03-105102 . 0 • 1
1 of Federal Way
Commun yDevelopmentServices Building - Single Family Permit #:03 - 105102 - 00 - SF
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: MIETUS
Project Address: 34808 11TH AVE SW Parcel Number: 542242 0740
Project Description: ADD-Laundry room addition
Owner Applicant Contractor Lender
John C Mietus &Marti Sue Mietus Marti Sue Mietus Marti Sue Mietus NONE
34808 11TH AVE SW 34808 11TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA 34808 11TH AVE SW
98023-7014 98023-7014 FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
1 Construction Type: Type V-N t
Occupancy Load: -1�
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 61 Census Category ... 434 Residential alt/add-no
Height of Structure....... 16' Mechanical........ No
Occupancy Group#1,..,: „.. R-3 Plumbing.. Yes
Total Proposed Sq.Feet 61.41 Zoning Designation RS 9.6
Plumbing Fixtures
Description Quantity Description ' Quantity Description iQuantity
Laundry Washer Outlets 1 Sinks 1
CONDITIONS:
Building setbacks are:20 feet front; 5 feet side; 5 feet rear.
PERMIT EXPIRES May 12,2004.
Permit issued on November 14,2003
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 Way. ,
I r' i. 1` .I-Owner or agent: ` Date: �
J
r
4
POS IS CARD ON THE FRONT OF BUILD
'can or
Federal Way BUI DING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-105102-00-SF
OWNER'S NAME: John C Mietus & Marti Sue Mietus
SITE ADDRESS: 34808 11TH SW Ni 014 0
( ) FOOTINGS/SETBACKS 12/27/4 01"./ ) FOUNDATION WALL I Z"/2:7"/).3
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING 2//1/0y
() ROUGH PLUMBING: DW`! 3—17—O A /SG`� Water piping ? 177 —QA 1-e- 5
O ROUGH MECHANICAL Gas piping
C.SK/d 2,l,/ov cf
( ) SHEATHING Ro Floor
( ) SHEAR WALLS 2//8/0y
) ELECTRICAL ROUGH-IN �i' Ditch Cover
) FIRE/ORAFTSTOPS 2-1k-0/ hF
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING'INS:ECTION
( ) FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Ilk 7//a 7 Attic 7/jD y Z�
THE ABOVE MUST B�EE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING — �D 7 ( ) SUSPENDED CEILING /(i//1
THE ABOVE MUST BE APPR II PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL 4 �;�
( ) PLANNING FINAL
() PUBLIC WORKS FINAL _
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL oq �r
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
ill
CEIVED CONSTRUC 110 PERMIT APPLICATION
CITY OF V ■' NOV 4 2003 APPLICATION NUMBER:. 03- 4 .D5I 0 z.- al,
Federal Way APPLICATION NUMBER: -CITY OF FEDERAL WAY }APPLICATION NUMBER: - -
BUILDING DEPT.
**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. �X1
U PROPERTY INFORMATION
SITE ADDRESS: .4 C bill /VISA] flLi u 1 &A/ ASSESSOR'S TAX/PARCEL #: 5 L L q l - c) • C
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): 4-BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION
ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
t ( , `I RCM
PROJECT DESCRIPTION(Provide detailed description): #�\`j AL) OK n� LrcitY� �d RC
PROJECT NAME:
N\∎EaT..
i • . , - -. • PEOPLE INFORMATION -
PROPERTY OWNER: ' NAME: i DAYTIME PHONE
00 I-I N d-Mi\KT 1 MM 1 GrU S 1 (z5 3 )k I - /q/6
' MAILING 3 11.,4_)b 1 l n EA - C� 1� �P). �DV�' lt� \ JA l AAA
q �y�'s
CONTRACTOR: NAME: DAYTIME P HONE:
\ V�k ` -
MAILING RESS( BEET
ADDRESS;CITY,STATE,ZIP): - EVENING PHONE'
I ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - i ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: I NAME:n DAYTIME PHO
I-MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE
1 ! ( )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT ❑TENANT o OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: SF-e_ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ /3 U OM).
I; PROPOSED USE: SF-K.__ PROPOSED VALUATION FOR IMPROVEMENTS: $ / 2-00.
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: '-1 AKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: .-f-LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION **
•
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST /Cf
SECOND t
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE ( / /\ v -- Lf�
HOW MANY FLOORS? 7 V
TOTAL:
• FIXTURES, ..
Indicate number of each type of fixture
MECHA ICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE CO ER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE I SERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
B ATHTUB(S)) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) I WASH MACHINE OUTLET
GAS PIPE OUTLET(S) I SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) 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 daim(induding costs,expenses,and attorneys'fees incurred In the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information su plied to the dty as a part of this application. j /�
NAME/TITLE: V t ;( 'i DATE: 1 i 1 f
❑ PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR
.,FOR OFFICE,USE ONLY:
';a NEW `; ,tea ADDITION. R.ALTERATION ° 'n.REPAIR„ z O TENANT:IMPROVEMENT�—raF.
CENSUS CODE - -N ';5 "**itOTSIZE WjrN ;=tea
'ZONING:DESIGNATION g 4 :1 - BUILDING SHELL ONLY? a YES,• u NO.
;COMP PLAN DESIGNATION A , e A :04 BASIC PLAN? `k=❑YES A ❑,NO:°, �
SECTION TOWNSHIP RANGE 3 NEW ADDRESS REQUIRED? `❑YES ;:❑ NO
SPLATTER LOT? ❑YES: o N0 $ , ..CHANGE:OF USE?. `g, '-:0 YES' iJ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cttvolfederalway.com