02-104189 �. ..
� City of Federal Way Building - Single Family Permit #:02 - 104189 - 00 - S�
Coirsnunity Development Services _
335?9 lst Way S
Federal Way,�VA 98003-6210
Ph:2�3.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CONWELL
Project Address: 841 SW 307TH ST Parcel Number: 178870 0235
Project Description: RES ALT/REP-Repair work to existing single family residence to comply with violation order
#02-103805-00-VO; Work includes the repair of sub-flooring in bathroom and portion of kitchen and
finish work,subject to field inspection.
Owner Applicant Contractor L.ender
Ruth Conwell Todd M&Cristal A Hauge Ruth Conwell NONE
841 SW 307TH ST 4642 SW 328TH PL
FCDERAL WAY WA 98023-8245 FEDERAL WAY WA 98023-1925 841 SW 307TH ST
FEDERAL WAY WA 98023-8245 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
LConstruction T�pe: Type V-N
rOccupancy Load: ��
Floor Area(Sq.Ft.): J
Census Category.................................................434-Residential alUadd-no� Mechanical................................................. No
Occupancy Group#1...........................................R-3 Plumbing................................................. No
Zoning Desi��ation.............................................RS 7.2
PERMIT EXPIRES March 26,2003,IF NO WORK IS STARTED.
Peimit issued on September 27,2002
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.
Uwne:or agent: Date: '�
PO""'THIS CARD ON THE FRONT OF BUILD'"`G , .
� ���� BU��.DING DIVISION
uV F�Y INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 02-104189-00-SF
OWNER'S NAME: Ruth Conwell
SITE ADDRESS: 841 SW 307TH
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
�' ' ;DO lYOT',POI7R'GONCRETE UNTIL THE ABOYE;;IS APPROVED °
_. , _ '._.. ,,,
( ) DRAINAGE: Line ( ) Connection
'' � ' `"- ': DO NOT POUR SLAB UNTIL THE ABUVE IS APPROVEb,; -,;
� , � -. �
;
-,� � �� �•��
O UNDERFLOOR FRAMING �7 lZ S S
O ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
� _ .,
,A,I,,�TI�E ABQVE.MUST;BE APPROVED PRIOR TO RAMING INSPE I N' : . � ,,
��_ ,.:, , ;
( ) FRAMING/FIRESTOPPING � ///
,�,.
' � �' ;. , _ � � 'TT�E ABdVE MUST BE AP�ROVED PRIOR TO SU TING�R'S TROCKING,. _�,,,... 3
�;� .
( ) INSULATION: Floors Walls � / ,� �� Attic
'y " 'THE ABOVE;MUST;BE APPRO�ED PRIOR T,U APPGYING SHEET.ROCK; ' '
( ) WALLBOARD NAILING • ( ) SUSPENDED CEILING
,
! THE;ABQVE MUST BE APPRQVED PRIOR TO..TAPING OR.INSTALLING CEILING TILE =
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
, ,, THE°ABOVE MU�T=BE APPROYED PRIOR TO ILDING DEPARTMENT,FINAL '
O BUILDING FINAL /C9 —' Z /— O
; =: � - N.
= DO NOT OC�UPY THIS BITILDING UNTIL BUILDING33FINAL IS APPROVED .
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""'°� G ��� . � CONSTRUCTION PERMIT APPLICATION
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VV �y� � � �� PPLICA-fION NUMBER:(�Z - � - �'j
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, `� � � — � — — —
PPLICATION NUMBER: - _
- - - - - - -
RPLICATION NUM.BER:_ _ _ - -
� • **The foilowing is requi�ed information—Please print(in i�k)or type**
; Please�ote: Electrical,Fre Prevention'Systems and Engineering pennits may require a separate appiiqtion. �����
. � . � . �
SITE ADDRESS: _ ��� S� 3 L� � � ASSESSOR'S TAX/PARCEL#:4��" � � �� � /�y-�✓
� / I � / 1-TFiR�,4i'
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LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): � ���7d -- D Z3�
• • • • •
TYPE OF PROJEGT(This appiication): BUILDING ❑ PLUMBING ❑ MECHANICAL �,DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): �rvu;"L� U,�,�ti,y � ,%�, �.-�X •� �,,��
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PROJECT NAME: � �
• • . • •
PROPERTY OWNER: NAME: DAYfIME PHONE:
�� — i�n'�'� c� — C:z�,.�c r (��3) ��l -C>3� j
MAILING ADDRESS(STREEf ADDRESS� STATE, ) /�_� n
�� � -S u-� �U � � �^� � ��!�Z�
CONTRACTOR: NAME:
� DAYf1ME PHONE:
W'r�il iv►-Y ( ) -
MAILiNG ADDRESS(SiREEf ADDRESS; ,SfATE,2IP): EVENING PHONE:
� �
QTY Of FEDERAL WAY BUSINE55 LICENSE NUMBER: FAX NUMBER:
— - � �
CONTRACTOR'S REGISTRATION NUMBER: IXPIRATION DATE:
��PY o(ord required) � �
APPLICANT: NAME:
DAYTIME PHONE:
Z �''' ( ) '
MAILING ADDRESS(S7REET ADDRESS; $TATE,ZI - NING PHONE'
�I�/ , � � l�ks 3) � - �3�
RELATIONSHIP TO RO)ECT: �r�-� NUMBER.
, ❑ ARCHITECT TENANT ❑ OTHER(DESCRIBE): � (,�J � -
E-MAIL AD�RESS:
CONTACT PERSON FOR THIS PROJECT�ROPERTY OWNER �APPLICANT ❑ CONTRACTOR
. . . . • .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION � (�`�
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS� � ��
SPRINKLERED BUILDING? ❑ YES �NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED•❑ YES ❑ NO
WATER SERVICE PROVIDER: �'LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRNATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE �PRNATE(SEPTIC)
�
**NEW RESIDENTIAL CONSTRUCTION ONLY** I
NUMBER OF BEDROOMS: _ ESTIMATED SELLING PI : �
- • • • •
FIOOR EXISTING S .FT. PROPOSED S .FT. TOTAI �
BASEMENT
�� i
{
SECOND ;
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) �
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
- MECHANICAI.
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
DRINfQNG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. •
I certify under penalty of perjury that the infonnation fumished 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 woric for which the permit application is made. I
fuctfler agree to hold harmless tfie C'ity of Federal Way as to any daim(induding costs,expenses,and attomeys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersig�ed,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,includi�g its officers and employees,upon the accuracy
of the information supplied the aty as p rt of this application.
NAME/TITLE: i�--- DATE: �Y I��
�ROPERTY OWNER �APPLICANT ❑ CONTRA OR
;
�FOR;UFFICE':.USE"ONLY -i:
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OOMMUNIiY DEVELOPMENT SERVICES•33530 FIRST WAY SOIfTI i•PO BOX 9718•FEDERAL WAY,WA 98063�J718•253�61-4000•FAX:253-661�129
www.dtypffedera Iway.com