04-105062' City of Federal Way
Community Development Services - Bui Ing —
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Single "Family Perm #: 04-105062-0'0'18f*
� y
Inspection Request Line: (253) 835-3050
Project Name: BISHOP'-"''
Project Address: 35928 11TH AVE SW Parcel Number: 440560 0135
Project Description: ADD - Construction of 316E sgft, 2 -steamy storage building with an attached 192 sqft, 2nd
story deck. No plumbing or mechanical work.
Census Category: 438 - Residential Garage or Carport
Includes: #1 #2 #3 #4
Occupancy Class: U-1 R-3
,onstruction Type: Type V- B Type V- B
44a,a anc Load:
e rel s. ft. 0 0 0
Owner
Applicant
Contractor
Lender
r a� o�rw g
DAVID A & TERRILEE BISHOP
DAVID A & TERRILEE BISHOP
35928 11TH AVE SW
DAVID A & TERRILEE BISHOP
a 1 0
35928 11TH AVE SW
35928 11TH AVE SW
FEDERAL WAY WA 98023-7235
35928 11TH AVE SW
New / Additional Sq. Feet -.Deck ..........................192
FEDERAL WAY WA 98023-7235
FEDERAL WAY WA 98023-7235
0
FEDERAL WAY WA 98023-7235
Census Category: 438 - Residential Garage or Carport
Includes: #1 #2 #3 #4
Occupancy Class: U-1 R-3
,onstruction Type: Type V- B Type V- B
44a,a anc Load:
e rel s. ft. 0 0 0
No Fixtures Associated With This Permit !I
CONDIT
No additional access allowed to public street witho all q w
PERMITAIIR'ESe�,
y.sued n,s
I hereby certify that Bove inti ,,ti n is corre d 4 th
the occupancy aryd the a will be in accordance with the
Owner or
;Atruction on the above described property and
lies and regulations of the State of Washington
Way.
Date: ':t� z z
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New / Addrt q 1 e'- est Floor
r.,
1i18 " "
�•, �. �. Xm
view Adc nal It met - 2nd Floor
a 1 0
New / Additionalq. Tt -Basement ................
f <:cupancy ' �nstruetion Type: .........
......Tiy� -B
New / Additional Sq. Feet -.Deck ..........................192
New / Additional Sq. Feet - Garage .......................
0
Height of Structure................................................23.9
Mechanical to be Included? ...................................
No
Occupancy # 1 - Class.............................................0-1
Occupancy #2 - Class .............................................
R-3
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included?......................................
No
Total Building Sq. Feet..........................................3168
New / Additional Sq. Feet - Total ..........................
0
Zoning Designation ...............................................
RS 9.6
No Fixtures Associated With This Permit !I
CONDIT
No additional access allowed to public street witho all q w
PERMITAIIR'ESe�,
y.sued n,s
I hereby certify that Bove inti ,,ti n is corre d 4 th
the occupancy aryd the a will be in accordance with the
Owner or
;Atruction on the above described property and
lies and regulations of the State of Washington
Way.
Date: ':t� z z
riNauav s/u/°ri
i
THIS CARD IS TO MAIN ON-SITE
CITY of ommunio Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -105062 -00 -SF
Owner: DAVID A & TERRILEE BISHOP
Address: 35928 11TH AVE SW
FEDERAL WAY, WA 98023-7235
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
❑
SWM Preconstruction Site Mtg
❑
Initial Erosion Control (4365)
❑ Footings/Setback (4110)
Apf"(10)
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By Date
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
❑ Slab/Concrete Floor (4255)
Approved to place concrete
Approved to backfill
Approved to place concrete
By
Date
By
Date
By Date
❑
❑
Floor Sheathing (4105)
Underfloor Framing (4285)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑
❑
Fire/Draft Stops (4095)
Roof Sheathing (4220)
NOTE: Prior to scheduling a Framing (4120)
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
ltfL
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
Date
By
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 9� By Date
] Final Erosion Control (4375) ❑ Final - Building (4050) ❑ Interim Erosion Control (4370)
Approved Approved Approved
By Date By G*�✓�� D to By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
H
ECEI -
Federal Way VERMIT
COMMUMTY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718 CP L I C A T I O N'�� DF _
FEDERAL WAY, 98 063-9 718
253-6614115• FAXX 253-6614]29
www.dhlollederalway.com CITY CF FEDEFIAL WAY
The foilowinq is
fete application will not be
.CD= ME DE EN F
i/sprink) or type.
