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05-102267( ` City Federal way Community unity Development Services Building - Single Family Permit #: 05 - 102267 - 00 - SF D P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050 Project Name: STOVIN Project Address: 35616 13TH AVE SW Parcel Number: 713780 0335 Project Description: ADD - Construct a 10'X26' addition on cast end of existing home. Includes plumbing and mechanical Owner Applicant Contractor Lender Jeremy J Stovin & Kristi W Stovin STAN JOHNSON CONSTRUCTION STAN JOHNSON CONSTRUCTION Jeremy J Stovin 35616 13TH AVE SW 35627 13TH AVE SW STANJC *066LN 06/02/05 35616 13TH AVE SW FEDERAL WAY WA FEDERAL WAY WA 35627 13TH AVE SW FEDERAL WAY WA 98023 -7238 FEDERAL WAY WA 98023 -7238 Includes: Census category: 434 - Reside #1 #2 #3 #4 Occupancy Group - - R -3 _ Lavatories �� 1 Other Plumbing Fixtures j Construction Type: Type V - B Water Closets S Occup can y L I ,,, -� 1 Floor y ''I I',' 'Ia� ' I — T 1 st Floor Prop6§N1 ................... AFT znl IV................ Plumbing ... a _ ......... Census Category ..................... alt/add - no p _ _ Description Quantity Description Quanti Description Qtaanti _ rBathtubs _ Lavatories �� 1 Other Plumbing Fixtures j Sinks 1 Water Closets S Mechanical Fixtures Description Quantity Description Quant Description Quanti Fans - N L PERMIT EXPIRES December 4, 2005. Permit issued on June 7, 2005 I hereby certify that the above ation is corr d that the construction on the above described property and the occupancy and the use in accordance. with e 1 s, rules and regulations of the State of Washington and the City of Federal ay. / Owner or agent: % %i� �� Date: ✓(,�%� r THIS CARD IS T (VEMAIN ON- SITE _ � A CIT Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 05- 102267 -00 -SF Owner: JEREMY J STOVIN Address: 35616 13TH AVE SW FEDERAL WAY, WA 98023 -7238 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) ❑ Footings /Setback (4110) Final - Mechanical (4065) ❑ Foundation Wall (4115) Approved to install siding To be done prior to breaking ground Approved to place concrete By Date Approved to place concrete e_LA) Date By Date By Date &. . Ar—p ❑ By 4-4.) Date Ic - e x1. Date Approved Approved % By Date 7 //,3/ OT ❑ Date a - ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) Slab /Concrete Floor (4255) Approved to back-fill Approved to cover Approved to place concrete By Date V-73 By Date By Date ❑ Underfloor Framing (4285) Approved to sheath floor By Date ❑ Roof Sheathing (4220) Approved to install roofing By ~ %�f � Date ❑ Gas Piping (4125) Approved to release test By Date ❑ Framing (4120) Approved to insulate By G Date 8 - 1,- p S" ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Final - Mechanical (4065) Approved to install flooring ❑ Approved to install siding Approved By Date By e_LA) Date By Date ❑ By ❑ Rough Plumbing (4230) Mechanical Rough -in (4165) Date Approved Approved % By Date 7 //,3/ OT By Date a - ❑ Fire/Draft Stops (4095) Approved By Date pS CA ❑ Insulation (4150) Approved to install wallboard By Lj Dateg -q — ERough4n to scheduling a Framing (4120) ectrical, Plumbing &Mechanical ire/Draft Stop inspections must be pproved. IBC 109.3.4/UBC 108.5.4 ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape %BY G j Date e- 2 - 0t ❑ Final - SWM (4375) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date V Final - Building (4050) []Temp. Erosion Maintenance (4370) Approved Approved B Date i�)< By Date A RECEIVED 0"•F 0 t-5-- 0- .2 Federal Way PERMIT MAY 16 2005 -�-- COMMUMNI)EVELOPMENTSERVICES