04-101632� L
t'
City of &(;eral Way
C'onim mity Development Services
33530 1st Way S
Federal Way, WA 95003 -6210
Pb: 253.661.4000 Fax: 253.661.4129
Building - Single Family Permit #: 04 - 101632 - 00 - SF
Project Name: t HALEY
Project Address: 3617 SW 328TH ST
Project Description: ADD - Addition of 364[] attached garage
Inspection request line: 253.835.3050
Parcel Number: 873195 0330
Owner
Applicant
Contractor
Lender
George W Haley
GOODHAND REPAIR
GOODHAND REPAIR
George W Haley
3617 SW 328TH ST
GOODHAND REPAIR
GOOHRC983KN 5/15104
3617 SW 328TH ST
FEDERAL WAY WA
1122 E PIKE ST UNIT 532
GOODHAND REPAIR
FEDERAL WAY WA
98023 -2658
SEATTLE WA 98112
1122 E PIKE ST UNIT 532
98023 -2658
Includes:
Census category: 434 - Reside
41 #2 #3 #4
ccup
Oancy Group: _ U -1_
Is_ ccu R,
Construction Tvne: Tvoe V - N
Floor Area (Sq. l
Census Category................................................ 434 - Residential alt/add - no'' Garage Proposed Sq. Feet.... .....364
Mechanical ....... ........ . . .................. No Occupancy Group #I................................... ....,U -1
Plumbing ......... ........ . —.— ............ - No Total Proposed Sq. Feet ... -- ...:....... ..::.....364
Zoning Designation-- ... .............. RS 9.6
PERMIT EXPIRES October 27, 2004.
Permit issued on April 30, 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.
t
INSPECTION LOG
POWIS CARD ON THE FRONT dF BU1LI"i r
!� CITY OF
Federal Way UILDING DIVISION
y INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253 - 835 -3050
PERMIT #: 04- 101632 -00 -SF
OWNER'S NAME: George W Haley
SITE ADDRESS: 3617 SW 328TH
O FOOTINGS /SETBACKS ,� O FOUNDATION WALL
DO NOT POUR CONCRETE TIL THE ABOVE IS APPROVED
() DRAINAGE: Line 8 ( ) Connection &-2_ O 0
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water
( ) ROUGH MECHANICAL
( ) SHEATHIY G
( ) SHEAR WALLS G („) •/p -Z. St-0 4(
Gas piping
Roof a Floor
( ) ELECTRICAL ROUGH -IN Ditch Cover
( ) FIRE /DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/: IRESTOPPING__'
THE ABOVE MUST BE APPROVED PRIOR T NSULATING OR SHEETROCKING
O INSULATION: Floors Wall �/ / Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING C UJ I ^� �I �� =�5 -� O SUSPENDED CEILING
THE ABOVE, MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE'
O ELECTRICAL FINAL T 5 .?- 2 /- O 4�
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
( ) BUILDING FINAL G &..) 7 - ? -
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
crtvot
Federal Way = PERMIT
COMMUNITY DEVELOPMENT SERVICES
33530 FEDERALWWAY 0 A 8063 -918 T 18 APR 3 (,APPLICATION
253 - 661411 S- FAX 25366/4129
www. drtrolfederal wau.mm
01 Y Ur k LDI Fi�,i_ WAY
The following is require(t��j(J(g# t lhRj qn incomplete application will not be
(Z *F CO ME EL PL DE EN FP
3
:molted Please print legibly (in inkl or tune-
SITE ADDRESS 3 C9 CSt,./ ���f SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # "f - LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) T
(Att —h separate page for lengthy legd d-- pdon)
PROJECT • •
TYPE OF PERMIT W16UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on
_/ 7 / �m A
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
0
NAME - PRIMARY PHONE
2�4� s ten, �-'/ ( .9 �
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME �J
�oo S,C q i
APPLICANT NAME
L124
OFFICE PHONE
MAILING ADDRESS CITY, STATE, ZIP
s � ,/ ��
CELL PHONE
(L 6 ) 9 - -6.3X1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CITY, STATE, ZIP
CELL PHONE
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application( EXPIR ATION DATE
60 3 5 115 —?-oo
CCOCOMPANY NAME o
APPLICANT NA%�E�
OFFICE PHONE
4
� %
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant AAgent ❑ Other (Describe)
"•• °� / PxlMnxr PHONE E,,-MMAIL ADDRESS
�� z'S 4r �e�f ('%L ) �� /� 3 L4 / C¢oo� e-,oail
Per RCW 19.27.095. Lender information is
required ifproject value exceeds $5,000` "
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ 'Ado' rm 'd-� VALUE OF PROPOSED WORK $ / y �oQ�O
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER YLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER CLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL,
BASEMENT
FANS
HOODS (cot rciat)
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS ,
o YES
o NO
FOURTH
YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT? o YES o NO
DECK(COVERED ?)
o YES
o NO
GARAGE ARPORT
Je�
HOW MANY FLOOR
TOTAL EXISTING
200
TOTAL PROPOSED
3� 51 �f'
TOT ING AKD PROPOSED
0�6 _ 3 /b Ll
* *NEW OMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (cot rciat)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS ,
o YES
o NO
PLUMBING
BATHTUBS (or Tub /SbowetCombo) SHOWERS WATER CLOSETS (ro;tcq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (sathm sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 as a part of
this application.
NAME /TITLE / R', L-7%--W-
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner CKAgent
❑ Contractor
(Title)
❑ Architect
DATE 7 p �s�/
❑ Other
FOR OFFICE USE ONLY '
o NEW o ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑ NO
BASIC PLAN?
a YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o
YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —March 30, 2004 Page 2 of 4 k \Handouts — Revised \Permit Application