08-101217 City of Federal Way BuilPng -• Single Family Perm! #: 08-101217-00-SF
Community Development Services
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: LLEWELLYN -+:
Project Address: 27804 20TH PL S Parcel Number: 757562 0330
Project Description: Replacing and extending current deck.
Owner Applicant Contractor Lender
JEFF LLEWELLYN JEFF LLEWELLYN EVERGREEN DECK&PATIO JEFF LLEWELLYN
27804 20TH PL S 27804 20TH PL S EVERGDP935RD 12/4/2009 27804 20TH PL S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 209 92ND PL SE FEDERAL WAY WA 98003
EVERETT WA 98208
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B _
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information,
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1 -Construction Type Type V-B Mechanical to be Included? No
Occupancy#1 -Class R-3 Plumbing to be Included9 No
Occupancy#1 -Use Residence(1 or 2 Zoning Designation RS 7.2
family)
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Friday, March 12, 2010
Permit Issued on Wednesday, March 12, 2008
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 agent: � i4 t( / Date: '' t CO r6"
•
DATE INSPECTOR �, , AREA AND TYPE OF ._4SPECTION
3- --P/45 s , e4_
-441.16,....... THIS CARD IS TO•MAIN ON-SITE - ,
CITY OF ''•°'" "'N wo* lit ommunity Development Inspection
Record
Federal
Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-101217-00-SF
Owner: JEFF LLEWELLYN
Address: 27804 20TH PL S
FEDERAL WAY, WA 98003-6940
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.
O SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) ❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing (4105) ❑ Shear Walls(4245) 0 Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
•
❑ Fire/Draft Stops (4095) V
f NOTE: Prior to scheduling a Framing(4120) 1 0 Framing(4120)
Approved I inspection;Electrical,Plumbing&Mechanical I Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation (4150) . ❑ Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control (4375)
Approved to install wallboard Approved to install mud&tape Approved
By . Date By Date By Date ,
❑ Final-Building (4050) ❑ Interim Erosion Control (4370)
Approved Approved
By C, 4Lr.. Date 6 K-a l._, By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVE • /1
CITY OF
A
K — (/ / I 7_
Federal Way MAR 12 2008 PERMIT ��
COMMUNITY DEVELOPMENT SERVICES /�7I'i MF CO ME EL PL DE EN FP
333258T 35-260. '3if1 253-P7PEDERAAP LI CATI O N `f/
FEDERAL W)144,01.4019406°30f m
253-835-2607•FAX 253-835-2609
Wwu'.ciluol('deralmaurom CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 7 Sc)(l '' 400.4" �"/�/ 5 SUITE/UNIT# I
ASSESSOR'S TAX/PARCEL# 7 7 i 6 2 - 0 3 3 0 LOT SIZE(s,� /5 S�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 5CQ/I,O-coy k, DIV 3 40 1L 3
(Attach separate page jor lengthngal description)
■ PROJECT INFORMATION
TYPE OF PERMIT I BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJEC D CRIPTION(Provide detailed descrip/tion of work included on this permit onto)
s fix//<440
PROJECT NAME(Name of Business or Owner Last Name) L,
P L0(2,1 ,
II PEOPLE INFORMATION
PROPERTY NAME /^� // PRIMARY PHONE
OWNER r- fi/Lt Zi-ewe.l l v/1 (2-li.3 ) Cli 4 k`3Qk 5-
MAILING
MAILING ADDRESSIT�Y,STATE,nZIP E-MAIL ADDRESS
a
Z-7 do,( - oP/ S l�C-CA/01 {-,i L Ls w € Lti DIRT l.4-00\
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PH
ONE
w6l ell / K a- U a1pv )
MAILI ADDRESS - C joy—joy N 14, CIT/Y .S. CELL PHONE
( 106 )
7 - 71 /1
CITY O FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'SISTRA ION NBER EXPIRATION DATE E-MAIL ADDRESS
G;P D 93�R�UM /Z/S`/ i
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
4.ilt v1 Actio►'- 6,,v„424P ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAMEPer RCW 19.27.095:
Ae " -. en, ' INCLI Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
"-f-f-
_
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ Feces
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER `e LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• al
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR Ii UNCOVERED?) O e j�
GARAGE ❑ CARPORT ❑ O J
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
e0
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ $6V)o
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certifiy 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.hr---')
SIGNATURE: � v - l"V DATE --I 2- '' (O
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
NEW ADDITION ALTERATION REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? L YES C NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES .- NO 1 DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application