F MF CO ME EL PL DE EN FP 33325 8111 AVENUE SOUTH • PO BOX 9718 FEDERAL WAY, 98063-9718 D E RAL 253 - 835 -2607• FAX 253 -835 -260 9 A P P L I C AI G N G DEPT . www.eituofgdercdwa y.com 1 2 a The followina is required information - an incomelete iicallon wail rtot be acre ted. Please Tint le ibi in i or PROPERTY INFORMATION SITE ADDRESS 356 l 130F Ale S.4 � A1+1W,, V.i 'T8023SUITE /UNIT # ASSESSOR'S TAX /PARCEL # 7 _L -3 8- cL - © 3 a 5 LOT SIZE (sj LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page jar lengfhy legal d- -Poon) ■ PROJECT INFORMATION TYPE OF PERMIT KBUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul a .) srxu CT- f! A0 'x Q G ' ADt)i 770.J D.rJ ii�ST c`.v V of 4e7C J S P itiG /'koj &-. 7 -ta ;?1>Q1TrdAJ A11A-4- 134f-Q-rf 9eDRxM /P?UD iwi e- 141dziDe- A M Pc-5 r-eYZ l3.l?-� RZ*i fi-yd 4 & w &t& IAJ &e_0 >e -r- . PROJECT NAME (Name of Business or ner Last Name 7D V / A) PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT -k-LENDER NAME PRIMARY PHONE enemy S ✓ AJ 1 6?5-1 838- Af401 MAILING ADDRESS CITY STATE, ZIP COMPANY NAME, $' s t s r . APPLICANT NAME APPLICANT NAME < s d.J OFFICE PHONE X 5N j�27 - 907 9' MAILING ADDRESS 3.56 i 3 : ��1. MAILINQ ADDRESS ' _ CITY, STATE, ZIP ll� � CELL PHONE N 350 - �� ya CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE l l FAX NUMBER :czu)838 -314/6 _- B L CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) Z A A) J C-'* Q 6 46 4 AJ EXPIRATION DATE Duo/ as / .RQos NAME PRIMARY PHONE E -MAIL ADDRESS SST ,cI J o ptyv S 4 35U- G �O 9 ernornaafion is APPLICANT NAME OFFICE PHONE �MPA�NY -NA(ME '_L t r_` ' f /'� �T�{JS< W MAILING ADDRESS CITY, E, ZIP MAILINQ ADDRESS ' _ CITY, STATE, ZIP - CELL PH ONE - RELATIONSHIP TO PROJEECTr� FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent X Other (Describe) A r ( ) - NAME PRIMARY PHONE E -MAIL ADDRESS SST ,cI J o ptyv S 4 35U- G �O 9 ernornaafion is NAME py era ue eee s 5l IM MAILING ADDRESS CITY, E, ZIP EXISTING USE �wC'L[-s ,0J - PROPOSED USE /`RAJ 770"0 Cif ?V-"f- 130 EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES I(NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES X NO WATER SERVICE PROVIDER 14AKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE PRIVATE (SEPTIC) 1� A AREA DESCRIPTION � EXIS � G I P S POr�SED � Q A 0110 1 X60 1 4 300 1 FOURTH "• ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE ❑ CARPORT ❑ EXI57lNO PROPOSED T Al °TOTAL SF' TOTAL PROPOSED SF- NUMBER OF FLOORS a ; I—REWHOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part MECHAMCAL Value of Mechanical Work JJ 7— P not include existing fixtures to remain. AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS _ _ FANS HOODS(commemig WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLi MSING _BATHTUBS (or iub /shoxerCombo) SHOWERS WATER CLOSETS (To ey MISC (Describe) _ DISHWASHERS SINKS'- _ _ )RINKINd FOUNTAINS ' GAS PIPE OUTLETS SUMPS _ _ RAINWATER SYST _ "'.ASHING MACHINES URINALS HOSE BIBBS LAVS (9athraom 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 authorised 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 Federa Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of Much claing, which may be de by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance the city, includi its officers and emplo ees, u on the accuracy of the information supplied to the city as a part of this application, A rl%rr1 palNtc� NAME /TITLE DATE ( gnature (Titi I RELATIONSHIP TO PRO ❑ Owner o Agent Ycont tor Cl Architect ❑ Other Bulletin !1100 — January 7, 2005 1, Page 2 of 4 k\Handouts\Per nit Application