01-102479 4
•
City of Federal Way Building - Single Family Permit it #:01 - 102479 - 00 - SF
Community Development Services �
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: LUSEBRINK
Project Address: 31906 36TH AVE SW Parcel Number: 873198 0140
Project Description: RES ADDN-Remove existing deck and construct new deck addition w/stair and landing accessory to
single family residence.
Owner Applicant Contractor Lender
James T&Debra E Lusebrink James T&Debra E Lusebrink James T&Debra E Lusebrink NONE
31906 36TH AVE SW 31906 36TH AVE SW
FEDERAL WAY WA FEDERAL WAY WA 31906 36TH AVE SW
98023-2138 98023-2138 FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Basic Plan No Census Category 434-Residential alt/add-no
Deck Proposed Sq.Feet 242 Mechanical No
Occupancy Group#1 R-3 Plumbing No
Total Proposed Sq.Feet 242 Zoning Designation RS 7.2
PERMIT EXPIRES December 19,2001,IF NO WORK IS STARTED.
Permit issued on June 22,2001
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: Date:
V I
• POST THIS CARD ON THE FRONT OF BUILDING
`""°F G • BUIL•NG DIVISION
uv �EIZF�L INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 01-102479-00-SF
OWNER'S NAME: James T & Debra E Lusebrink
SITE ADDRESS: 31906 36TH SW
(
FOOTINGS/SETBACKS • Gc;:. l C O FOUNDATION WALL) � 2 S'
1)0 NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS
O ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO ' • ING INSPECTION
( ) FRAMING/FIRESTOPPING r i/
L THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE�VIUSTaE.APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING () SUSPENDED CEILING
11111111111VTHE iBOVEyYM[7ST$E AP RO EED1PRIOR I O TAPING OR:INSTALLING CEILING TILE
O ELECTRICAL FINAL
( ) PLANNING FINAL
•
() PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED;PRIOR✓T UILDING DEPARTMENT FINAL
OBUILDING FINAL '� 3 /
*.£ NOT"OCCUPY THIS BALDINdUNTIL B ILDING'FIN' " IS '; PPROVED r
5533
•
�.or CONSTRUC I ION PERMIT APPLICATION
VV E1Z�L_ APPLICATION NUMBER: ®f - /d r
SUN 2 0 �7
APPLICATION NUMBER:
,.,p,i <JF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
**The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. ■ PROPERTY INFORMATION
I 4C-
SITE ADDRESS: 3/?d& 3 (o Ave e • 5-6.6 ASSESSOR'S TAX/PARCEL #: g 7 3 L g g - Q / LI V
LEGAL DESCRIPT ON OF SUBJECT PROPERTY(ATTACH EPARATE DESCRIPTION IF LENGTHY):
;.:. - . ■ PROJECT INFORMATION . . .
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): :,__7', i',- -.
PROJECT NAME: 4., utse brink 'be,Gk-
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
-3-coly _s t r � L11. -Q.b r 14e ( 53) h/ - YoSL
M ILING ADDRESS(STREET D RES S;CITY,STATE,ZIP):
��o� 3(0-��► s FW , (1u l qqo a.3
CONTRACTOR: NAME: /DAYTIME PHONE:
(
MAILING ADDRESS REET ADDRESS; ,STATE,ZIP): EVENING PHONE:
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
(
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: j ^' �) 7'' (- f DAYTIME PHONE:
`./-��ZK LV c Cr(3 al( 1. (
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- • '.DETAILED BUILDING INFORMATION q
EXISTING USE: TIn'" EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ /'lO /! 0040,
PROPOSED USE: c 1- (2� PROPOSED VALUATION FOR IMPROVEMENTS: $a JUDO , vU
SPRINKLERED BUILDING? LI YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: )'LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: �yLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) J
DECK 7rx /
GARAGE
HOW MANY FLOORS? r� 6
TOTAL:
U '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) 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
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 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 informatio pplied to the city as part oft is application.
NAME/TITLE: ( • to 1/y1/Lt DATE: `�(� �-/(�
E(PROPERTY OWNER )APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063 9718•253 661-4000•FAX- 253-661-4129