05-103070 Q
City of Federal ay
Community Development Services Building - Single Family Permit #: 05 - 103070 - 00 --
SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: COLLINS
Project Address: 514 SW 336TH ST Parcel Number:729805 0080
Project Description: ADD-Construct 300 square foot sunroom addition. No plumbing or mechanical work.
Owner Applicant Contractor Lender
Mark G Collins &Cheryl A Collins Cheryl A Collins GLZ HOME IMPROVEMENT NONE
514 SW 336TH ST 514 SW 336TH ST GLZ****986CE(02-05-06)
FEDERAL WAY WA FEDERAL WAY WA 11315 21ST PL NE
98023-8308 98023-8308 LAKE STEVENS WA 98258 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(Sq,Ft.):_ r
1st Floor Proposed Sq.Feet.. 300 Census Category , �,......4 -Resi ial alt/add-no
Mechanical..., No occupancy#1-Class Class'''44 ro R-3
Plumbing Nvp to dSq.Feet., +,l ...,, k 00
PERMIT EXPIRES January 15,2006.
Permit issued on July 19,2005
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... �a
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Owner or agent: - - Date: P'i
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THIS CARD IS TO1VIAIN ON-SITE -
CITY OF 4Pommunity Development Inspecti
on Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103070-00-SF
Owner: MARK G COLLINS
Address: 514 SW 336TH ST
FEDERAL WAY, WA 98023-8308
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.
•
0 Temp. Erosion Control(4365) .LI Footings/Setback(4110) • �❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By ... ej Date/ • `Z���S� By Date
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By Date By Date # By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) .1_,
❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
O Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a
Framing(4120)
Approved to install roofing Approved 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
By Date By Date
❑ Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By tG 7 Date 6� S`'ar---- By Date By Date
0 Final-SWM(4375) .
❑ inal-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved ApprovedApproved
By Date C2 Date //:" B Date
y •
Federal ECE V 5- 1. Q . 0 R 0
FederalWay PERMIT
COMMUNITY DEVELOPMENT SERVICES]uN 2 7 20 C IsOMF CO ME EL PL DE EN FP
3332E D AVENUE WA SOUTH•PO BOX19718 _ APPLICATION
FEDERAL WAY,WA 98063-9718 TO 7 / tq C / 05.O 5.
253-835-2607•FAX 253-835 l'�0p�/OF F,F D E RA L WAY
J
wwwcittrollederalwagcom BUILDING DEPT.
The ollowi • is re•uired in ormation-an Inco 'fete • ••lication will not be acce•ted. Please •rint Ie•ibl in in or ••.
• PROPERTY INFORMATIONn � 1 ' , f p
SITE ADDRESS .5 H 5W 3 3(e t" 51- rrC)"T Y�Q W w A 9?0,23 SUITE/UNIT# i
ASSESSOR'S TAX/PARCEL# .7 . 1 0 J - C� 0 _a_ O LOT SIZE(s) 1 1205
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) t 1''�C P 1�•(e-- y.CV /0,..m419,-c- (p 4 Lr v
(Attach separate page for lengVy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
I"i l
,`rie.-1 0g o, s0,-, C� c.v
, coo re. O. kzc) 1-v t.a..r cr hU�sc.
PROJECT NAME(Name of Business or Owner Last Name) C v 1 11 n S
PEOPLE INFORMATION
PROPERTY NAMEi�� PP ff PRIMARY PHONE
OWNER ) v �-� l7. ' 1iv 3 ( 53 ) 03 b -2-5214
MAILING ADDRESS], C CITY,STATE,ZIP^/4-4'1/4 60.1 / ) �j�t
SH S - 33(o s - r t�Y ... W r903
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
G42 fioric. v11�!'C ener.+ G cd( i.fauh �y2S )33e( -/2 03
MAILING ADDRESS q ern',STATE,ZIP
1 /31c .2l S P/. ALL t L Aalae s/evt,ls likf Q$2Th F-(2-c) 4.115-- -x""1.2?
CITYCIOF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER /�
(� -2 - -B L ( /O ) / ot/o w.261w3y -/O?p
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
J /1,14.4S Ca. Co1I4 ) ( :253 ) t57 -2096
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
Si'+ .5(..0 3 3()" 31-- j�a�,.-P COY Wet `lti23( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
�l
❑ Architect 0 Tenant 0 Agent Other(Describe) c�<c)el tr.-- ( ) -
CONTACT NAME , PRIMARY PHONE E-MAIL ADDRESS
1� �4-7( C I I?1.S (.253 ) eO3, - :2...52$, c oti,nsot5i Q cuyrk
re et-
LENDER t: ,09 4= r-o NAME P
gy •-::� ,,ccr. s" oo ` ' ICc y Bc.Y.IL,
MAILING ADDRESS CITY,STATE,ZIP
9655 i-7A4" SW Sc- +iz. (tJA tilatz 418/0 -2-7i 2._
n t
ii DETAILED BUILDING INFORMATION -�
EXISTING USE I'`�CSl<)cvsk%-I 4350 PROPOSED USE ��-rr.{;I c en)7,J
EXISTING ASSESSED/APPRAISED VALUE $ 0 0 VALUE OF PROPOSED WORK $ 33000
SPRINKLERED BUILDING? ❑YES '$.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES .74(NO
WATER SERVICE PROVIDER ' LAKEHAVEN ❑ HIGIILINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER la LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST j y 6-0 3 o to co
SECOND q 1 /Lid-0THIRD / 1
FOURTH ••
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE CARPORT❑ 77o itZgit> 410 7 7o
EXISTING PROPOSED TOTAL TOTAL G Sr TOTAL PROPOSED SR TOTAL Sr `{2
NUMBER OF FLOORS 'V/0 ,f
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 0
AIR HANDLING UNITS APORATIVE COOLERSGAS LOGS REFRIG.SYSTEMS
BBQS FAN HOODS(commercial) W OODSTOV ES
BOILERS FIREPLA . NSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTL
PLUMBING ////
BATHTUBS(or Tub/ShoaerCombo) SHOW RS TER CLOSETS(roue) MISC(Describe)
DISHWASHERS S S DRI . G FOUNTAINS
GAS PIPE OUTLETS - SUMPS RAINWAT ' SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sim) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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. ,�iqq
NAME/TITLE L_ DATE .2/—Moor—2005.
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner ❑ Agent 0 Contractor ❑ Architect ❑ Other
�■ lDDTT ON p ALTERATION a REPAIR, TENANT IIVIP120VEMENT; `
UILD I,Gr HE1i a NLY� . .W t t�YES ri NO, BASIC.PLAN? .... a YES p NO
* G ®ESIGNATIONt4il, 'CHANGE(*USE? l D YES oottow
DRES$y 2F,QUIRED? f �tiYES NO UP%SEPA/SU? a YES NOS
. . ED 1 A .r , �..,� �- ipNO . - DEMOFERMIT UIRED? o. . �401
_ . r.. YES
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application