05-104706f �
Ci r^` Feder -41 Way
Community Development Services Lull lrig - Single Family Perm#: 05 -104706 -00 -SF
g y it"
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: PITZER.
4u
Project Address: 32130 27TH AVE SW
Parcel Number: 873180 0680
Project Description: ADD - Construction of a 2 -story, 1800sgft addition, including plumbing & mechanical.
Owner
Applicant
Contractor
Lender
THOMAS PITZER
THOMAS PITZER
32130 27TH AVE SW
THOMAS PITZER
- "EHOI ' „mac—
32130 27TH AVE SW
FEDERAL WAY WA
32130 27TH AVE SW
32130 27TH AVE SW
FEDERAL WAY WA
98023-2279
FEDERAL WAY WA
FEDERAL WAY WA
98023-2279
19
98023-2279
98023-2279
Occupancy # I - Class..........................................-
R-3
New / Additional Sq. Feet - Other.........................0
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3
Occupancy Class:
R-3
Construction Type:
Type U - B
IF
Occupancy Load:
rA
Floor Areas . ft.
1,800 0 0 0
Ducts.............................................. 3
Gas Pipe Outlets ............................. 1
Bathtubs......................................... 1
Water Closets ................................. 2
Mechanical Fixtures
Fireplace Inserts .............................
Plumbing Fixtures
Lavatories ...................................
CONDITIONS:
1 Furnaces ......................................... 1
3 Showers .......................................... 2
Additional Permitinformation'
New/ Additional Sq. Feet - 1 st Floor..'..................900
New / Additional Sq. Feet - 2nd Floor ...................
900
Occupancy #I - Area (Sq. Feet).............................1800
New / Additional Sq. Feet - Basement ...................
0
New / Additional Sq. Feet - Deck..........................0
Fire Dept. Access/Hydrant Loc. Needed? ..............
No
New / Additional Sq. Feet - Garage.......................0
Height of Structure .................................................
19
Mechanical to be Included?...................................Yes
Occupancy # I - Class..........................................-
R-3
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................1800
Occupancy # 1 - Use ............................. .................
Residence (1 or 2
family)
Zoning Designation ...............................................
RS 7.2
Ducts.............................................. 3
Gas Pipe Outlets ............................. 1
Bathtubs......................................... 1
Water Closets ................................. 2
Mechanical Fixtures
Fireplace Inserts .............................
Plumbing Fixtures
Lavatories ...................................
CONDITIONS:
1 Furnaces ......................................... 1
3 Showers .......................................... 2
ti PE T EXPIRES Saturday, February2008 `
it Issued on Thursday, February 23W,506
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us J)-- dance w�h the laws, rules and regulations of the State of Washington
ity of Federal Way.
Owner or agent--`-�' Date:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: PITZER
Address: 32130 27TH AVE SW
Permit #: 05 -104706 -00 -SF
Includes:
41 42 93 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
1,800 1 0 0 0
Owner Name: THOMAS PITZER
THOMAS PITZER
Owner Name:
Owner Address: 32130 27TH AVE SW
FEDERAL WAY WA
98023-2279
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
1011a WWI
THIS CARD IS TO MAINON-SITE
s
�InoF ommunity Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -104706 -00 -SF
Owner: THOMAS PITZER
Address: 32130 27TH AVE SW
FEDERAL WAY, WA 98023-2279
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.
