06-104008 ht> lilJ. n
City of Federal Way B •
uiln - Sin le Perm#: 06-104008-00-SF
Community Development Services g Family
P.O.Box 9718
Federal Way,WA 38063-9718ILE
Ph-(253)835-2607 Fax:(253)835-2609 inspection Request Line: (253)835-3050
Project Name: DAUGHERTY
Project Address: 35318 19TH AVE SW Parcel Number: 926975 0500
Project Description: ADD-Construction of 675 square foot bonus room addition,including plumbing&
mechanical for powder room & gas fireplace.
f Owner Applicant Contractor Lender
BRET&DELORES DAUGHERTY APPROVE CONST&DESIGN LLC APPROVE CONST&DESIGN LLC BRET&DELORES DAUGHERTY
35318 19TH AVE SW 738 BRIDGES AVE APPROCD953DW(3/16/07) 35318 19TH AVE SW
FEDERAL WAY WA 98023 KENT WA 98032 738 BRIDGES AVE FEDERAL WAY WA 98023
KENT WA 98032
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: ., Type V-B
44, Occupancy Load: -° ' 's ss„Florea(sq. ft.) , 3; 675 0 0 . 0
- ',4.--`
AdditionalPermit I rmatio , - E G `� 7
New/AdditionalS Feet-Ist Floor.. ,0„..675, Lam; Flew/Additional q.Feet-2nd '4"- ...0 l'':
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 Area(Sq.Feet) 675
New/Additional Sq.Feet-Basement 0 Occupancy#1 -Construction Type Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included9 Yes Occupancy#1 -Class R-3
New/Additional Sq.Feet-Other 0 Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 675 Occupancy#1 -Use Residence(1 or 2
family)
Zoning Designation RS 7.2
Mechanical Fixtures
Fans 1.00 Fireplace Inserts 1.00
Plumbing Fixtures
Lavatories 1.00 Water Closets 1.00
PERMIT EXPIRES Monday, August 11, 2008
Permit Issued on Friday, August 11, 2006
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
�
nd the City of Federal Way.
Date: S.--/1' 6
Owner or agent: /�
*
DATE INSPECTOR AREA AND TYPE OF INSPECTION
z �G /cvrr . s/l./?7,"d Gl/ve' AjirvA✓
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` ti's THIS CARD IS TO EMAIN ON-SITU'. '
CITY O ommunity Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104008-00-SF
Owner: BRET & DELORES DAUGHERTY
Address: 35318 19TH AVE SW
FEDERAL WAY, WA 98023-6922
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.
Temp.Erosion Control(4365) # [ Footings/Setback(4110) Foundation Wall (4115)
To be done prior to breaking ground Approved to place concrete , „K
• Approved to place concrete
r (4<j Date //0/6f� By Date V
'7 �' By Date /%
/2/t'
.. •
❑ Drainage/Downspout(4040) �❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By C W Date 4 8- D (- ..By Date By Date
• •
in Underfloor Framing (4285) , ElFloor Sheathing(4105) •❑ Shear Walls (4245)
Approved to sheath floor Approv d to install flooring Approved to install siding
By i'(4C Date gy L,/ ®,i o By C Date -6. 0 Goi ByJ Date.. (p .. 0
.❑ Roof Sheathing(422 ) 0 Rough Plumbing(4230). �❑ Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By C ci Date l , U By C Date/O. G- c3.-f> By C W Date/d-G ` c3(o
•
Gas Piping(4125) Fire/Draft Stops
❑ ❑
p (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By e. Date/O. 6, —p signed-off and approved. IBC 109.3.4/UBC 108.SA
❑ Framing (4120) Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate '•pproved to install wallboard Approved to install mud&tape
By G Date/d - 9 -J CP B ,* I�, Date /O �7 Bye Date to-tot-O&
• •
1E1Final- SWM(4375) •❑ Final-Mechanical(4065) •
El Final-Plumbing(4075)
Approved Approved Approved
By (. Date 0/01 •`By C Date /276•4 By L/2- C Date/2'/V ,•
❑ Final-Building (4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
By (1,/f- Date #7 By Date
J
a or AR e`I ofa ., , , . .
Federal Way20p6 P E R M I T
Cp�yAtIp187.y.OEVELOp,� AMG 1 ; SF MF CO ME EL PL DE EN FP
33325 8^t AVENUE SOUi7!•PO BOX 9718 L
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FE WAY,WA
98063-9718
3 3 171 FEo t LI CATI O N
mew.cituoffedemhaau.own �+'• V;D1rima •' - • � � '
The ollowi • is re.aired v information-an incomplete ap•lication will not be acce.ted. Please •'int legibi n in or j.
QQ MI PROPERTY INFORMATION
SITE ADDRESS 15 31 C) /(4T eA”vv o SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# q 2- to / - _0 6 O Q LOT SIZE(s) 15: ___g_il 1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Le '! , 7)/ )V SI 1'4 2-v L.
/Attach.e.P.rab,Pag.i."iinfall legal description
■ PROJECT INFORMATION
TYPE OF PERMIT 7rBUILDING 154LUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Eoa' - "Di i/41 2 41. X Z5 CON ele/440,0/ F/24144414-It - w/71-"g ioeP
PROJECT NAME(Name of Business or Owner Last Name) lii&Ai h Pl
• PEOPLE INFORMATION
PROPERTY NAMj PRIMARY PHONE
OWNER Iire' t ie.lor�sX21L�-C;' sa� (253) 838 -055T
MAILING ADDRESS CITY,STATE ZIP
353 t S Kt v A M/ re .-0.04-1- yAttvif u/A , 9 062-3
CONTRACTOR SOMPANY NAMEAPPLICANT NAME - OFFICE PHONE
AePIA9414 Coktsr it [)eS104.1 MAIL e- 1912Aut a53)854 -Z 5,95
MAILING ADDRESS CITY,ST TE,ZIP CELL PHONE
738 elf.;Wog-s A 14OiJ w Pi gi8d 32- ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
_B L . / / ( )
CTRACTORR ISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
OiipS P gO 5 DNA/ 3 / /6 107
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NA} , PRIMARY PHONE E-MAIL A DRESS
I IL- r- (Z53)qO5 - 7S S hcarl '' 5.�•li�.�
LENDER a ' r NAME 6.
5' t..:_ ' ° r v> s ;@
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
ii DETAILED BUILDING INFORMATION /
EXISTING USE giggdisi /e--0it 1 PROPOSED USE . 14"dE,c(1114_.%,/
EXISTING ASSESSED/APPRAISED VALUE $ Z-e e"1 000 �
. VALUE OF PROPOSED WORK $ Z'3 , - 1
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
/
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SISWL.R SERVICE PROVIDER .LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST ( t, Ze 3 7 (oo o -�-
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
PROPOS= TOTAL
NUMBER OF FLOORS so
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
-2 ,./1
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 I Z b i
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
Tar f— FANS HOODS(comma.i ) WOODSTOVES
BOILERS I FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orT h/Shoa,erCombo) SHOWERS I WATER CLOSETS Iraq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(6*th,00mSinks) 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 authorised 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.
NAME/TITLE2744.4.4.g
DATE 3 '/ é
(Signat /Title)
RELATIONSHIP TO PROJECT c Owner gent Contractor I] Architect ❑Other
(( 1 �
i,.• =,.= 3 �:yis > Cie; �.. ;.sod ? 2 ,nl� >> ,4,
Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application