SITE ADDRESS % SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # ' 11 �` - LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal cl—ipaon)
PROJECTINFORMATION
TYPE OF PERMIT U,01IILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
,44-1 Kie ! -7r-) :x/`S 7` 1 't �®f /'� r .r'✓ Zx
4I
PROJECT NAME (Name of Business or Owner Last Name)j�`r�
PEOPLEINFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NA / �^ %PtR-IM,A^RY� PHONE
y
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME>>
G�
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
/CELL PHONE
1 � -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
--B L
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER )copy of card regnired with each application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
(CELL PHONE
l � -
RELATIONSHIPTO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
NAME
PRIMARY PHONE –
E-MAIL ADDRESS
Per RCW 19.27.095: - Lender information is
required if project value exceeds $5,.000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑,YEES 4190'
WATER SERVICE PROVIDER FHAVEN
SEWER SERVICE PROVIDER (rtAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $X=
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES WIT*
❑ HIGHLINE a TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
CRI PT
EXISTING S . FT.
PMUO?OSED SQ. FT. TOTAL
EST
RAVES
MISC (Describe)
GA ATER HEATERS
RB
WATER CLOSETS (roiteq
MISC (Describe)
DRINKING FOUNTAINS
OND
RAINWATER SYST
-"
HOSE BIBBS
THIRD I
ELECTRIC WATER HEATERS
❑ YES
G�
FOURTH
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
ADDITIONAL FLOORS (DESCRIBE) Y I
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
DECK (COVERED?�-i
o NO
GARAGE/CARPORT / 1 Ny�.:�
TOTAL EXISTDPG TOTAf—OPOSED TOTAL EMSTOG AND PROPOSED
HOW MANY FLOORS?
""NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (ot Tub/Shouetcombo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS Bathroom Sinks
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES /
GAS PIPE OUTLETS/'
-SINKS
SUMPS
URINALS
VACUUM BREAKERS
SiA'SLOGS
REFRIG. SYSTEMS
HOODS (co Dmemia
WOODSTOVES
RAVES
MISC (Describe)
GA ATER HEATERS
❑ REPAIR ❑ TENANT IMPROVEMENT
WATER CLOSETS (roiteq
MISC (Describe)
DRINKING FOUNTAINS
BASIC PLAN?
RAINWATER SYST
❑ NO
HOSE BIBBS
ELECTRIC WATER HEATERS
❑ YES
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 ther la a of the city, including its fficers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
\P //✓T
NAME/TITLE DATE
'r i
(Signature) (Titre )
RELATIONSHIP TO PROJECTt8'�Wner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
a YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
QS 5•(11
Bulletin #100 — March 30, 2004 Page 2 of 4 k\I landouts — Revised\Permit Application
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UPON COMPLETION OF WORK
— — — — CITY OF FEDERAL WAY — — — —
DEPT. OF COMMUNITY DEVELOPM@W
F PERMIT: 04-105062-00
SITE: 35928 11th Avenue SW
PROJECT: Detached shed
F NAME: BISHOP
DATE: 12/14/04
I DATE SUBMITTED D DATE APPROVED
RECEIVED
L)EC 14 2004
CITY OF FEDERAL WAY
BUILDING DEPT.
Name &Address:
David A. Bish
35928 11th Avenue :
Federal Way, WA98
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