Date
❑ Temp. Erosion Control (4365)
❑ Footings/Setback (4110)
❑ Foundation Wall (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By G.... 5 Date .. • Q
By G Date ' d(,
By Date - Z
❑ Drainage/Downspout (4040)
❑ Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to backfill
Approved to cover
Approved to place concrete
By C W Date g- ZS • 0 40,91
By _ Date . 2 2 ,p
By Date
❑
Underfloor Framing (4285)
Approved to sheath floor
By
Date
❑
Roof Sheathing (4220)
Approved to install roofing
By G 1, Date L ..Z �- D
Date
❑
Gas Piping (4125)
Insulation (4150)
Approved to release test MPC.(
By
fW Date do
❑
Framing (4120)
Approved to insulate
By
Date b t t3 b-,<) 6
❑
Final - SWM (4375)
Approved
By
Date
❑ Floor Sheathing (4105) ❑ Shear Walls (4245)
Approved to install flooring Approved to install siding
By � Date 5._S. U g By C co.-) Date
❑
Rough Plumbing (4230)
Approved
By
ftf Date J cy
Fire/Draft Stops (4095)
Approved
ByAxjj
Date
Insulation (4150)
Approved to install wallboard
By Date c j 1 i up
Final - Mechanical (4065)
Approved
By Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
1. By Date By Date
❑ Mechanical Rough -in (4165)
Approved
By Date
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑ Final - Plumbing (4075)
Approved
By Date
CWY OF A
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES
333253 -VE 718
FEDERAL WAY, WA 98063-9718
S8352607FAX 253 2609 A P P L I C A T I O N
www.ciluoffederalway mm
N OF FLDtHAL VvH
The following is
- an incomplete application will not be
7SF F CO ME EL PL DE EN FP
e /
Pledse print legibTu (in inkl or tune.
SITE ADDRESS I '%2 ,if V 2 • V ` ��G� . W-3 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 3 Q - W LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) s',,, Lq kzJ' I
(Attach separate page for lengthy legal description)
TYPE OF PERMIT NfBUILDING ®' PLUMBING tg'MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
o.t lo Ald
PROJECT NAME (Name of Business or Owner Last Name) ! 1 L't
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
MAILING
3r�1' � CITY E, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE -
FAX NUM1 ER
--B L
CONTRACTORS REGISTRATION NUMBER )copy of card required with each application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP —
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( _
NAME
PRIMARY PHONE
E-MAIL ADDRESS
�2
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING USE _ Si e y� PROPOSED USE '5 E
EXISTING ASSESSED/APPRAISED VALUE $�000 VALUE OF PROPOSED WORK $ QUI
SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES %r NO
WATER SERVICE PROVIDER 141
t LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 61 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION ti
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
REFRIG. SYSTEMS
BBQS FANS
HOODS (commemiai(
FIRST
BOILERS / ...,, FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND"
GAS WATER HEATERS
—
THIRD
FOURTH
BATHTUBS (orTub/ShowerCombo) SHOWERS
ADDITIONAL FLOORS (DESCRIBE)
MISC (Describe)
DISHWASHERS SINKS
DRINKING FOUNTAINS
DECK(COVERED?)
GAS PIPE OUTLETS SUMPS
RAINWATER SYST
GARAGE ❑ CARPORT ❑
HOSE BIBBS
�j
5 LAVS (Bathroom sinks( VACUUM BREAKERS
EXISTING PROPOSED TOTAL .. ...,�F• - "?$F P:.,. SF `W"tra-...7 .:�,r,,
NUMBER OF FLOORS
**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
MECHANICAL S
Value of Mechanical Work $
'ME
AIR HANDLING UNITS EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS FANS
HOODS (commemiai(
WOODSTOVES
BOILERS / ...,, FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS 1 FURNACES
GAS WATER HEATERS
_ DUCTS_ GAS PIPE OUTLETS
PLUMBING
BATHTUBS (orTub/ShowerCombo) SHOWERS
WATER CLOSETS (fot<y
MISC (Describe)
DISHWASHERS SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS
RAINWATER SYST
WASHING MACHINES URINALS
HOSE BIBBS
�j
5 LAVS (Bathroom sinks( VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certify under penalty of perfury 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.
NAME/TITLE L ,n L` DATE
RELATIONSHIP TO
(Title)
Owner ❑ Agent ❑ Contractor ❑ Architect ❑
11 11 1
- ..., s:;?&..�.:;x.as:�
'ME
ll4
- :,.. ..
-,...
.:..... .z W_
Bulletin #100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application
�
O
}
Q
/'
LU
N
vy
Q Q
\
0
LU
""
a-
W
co
W 2
LL 0
u —+
Oj
�m
Ce