03-104794 • •
City of Federal Way
Community Development Services puilding - Singl Family Permit #:03 - 104794 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
PlyFa
253.661.4000 Fax::253.6 253.661.4129 _— 6 Inspection request line: 253.835.3050
Project Name: HAYWORTH
Project Address: 29806 2ND PL SW Parcel Number: 720532 0160
Project Description: ADD-Addition of sunroom. No plumbing or mechanical.
Owner Applicant Contractor Lender
Loran A Hayworth LARRY HUMPHREY AMERICAN SOALRIUM PRODUCT NONE
29806 2ND PL SW ,1006 15TH AVE S AMERISP99MO(7/20/04)
FEDERAL WAY WA MILTON WA 98354 14603 W LAKE GOODWIN RD
98023-3574 \ STANWOOD WA 98292 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
gn'•
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no Mechanical No
Occupancy Group#1 R-3 Plumbing No
Zoning Designation RS 9.6
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES May 19,2004.
Permit issued on November 21,2003
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. 7 r
Owner or agent: / Date: /7 ////L) 2.
110 i
INSPECTION LOG
DATE INSPETOR OK CORR/REJ AREA AND TYPE OF INSPECTION
Po THIS CARD ON THE FRONT OF BUILPTNG
CITY of
Federal Way BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-104794-00-SF
OWNER'S NAME: Loran A Hayworth
SITE ADDRESS: 29806 2ND SW
() FOOTINGS/SETBACKS l Z/03 7/1 () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTILTHE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping _
( ) SHEATHING Roof %/Z Z/'y ff Floor
( ) SHEAR WALLS //Z 2/Ot/
() ELECTRICAL ROUGH-IN Ditch Coy r( ) F=RE/DRAFTSTOPS // /) o/!
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING //c/j11 �
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors _Walls -2/6dy ��� Attic
4
THE ABOVE MIDST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING () SUSPENDED CEILING_
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING'TILE
() ELECTRICAL FINAL
() PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
A. 1-p-?42--E4Te- ( ( ( ( i3 cs,
Z CONSTRUC,I \I PERMIT APPLICATION
CITY OF � �.. 00T 2003 APPLICATION NUMBER: Q I O�.�_V-
Federal Way my -
APPLICATION NUMBER: -CITY OF FEDERAL WAY kPPUCATION NUMBER: - -
BUILDING DEPT.
**The following is required information—Please print(in ink)or type** 2Cil
ru�
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. t lv `
Ill 1.0ROPERTY INFORMATION
SITE ADDRESS: 4:29 S:06 f Z- 5-•(/<4 ASSESSOR'S TAX/PARCEL #: Am:/2 0532-0I oV
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S,,V141
.0 PROJECT INFORMATION
TYPE OF PROJECT(This application): W4ILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
O ELECTRICAL O ENGINEEERIINNG .❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): SUN•Z1-c�/+0'c A{1!O,7 '..kl
PROJECT NAME: R/ 1 War
.
. =• PEOPLE INFORMATION ,_ - --
PROPERTY OWNER: "2:452 I DAYTIME PHONE:
AI t-s(.4i4A ''cr- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STA ZIP):
l7 b 5
( 3/co PL t) Fewer-Q. c_w
CONTRACTOR: NAME: DAYTIME PHONE:
_ - .r a-r/ et-i4-- ! (34vo) to S$- 7�8 Li
AILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE'
l ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- _ { ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) % /
APPLICANT: ( LNAME: ,/ I DAYTIME PHONE:�4 !iti -, (a';S) l05/ - 847,-
( MAILING ADORE (STREET ADDRESS;CITY,sf ATE,ZIP):
EVENING PHONE:
/i. /5111~ l? /e. Zf./.4t cif-33r
RELATIONSHIP TO PROJECT: i FAX NUMBER
❑ ARCHITECT o TENANTR( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER PPLICANT o CONTRACTOR
:''-U DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES O NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE O PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O **
NUMBER OF BEDROOMS: •
ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 2-Sr‘
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: D-4
g"
-"■ FIXTURES -..` ,
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 i formation furnished by me Is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the ab.ve premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal W:y as to any daim(including costs,expenses,and attorneys'fees Incurred in the
investigation and defense of such claim),which ma be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only w••re such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information s p'ed to the city as a part of this application. /
NAME/TITLE: .. / DATE: /(l , )493
o PROPERTY OWNER L . •PLICANT 0 CONTRA OR
FOR OFFICE USE ONLY: 1-
1:;13`,N ElAr
-`❑'NEW .,:,,. ❑ADDITION'..;:.--;;:-.-b ALTERATION o REPAIR, -i7 TENANT IMPROVEMENTS >, -,,
CENSUS CODE: .,. .y'?- 1 ,.,,. . Wit`^ LOT SIZE Y , .,r , 4.`m `,. +
;ZONING DESIGNATION �- , � JB•UILDING SHELL ONLY?}Li YES _=❑ NO .'' 1;
COMP PLAN DESIGNATION , p,'pp... "< SBASIC PLAN? ;',;❑YES p NO:-"
;SECTION TOWNSHIP x' T' RANGE ' , .NEWADDRESS REQUIRED?'----,..'_'7..- '❑ YES.., ❑ NO
"PLATTED LOT?y '''a YES ❑'NO ,, :1 i . CHANGE OF USE? ❑YESl`=n NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,citvoffed e ra I wa v,com