02-103453w•
City r,t t Dc%cl .Way Building - Single Family Permit #: 02 - 103453 - 00 - SF
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-62 10
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
0
Project Name: MAY SUBJECT To MELD 1N
Project Address: 35621 20TII AVE SW Parcel Number: 252103 9027
Project Description: RES ADD - Construction of new 500 sqft addition to first floor of existing house, including plumbing
and mechanical.
Owner
Applicant
Contractor
Lender
GREGORY MAY
GREGORY MAY
GREGORY MAY
GREGORY MAY
35621 20TH AVE SW
35621 20TH AVE SW
Construction Type:
35621 20TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
35621 20TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
1
Water Closets
1
Construction Type:
Tybe V - N
Occupancy Load
Floor Area (Sq. Ft.):
1 st Floor Proposed Sq. Feet .. ............................... 500 Census Category.................. ............................... 434 - Residential alt/add - no
Height of Structure ................ ............................... 15 Mechanical.................. ............................... Yes
OccupancyGroup # 1 ............... ............................R -3 Plumbing.................. ............................... Yes
Total Proposed Sq. Feet ........... ............................500 Zoning Designation............. ............................... BN
Plumbing Fixtures
DecrlpRai'!{{Qti ' nf1
"�esera
Quantt
Descriptoh
Quarttlt`;1
Bathtubs 1
Lavatories ��
1
Water Closets
1
Mechanical Fixtures
criptgn .;Descriptlon „Quanti� m�;' escrpilo,�li C;2uantit
Qtiantt ps Y
CONDITIONS:
No building shall encroach onto any building setback line or easement shown or not shown.
Maximum driveway width is 20 feet.
Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to
the subject proposal.
PERMIT EXPIRES February 9, 2003, IF NO WORK IS STARTED.
Permit issued on August 13, 2002
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.
Owner or agent: Date:
Vct1vsaL9q,t
INSPECTION LOG
i f ,�O L
riIu1D ,� �� s Pay V), arc
'� EtIEJZFfL_
VV FiY, .
PO ,WHIS CARD ON THE FRONT OF BUILD ;
BUI kING DIVISION
INSPECTION RECORD
PERMIT #: 02- 103453 -00 -SF
OWNER'S NAME: GREGORY MAY
SITE ADDRESS: 35621 20TH SW
( ) FOOTINGS /SETBACKS 16z, i � ?7 /, ,
( ) DRAINAGE: Line
() UNDERFLOOR FRAMING_
() ROUGH PLUMBING: DWV
()
ROUGH MECHANICAL
{) SHEATHING �/ Z
() SHEAR WALLS /L
O ELECTRICAL ROUGH -IN
() FIRE/DRAFTSTOPS
# AD -z
INSPECTION REQUEST PHONE #: 253- 835 -3050
() FOUNDATION WALL
( ) Connection
I
'!O" Water piping
Gas piping _
Roof /0 — /000—, GZGC�A ,z. Floor
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors Walls
( ) WALLBOARD NAILING LA / (k I ?) 2-
() ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
( ) BUILDING FINAL ? , ?�,v D
Ditch Cover
Attic
( ) SUSPENDED CEILING
��� DO�NOTp s C= HYS�BI7I�DING Y.TNTI�BUII�DTx 7+� p S °A�`kROVED s
..1 # 0
WW�4 RECE IVED CONSTRUCTION PERMIT APPLi TION
OMF4 -- APPUCATION NUMBER:
AUG 13 2002 APPUCAMN NUMBER: -
C1TY OF FEDERAL WAY
PLICATION NUMBER: -
** 1161lUf�rM°ired information — Please print (in ink) or type **
Please note: EkwtrkAi, Fire Prevention Systems and Engineering permits may require a separate application. t
PROPERTY •• •
SITE ADDRESS: r SSfSSOR"S TAX /PARCEL *:e,7 f 03 / D Z
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT O •
TYPE OF PROJECT (This application): �;"UILDING - 14LUMBING -_-p44ECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING o FIRE.[ PREVENTION SYSTEM t 1
PROTECT DESCRIPTION (Provide detailed description): di .,, an W r
PROJECT NAME:
CONTRACTOR:
NAME: DAYTIME PHONE:
Ag� 1
MAILING ADDRESS (STREET ADDft55; CITY, STATE, ZIP):
C� .�. O -Z
NAME:
PHONE:
/DAYTIME
l
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
PHONE:
/EVENING
l
CITY OF FEDERAL WAY bUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) _
o ARCHITECT o TENANT o OTHER( DESCRIBE): '
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR
DETAILED OUILDING INFORMATION
EXISTING USE: G'MG EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ J�
PROPOSED USE: ,e� PROPOSED VALUATION FOR IMPROVEMENTS: $ Jz
SPRINIUJMD BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
o YES 'Iewo FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES
o LAKEHAVEN o HIGHLINE
..- A SHAVEN o HIGHLINE
,7'1ACOMA o PRIVATE (WELL)
0 PRIVATE (SEPTIC)
M.
