04-104650 0
City of ty e Development Services
Community ay wilding - Single Family Per it #: 04 - 164650 - 00 - SF
vel
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: BENTLEY
Project Address: 30815 28TH AVE S Parcel Number:092104 9243
Project Description: ADD-Construction of a new 90 sqft sunroom,tear off of existing deck and rebuild of a new 192 sqft
uncovered deck. No plumbing or mechanical.
Owner Applicant Contractor Lender
Susan C Bentley ALL IN ONE BUILDING AND SUPP ALL IN ONE BUILDING AND SUPP Susan C Bentley
30815 28TH AVE S 3429 S 308TH PL ALLONBS005LF 6/4/05 30815 28TH AVE S
FEDERAL WAY WA AUBURN WA 98001 3429 S 308TH PL FEDERAL WAY WA
98003-5104 AUBURN WA 98001 98003-5104
Includes:
Census category: 434-Reside #1 #2 #3 #4
— ----- — --- -
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load.
Floor Area( q,Ft.):
Census CategorY 434-Residential alt/add-no E Deck Proposed Sq.Feet4.... ....,.. t92
Fire Sprinklers equir d ,...,,,� Na Mechanical..., ... No
Occupancy Group#1......: .. ..-.. . R-3 " Other Proposed Sq.Feet............. .... -._...90
Plumbing No Total Proposed Sq.Ft.,..'.. ... ........•90
Zoning Designation RS 7.2
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES August 10,2005.
Permit issued on February 11,2005
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 a en �,�� � '/ / �� ► • }4
t Air
\*04„\itik
Z,4\0)0
v
,\i/ `\
DATE INSPECTORA, AREA AND TYPE r INSPECTION
• 2lar 164-&-/)7?-0140-/-6
THIS CARD IS TO IN ON-SITE
CITY OF øMnmuuity Developme Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104650-00-SF
Owner: SUSAN C BENTLEY
Address: 30815 28TH AVE S
FEDERAL WAY, WA 98003-5104
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) 40 Footings/Setback(4110) ❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By C Date 5 By Date
•
❑ Drainage/Downspout(4040) .❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete '
By Date By Date By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Ap roved to install siding
By Date By Date Bye. Date 7' -Qs-"
Roof Fire/Draft Stops❑ Rf Sheathing(4220) ❑ Fi /Df S 11 (4095) , ,
.
NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved s inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date 'signed off and approved IBC 1093.4/UBC 108.5.4
❑ Framing(4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Ap roved to insulate Approved to install wallboard Approved to install mud&tape
r
By G' Date 7- 0 - 4=>S' By iI Date Ok— By Date
❑ Final-SWM(4375) ❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved Approved
By Date By Date By Date
cm of O • 'C - ( V 1 6 6�
�ederai Way F '
O� PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8TH AVENUE SOUTH.Po BOX s\I 6 2 PP L I C AT I O N �"
FEDERAL WAY,WA 98063 9718�V�J.V
253-835-2607•FAX 253-835-2609 / / \�
wurur.dtuoll"ederaluroU.com ��CCDrEnRPO-•
The following is•equ Lib. r Warr-an incomplete a..lication will not be acce•ted. Please •rint legibly(in ink)or type.
IN PROPERTY INFORMATION-Pt
SITE ADDRESS 50? I-- g-0 HIV l- - ' ' G� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# r, 61 c t 0 4-4 - / V 3 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desorption/
. • PROJECT INFORMATION
TYPE OF PERMIT %BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
q i y l 0 ( .5uL rWYY 1
[o 11‘ 3? ° Dee.[
PROJECT NAME(Name of Business or Owner Last Name)
i
r II PEOPLE INFORMATION
PROPERTY NAME c �? PRIMARY PHONE q -2/(0-7
OWNER JASCC,(/) Se 153) -a 1-
MAILING ADDRESS 1 - )-g S CITY,STATE,ZIP ,e wior qu I O 3
CONTRACTOR COMPANY NAME APPLICANT NAME v OFFICE PHONE
ALL1i1 6!C 131.06ct cL.PPLy .11)4 r&\ 6ilLe1�J (2 3 ) q3?-41-6/
Z
MAILING
41 o/5ADDRESS
//fi/�(v[ &I S' /If CIi'C.LiniLGt) W/'t 7V;143 (.253) 376 - 7Y7 /
CITY OF FEDERAL WAY BUSINEWLICENSE NUMBER EXPIRA O DATE FAX NUMBER
2. 0-1, 0-1 Q I_ & 6 - B L p / 1 / o`i 3 3'/ -b 1 7/0 7•0
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
A- LLON155 .0 0St-- E & / 0i/ /?oos
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME P ka_ J2 It J/� PRIMARY PHONE E-MAIL ADDRESS
? - O/
, .
