04-103590 rr.-_—__—t +
City unitFederal Way Building - Single Family Permit #: 04 - 103590 -• 00 - SF
Conununity Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7005 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: GREEN
Project Address: 31601 13TH AVE SW Parcel Number:416810 0380
Project Description: ADD-Construct new,864-sq-ft detached pole storage building. No plumbing or mechanical on this
permit.
Owner Applicant Contractor Lender
Douglas K Green &Sandra L Green TOWN&COUNTRY POST FRAME TOWN&COUNTRY POST FRAME NONE
31601 13TH AVE SW 16521 HIGHWAY 99 SUITE B TOWNCPF099LT 6/30/05
FEDERAL WAY WA LYNNWOOD WA 98037-3199 16521 HIGHWAY 99 SUITE B
98023-4742 LYNNWOOD WA 98037-3199 NONE
Includes:
Census category: 438-Reside #1 #2 #3 P #4
— _ _J
F. Occupancy Group: U-1
Construction Type: ; Type V-N
r occupancy
[Floor Area FY.: iMiiiiiiiiii.i
—, ,,,,,,,„,„,,,,,,„,,, ,,,
Basic t ,, r.... ...... No g ., Census Category t €. �n .esi ti 1a C d C
Mechanical u b .....,„ gr No Occupancy y Group#1 ..,r....U-i
Other Proposed;feet..` 864 Plumbing ..,,. to
.r
Zoning Designation........;...__ .,, RS 7.2 e� ,q,
RS
miffalltilk
■
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal. -
PERMIT EXPIRES April 3,2005.
Permit issued on October 5,2004
I hereby certify that the above informati cn is correct and that the construction on the above described property and
the occupancy and th. . - will be i :c•ordance with the laws,rules and regulations of the State of Washington and
the City of Federal /5100
Owner . a ent: Date: /
f _
THIS CARD IS to MAIN ON-SITE,.
CITY OF !ommunity Developm m nt Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103590-00-SF
Owner: DOUGLAS K GREEN
Address: 31601 13TH AVE SW
FEDERAL WAY, WA 98023-4722
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) �❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By J7 Date 2—29'-p' _ By G Date /z, Zi} . ( l By Date
❑ Drainage/Downspout(4040) El Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
LilY 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
•
El Roof Sheathing(4220) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4:
B y By Date B Date
•
❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•"El Final- SWM(4375) •❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved Approved
By e 5 Date3 -/�'•% 047, By C— Date/z• 22_- et> By Date
CRY Of l - J._ o_a_ S&L Y +
Federal RECJIFV.
FCOMEELPLDEENF
COMMUNTIY DEVELOPMENT SERVICES ���j
33530 FIRST WAY SOUTH•PO BOX 9778 �,``��
FEDEAL WAY,WA 98063-9718 253-661R-4115.FAX 253-66149 2 r '0 0 .`, P LI CAT I O N T° / /
ynow.df uo ffederal wa u.com
The ollowin• is re. ( ;,• ;y_yutt•_.,•;- it#rinco •fete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or • .
PROPERTY
INFORMATION
SITE ADDRESS 3(b0� I3# Au 2. S W• F U
Q ro ( Una SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 I b / C) - 0 3 8 a ( LOT SIZE(s) C♦ 8 5 1p
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S y LC, f 04-c A 11.1 e.o d S t/,'J - -a-
(Attach separate page for lengthy legal desc ipt on)
PROJECT INFORMATION
TYPE OF PERMIT .BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PRO�J1�CT DESCRIPTION(Provide deta�'ced description of work included on this permit onlu)
OUP d gAr d 2_d po b u<<d , ,c„,, 3 r cz u se..
y,
PROJECT NAME(Name of Business or Owner Last Name) v- J n
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ..7v ( Y- e_a_r\ (z53)4N/ - 3iog
MAILING ADDRESS CITY,STATE,ZIP
31 o l (3Z Prv4- S.L4-) Fe.d.ac-al W c , .,..p- , 9 8 o z;
CONTRACTOR COMPANY NAME APPLICANT NAME L) OFFICE PHONE
T w to Go v" 41,/,..„ £o A, 54-a u.'Ai ov ( K k3 2s ) ? - 1 cs S
MAILING ADDRESS CITY,STATE,ZIP
(4-k..)...1 CELL PHONE
Su t -.e. C (L s 2-( q ct L ~A W t) A Q Ste?
CITY OF FEDERAL WAY BUSINESS LICENSE IN MBER EXPIRATION D FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( / ( EXPIRATION DATE
t o w n c. P C. 09 q I -f- 0 / 30 / 05
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Lt
GG A✓DDDRESSS CITY,STATE,ZIP CELL PHONE
-
MAILING NE
( )
, RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CO■ T 1 PRIMARY PHONE E-MAIL ADDRESS
*411. 1 T, u. \C�J �/2 74 2> - i CS-5 orn; 1 wt0.-i I . Co wt
ENDER Per.RCW 19.17.095: Lender information is,
required if protect value exceeds$5,000 , 1 .(' �� I
MAILING ADDRESS CITY,'"'ATE,ZIP I,� r ,
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 54-1=, rC` n
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ IC/, /7 C( 4 50
SPRINKLERED BUILDING? ❑YES )1,121O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES [XNO
WATER SERVICE PROVIDER JE LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
1 SEWER SERVICE PROVIDER .LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST t f q _ L f
SECOND '( �
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commrda[( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/shower combo) SHOWERS WATER CLOSETS(roue( M1SC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
• 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 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,incl ing its facers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE p 7 7 A
(Signature (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent )ontractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application