10-103140 1110 frui1ding - Single Family
City of FederaWay Permit #: 10-103140-00-SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 "Am r1 ''
Ph:(253)835-2607 Fax(253)835-2609 Y4 Inspection Request Line: (253)835-3050
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Project Name: KOKUBUN
Project Address: 836 SW 345TH ST Parcel Number: 132170 0450
Project Description: ADD-Construct 63 square foot bathroom. Includes plumbing& mechanical.
Owner Applicant Contractor Lender
SHARI KOKUBUN EVERMORE CONSTRUCTION EVERMORE CONSTRUCTION SHARI KOKUBUN
836 SW 345TH ST 2319 S PINEBROOK LN EVERMCL9073M(1/14/12) 836 SW 345TH ST
FEDERAL WAY WA DES MOINES WA 98198 2319 S PINEBROOK LN FEDERAL WAY WA
98023-8405 DES MOINES WA 98198 98023-8405
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-B
Occupancy Load:
Floor Area(sq. ft.) 63 0 0 0
New/Additional Sq.Feet- I st Floor 63' New/Additional,Sq.Feet-2nd Floor.. ..... ........0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 63
New/Additional Sq.Feet-Basement 0 Occupancy#1 -Construction Type Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq. Feet-Garage 0
Mechanical to be Included? Yes Occupancy#I -Class R-3
New/Additional Sq.Feet-Other 0 Plumbing to be Included Yes
New/Additional Sq.Feet-Total 63 Occupancy#1 -Use Residence(1 or 2
family)
Zoning Designation RS 7.2
•
43,
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Fans 1
Lavatories 1 Showers 1 Water Closets 1
CONDITIONS: c D •
1/a4/16
Subject to field ins tion with plans.0\0 4)-(---., -
F1NALD�c
U
\ \ V /)'
' \ u PERMIT EXPIRES Wednesday, January 19, 2011
V Permit Issued on Friday, July 23, 2010
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: �, :6 t--\ XrLLl Date: 7 — `2- 77 — (L
THIS CARD IS TO AIN ON-SITE , '
CITY OF
Ai
Construction Ins ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 10-103140-00-SF Address: 836 SW 345TH ST
Owner: SHARI KOKUBUN FEDERAL WAY, WA 98023-8405
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.
O SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approve to place concrete
By Date By Date By Ay Date
$0p
❑ Foundation Wall(4115) '0 Drainage/Downspout(4040) '0 Plumbing Groun work(4190)
Approved to place concreteApproved to backfill Approved to cover
'By .- -;10 ate��� /� . By Date 'By Date
'0 Slab/Concrete Floor(4255)/ • `0 Underfloor Framing(4285) Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install floorin
By Date By �� Date By 0 jDate if ' 0
`� Shear Walls(4245) �El Roof Sheathing(4220) Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By C. 7 Date �, a..`k By _1,4Dates
w .3, L b , By Q J.t.) Date g_ti.
t-_,•
Mechanical Rough-in(4165) ElGas Piping(4125) ElFire/Draft Stops(4095)
Approved Approved to release test Approved
By ( :/\11s.
. Date $�` ...i V By Date By Q- � Date ``l .
E3 Interim Erosion Control(4370) prior to scheduling a Framing inspection; El
Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Q,t4w Date g_ 6_,
-r,„ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
1175-C-, Date 8— Z 7--t Q By3(5-2 Date S _ 3 I_L 0 By Date
O Final-Mechanical(4065) Final-Plumbing(4075) Final-Building(4050)
Approved Approved Approved
By Date ¢-( Byj Date --?.41,_.,e7 \--S Date _
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Oil' � ,v. i o - I d 3 L( a
'der aim
F CO ME PL DE EN FP
COMNUNITY DEVELOPMENT SERVICES 2 1 P P L I C A T I O N a rc_-
CITYJI IVt�OF FEDERAL WAY
SITE ADDRESS �� 4�i�,p - S Sk— UCISAS \I \X% 13a� SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT BUILDING 'PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �bYK11 ) USN)^\
(Tenant Name/Homeowner Last Name) W v
PROJECT DESCRIPTION t ‘
Detailed description of work to 1 r" b75 5%
be included on this permit only
PROPERTY OWNER Neva. � C-\ \ \‘.�.c -SS.PRIMARY PHONE
D-%'I.
MAILING ADDRESS ^''y E-MAIL
C]�b G-L6 . -6kS5`` .
CITYSTATE ZIP
wR'S c
NAME
PHONE
�.EPNM L nS cZ .Lt`uN LLL Cti5') 444'151 Z
NAILING ADDRESS A, E-MAIL •
CONTRACTOR a3`'MS.`,^`P!‘�'V 6�J��°O`'C- /��.`)p ^�
CITY- OS .1` W i V OS STATE: t `�\D\ 1�F s4 FAX
WA STATE CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
rGvEFNtt\LLO cy1 \ 0k / k' , ‘'
NAlaSNE
L \. __-' 1e t% 5) 44 it '15 i L
APPLICANT MAILING ADDRESS - E-MAIL
k .3 •\LICA k4C\ Q-- E
CITY `�1\ N STATE W . ZIP�Mca\ FAX
PROJECT CONTACT NAME _ O E (\\)e (0'5
�) 4 s ( Z
(The individual to receive and
respond to all correspondence ADD�3 `� '"` E-MAIL
concerning this application) \ \i ) \'�' �1rsL
CITY u V t S\43 Z�So-IP FAX
ALTERNATE CONTACT NAME: ,(1l PRONE E-MAIL
PROJECT FINANCING NAME
Required value of$5 000 or more .D C\ �k \3k),(1
OWNER-FINANCED
/ncwr9.27.o9s, MAILING
S-'L 'e . E\ C1%2:3 `D S3 PHONE a`tlik
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 toAthe city as art of this application.
V l r �] (�
SIGNATURE: DATE l � ft V
PRINT NAME: Q.
Bulletin#100-April 14,2010 Page 1 of 3 k:\landouts\Perrnit Application
110 • St'
VALYJ'E o,)MscaAivmat Wogs $ �� (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture . ,- '4. e :• or relocated as part of this project. Do not include existing fixtures to remain.
_ AIR HANDLING UNITS •I FANS GAS PIPE OUTLETS OTHER(Describe) _
AIR CONDITIONER FIREPLACE INSERTS HOODS(commcrcie)
BOILERS FURNACES HOT WATER TANKS(G.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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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) I LAVS(Hood Sinks) % TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
1 DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS vcitcheu/utility WATER HEATERS(piectric)
WASHING MACHINES :.':`•. .?:'';g', !:E'1 ?tea # % ;
HOSE BIBBS SUMPS :..................................
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CRITICAL AREAS ON P ERTY? WATER PURVEYOR - A WER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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Area Totals
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Bulletin#100–April 14,2010 Page 2 of 3 k:\Handouts\Permit Application
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