07-1051283 `
City of Federal Way Buildit —
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Single Family Permit 07- 105128- 00 -S'Fr
g Y
Inspection Request Line: (253) 835 -3050
Project Name: SMITH
Project Address: 29117 1ST AVE S" Parcel Number: 119600 0005
Project Description: ADD - Construction of a new 4 -9 foot tall retaining wall and includes site grading, approx.
250 cuyds (or less.)
Owner
Applicant
Contractor
Lender
BUSTER & REBECCA SMITH
BUSTER & REBECCA SMITH
29117 1 ST AVE S
BUSTER & REBECCA SMITH
LETHCO SMITH
29117 1ST AVE S
FEDERAL WAY WA 98003 -3675
29117 1ST AVE S
205 SW 299TH PL
FEDERAL WAY WA 98003 -3675
FEDERAL WAY WA 98003 -3675
FEDERAL WAY WA
98023 -3570
Census Category: 570 - Misc. bridge, residential dock, etc.
New / Additional Sq. Feet - 3rd Floor ...................0 New / Additional Sq. Feet - Basement ................... 0
Basic Plan? ............................ ............................... No New / Additional Sq. Feet - Deck .......................... 0
New / Additional Sq. Feet - Garage .......................0 Mechanical to be Included? ................................... No
New / Additional Sq. Feet - Other .........................0 Plumbing to be Included? ...................................... No
New / Additional Sq. Feet - Total .......................... 0 Zoning Designation................ ............................... RS 15.0
No Fixtures Associated With This Perrhit'll
PERMIT EXPIRES Saturday, January 17, 2009
Permit Issued on Monday, July 21, 2008
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will in accordance wA the laws, rules and regulations of the State of Washington
and the of Fe al Way.
Owner or agent Date:
F Ar d-Uve- &*&60dq,113q
AF P_
4
r
THIS CARD IS TO REMAIN ON-SITE'
CITY OF tommunity*
DevelopnItt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105128 -00 -SF
Owner: BUSTER & REBECCA SMITH
Address: 29117 1 STAVE S
FEDERAL WAY, WA 98003 -3675
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.
❑ SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ❑ Footings /Setback (4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By &V,4—,S Date $ l S 4yX/VJA_�Date
S
—
❑ Foundation Wall (4115)
❑
Drainage/Downspout (4040)
❑
Slab /Concrete Floor (4255)
Approved to place concrete
Approved to backfill
Approved to place concrete
By Date
By
Date
By
Date
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By Date
By
Date
By
Date
❑ Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By Date
By
Date
By
Date
NOTE: Prior to scheduling aming (4120)
❑
Insulation (4150)
❑
Framing (4120)
inspection; Electrical, Plumb Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop ctions must be
:109.3.4/UBC
signed -off and approved. IBC 108.5.4
By
Date
By
Date
❑ Gypsum Wallboard Nailing (4130) ❑ Final Erosion Control (4375) ❑ Final - Building (4050)
Approved to install mud & tape Approved Approved
By Date By Date Date 10_,71—e)00
I
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY PP
Federal Way PERMIT
COMMUNITY DEVELOPMENT .SERVICES SEP,�,.�� ZQe7 SF MF CO- ME EL PL DE EN FP
3332E Er" AVENUE SOUTH • Po 971 9778 L I C AT I O N
FEDERAL WAY, FAX 98063.9768 h/� p D
' 253- 835 -2607• FAX 253- 835- 2ti09'V� QF �'Ef, '•�, `
umuixil0alledemluiamcbm BUILDING DepT, +���aaar 1
I
The following is required information -an incomplete application will not be accepted. Please print legibly (ire ink) or type..
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE /UNIT #
LOT SIZE (sfl
(Attach separate poge %r lengthy legal description)
PROJECT • •
TYPE OF PERMIT 'BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION
detailed description of work included on this permit only!
PROJECT NAME (Name of Business or Owner Last Namel Sj l,Ll r
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
COPY of cud regalred _r.
with each applicatba �_j
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME .
APPLICANT NAME
PRIMARY PHONE
MAILING ADDRESS
n �`
G
CELL PHONE
( )
FAX NUMBER
( ) -
MAILING ADDRESS
CITY, STATE, IP
&MAIL ADDRESS
.S�
O 51.
ziol ml_
COMPAINA NAME
APPLICANT NAME
OFFICE PHONE
VS3)
MAI LING ADDRESS o�� �
r C
C ITy, STATE, ZIP q
6L
CELL PHONE
-
CITY OF FEDERAL V
f EXPIRATION DATE
FAX NUMBER
(�5; ) &r 7
- 65g
CONTRACTOR'S REGISTRATION NUMBER
EX TION DATE
E -MAIL ADDRESS
0
611;70
COMP NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHOff E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
( ) -
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ 'YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $ �� L—/e,)r GO
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
Ask
EXISTING
S
PROPOSED.
S . FT.
TOTAL
S . FT.
BASEMENT
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
FIRST
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
.SECOND
SUMPS
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK(O COVERED OR O UNCOVERED ?)
GARAGE O CARPORT O
NUMBER OF FLOORS
rM=*O .
PROPOesO
TOTAL
TOTAL BRafree er
TOTAL l{lOPORIM fir
TOTAL er'
" *NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be in4talted or relocated as part'of this project. Do not include existing fuictures to remain.
Value of Mechanical Work
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED W17H APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERB MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (Commeraal)
COMPRESSORS FURNACES T _ RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (erTub /sbowercombo)
LAV.S (smhb . sb k.)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Roneq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penattg of perjury that the fr{formation 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 applicdtion.
NAME /TITLE DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? ❑ YES' n NO
ZONING DESIGNATION CHANGE OF .USE? Q YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? n YES o NO
PLATTED LOT? o YES o NO IIEMO PERMIT REQUIRED? o YES o NO
Bulletin #100 —April 2, 2007 . Page 2 of MandoutsTermit Application