NUMBER OF BEDROOMS:
•
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
ENNEMEN
FLOOR
EXISTING SQ. FT.
PROPOSED SQ, FT.
TOTAL
BASEMENT
FIXTURES
Indicate number of each type of fixture
BASIC PLAN? O YES NO
SECTION TOWNSHIP RANGE
FIRST
Z Q �
��•�
2
SECOND
GAS O(S)
REFRIG. SYSTEMS)
UNITS)
THIRD
SIMS)
FOURTH
HOODS)
WOODSTOVE(S)
BOILER(S)
OTHER FLOORS (DESCRIBE)
RANGE(S)
MISC.
COMPRESSOR(S)
DECK
DUCT(S)
GARAGE
HOW MANY FLOORS?
HEAT SOURCE:
ELECTRIC o GAS
TOTAL:
G
BATHTUB(S)
DISCLAIMER /SIGNATURE BLC
I cerdfy 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 parndt apPlicadon IS made. I
furdw agree to hold harmless the City of Federal Way as to any claim ( incuding comb, expenses, and attorneys' fees incurred in the
hnvestigedon 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 lnfbrmatlon supplied to the city as a part of this application.
NAME /TITLE: DATE:
o PROPERTY OWNER o APPLICANT O CONTRACTOR
FOR OFFICE USE ONLY:
mv
❑ NEW AD O ALTERATION O REPAIR O TENANT IMPROVEMENT
CENSUS CODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? O YES NO
FIXTURES
Indicate number of each type of fixture
BASIC PLAN? O YES NO
SECTION TOWNSHIP RANGE
MECHANICAL
PLATTED LOT? O YES NO
CHANGE OF USE? O YES AND
AIR HANDLING
APORATIVE
GAS O(S)
REFRIG. SYSTEMS)
UNITS)
S)
SIMS)
FANS)
HOODS)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
MISC.
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLETS)
HEAT SOURCE:
ELECTRIC o GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAINWATER
VACUUM BREAKER(S)
-.rALECTRIC ❑ GAS
SYS.
DRINKING
SHOWER(S)
WASH MACHINE
FOUNTAIN(S)
11
GAS PIPE OUET(S)
OUTLET
/ Smr.(S)
WATER CLOSET(S)
MISC. ( 1
INTERCEPTORS)
SUMP(S)
DISCLAIMER /SIGNATURE BLC
I cerdfy 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 parndt apPlicadon IS made. I
furdw agree to hold harmless the City of Federal Way as to any claim ( incuding comb, expenses, and attorneys' fees incurred in the
hnvestigedon 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 lnfbrmatlon supplied to the city as a part of this application.
NAME /TITLE: DATE:
o PROPERTY OWNER o APPLICANT O CONTRACTOR
FOR OFFICE USE ONLY:
mv
❑ NEW AD O ALTERATION O REPAIR O TENANT IMPROVEMENT
CENSUS CODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? O YES NO
COMP PLAN DESIGNATION n UWA AM
BASIC PLAN? O YES NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES
PLATTED LOT? O YES NO
CHANGE OF USE? O YES AND
0
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 + 253- 661 -4000 • FAX: 253 -661 -4129
yym. cilvoffWerahM. com
Construction Permit Fee Calculation Sheet
* * * * ** *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED! * * * * * **
Building, mechanical, and fire prevention system fees are based on the following schedule.
TART F A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $26AO
(2) $501.00 to $2,000.00
(2) $26A0 for the first $500.00 plus c ..SO for aadi adda'imd 11W,
or fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.00
(3) $T &so for the &,st $2,000.00 plus ¢lS5V fw anh addN& l
t ,000 AO or fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50.000.00
(4) $435.00 for the that $25,000AO phis 413 -00 for dedr addVMd
jLAOO.OY! or fraction thereof, to and
including $50,000.00.
(5) $50,001.00 to $100,000.00
(S) ;710.00 for the first $50,000.00 phis f$.AO for eadi adhlEtona
/tLQa0.U0or fraction there, to and
Including $100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,110.00 for the fiat $100,000A0 plus t&QQ for gadi arhfiTianal+�Llg0.00or
iractbn thereof, to and
Including $500,000.00
(7) $5001001.00 to $1,000,ow -oo
(7);3,510.00 for the fist $500,000.00 Plus t m fareadi addAbna
/SLAAO.AP or fraction thereof, to and
including $1,000,000.00.
(8) $1,000,001.00 and up
(8) $6,260.00 for the first. $1, 000, 000.00 plus "V for gs A adAMd
LAAO.GOor fraction thereof.
Bold namber is the base fee for the specified hmanent
PLUS: 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 **
I
PROPOSED VALUATION: 7. _
FEE FACTOR FROM TABLE A: Number: 7_ (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (I
Estimated Plan Review Fee: (2)
Estimeted FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (6)