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04-101476 . . . e Aitatotee . City of Federal Way Buildi - Single Family Perm#:04 - 101476 - 00 - SF Community Development Services g g 3' 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: VAN FOSSAN Project Address: 33749 29TH CT SW Parcel Number:255700 0370 Project Description: ADD-Sunroom addition approx.205[] with 55[] seperate uncovered deck. Owner Applicant Contractor Lender M J Van Fossan &Richard Van Fosss MARCILLE BUILDING DESIGNS*( INDEPENDENT CONSTRUCTION* NONE 33749 29TH CT SW MARCILLE BUILDING DESIGNS INDEPC*023NK FEDERAL WAY WA 12113 6TH AVE SW INDEPENDENT CONSTRUCTION 98023-7718 SEATTLE WA 98146 11610 210TH AVE E NONE Includes: Census category: 434-Reside #1 #2 #3 #4 J Occupancy Group: I R-3 R-3 Construction Type: j Type V-N Type V-N i J 1 Occupancy Load: 1 i I Floor Area(Sq.Ft.): 1st Floor Proposed Sq.Feet 205 Census Category 434-Residential alt/add-no Construction Type 42,.. Type V-N Deck Proposed Sq.Feet 55 Mechanical....... No Occupancy Group#1 ........ ........r R-3 Occupancy Group#2...... R-3 Plumbing No Total Proposed Sq.Feet ` 260 • CONDITIONS: No building shall encroach onto any building setback line or easement shown or not shown. 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 October 18,2004. Permit issued on April 21,2004 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. Owner or agent: �" •• C-�\1,, _ _WAS; Date: Z - a ,{ - ■ ' PO THIS CARD ON THE FRONT OF BUIL TG t CITY OF 1 N Federal way BU DING DIVISION '`� INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 04-101476-00-SF OWNER'S NAME: M J Van Fossan & Richard Van Fossan SITE ADDRESS: 33749 29TH SW ( ) FOOTINGS/SETBACKS ,s `C-- O el e..._(.2 ( ) FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping () SHEATHING_ 1 Roof L., _ . �_to. .2A."loor kv (`/ 01t ( ) SHEAR WALLS 6, .. /,5"-- 0 Z G c�J 1 () ELECTRICAL ROUGH-IN__ Ditch Cover ___44ktivXjr_____S</itt.....------- () FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FR MING INSPECTION ( ) FRAMING/FIRESTOPPING q ` • :: 1 , THF.ABOVE MUST BE APPROVED PRIOR O INSUL.TIN` e R SHEETROCKING .� q OINSULATION: Floors Walls ACS "1 VD • Attic THE ABOVE MUST BE APPROVED PRIOR TO AP'L ING SHEETROCK () WALLBOARD NAILING () SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL ( ) PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL () BUILDING FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED RECEIVED 33530 FIRST T WAYS DEVELOPMENT SEOX 971 33530 FIRST WAY SOUTH•PO BOX 9718 cr of r� FEDERAL WAY,WA 98063-9718 Federal Way APR 2 0 2004 PERMIT APPLICATION 25�6low ,4 f de�waucom129 Pin Office Use OatrrY ~AY g- I 0 T q 7 6) - OD rn / / BJILDI The •1 • • is --• • ornw Lion-an i . , •fete - •lication will not be ' - Please • t • • or • PROPERTY INFORMATION SITE ADDRESS: 338149 2-9421 Coun.-c Stom} SUITE/APT# J: ASSESSOR'S TAX/PARCEL#: Z 7 0 a - O 37_ V SQUARE FOOTAGE OF LOT: .7-700 (1/ LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1) 55-1 'F)RGR E-5'T' 706,7,_([__ PIttach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT(This application): lErBUILDING ❑PLUMBING ❑MECHANICAL ❑DEMOLITION P VELECTRICAL ❑ENGINEERING❑FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this oennit only): p V 1.1 �tnyA ?� r 12' X ‘7- 0 FP IOW 11 L t2.- 'D(t\)I tsY,} Raw. ld11T1-k-46. J rAw_t_ )77�LIL C 514-" . 1,9%--4°=55 S'F) . IF-_+AO Its" C..1 pW�.C z155F) F9--- hic L.1 1-ri o#7 . PROJECT NAME(Name of Business/Owner Last Name): VA,F9 3. ,N - U PEOPLE INFORMATION PROPERTY NAME: , q 1 PRIMARY PHONE: OWNER: 1.Gi�J�i-J 1 A C -1 \I.A.t.+F0 ..5,64,i■ (253)415 2.. - s75-1 CITY,STATE,ZIP mmuNG�13-74`ADDRESS GI' ,) b.1 F1E;¢ At- tJ-A`( )WP1/4 c1 to Z-5 CONTRAC'T`OR; NAME �p COMPANY OFFICE PHONE: 144t1/41Z-1--9e7 c77T "r (NbE-A +i CST(2 55) 81,7---3019 MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: t%(,IO 21©+2°' AVE C 'vNNEtZ-1 WA (`53D (75rj ) 315 -03'71.o CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER: / / (in) i3 6' -3J i 8 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required with each application) ( N V E r C * o Z 3 N V- / / LENDER: NAME: ��y`'J . DAYTIME PHONE: (U17upc.eav ne>$$.Uoq Li IM lI11/ ( ( ) - MAILING ADDRESS(SIADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: ( /� COMPANY OFFICE PHONE: i�•t.l✓1�1 1 'IAZR.C.1LL6 4`gAR.G/LW.. ttAtNto PIM ioN5 (Z ) -CA3Sj$ MAILING ADDRESS(STREET ADDRFSS): CITY,STATE.ZIP EVENING PHONE: t2-1 15 i.'e^ - J 64 6�zn.I ,a/A .148 t4( ( S- !tent =- RELATIONSHIP TO PROJECT: ��4 ID r�!' �, FAX NUMBER ` ❑Architect ❑Tenant (Other(Describe/ P� ?" (2.0(D)z4 L - C0 6 477 CONTACT PERSON FOR THIS PROJECT: ❑Property Owner ❑Contractor pplicant E-MAIL M (GC VA°&Cow. EXISTING USE: '1 lac I Pe\I<-6 PROPOSED USE: 6 EXISTING ASSESSED/APPRAISED VALUE $/^C/Z- Or Q VALUE OF PROPOSED WORK: $ IT)QV0 1 � SPRINKLERED BUILDING? ❑YES f2kNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑YES kl1O WATER SERVICE PROVIDER: ' I.AKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER: LAKEHAVEN ❑HIGHLINE ❑PRIVATE(SEPTIC) 1 . • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT (2 Z- , 13 7. FIRST 1\ 00 z o S (38G SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) Z15 Rnovp; 55 GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED 3?3$ **NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MFCHANTAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE GAS LOGS REFRIG.SYSTEMS COOLERS BBQS FANS HOODS iconmerci* WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS)or Tub/Shower WATER CLOSETS SHOWERS MISC(Describe) Combo) (Toilet) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sink 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 farther 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. `a NAME/TITLE: • AIWA ' r C7 (bY.� HATE: 1 1 J (Signature (Title) RELATIONSHIP TO PROJECT: ❑Prop Owner ,Applicant ❑Contractor a Architect ❑ j U I LP(,tJ(o Y i i ■..) FOR OFFICE USE ONLY: a NEW a ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION: CHANGE OF USE? DYES ❑NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES o NO