08-101010i Cit�ofFeBui ing - Single Family Permit 4, : 68 -161010 -00'' -'?"SF
P.O. Cor.�muni Develo lopm meptService: -
P.O. Sox 9718
Federal Way, WA 98063-9718
Ph. (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: 1253) 835-3050
Project Name: EDGCOMB
Project Address: 316107 '9TH AVE S Parcel Number: 858800 0285
Project Description: ADD - 540 sq/ft addition to the family room, dining room and storage. Mechanical
idfituded, no plumbing.
Owner ApplicanContractor Lender
DELBERT & CAROL EDGCOMB DELBERT & CAROL EDGCOMB BRONZ CONSTRUCTION CO DELBERT & CAROL EDGCOMB
31617 9TH AVE S 31617 9TH AVE S BRONZCL972BS ( 1/10/09) 31617 9714 AVE S
FEDERAL WAY WA 98003-5325 FEDERAL WAY WA 98003-5325 33004 44TH AVE S FEDERAL WAY WA 98003-5325
FEDERAL WAY WA 98001
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2. #3
#4
Occupancy Class: R-3
New /Additional Sq. Feet - 1st Floor..................540
Construction Type: Type V - B
New / Additional Sq. Feet - 2nd FIGor.... ..........
Occupancy Load:
New / Additional Sq. Feet - 3rd Floor...................0
Floor Areas . ft. 540 0 1 0
0 -- 1
Mechanical Fixtures
Ducts.............................................. 2
PERMIT EXPIRES Sunday, November J, 2008
Permit Issued-on—Tuesday, May 13, 2008
I hereby certify that the above informe
the occupancy and the use-yvOe in
Owner or agent:
> correct and tha�j�s`ru.ction on the above described property arid
dance With t aws, rules and regulations of 7ta,,of Washinator.yid t�Ci of Federat Way.
Date:
J��O•
FINALED' ,
Additional Permit Information
New /Additional Sq. Feet - 1st Floor..................540
New / Additional Sq. Feet - 2nd FIGor.... ..........
0
New / Additional Sq. Feet - 3rd Floor...................0
Occupancy # I - Area (Sq. Feet;................_
.........540
New / Additional Sq. Feet - Basement...................0
Occupancy # I - Construction Type....................
Type V - S
New / Additional Sq. Feet - Deck..........................0
New/ Additional Sq. Feet. - Garage ........ ,............0
Mechanical to be Included?...................................Yes
Occupancy 41 - Class .......................... .... .......
R-3
New / Additional Sq. Feet - Other.........................0
Piumbing to be Included?........................ ,..........No
New / Additional Sq. Feet - Total ..........................
540
Occupancy # 1 - LJse... .............. ............. ........
...... Residence (1 or 2
family)
Zoning Designation ...............................................
RS 7.2
Mechanical Fixtures
Ducts.............................................. 2
PERMIT EXPIRES Sunday, November J, 2008
Permit Issued-on—Tuesday, May 13, 2008
I hereby certify that the above informe
the occupancy and the use-yvOe in
Owner or agent:
> correct and tha�j�s`ru.ction on the above described property arid
dance With t aws, rules and regulations of 7ta,,of Washinator.yid t�Ci of Federat Way.
Date:
J��O•
FINALED' ,
J THIS CARD IS TOJ"
ON-SITE -
ClTY' OF fommunity Developm Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -101010 -00 -SF
Owner: DELBERT & CAROL EDGCOMB
Address: 31617 9TH AVE S
FEDERAL WAY, WA 98003-5325
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.