L-
ENDER „,per RCW 9 27 095 eLerderaanformataon is
-”� requsred if project value exceeds$5,000 ....51.4.5 ayt, .6211_
-
U
oADDRESS� `� ' A•v-c S S . c' STATE,ZIP iA) / I , 1 9 3
� r
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED W -$$) 'o,D D o
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
f WATER SERVICE PROVIDER Cl LAKEHAVEN O HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS _ .
•AREA DESCRIPTION EXISTING SQ.FT. PR' a SED SQ.FT. TOTAL
BASEMENT
FIRST q D
SECOND
THIRD
- FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOT'S'STING TOTAL PROPOSED TOTAL E]OSTINO AND PROPOSED
"NEW HOMES 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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commcmial WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES G. "ATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo) SHOW P. A R CLOSETS(Toile) MISC(Describe)
DISHWASHERS ''S DRIN NG FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BUlvoomSinlcs) VACUUM BREAKERS ELECTRIC WATER HEATERS
t =;':DISCLAIMER/SIGNATUREBLOCK ' -
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,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
'
N AME TITLE - (2.ri4^- - DATE /// /62) 0 0
(Signa u ) (Rile)
! RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
S
1 .FOR OFFICE USE ONLY I 1 Z ,
a NEW ADDITION a RATION a REPAIR a TENANT IMPROVEMENT
f BUILDING SHE L NLY? o YES 0 BASIC PLAN? a YES O
f ZONING DESIGNATION 3,e- CHANGE OF USE? ❑YES
t NEW ADDRESS REQUIRED? 0 s YES 0 UP/SEPA/SU? a YES
PLATTED LOT? a YES XN0 DEMO PERMIT REQUIRED? a YES O
20 1sk- I3`g()
1101L- I 33
7Zoo c --
Bulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Pcrmit Application
E._ >-
0 , a
V W N -,W
# � ; C3
T '"I Ui Z
°p ; ` > LL 0
" ,_,..„ ...
nt),'Z^r
f,.,, tirt �i Z }m
t U
.4. „..... ..,
. r c) .
rt-
cm—
R
I,---t .
a I i
`
}}
•
(j ' 1 .;
/ ',
0
1
z E
■
I
p
a
4
g
1
a r
4-4- 1 R. j
cn
V` 2. ' Z M (1I•
Act•_ t1 • O W
‘, "4_..40L s�i
N.
� C3 DI 1' >2 _ .Z-, O
.3 t J a,' 0 T
.., �
cA
iti. .,,,
W
'z .,,„
, , , ,
„..,
,,,, ..,
, ,, 74,
oz
( . t: �3 � N o Jfp
liA 4 4 C� Z �C A LA C3 � C7 Oe LA a� W ` �W � , N JF-
. In
, i.. ,
1.p W
C73XWyLA.. om OW'62 16"il k....)r
ir „ i t , O►- _Q . L (.7)W Q„ (
N LL„
ij0 7
W 0
OC Job
�? N -�VyWZ84QD�
4 Q a� 2
, .1_...._ ,Nx _ V� yW~J ▪ NNNLi_
_. _ � Z� O � WWW
s N. ►- 0 . % . a
a
1 ti W m p p N
p � •
1.... m = 1- JwM�h.,:1 i.-1 I.J 47.'1
d1▪ §§§?
F- ►- I`-1% 1Z-
- , Jh- 0MWM. 1- H- I-O
r
r1
int