10-102183 OBuilding - Single Family.
Community Development Services
City of Way Permit #: 10-102183-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: RYCKMAN
Project Address: 28224 27TH AVE S Parcel Number: 111700 0040
Project Description: ADD-Enclosed courtyard off front of the house which includes the construction of a 9'
fence inside all required setbacks.
Owner Applicant Contractor Lender
DAWN RYCKMAN DAWN RYCKMAN 28224 27TH AVE S
28224 27TH AVE S 28224 27TH AVE S FEDERAL WAY WA 98003-3306
FEDERAL WAY WA 98003-3306 FEDERAL WAY WA 98003-3306
Census Category: 434 -Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
a
New/Additional Sq.Feet-1st Floor 0 New/!Additional Sq.Feet-2nd Fleet--...,..,.,.....0
New/Additional Sq.Feet 3rd Floor 0 New/Additional Sq.Feet-Basement 0
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No New/Additional Sq.Feet-Other 0
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
2 C
CONDITIONS:
Subject to field inspection with pl son site onl`J ly ' hslio
SL./Y
PERMIT EXPIRES Sunday, November 21, 2010
Permit Issued on Tuesday, May 25, 2010
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.
.0.'
Owner or agent: 4 / 44 // //,IdLi<«•u Date: as /
OF • THIS CARD IS TO IN ON-SITE
,
CITY
Construction Ins ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-102183-00-SF Address: 28224 27TH AVE S
Owner: DAWN RYCKMAN FEDERAL WAY, WA 98003-3306
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.
El SWM Precon Site Mtg(4400) - 0 Initial Erosion Control(4365) - -0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
0 Foundation Wall(4115) Ei Drainage/Downspout(4040) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date By Date By Date
0 Underfloor Framing(4285) CI Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
0 Roof Sheathing(4220) 0 Fire/Draft Stops(4095) o Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By Date By Date
1 0 Gypsum Wallboard Nailing(4130) El Final Erosion Control(4375) El Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By -0.-..16 Date ` y a, S -1.d
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,
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F'v a' : *PERMIT
1D - I
��, CMF CO ME PL DE EN FP
COW( 0N Es AP � V / U `1 o ( I
, R3. 7•FAX SR35-2609 �l
aru:r,.:itur;;u(^ra:rro:.i.nrr 57-0
MAY2
SITE ADDRESS SUIT NIT#
d8at a7 Aug SCIT'YOFFED ERA , �►AY
PROJECT VALUATION ZONING AS dIi'S TAX/PARCEL#
$; q05 . � RS 9, I 1 700 - o0 1/ 0
B
TYPE OF PERMIT UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) B A to A Z C/<rn ) -
tiocLosG 'z COLC(Ii rtr,c) oFF �AAT Di I-lo u.s(
PROJECT DESCRIPTION / •
Detailed description of work to (A)( ST S I 0 e ra'C]FIT
be included on this permit only • ! -
t.1 aP 9 PAP AP
'4:(314- ire S*1)°9?` q 7 9
NAME PHONE
PROPERTY OWNER A(J/J \eC
MAILING ADDRESS t-E-MAL / 3 7�
s
a8aa5/ a7 Auc S,
CITY ' STATE ' ZIP
F�Dc 7z,q w 1,0 h 9 80o 3
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
OcO/cs�— .
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT Nag PHONE Hon . S 3 Se, 3 7 s
(The individual to receive and CO N eV..., C i3GC °���/7/9 7 7
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING OWNER- INANCED
Required value $5,000..'more
(RCW 19 MAILING ADDRESS,CITY, - - ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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. [� �y
SIGNATURE: L��1 ��/,�Ll� DATE 2/ /"/4-Y /0
PRINT NAME: DA )Iv 1 C/� m/I N
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Perniit Application
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VALUE OF MECHANICAL ''ORE $ (a copy of bid or estimate must be provided)
Indicate how many of each type• re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTL . OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS •.:mercnip
BOILERS Fb' ACES Hs "ATERTANKS(G�) _______
I COMPRESSORS GAS LO. TS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES •
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Indicate how many of each type of fixture to • restaffed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS or Tub/Shower combo) LAVS(HandSints) TOILETS WATER PIPING
I DISHWASHERS i-. RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS �/r SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS • WASHING MACHINES :: •: `":>'? ? 4 'S ; g> a
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EXISTING/PREVIOUS USE LOT SIZE In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRE ION SYSTEM?
FD ❑ Yes❑ No ❑ Yes ❑ No
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Area Totals
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ESTIMATED SELLING PRICE$ # OF BEDROOMS
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AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type r Stories
ADDITION
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AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet p Y Grou p( ) Type Stories
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application
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