❑
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
❑
Footings/Setback (4110)
Approved to install roofing
Approved
Approved to release test
To be done prior to breaking ground
CEJ Datc&. 6o . 4>6
Approved to place concrete
�, Cqj Date e . y . 0,c.fa
By Date
❑
Fire/Draft Stops (4095)
❑
By
/i/ Date
By
Date
By
Date
B
By
7
'�% �/
� Date
By
Date
Rough -in and Fire/Draft Stop inspections must be
signed off and approved 8 IBC 109 3 4/UBC 10 5 4
❑
Drainage/Downspout (4040)
❑
Slab/Concrete Floor (4255)
❑
❑
Foundation Wall (4115)
Insulation (4150)
Approved to place concrete
Approved to backfill
Approved to place concrete
Approved to install mud & tape
By
Date
By
Date 0
By
Date
Final Erosion Control (4375)
❑
Final - Mechanical (4065)
❑ Fina - Building (4050)
By
Approved
Date
Approved
BZGj Date"��
Approved
_1 Date - d
❑
Floor Sheathing (4105)
❑
Shear Walls (4245)
❑
Underfloor Framing (4285)
Approved to sheathfloor
Approved to install flooring
Approved to install siding
Byj��Date
" �
By
Date
By
� Date �- SAM
❑
Roof Sheathing (4220)
❑
Mechanical Rough -in (4165)
❑ Gas Piping (4125)
Approved to install roofing
Approved
Approved to release test
By
CEJ Datc&. 6o . 4>6
By
�, Cqj Date e . y . 0,c.fa
By Date
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
NOTE: Prior to scheduling a Framing (a1204
Approved
Approved
inspection; Electrical, Plumbing & Mechanical
B
By
7
'�% �/
� Date
By
Date
Rough -in and Fire/Draft Stop inspections must be
signed off and approved 8 IBC 109 3 4/UBC 10 5 4
❑
Framing (4120)
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approve insulate
Approved to inst ll wallboard
Approved to install mud & tape
By
ate
� �� �'b (�
B y
i' �e
�
BZ -----Date
Y
❑
Final Erosion Control (4375)
❑
Final - Mechanical (4065)
❑ Fina - Building (4050)
By
Approved
Date
Approved
BZGj Date"��
Approved
_1 Date - d
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY OF
c�Iv
Federal Way PERMIT -- —
COMMUMIYDEV61AVENUE .oPhfENTBERVICES F CO ME EL PL DE EN FP
33325 FEDERAL WAY,
i�g 2 7 20APPLICATION
FEDERAL WAY, X 98063 -260 p / /
253.835-2607• FAX ?53 -835 -?609
�a.g.ciao ed OF FEDERAL WAY
The following is required 6tion - an incomplete application will not be accepted. Please print, legibly (in ink) or type.
p -•• •• •
SITE ADDRESS "'S ' C i % / %�/`/V '� SSC" s'zt�Lt�Gj/ �jj¢ ��dQ� SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # ? D O -n zLOT SIZE (s� �/ db
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT )Q BUILDINGLUMBING "MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT. NAME (Name of Business or Owner Last Name) C—L-31 6 ` O A113
PROPERTY
OWNER
CONTRACTOR
V
APPLICANT
PROJECT
CONTACT
LENDER
-�/
PRIMARY PHONE `
( `-3) 1-39 3 9/3
MAILING(AAD`DRESS
�`�
31 17 9A)
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
�cl
APPLICANT NAME
OFFICE PHONE
MAILING
cixs
) _)z6 - 95� c
ADDRESS
CITY, STATE, ZIP
d(i n (r.7�. l�%
CELL PHONE
3
CITY OF FE ERAL AY BUSINESS LICENSE NUMBER
EXP TION DATE
-SSL
FAX NUMBER
11W -61 7
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DA E
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑Tenant ❑Agent ❑ Other
FAX NUMBER
� ) _
"G IS,L-A-4-1
PRIMARYPHONE
Per RCW 19.x7.095:
Lender information is required if project value exceeds $5,000
ESS CITY, STATE, ZIP PHONE
EXISTING USE __�A" 719 .S?z TE S ER PROPOSED USE �j3t1 J
EXISTING ASSESSED/APPRAISED VALUE $ %e24 D ej U VALUE OF PROPOSED WORK $ c c
SPRINKLERED BUILDING? ❑ YES p\NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER LAKEHAVEN I 11 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRI N EXISTING
SQ., FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY?
o YES, ® NO
BASIC PLAN? o YES
SECOND
ZONING DESIGNATION
. ?_ 'F
CHANGE OF USE? o YES
THIRD
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU? o YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED? o YES
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE CARPORT ❑�V
0
NUMBER OF FLOORS
z�srIN
rltorosLD
TOTer
MAL as
7/
TOT PROPOSEDar
ronwOF
"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 remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Beth,... Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
--- `,'.ACUUM BREAKERS
WATER CLOSETS rr.v.y
WASHING MACHINES
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify 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 jos 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 apart of this application.
SIGNATURE: i
or Authorized
• \- yepz. vJ C.(-y0hV 2,0 Kj�_
Bulletin #100" August 16, 2007
Page 2 of 4 .
k\Handouts\Pennit Application
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES, ® NO
BASIC PLAN? o YES
Ak NO
ZONING DESIGNATION
. ?_ 'F
CHANGE OF USE? o YES
NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU? o YES
A NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED? o YES
NO
• \- yepz. vJ C.(-y0hV 2,0 Kj�_
Bulletin #100" August 16, 2007
Page 2 of 4 .
k\Handouts\Pennit Application
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