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05-101405 City of Federal ay Building - Single Family Permit#: 05 - 101405 - 00 - SF Community Dcvelo meet Services P.O.Box 9718 _Eede al Way,--WA 98063-9718 ten. a»-,uuu rex:c2D.0 833-26dPTy"` -- —_--- Ins eciilon iiiiiest line: (253)835-3050 Project Name: SWANSON GARAGE CONVERSION Project Address: 28614 25TH PL S Parcel Number:552900 0140 Project Description: ALT-Remodel garage of southernmost duplex unit into habitable space. Includes plumbing for washer and HWT,and mechanical for vent fan. Owner Applicant Contractor Lender JEFFREY SWANSON JEFFREY SWANSON JEFFREY SWANSON NONE 15727 SE NEWPORT WAY 15727 SE NEWPORT WAY BELLEVUE WA 98006 BELLEVUE WA 98006 15727 SE NEWPORT WAY BELLEVUE WA 98006 NONE Includes: Census category: 102-New si #1 #2 #3 #4 I Occupancy Group: R-3 Construction Type: Type V-N Occupancy+,1d: Floor Area(Sq.`Ft): Census Category ...; .102-New single family haus M ica6.,....< . Yes Occupancy#1-Class ,. 3 Plumbing ... Yes '` 11 Total Building S .Feet 'Ir 2996 70 ing Designati ,RM 3600� _- Plumbing Fixtures r Description !Quantity Description YQuantiry Description P ! De on Quantity Laundry Washer Outlets 1 Water Heaters •1 Mechanical Fixtures Description !Quantity Description !Quantity Description !Quantity [Fans 1 \ PERMIT EXPIRES October 16,2005. Permit issued on April 19,2005 I hereby certify that the above information is correct anddthat 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: Date: / / 6, r\'‘ D V'it k\-. \fcl A. THIS CARD IS TO MAIN ON-SITE CITY OF ! ommunity. Develo m nt Ins etion Record Fp p e .__era - - - 'R- TK.Nitzeurt 83 - .- PERMIT#: 05-101405-00-SF Owner: JEFFREY SWANSON Address: 28614 25TH PL S FEDERAL WAY, WA This card is part of your required inspection documents. 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. ❑ Temp.Erosion Control(4365) ❑ Plumbing Groundwork(4190) 0 Underfloor Framing(4285) To be done prior to breaking ground Approved to cover Approved to sheath floor By Date By Date By Date • ❑ Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date ❑ Rough Plumbing(4230) 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) Approved " Approved Approved to release test By Date 4 Uy1 '�� By(V. Date 4� � By Date ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)1 0 Framing(4120) Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate �/ Rough-in and Fire/Draft Stop inspections must be `By Date 4 Gll , signed-off and approved. IBC 109.3.4/UBC 108.5. yA �7 Date Gt&(/ •. ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) 0 Final-SWM(4375) Approved to install wallboard Approved to install mud&tape Approved By/ii , Date 4k..7e1-0 c . .Bycle5 Date 4... -o( By_ Date • C�ii, Final-Mechanical(4065) lit Final-Plumbing(4075) 40 Final-Building(4050) Approved Approved Approved By . irate Date By No`N Date It2 ,b S ['Temp.Erosion Maintenance(4370} Approved By Date • RECE 1E'. . - AI Zo ' Federal Way MAR 2 8 200 -PERMIT v Q COMIIMr1YDSY8LOPMENT SERVICES �ME CO®EL ' _EN FP — — FEDERAL WAY,WA 98083.9718 BUILDI ; • I CATI O N ID / / v S 253-835-2807•FAX 253-835-2809 www.drpjjederalway.com The O • , .• is -, - ormation-an -, 'fete ilcation will not be ' -- •ted. Please - t - , ink)or •}- . S� L� I� PROOPER"FY INFORMATION SITE ADDRESS � (e I-/ r 0- Ill () , 5, I-2 '.4 W 7 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# J• ; 2 -I 0 �©j - O fi ' 0A_ LOT SIZE(s,� 7 2 0 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1 C+ ,`� M` I' l f1L?% A'hv., uanch separae Page.kr toOtho legal • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) 9 Cc)vI v-el 4 4I d L 1^ �� ✓'Fsl/�0 ►vas Ov �'C.. rca . r" "/ fin✓ ,y5C.'vI. t PROJECT NAME(Name of Business or Owner Last Name) 5L'V L t A`'OY1 6 /'soe (O A✓e.-5.C 61 U PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE G OWNER -,Se t Y`P 7 h1.1 vt5;1 r1 7• t_ a✓t i t'�+.`, (:�Y 7) We/ - -6 35 MAILING ADDRESS Cm'.STA ZIP I S 7,-7 Se-/l/&p 4 44,1 Be.ti e v.,..c% Ll/k ii i eDO6 CONTRACTOR COMP NAME APPLICANT NAME OFFICE PHONE NAME APPLICANT ( ) - MAILING ADDRESS CITY.STATE,ZIP CELL PHONE ( ) - CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - - / / ( ) CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT tIAME OFFICE PHONE j e-(— -... cvl ()t;) 4io&, - 36 5' MAILING ADDRESS CRY.STATE.ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑Tenant o Agent o Other(Describe) (7th'V it ( ) - CONTACT NAME _ E-MAIL ADDRESS �L '�'� Sw�✓�SJr, PRIMARY PHONE (�0 `14 - XC,35 LENDER AME PerRCW'19.29.095:Leader inforetation is N required ifpr' oatne exceeds$5,000 v (" MAILING ADDRESS COY.STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE COG♦rei..ip PROPOSED USE „ _ 1-t it, SP ,-� EXISTING ASSESSED/APPRAISED VALUE $ /5 S 0 0() VALUE OF PROPOSED WORK $ SL`?LI 0 SPRINKLERED BUILDING? ❑YES XXO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES j'NO WATER SERVICE PROVIDER O AKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAHEHAVEN O HIGHLINE ❑PRIVATE(SEPTIC) • AREA DESCRIPTION P TTNi MitoPO PO'PAI. SQ.FT. 8g.1rr. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE jiC CARPORT 0 ,.2 3 7 3 NUMBER OF FLOORS sasrvn PROPOSED rarer TOTAL TOTAL PROPOSED s► TOTALS **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of bdure to be installed or relocated as part of this protect Do not include existing,bclures to remain. MECHANICAL Value of Mechanical Work $ 4`TO AIR HANDLING UNrrs EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS / FANS HOODS WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS adier FURNACES GAS WATER HEATERS {y...(- ,11.E "s DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or T b/Sho er combo( SHOWERS WATER CLOSETS mike) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS L1 LAVS(Bathroom Sinks) VACUUM BREAKERS I ELECTRIC WATER HEATERS i n 5 1A,:..t're a 1'46.T DISCLAIMER/SIGNATURE BLOCK I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I ant authorised 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 ofF+ederal Way,but only where such claim arises out of the reliance of the city,including its and employees,upon the accuracy of the information supplied to the city as a part of this application. (�� NAME/TITLE Vcv M DATE 3/Z i/0 5_ i ► mug RELATIONSHIPTO OJECT Owner ❑Agent o Contractor O Architect ❑ Other FOR OFFICE USE ONLY o NEW n ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES+` o NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application