04-1015201
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Building - Single Family Permit #: 04 - 101520 - 00 - SF
r ^11-1pection request line: 253.835.3050
OBar Name: CASSENS
Project Address: 1234 SW 327TH PL Parcel Number: 926494 0780
Project Description: ADD - Construction of a new 320sgft addition to the rear of the existing house. Existing 132sgft patio
& stairs are to be demolished prior to footing inspection. No plumbing or mechanical.
Owner
Applicant
Contractor
Lender
John M Cassens & Karen E Cassens
LOST MOUNTAIN CONSTRUCTIO1
LOST MOUNTAIN CONSTRUCTIO1
John M Cassens
1234 SW 327TH PL
29852 11TH AVE SW
LOSTMMC961JW 4/16/06
1234 SW 327TH PL
FEDERAL WAY WA
FEDERAL WAY WA 98023
29852 11TH AVE SW
FEDERAL WAY WA
98023 -4962
FEDERAL WAY WA 98023
98023 -4962
Includes:
Census category: 434 - Reside
#1
#2
#3
#4 J
Occupancy Group:— _ --
Construction Type_—
-R -3
Type V - N
-
_
OccupEn Lodd:
Floor Area (Sq. Ft.): J
J
1 st Fluor Proposed Sq. Feet ................................. 320 Census. Category.. ............................................ 434 -r Residential aWadd no
Mechanical.......... ............ No Occupancy Group #1 ............................. ...........R -3
Plumbing.................................................. No Zoning Designation.. .....,..... RS 7.2i
CONDITIONS:
1. No building shall encroach onto any building setback line or easement shown or not shown.
2. Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
3. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPIRES October 20, 2004.
Permit issued on April 23, 2004
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.
L 112 ae-
Owner or agent: A.�� Date:
POjWHIS $ARD ON THE FRONT OF BUILKIING'DI •
CITY OF
�. Federal WayBU VI SION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 04- 101520 -00 -SF
OWNER'S NAME: John M Cassens & Karen E Cassens
SITE ADDRESS: 1234 SW 327TH
C) "Wiv o OSto" COIit"11 /
() FOOTINGS /SETBACKS -« — ()FOUNDATION WALL �— f%r QC -G1.J
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line
( ) Connection.
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
O UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
Water nini
{) ROUGH MECHANICAL Gas piping
() SHEATHING /oho ,A :p ���of -5 2N / �oor -6ffo
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Ditch
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
O FRAMING /FIRESTOPPING (b— `T 0 I rw
THE ,O.BOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
O INSULATION: Floors 3°�n Walls 7 6� �Ev! Attic
THE ABOVE MUST BE APPROVE PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING V ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE'
( ) ELECTRICAL FINAL
( ) PLANNING
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVABOVE MU/ST .B/ fE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL,
O BUILDING FINAL_ 11 J f� 7
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
crtrof ` t, , --
Federal Way �Yt.:r PERMIT
00MMUNI7Y DEVELOPMEN' SERVICES
335 FEDERAL WAY, W� 8 �_BO 18 718 6 s G
253 - 6614115• FAX 2.53-661-4129 APR 4 P P L I GI'1 O N
www.dttrolfederalwaa mm
The following is requ { rsr;d at�� - an incomplete application Will not be
MF CO ME EL PL DE EN FP
Please
or
SITE ADDRESS j` J 1 C� S W �� � t� f�. Pd4e'A' �(W C41 GA qYO Z�f SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # ( L - / 9 S LOT SIZE (sj) - .2,5 C> (>
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
tAttadi separate page for lengthy legal de peonl
PROJECT INFORMATION
TYPE OF PERMIT ,BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION [ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul `
PROJECT NAME (Name of Business or Owner Last Name) _S
PEOPLE 1 • - •
PROPERTY
NAME PRIMARY PH
OWNER �C C��
CONTRACTOR
APPLICANT
CONTACT
LENDER
���
NAME
CONE 7 ( %
�z5) ) i 7Y -Jr
MAILING ADDRESS
12.3 SQ .32 7 L
CITY, STAT ZIP
� � ( ��� t2 Gr ✓�
/
qua-.
