03-103933i A
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
t
Building - Multi Family Permit #:03 - 103933 - 00 - MF
Inspection request line: 253.835.3050
Project Name: SWANSON
Project Address: 28624 25TH PL S Parcel Number: 552900 0160
Project Description: ALT - Alteration of duplex garages into 2 bedrooms and rec room w/ laundry
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: 434 - Reside #1 #2 #3 #4
Occupancy Group: R -3 F -2
Construction Type: Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Building Pre -con, Meeting Required ................... No Census Category .................. ............................... 434 - Residential alt/add - no
Fire Sprinklers .................. ............................... No Mechanical.................. ............................... Yes
Permit for Foundation Only .... .............................No Pl umbing.................. ............................... Yes
Special Inspection Required . ............................... No Will Certificate of Occupancy be Issued? ............ No
Plumbing Fixtures
Descrip Description Quantity ( Description �Quantiry
Laundry Washer Outlets ��2 i Water Heaters �_�
I II
Mechanical Fixtures
Description Quantity Description Quanti Description ][uantityl
Fans F-2 �
CONDITIONS:
1) This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
2)AIl garbage must removed prior to final.
3) Striping for 4 parking stalls (per approved plans) must be completed prior to final.
4) Contact Jane Gamble X4120 for final inspection.
PERMIT EXPIRES March 29, 2004.
Permit issued on October 1, 2003
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 Wa .
Owner or agent: Date: lo f 63
!l
' POS HIS CARD ON THE FRONT OF BUILD
,AmCITY OF •
Federal Way BUI 1�ING DIVISION
Y INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 03- 103932 -00 -MF
OWNER'S NAME: JEFFREY SWANSON
SITE ADDRESS: 28606 25TH S
( ) FOOTINGS /SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV w " 1S' C%3 G Water piping ya-✓ '°'�%
() ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH -IN Ditch Cover
() F:: �_PJDRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING lo—/,5r— 0 *S G &✓ Gr0 ��`• Ok ���_ r-nu.c✓
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKiNG
SULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING `0� 914- O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
() PLANNING FINA
O PUBLIC WORKS
O FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TQ BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL 11 —17
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
103413-57-LAP
CONSTRU PERMIT APPLICATION
CITY OF 4 — — —
Federal Way PPLICATION NUMBER: -
PPLICATION NUMBER:
PPLICATIONNUMBER:
—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.
f
PROPERTY • •
�g6 �� ►/. �h r s
SITE ADDRESS: 1 ASSESSOR'S TAX/ PARCEL #: 5 J ` 00- of f� D
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
INFORMATION
TYPE OF PROJECT (This application): BUILDING o PLUMBING o MECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 4- o 1"vvav-
-s
W
PROJECT NAME: Ah 5 oh
'PEOPLE • •
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; Cif Y, STATE, ZIP): n
It 5-7z) S E New �o.w� y ��e �Lc vC 11V4 ?O &pc
CONTRACTOR:
NAME: I /DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY• STATE. ZIP): EVENING PHONE:
l
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
1
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(ropy of card required)
APPLICANT: NAME: DAYTIME PHONE:
I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): i EVENING PHONE:
I
- I RELATIONSHIP TO PROJECT: i FAX NUMBER:
o ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E -MAIL ADDRESS:
I
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
ETAILED BUILDING INFORMATION
EXISTING USE: FA
✓ EXISTING BUILDING ASSESSED /APPRAISED VALUATION
PROPOSED USE: �l I\ PROPOSED VALUATION FOR IMPROVEMENTS: 5 (d
SPRINKLERED BUILDING? o YES 3>40 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
XNO
WATER SERVICE PROVIDER: XLAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: 1%-Ii-LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION ON..
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
L-U 7
� 5o
J Vo
SECOND
s
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
—7
O
2 /
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
�. FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
f11L1PP -JV0]
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) ,Z_ WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
■ DISCLAIMER /SIGNATURE 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 ¢pli lion.
NAME /TITLE: DATE:
4ROPERTY OWNER ❑ APPLICANT O OR
_,FOR,OFFICE USEONLY.,.
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253 -661 -4000 • FAX: 253 -661 -4129
www.cityotfedera Iway.Com
Conction Permit FeE ulation SPi"eet
* * * * ** *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS Wt. DT BE ACCEPTED! * * * * * **
Building, mechanical, and fire prevention system fc based on the following schedule.
TABLE A
PLUS:
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $30.00
(2) $501.00 to $2,000.00
(2) $30.00 for the first $500.00 plus $100 for each additional5100.01
or fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.00
(3) $90.00 for the first $2,000.00 plus $16..00 for eadr additional
$1.0(X..00 or fraction thereof, to and
inducting $25,000.00
(4) $25,001.00 to $50,000.00
(4) $504.00 for the first $25,000.00 plus (13.00 for each additional
$1.00000 or fraction thereof, to and
Including $50,000.00
(5) $50,001.00 to $100,000.00
(5) $829.00 for the first $50,000.00 plus 59.00 for eadr additional
$1.000.00 or fraction thereof, to and
including $100,000.00
(6) $100,001.00 to $500,000.00
(6) $1,279.00 for the first $100,000.00 plus 57.00 for each additional
$1000.00 or fraction thereof, to and
including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $4,079.00 for the fist $500,000.00 plus $G.00 for each addiNonal
$1.01 0.00 or fraction thereof, to and
Including $1,000,000.00
(8) 51,000,001.00 and up
-
(8) $7,079.00 for the first $1,000,000.00 plus 59.50 for each
addVonl5100000 or fraction thereof.
Bold number Is the base fee for the specified Ina ment
Aallcized, underflned number Is the fee per addldona/s
cf ied Increment
Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
** Electrical, plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION: 1 O K
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Review Fee: (5)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6
Estimated Plan Review Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of Fbdures
$26.00 + ( 02 X $9.00 /fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (page one): Line(s) ( 1)+( 2)+( 3) +(4) +(5) +(6) +(7) +(8) +(9) +(10) = (11)
(9) Estimated Plan Review Fee