category: 434 -Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type'1/-1
i lc npaCtcy Load: .._.:: _ _- ,,.:: 0 ''/
l+ t"AtEas .ft. 0 0 0 it tof- ,p 4 '
, � -, .,, �� � '
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet Basement 0
Mechanical to be Included? Yes Occupancy#1 -Class R-3
Plumbing to be Included? Yes Zoning Designation RS 9.6
` , 1 Fy : • .�ti ! - T e i d a+E� -s l a '1 � „ g ' F
Hoods 1
r d �' Fixtures g �k
Bathtubs 1 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 1 Sinks 1
PERMIT EXPIRES Friday, August 29, 2008
Permit Issued on Tuesday, August 29, 2006
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 Ci of Federal Way.
Owner or agent: P + Date: Qq
----.
,-
City of Federal Way i 4
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of thee,,lhternational Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: GILBERT Permit#: 04-105166-01-SF
Address: 213 SW 331ST PL
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Owner Name: STEVEN&PAMELA GILBERT
STEVEN&PAMELA GILBERT
Owner Name:
Owner Address: 213 SW 331ST PL
FEDERAL WAY WA 98023-6182
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most sever!),affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
a
�14,464,<V
$ 11411•41 1
y • THIS CARD IS TO IN ON-SITE
•
. CITY OF • Construction Ins tion Record '
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 04-105166-01-SF Address: 213 SW 331ST PL •
Owner: STEVEN & PAMELA GILBERT FEDERAL WAY;WA 98023-6182
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 Initial Erosion Control(4365) El Plumbing Groundwork(4190) ❑ Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) Walls(4245)
El Roof Sheathing(4220)
Approved to install flooring Approved to install siding . Approved to install roofing
By Date By Date By Date
- a Rough Plumbing(4230) .❑ Mechanical Rough-in(4165) � Gas Piping(4125).
Approved Approved Approved to release test
By ) J Date / Z 7 J q •By 0 �` Date AY .By / `�� Date Z
f ✓
CI Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) , Prior to scheduling a Framing inspection;
Approved • Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By CNkx j‘s.1 Date Cv,i tt,1 'By Date approved. IBC 109.3.4
0 Framing(4120) ❑ Insulation (4150) .❑Gypsum Wallboard Nailing(4130)'
Approved insulate Approved to install wallboard �AApprovveed to• stall mud&tape
By ate Byscl, Date ` By %i" �:� Date7/9/7/
. 0 Final Erosion Control(4375) 0 Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By6— Date/--(?---//. By (5 Date /✓/7 •.
El Final L.Building(4050) • •
Approved
•
iiig Date / / •
•
•
• •
•
• For inspector reference only
0 Rough Electrical . 0 • FINAL-Electrical
APProved Approved
By DateBy Date .
"1 RECEIV. • Ic314
Ir
CITY OF r
Federal Way DEL 22 20D4 PERMIT tip
COMMUNITY DEVELOPMENT SERVICES F CO ®EL PL t1E EN FP
33325 8r"AVENUE SOUTH POBe� (�• � F FED EDR L I G A T I O N TD
FEDERAL WAY,,RU 98063-97M
• / /
253-835-2607.FAX 253-835-2609 BUILDING
nom::;.C;r(o9eueralmatr.cc n
The oilowin r is re• ired in ormation-an into .lete a,,lication will not be acce•ted. Please .rint le•ibi in ink or j. .
• PROPERTY INFORMATION qy�
SITE ADDRESS .2,I 3 5,. 3 3I' m4-0►t.. ii k"r (.JA IVOL3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 Z 1 p'fPO p. 0 Z - O S O - 01 LOT SIZE(sf) 1 4 I4S)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) kA r s -c le to L-E DmJ 3
(Attach separate Age for lengthy legal descnption)
• PROJECT INFORMATION
TYPE OF PERMIT XBUILDING $PLUMBING XI MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
c_.o f 4s" TK4.4rA41444 a'(2 verLsc*( — Vr.st014-1.AWo-tc44
t.•er-ls-VM5 ebfa WIFIARV'DL afr P I_:nt t / tNgett ►Tre, sic 'Tiao
)1taV aof A At. 41 lCw ,Aa TsVv toaS q t..tsspv► 1(111, tis IAVIT. i
1,17-0-1%•.W.%).. ,
PROJECT NAME(Name of Business or Owner Last Name) 1 I L1
• PEOPLE INFORMATION
PROPERTY NAME c� ` t t Q� PRIMARY PHONE
OWNER etEit `/D t L � (LS 3) 3s/ - 09 1+
MAILING ADDRESSCITY,STATE,ZIP
Zl3 5t.") 33 I PL. irtrociciet.. tat04e, vsp,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Srei& Ci ui ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Steve% 61 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL
9 V ., 6t t, SRC" (2-S'3) '3-s i - 019+
LENDER „Per"RCItr1St27a9S. fxnderit brnatiafcis NAME WAt oI.Gh•..
eared lfproj: valueecceedo-a$5 QCOO .---.
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE V-IESt iTlAl� SE) PROPOSED USE QHS%CANT!AL. SF
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ lo OO•o
i
SPRINKLERED BUILDING? ❑ YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES NO
WATER SERVICE PROVIDER NiI ,LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ULAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
U
11110
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
IDSv 1aS0 17 u
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL -.TOTAL EXISTING BP .TOTA.PSOPOSED Sr TOTAL Ss
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated
�vaspart
lof this project. Do not include existing fixtures to remain.
MECHANICAL EK.4M1.0 CPS `FY? 0 ' is"' 1' 'FTf'46 '5
Value of Mechanical Work $ 5b 0 ,ein
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS _ FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS 3 GAS PIPE OUTLETS
PLUMBING1
IF BATHTUBS(or Tub/Showercombo) SHOWERS WATER CLOSETS(Toney MISC(Describe)
DISHWASHERS _l___ SINKS Wil"ILA( . DRINKING FOUNTAINS
—i----
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
—1-- LAVS Bathroom sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. A5r.
fNAME/TITLE �. • C. DATE ',IX'20 to
(Signature) (Title)
RELATIONSHIP TO PROJECT X Owner 0 Agent 0 Contractor 0 Architect 0 Other
,t;,
o NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES, o NO BASIC PLAN?- a YES a NO.,
ZONING DESIGNATION CHANGE-OFUSE? o YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES a NO
Bulletin#100-August 19,2004 Page 2 of 4 k\Handouts\Permit Application