03-100963A
City of Federal Way
Community Development Services
33530 1st Way S
Building - Single Family Permit #:03 - 100963 - 00 - SF.
Federal Pha253.661y4 00 9Fa0x3 1253.661.4129 Inspection 1'@E1@ 11118: 253.835.3050
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Project Name: WATERS _
Project Address: 30304 19TH-PL $W - Parcel Nurif el 0R5,Q50 0050 _
Project Description: Construct 4 n--J ocz4addition to�existing residence. No plumbing or mechan vKO k. Subject -to
field inspection.-
Owner
Applicant -
Contractor
Lender
Stephen H Waters
GARY SADLER REMODELING CO
GARY SADLER REMODELING CO
Stephen H Waters
30304 19TH PL SW
30011' 11TH PL S
GARYSRC055JG 4/9/03
30304 19TH PL SW
FEDERAL WAY WA
FEDERAL WAY WA 98003
30011 11TH PL S
FEDERAL WAY WA
98023 -3416
FEDERAL WAY WA 98003
98023 -3416
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
1 st Floor Proposed Sq. Feet... .............................. 120 Census Category. .............. 434 Residential altladd - no
Height of Structure ........: ......... ......................1 °1 Mechanical......... .......... ......... No
Occupancy Group #1 .............. ................R-3 Plumbing......... ..... ....., ................... No
Total Proposed Sq. Feet .......... .......................120 Zoning Designation ................. ` ............ RS 15.0
PERMIT EXPIRES September 7, 2003.
Permit issued on March 11, 2003
I hereby certify that the above information is correct and
the occupancy and the use will accordance with the
the City of Federal a�T y
Owner or agent:
to construction on the above described property and
rules and regulations of the State of Washington and
Date:
POS#HIS CARD ON THE FRONT OF BUILDI
MAING DIVISION
INSPECTION RECORD
j
PERMIT #. 03- 100963 -00 -SF
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OWNER'S NAME: Stephen H Waters
SITE ADDRESS: 30304 19TH SW
FOOTINGS /SETBACKS A () FOUNDATION WALL) _i�'
Ran
a F mr
( ) DRAINAGE: Line ( )
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV,
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS (o " 4 — C)
Roof
Water
Gas
( ) ELECTRICAL ROUGH -IN &:'— Z — n 3 j' Ditch Cover
( ) FIRE/DRAFTSTOPS
Floor
( ) FRAMING/FIRESTOPPING
( ) INSULATION
M tUS
Walls 6. ` S'- O _% Attic
() WALLBOARD NAILING (o — R —'p3 :;� ( ) SUSPENDED CEILING
,wa D ..Q, 3 "'' 1 w.iw, �E t$4 K91
' � L
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FIN
( ) BUILDING FINAL :5 — Z /—
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Lss. ',A I &ECEI'VED
CONSTRUCTION PERMIT APPLICATION
CITY OF �.....� PPLICATION NUMBER: r.3
Federal Way MAR 1 1 2003 - -
PPLICATION NUMBER:
CITY OF FEDERAL WAY PPLICATION NUMBER: -
BUILDING DEPT — —
* *The following is required information – Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PRADFRTY TNF(IRMOTTC
SITE ADDRESS: �� ( ' �tJ CV� ASSESSOR'S TAX /PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEP RATE DESCRIPTION IF LENGTHY): LofS BPGSS► (�v1JDL�
fw N z N R 3, ,�-- T rn e-r C-c
PROJECT 114FORMATION
TYPE OF PROJECT (This application): BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
wAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descri
PROJECT NAME,
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
Z
■ PEOPLE INFORMATION
MAP'
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C NAME: � DAYTIME PHONE:
Z 5-3)
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MAILING ADDRESS (� 1 T AD S* CITY, STATE, ZIP): EVENING PHONE: i (z53) �
RELATIONSHIP TO PROJECT: n�J /� l FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER { DESCRIBE): C,-eU,2+(�� L,,Q(/l"jCraC
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CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ONTRACTOR
EXISTING USE: �"devf ctl 5,," FP T. EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ 7
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PROPOSED USE: /LII^O S� IbJbo f �- PROPOSED VALUATION FOR IMPROVEMENTS: g (00
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
❑ YES Ji NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES /
- :LAKEH/AVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE
o TACOMA o PRIVATE (WELL)
*PRIVATE (SEPTIC)
DAYTIME PHONES
MAILjN�D0RE5� STREET ADDRE�; CITY jIP):
3036q I W
r
NAME•
�p2
" DAYTIME PHONE:
(263)
MAILING ADDRESS ( Eli P7,STA ZIP):
EVENING PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
i FAX NUMBER:
—
CONTRACTORS REGISTRATION NUMBER: /�
(copy of card required) �`'
i EXPIRATION DATE::
5 C O �� 1 / / / 0 3
r -
C NAME: � DAYTIME PHONE:
Z 5-3)
,
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MAILING ADDRESS (� 1 T AD S* CITY, STATE, ZIP): EVENING PHONE: i (z53) �
RELATIONSHIP TO PROJECT: n�J /� l FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER { DESCRIBE): C,-eU,2+(�� L,,Q(/l"jCraC
I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ONTRACTOR
EXISTING USE: �"devf ctl 5,," FP T. EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ 7
i'j
PROPOSED USE: /LII^O S� IbJbo f �- PROPOSED VALUATION FOR IMPROVEMENTS: g (00
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
❑ YES Ji NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES /
- :LAKEH/AVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE
o TACOMA o PRIVATE (WELL)
*PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION ONIM
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
�L
�C
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
0 FIXTURES
Indicate number of each type of fixture
MECHANICAL
HANDLING UNIT(S) EV TIVE COOLER LOG
(S) LOS) REFRIG. SYSTEMS)
B (S) FAN ) D(S) WOODSTOVE(S)
R(S) FIR CE INSERT(S) E(S) MISC. ( )
M RESSOR(S) FU NA (S)
DUCT( G PIP OUTLET(S) HEAT SOURCE: ❑ELECTRIC GAS
PLUMBING
B T 6(S) LA T RY(S) URIN L(S kTEHEATER(S)
D ASHER(S) RAI ATER SYS. VACUU REAKER(S) ❑ ELECTRIC AS
D NG FOUNTAIN(S) SHO R(S) WASH HINE OUTLET G P E OUTLET(S) SI (S WAT CL ET(S) MI
I ER OR(S) MP(S)
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 a apart of this application 2
NAME /TITLE: �t I�,`e DATE:
❑ PROPERTY OWNER eAPPLICANT /CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253 - 661 -4000 • FAX: 253- 661 -4129
www�yoffederalway.com