04-102436cotmmu Federal W Development services Building - Single Family Permit #: 04 - 102436 - 00 - SF
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ANTONELLI
Project Address: 29608 2ND AVE SW Parcel Number: 513730 0130
Project Description: ADD - Tear off of existing decking, railing and an 4x10 beam on an existing deck & reconstructing it
along with an additional 46 sgft of deck. No plumbing or mechanical.
Owner
Applicant
Contractor
Lender
David R Antonelli
David R Antonelli
NONE
David R Antonelli
29608 2ND AVE SW
29608 2ND AVE SW
29608 2ND AVE SW
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023 -3505
98023 -3505
98023 -3505
Includes:
Census category: 434 - Reside #1 #2
Occupancy Group: R -3 -
Construction ^TvDe: Tvae V - N
Floor Area q. Ft.
- - --
Census Category ......... : ...........................1434 - Residential alt/add - no Deck Proposed Sq. Feet..`...... ..........482.50
Mechanical.....'.;.. .................. No Occupancy Group #I ... ........... --- ..... -R_3
Plumbing .............. . ......................... No Total Proposed Sq. Feet ....................................... 482.50
Zoning Designatim........° ......... .............<. RS 7.2
PERMIT EXPIRES December 19, 2004.
Permit issued on June 22, 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. d
Owner or agent: r L�'� !�l �����} Date: _e�Z/'O:t l
#4
THIS CARD IS TO RKMAIN ON -SITE
CITY OF 'Pommunit Y Development ment Ins ection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 102436 -00 -SF
Owner: David R Antonelli
Address: 29608 2ND AVE SW
FEDERAL WAY, WA 98023 -3505
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)
To be done prior to breaking ground
By Date
❑ DrainageiDownspout (4040)
Approved to backfill
By Date
ootings /Set&ack (4110)
Approved to place concrete
By A%11 Date A q
❑ Plumbing Groundwork (4190)
Approved to cover
By Date
❑
Foundation Wall (4115)
Approved to place concrete
By
" Date
❑
Slab /Concrete Floor (4255)
Approved to place concrete
By
Date
Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245)
Anprovel to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ - Roof Sil : --thing (422:3
By LApproved to install roofing
Dat'.
❑ Fire/Draft Stops (4095)
Approved
By Date
NOTEq P=schedulling =Framing(4120)
0) inspection; al Rough -in ant be signed -off an.5.4
❑ t+ramin, 4120) 1:1 Insulation (4150) ❑Gypsum Wallboard Nailing (4130)
Ar r; ved to '•,sulate Approved to install wallboard Approved to install mud & tape
By mate /40- By Date By Date
❑ "" Final - SWM (4375) [ Final - Building (4050) []Temp. Erosion Maintenance (43 370)'
Approved Approved Approved
By Da::; By 4�f ci Date/cj— By Date
161)33
t4ay
r COMMUNl7YDEYEI.OPME ERVICES
3-1530�W Y s l> DX 9718
F Y, A '98063 -9718
253 - 6614115• FAX 2534614129
www a(uoftederalwa f
_ { r r. N
C11 .<<..�u,�4_iL
0 PERMIT
APPLICATION
tion - art incomplete application will not be
ALI) -L-
SF MF CO EL PL DE EN FP
D / /
Please
or
ASSESSOR'S TAX /PARCEL # -tC --L --3,- -7- —3 Q - Uv �. - a LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Lc�f i-5 Vkiy" (fte-r l Di V�1
(Attach separate pagefor lengthy legal desaipeon)
PROJECT • •
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 4-w l�r> K efl
PEOPLE • - •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME /I PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
ru 0�3
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOWS REGISTRATION NUMBER (copy of card required with each application( EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
NAME
JtL -
PRIMARY PHONE
(AY j N 3
E -MAIL ADDRESS
Per RCW 19.27.095: Lender information is
required ifproject value exceeds $5,000
NAME
d �5
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER LAKEHAVEN El HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
1), IM
❑ ALTERATION
❑ REPAIR ❑ TENANT IMP OVEMENT
FIRST
(� Q L
i c/L 0
SECOND
O
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
FOURTH
NEW ADDRESS REQUIRED? ❑
YES N
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
❑ YES
O
DECK (COVERED?)
/� �n t�7N,
f�
l�
DEMO PERMIT REQUIRED?
GARAGE /CARPORT
X71 -Z/ /
- /
HOW MANY FLOORS?
TOTAL LASTING
TOTAL PROPOSED
TOTAL LASTING AND PROPOSED
"NEWHOMES 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 ftS remain..
MECFIAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (c— crciai) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIP TLETS
PLUMBING
BATHTUBS IarT.b/Sh —C. SHOWERS WATER CLOSETS (ruiteq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE O SUMPS RAINWATER SYST
WA MACHINES URINALS HOSE BIBBS
VS f3athr —Sinks ) VACUUM BREAKERS ELECTRIC WATER HEATERS
BLOCK
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 :i 3T''!L 6,tt�I `4 DATE
(Signature Title
RELATIONSHIP TO PROJECT W*15wner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
r!
z
❑NEW ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMP OVEMENT
BUILDING SHELL ONLY? o YES NO
BASIC PLAN ?
❑ YES
O
ZONING DESIGNATION
CHANGE OF USE?
a YES
NO
NEW ADDRESS REQUIRED? ❑
YES N
UP /SEPA /SU?
❑ YES
O
PLATTED LOT?
❑ NO
DEMO PERMIT REQUIRED?
❑YES
O
Bulletin #100 — March 30, 2004 Page 2 of 4 k \Handouts — RevisedTermit Application