01-103450 City of Federal Way
Community Development Services Building - Single Family Permit #:01 - 103450 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SWEEM
Project Address: 1061 S 317TH ST Parcel Number: 358400 0360
Project Description: RES REP-Fire damage repair,demo of sheetrock,insulation,floor coverings,windows. Replace with
like materials. Includes furnace replacement,no plumbing on this permit.
Owner Applicant Contractor Lender
Ralph Adkisson &ELSIE SWEEM PACIFIC WEST COAST INC PACIFIC WEST COAST INC ALL STATE INSURANCE
1061 S 317TH ST 1902 JEFFERSON WAY E PACIFW0044DN 12/1/01
FEDERAL WAY WA LYNNWOOD WA 98037-6313 1902 JEFFERSON WAY E
98003-5360 LYNNWOOD WA 98037-6313
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3 /
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no, Mechanical No
Occupancy Group#1 R-3 Plumbing No
Total Building Sq.Feet 1370 Zoning Designation RS 7.2
Mechanical Fixtures
Description !Quantity Description Quantity Description !Quantity
Furnaces 1
CONDITIONS:
1.Separate electrical permit required.
2.Engineered truss plan required on-site at framing inspection.
PERMIT EXPIRES March 3,2002,IF NO WORK IS STARTED.
Permit issued on September 4,2001
I hereby certify that the above information is correct and that the construction on the above described property and
• the occupancy and t ;use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Feder W " .
Owner or agent: Date: 451/4/5
PO.HIS CARD ON THE FRONT OF BUILD
CITY•OF G BUILDING DIVISION
.\)\> � — INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 01-103450-00-SF
OWNER'S NAME: Ralph Adkisson & ELSIE SWEEM
SITE ADDRESS: 1061 S 317TH
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV / Water piping
( ) ROUGH MECHANICAL /Z --/z.,„ '" p / G w Gas piping
() SHEATHING Roof //i--/� / #11 Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
• (•)•FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING / Z 0
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls f Z _./A...p/G.r--/Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING /Z--G -- CJ/� CaJ l ) SUSPENDED CEILING
4 :THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED P OR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL / / 0
DO NOT OCCUPY THIS BUILDING'UNTIL BUILDING'FINAL IS APPROVED
•
•
•
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
-..o. , ,...,,,,,,..., /ED • C STRUCWN PERMIT APPLICATION
� 1 - J03f - 00
VV APPLICATION NUMBER:
0 2°11 APPLICATION NUMBER: - -
YY APPLICATION NUMBER: - -
''' BOF
LDE e OEi�ie"following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. - -IS■ PROPERTY INFORMATION - . 3 8 .
SITE ADDRESS: IOD( 3. 317 I I kdeea(wal V3� ASSESSOR'S TAX/PARCEL #: 6 L O O - 0 3 o 'O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' • ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): G BUILDING ❑ PLUMBING ❑ MECHANICAL Iy DEMOLITION
❑ ELECTRICAL{�� ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 11�A-40 4=:.4" "51Ntt.4rroC-k-f t'RQo14�1-UY1 t CIvo✓ Lovt.eNlc)5
vulvt4 wSlGam. 2e00.,....... ,.....,:44, cot ink,v4 ,;1,...„ yvt %
cq'- C4A
PROJECT NAME: SWQ.;eAn IND
- • - ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
6,15‘e. S qty .). ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1061 Ftdt y S 3n `�'' S - Fed-uoa l w am 5'8003
CONTRACTOR: qi,CS-:(C,
DAYTIME PHONE:
WtS4" CAosl- Inc. (tits ) 14,3 -231-5
MAILING
ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
V/ Ad ' •b vYSw� n0d .L.-A- ( /2 (9:o ) 348
- u5D
o
CITY OF FEDERAL AY BUSINESS NSE NUM R: BR
41' - - (425 ) 7L( - ) O
( CONTRACTOR'S REGISTRATION NUMBER: Q _ �,./ /� '^/ �/ EXPIRATION DATE:
(copy of card required) P & C- : F "' c- O 4 4 " •` 12- i or / 51
APPLICANT: N E: DAYTIME PHONE:
AjC1.UiiL WC$' Coaf 1vic.. (425) 1143 - 2313
MAILING ADDRESS STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
Icro - 3e e.isoi way Lyviv►t,,300A IJ.*\ qs031 ,(Sao ) X98 '15c°
RELATIONSHIP TO PROJECT:❑ [�,'OT `
r FAX NUMBER: p
❑ ARCHITECT TENANT
HER( DESCRIBE): DY\}VC&C.-�O/ (42S ) 1y3 - 16/` .
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT .1 CCONTRACTOR
-//� - / - ■ DETAILED BUILDING INFORMATION -
EXISTING USE: flf L/ , . 4' EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 465159
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 02b1%cp
(-0-23'a' far-H 4 ?x-i`'c6vwut..,.)
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:U YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ P (SEPTIC)
• 411101
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST 1/0lt7V
SECOND ut
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? 3l0
TOTAL: 3V
•
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
■ 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 an• •-fense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way, • t o wher: suc claim arises out of the reliance of the city,including its officers and employees, upon the accuracy
of the inform4tio ].pli:d o the city as a part of this application.
' t
NAME/TITLE: k .a . DATE: -7/2. V
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
El NEW ❑.PD ITION I�ALTERATION CI REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: �j� LOT SIZE: 9Lf
ZONING DESIGNA ION : -7•Z•• BUILDING SHELL ONLY? ❑ YES Q"'NO
COMP PLAN DESIGNATION Srift BASIC PLAN? ❑ YES
SECTION T SHIP RANGE NEW ADDRESS REQUIRED? ❑ YES LINO
PLATTED LOT? M7YES ❑ NO 4 CHANGE OF USE? ❑ YES C"NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129