02-103120 Ciof
deral
Community De elop an Services Building - Single Family Permit #:02 - 103120 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: STROM
Project Address: 29613 20TH AVE S Parcel Number: 367440 0236
Project Description: RES ADDN-Construct detached shed building accessory to single family residence,per plan.
Includes plumbing and mechanical.
Owner Applicant Contractor Lender
Michael Strom Michael Strom Michael Strom Michael Strom
29613 20TH AVE S 29613 20TH AVE S 29613 20TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 29613 20TH AVE S FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: U-1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Basic Plan No Census Category 434-Residential alt/add-no
Mechanical Yes Occupancy Group#1 U-1
Other Proposed Sq.Feet 168 Plumbing Yes
Total Proposed Sq.Feet 168 Zoning Designation RS 7.2
Plumbing Fixtures
OlDWIitfof xN 11 4 hntity A,!DesthiptialrarVit,Pitantity
Drains 1 Sinks 1
PERMIT EXPIRES January 19,2003,IF NO WORK IS STARTED.
Permit issued on July 23,2002
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: / ' 1 'NJ), Date: —2.3 2--
POSIS CARD ON THE FRONT OF BUILDI�
Fn�L BUILDING DIVISION
VV
FIV INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 02-103120-00-SF
OWNER'S NAME: Michael Strom
SITE ADDRESS: 29613 20TH S
TINGS/SETBACKS
( ) FOO 9/#791 -4� ( ) FOUNDATION WALL
�° s? ' i ONOT OUR CONCRETE=UNTIDY .d PPROVED ;.m meg:
( ) DRAINAGE: Line ( ) Connection
DG NOT POUR SLAB'.UNTI T,7OWSApPRO I:K it
( ) UNDERFLOOR FRAMING
Jrlohd we?-k l0/,3/0"t,ljdji
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
,
MUS11 E M1 '
( ) FRAMING/FIRESTOPPING S /2 • 0 3 G--
„�;wr`°�`
( ) INSULATION: Floors Walls Attic
,IRICOVE-MT1STBE PPROVEDMR CTIO
_F
() WALLBOARD NAILING () SUSPENDED CEILING
u q. ® m n
� �. _�7�ST$E:APPROVED R�Qk�'O� . NGri.
() ELECTRICAL FINAL
( ) PLANNING FINAL
O PUBLIC WORKS FINAL
( ) FIRE FINAL
M AHE_ABOVE°,MPIlte PR D PRIG' 'BL EAR– DEP' .."IT,EI Mk— ..M ..
( ) BUILDING FINAL
:`'., T OCCUPYµTHIS„'u UILDING`UNTIL B ING .� _NAL�`IS APER OVED
. d �� .� ,���rM.. �,�r��. .,d:P�. , .._.��__�� ,.. . � �. , ., ,�,d���.,�, �u�uGr .9�,,,.�,�m.�„u.m
. •
ay\s. G_ RECEIVED CONSTRUCTION PERMIT APPLICATION
\)\> f APPLICATION NUMBER: OZ - /L 3 / Z LI - 44, si
.JUL 2 3 2002 APPLICATION NUMBER: -
APPLICATION NUMBER:___ _ - _ _._ _
CITY OF FEDERAL WAS' - -
**TBe1NolltNI Tg spTqul ed information—Please print(in ink)or type**
Please note: Electrical,Fire `
Prevention Systems and Engineering permits may require a separate application. 1 7.1
■ PROPERTY INFORMATION
SITE ADDRESS: L'CI� \ �� 4tik0 7 ASSESSOR'S TAX/PARCEL#: 3l.—L. LI 1 O - Oz 3L
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - - - , . . .• PROTECT INFORMATION .
TYPE OF PROJECT(This application): NI BUILDING f,PLUMBING M,MECHANICAL Cl DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): .1 \C t(V > 2 ,, X .ia
`\\'/ T_.5 C.oc tr1.e1- t)q- \,c ' , C Ve. S\CA.h
L.3 A-V-x 7 x 4 Sr-0 k W All's
PROJECT NAME: ..T
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Mk(. l -."noNA (z0C) Sips - Zip eli.
MAIUNG ADDRESS(STREET ADDRFSS;CITY,STATE,ZIP):
Vt(:)%3 2-U4" A-vkiL s . R J- V\447, 9 400 3
CONTRACTOR: NAME: ``__ � l DAYTIME PHONE:
MK.+J1C�t S3V4 (ZO' ) TYS? - zi.,2 9
MAILING ADDRESS(STREET ADDRESS•CITY,STATE,ZIP): EVENING PHONE:
Z.-Cap 13 `Z.0�-'^ 404— S . 9 goc)3 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME pp AA ` ii DAYTIME PHONE:
1� ` Si- � (a,c) ‘2.Qiit - 2/..gg
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
-z.cli o 13 25 3. i LVlity 0- ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT )TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT:/� �•
!18.PROPERTY OWNER El APPLICANT El CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: Sic-rz" EXISTING BUILDIN ASSES '6/APPRAISED VALUATION $ //Zj 4.0�
PROPOSED USE: AAPvvir PROPOSED VALUATION FOR IMPROVEMENTS: $ J
SPRINKLERED BUILDING? ❑ YES / NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES dil.NO
WATER SERVICE PROVIDER: L KEHAVEN ❑ HIGHLINE ❑ TACOMA ❑;PRIVATE(WELL)
SEWER SERVICE PROVIDER: XLAKEHAVEN El HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION.Y** r
k
NUMBER OF BEDROOMS: •
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
-
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) t 64C/
DECK Y
9
GARAGE
HOW MANY FLOORS? j
TOTAL: ,1/4/' 1
FIXTURES rY.. .,,.• ., „ :.:, .r ..,._ � �: u .>. .r.,-, :
.s. .w- ., ♦�_.-. .. saeCSJ-/tY9'Y.t�.{Te'd:'?Ml4Y.'%`b� - .
Indicate number of each type of fixture
•
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET i MISC. l�/ 't^1
GAS PIPE OUTLET(S) 1 SINK(S) WATER CLOSET(S) ( )
INTERCEPTOR(S) SUMP(S)
= ■ "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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. "�]
1_ NAME/TITLE: _, `� L_ DATE: ( "2 3^o 2
4.
❑ PROPERTY OWNER El APPLICANT El CONTRACTOR
l ZFOROFFICE USE:ONL
o NEWM,_ _.DDIIION;; ,_,,,E,ALTERATION ,.,,-_ ,.REPAIR ?¢ TENANT IMPROVEMENT r=te
_
=CENSUS CODE: '- 0 c LOT SIZE , '7 ,:v .. , 1,
ONINGDESIGNATION: In BUILDING SHELL`ONLr7.0'YES ON
s' COt;,.-.i..
MP LAfiDESIGNATION'gr " .5y #,.A ; .�::s4BASICPLAN?'0 EI1L .'0.7 _ - �,,'�,
SECTIUN OWNSHIP 1-j RANGE.; NEW ADDRESS REQUIRED? n, 3'YES `>C!,NO
PLATTED LOT? YES. -NO =CHANGE OF USE? [I YES QQO : .,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUlN•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalway.com
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