COMPANY NAME
� 1fj0vA.A4kk1 meows
APPLICANT NAME
nW (A) ero p
OFFICE PHONE
(2Z) 6 3 - PYj
MAILING ADDRESS
C TY STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPI TION DATE
FAX NUMBER
— — --B
L
CONTRACT'OR'S REGISTRATION NU ER (copy of card required with each application)
EXPIRATION ATE
NAME 6
ro PRIMARY PHONE E -MAIL ADDRESS
C�wrne�' z�3 7( - - 1��
Per RCW 19.27.095. ' Lender information is
if value
NAME
required project exceeds $5,000
^�� +S
MAILING ADDRESS p^1
(2-31-15W 2 -`
CITY, STATE, ZIP
02 3
EXISTING USE 7 vv {- G : f Pi PROPOSED USE /c3v •�
EXIS'T'ING ASSESSED /APPRAISED VALUE $ -- 5 000 VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 4X NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? _1K NO
WATER SERVICE PROVIDER XLLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER )<LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT. TOTAL
BASEMENT
—
❑ ALTERATION
FIRST
BUILDING SHELL ONLY? o YES o NO
SECOND
027
L
o NO
THIRD
x
CHANGE OF USE?
FOURTH
7C
NEW ADDRESS REQUIRED? o YES ❑ NO
x
ADDITIONAL FLOORS (DESCRIBE)
x
o NO
PLATTED LOT? ❑ YES o NO
DECK(COVERED ?)
DEMO PERMIT REQUIRED?
a YES
❑ NO
GARAGE /CARPORT
HOW MANY FLOORS?
Tar Exisruc
Tor u ED
TOTAL EG MD PROPOSED
-NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain..
MECELAAUCAL � ff
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
to$J�
BAT TUBS (or Tub /Sh—r Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks(
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS .
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (cotnmemw)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Touet(
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 claimJ, 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 as a part of
this application.
(�(, ' , 1
NAME /TITLE ("" w �" " DATE
(Si n ture) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Xl Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
Cj
o NEW o ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN ?
a YES
o NO
ZONING DESIGNATION lzs -
.
CHANGE OF USE?
Cl YES
❑ NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP /SEPA /SU?
Cl YES
o NO
PLATTED LOT? ❑ YES o NO
DEMO PERMIT REQUIRED?
a YES
❑ NO
Bulletin #100 - March 30, 2004 Page 2 of 4 k \Handouts - Revised\Permit Application
Bulletin #100 - March 30, 2004 Page 3 of 4 k \l landouts - Reviscd \Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 117.50 74.00
(Inspected with service) $ 36.50
❑ 201 - 400 amp 220.50 87.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 256.50 103.00
(Inspected separately) $ 58.00
❑ 601 - 800 amp 332.00 140.50
NEW MULTI- FAMILY (three units or more)
❑ 801 - 1000 amp 405.50 169.50
Service Feeder
❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
201 - 400 amp 117.50 58.00
ge $ 74.00
❑ Over 600 volts surcharge
❑ 401 - 600 amp 161.00 80.00
El Mast or meter repair $ 80.00
❑ 601 - 800 amp 206.00 110.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE /MULTI FAMILY
❑ 0 to 200 amp $ 94.50
❑ 201 - 600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00
❑ # of circuits to be added/ altered
(1 -5 circuits - $74.00; Add'n circuits, $6.00 /ea)
Z # of circuits to be added/ altered
C (1 -4 circuits- $58.00; Add'n circuits $6.00 /ea)
COMMERCIAL /INDUSTRIAL PLAN REVIEW
-
$ 74.00 plus 35% of Permit Fee
❑ Mast or meter repair $ 43.50
❑ Service over 200 amps
❑ Medical /Educational /Institutional Facility
SINGLE /MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBII.E HOMES
❑ Service or feeder only $ 58.00
TEMPORARY SERVICE
❑ Service and feeder $ 94.50
Commercial Residential
MOBILE HOME /RV PARK
❑ 0 - 100 $ 58.00 $ 51.00
❑ # of service or feeders
❑ 101 - 200 74.00 51.00
(First service /feeder - $58.00; each add'n - $37.50)
❑ 201 - 400 87.00 n/a
❑ 401 - 600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/ EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First - $43.50; add'n- $13.50 /ea)
(First sign- $43.50; add'n sign $20.50 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $87.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $58.00
❑ Security Alarm System
❑ Additional Plan Review $87.00 /hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
(Per System(s) P, 2500 ft2- $51.00;
Each add'n 2500 ft2- 13.50) ' Per WAC296- 46- 91o(5)(b)(i & ii)
Bulletin #100 - March 30, 2004 Page 3 of 4 k \l landouts - Reviscd \Permit Application