03-102263 N.
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City of Federal Way Building inQ - Single Family Permit #:03 - 102263 - au — SF
Community Development Services B III `-� b
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: HAWORTH
Project Address: 1333 SW 323RD ST Parcel Number: 010450 0190
Project Description: ADD-Construct a two-story addition to an existing SF home.
Owner Applicant Contractor Lender
Michael R Haworth &Navine G Haw, LARRY HUMPHREY Michael R Haworth NONE
1333 SW 323RD ST
FEDERAL WAY WA 1333 SW 323RD ST
98023-5536 FEDERAL WAY WA NONE
Includes:
Census category: -434 Reside #1
I- #2 #3 r #4
g
Occupancy Group: R-3 R-3
Construction Type: Type V-N Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): - 'L—
1st Floor Proposed Sq.Feet 280 2nd Floor Proposed Sq.Feet 240
Census Category 434-Residential alt/add-no Construction Type#2 Type V-N
Deck Proposed Sq.Feet..... .36 Mechanical. No
Occupancy Group#1.. R-3 Occupancy Group#2 R-3
Plumbing No Total Proposed Sq.Feet 556
CONDITIONS:
Service connections for electrical&communication facilities shall be placed underground per FWCC,Sec. 16-48.
PERMIT EXPIRES January 10,2004.
Permit issued on July 14,2003
IP
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Waay
Owner or agent: , X Date: 7— /54 03
IL
a • • 4.1" . '
INSPECTION LOG
D TE _; INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
A,3 ) /
/,4/I %/ 7U2// hof /,`‘ ® `'
tiref7 e,A.r-,-
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POS HIS CARD ON THE FRONT OF BUILDI
of ,:
Fe BUI DING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 03-102263-00-SF
OWNER'S NAME: Michael R Haworth & Navine G Haworth
SITE ADDRESS: 1333 SW 323RD
IVO./
O FOOTINGS/SETBACKS 7-/,°r'%. p,3 < c.,4j () FOUNDATION WALL ^/.,dr6.'"0.3 c-c..4j
Ld t ~`i .', DOK OTS, ,( U ONCRETE UNTJL "T 010
( ) DRAINAGE: Line ( ) Connection
!;0. it7WW, ABUUN_I*T 3f s E3g*k,, QYE tfilttb', v
O UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) F_:RE/DRA..FTSTCPS
L L THE ABOVE`3 MUST',$ErA4PPROVED Pt.IOR TOS .,,, SN. NSF C [LTV?1 3,
( ) FRAMING/FIRESTOPPING - (.45.-""" c)3
..a"HF A$UVE'WMPsf Bt' PR(VEI?PRIOR TO I $4,4 Ill R1tIEE 2Qc` NG . . 111,;.,t ,�
( ) INSULATION: Floors Walls CV/I/03 Attic
_ '*1 NnVkaxTIE A#(( ' ER OR TO A'P a G'SEE2U .; f
O WALLBOARD NAILING 1/ 1 03 PP O SUSPENDED CEILING
101E f EIIMTAFWlOJOIOA TA'INC,4TWikt8tUNO EEg NG TlLtt l ` l
O ELECTRICAL FINAL j/- Z./- o 3 "7`�
O PLANNING FINAL �f
() PUBLIC WORKS FINAL
() FIRE FINAL
1E,I �'��. Tat28BO 11 LIST PROS PRIOR ll Ot ART*tt..$* gf
s
() BUILDING FINAL - ^- v
OGEIVE
CONSTRUCAN PERMIT APPLICATION
CITY OF APPLICATION NUMBER: 03- 1 Q 2.263-CO
Federal Way JUN 0 3 Z003 �APPLICATION NUMBER: - -
CITY OF FEDERAL WAY `APPLICATION NUMBER: -
BUILDING DEP,1
**The following Is require information-Please print(in ink)or type** �L11
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 4��
,PROPERTY INFORMATION f
SITE ADDRESS: /3 3 S. W 2 13 SESSOR'S TAX/PARCEL #:Z2 L p q- - 6 L 9 o ' V
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S/AJfC..tr,e
//.;■ PR07ECT INFORMATION
TYPE OF PROJECT(This application): IjBUILDING ❑ PLUMBING ❑ MECHANICAL o DEMOLITION
0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Z- Size Psi S 4
PROJECT NAME: %D 4/ 1'",l, 0-0181/771)Aj
PEOPLE INFORMATION
PROPERTY OWNER: NAME: / DAYTIME PHONE:
/C'/-�l4G C. . Az.)- r I (P53) 07,5-
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1 3 3 3 3 Lam? ,2?,ed s j t52t k- /44,-) 4644.
CONTRACTOR: NAME: DAYTIME PHONE:
C 1.1 C f )
` MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE:
S i`,' /7-'6u'7�55 ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:' I FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(ropy of card required)
APPLICANT: ( NAME:, DAYTIME PHONE: Q�
AlZ/Gz/ (n ///�L� i ; 0-5-7)6 /
MAILING ADDRESS((STREET ADDRESS;CITY,STA& ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT o TENANT o OTHER( DESCRIBE): ( ) -
4
E-MAIL ADDRESS:
"
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER t�`"APPLICANT o CONTRACTOR
■ DETAILED BUILDING INFORMATION :
EXISTING USE: .S/906� / 77yiG7 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 22491 eiC(-)
PROPOSED USE: S/Lt '-+= n74,"( PROPOSED VALUATION FOR IMPROVEMENTS: $ Ze3 O`)
SPRINKLERED BUILDING? ❑YES i 1 4GO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 4.-Ne"
WATER SERVICE PROVIDER: Ib{AKEHAVEN 0 HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: i-CAKEHAVEN 0 HIGHLINE G PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ON* •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS d
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
•
FIRST Z
812
SECOND
ayo
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: 5 2)
■ FIXTURES
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) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC a GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
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 dty,induding its officers and employees,upon the accuracy
of the information sup R • to the dty as a part of this application.
NAME/TITLE: DATE:
6 3 _�
❑ PROPERTY OWNER ❑•PPLICANT a CONTRACTOR
FOR.OFFICE USE.ONLY,I
.�.,:�•,� ..0 c.__x� �. ,..,s:-�
o r ADDITION ? . . ALTERATION„ �REPAIR S
TENANT IMPROVEMENT�"��;,�.;�.
*CENSUS!COD E �3-.; .- - WW LOTSIZE rW4MMV:r4V.rAt!-74:4-N
'ZONING;DESIGNATION �� BUILDING SHELLONLY?' a YES, n NO.:
COMPPLAN DESIGNATION BASIC PLAN? �[AYES D NO ",
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED?R ❑YES` .❑ No.
PLAITED LOT?: "a YESg,M o NO .CHANGE OE USE?, a YES ❑ NO,=, .z
•
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
y,ww.dtvoffederalway.com