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03-103261 • af • �o,`,y,°n,FeDe�e op en Services Building - Multi Family ermit #:03 - 103261 - 00 - MF 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: JOHNSON Project Address: 28618 25TH PL S Parcel Number: 552900 0150 Project Description: ALT-Conversion of duplex garages to living area: two bedrooms and laundry room.Inlcudes plumbing and mechanical(vent fans): Electrical separate. Owner Applicant Contractor Lender William R.Johnson William R.Johnson William R.Johnson NONE 10911 80TH PLS 10911 80TH PL S KIRKLAND WA 98034 KIRKLAND WA 98034 10911 80TH PL S KIRKLAND WA 98034 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.): 1st Floor Proposed Sq.Feet 946 Building Pre-con.Meeting Required No Census Category 434-Residential alt/add-no c Mechanical Yes Permit for Foundation Only No Plumbit,g Yes Special Inspection Required No Will Certificate of Occupancy be Issued' No Zoning Designation RM 3600 Plumbing Fixtures Description ,;Quantity Description Quantity P., Description Quantity Laundry Washer Outlets 2 Water Heaters 2 Mechanical Fixtures Description Quantity's Description Quantity Description Quantity" Fans 2 CONDITIONS: NOTE: APPLICANT MUST REMOVE ALL GARBAGE FROM PROPERTY AND PROVIDE 4 STRIPED PARKING STALLS(ONE OF WHICH IS TANDEM)PRIOR TO FINAL INSPECTION. CALL JANE GAMBLE FOR FINAL INSPECTION OF PARKING 661-4120. PERMIT EXPIRES February 22,2004. Permit issued on August 26,2003 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. Owner or agent: GOC Date: '-24—03 INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION e _ p s ci r' ce&og` vv t 5( `cgs- ¢,.-•- f I POS HIS CARD ON THE FRONT OF BUILD. Cf: OF. Feeral Way BUILDING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-103261-00-MF OWNER'S NAME: William R. Johnson SI7'E ADDRESS: 28618 25TH S ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL „ , Y ' DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL,THE,.ABOVE IS APPROVED ( ) UNDERFLOOR FRAM_^ATG O ROUGH PLUMBING: LVJV 10/i1/77 i! �'�� Water piping la/m-7)3 GH MECHANICAL Gas • piping ( ) S:-fEATHING Roof Floor ( ) Sc[1ARWALLS _— — ( ) ELECTRICAL ROUGE 11 Ditch Cover ( ) 71-RE/i1P.AF7:TC1 VIM:, AL TII • & 5 AP ` OVED-PRIOR TO FR, \ZING L TSPECTION , ( ) F.RAMINCI/FIR ESTOPPINGl O 3 G u.. THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHFETROCKINC O INSULATIOi•r: Floors Walls ID • /� p�„t,4.J Attic /40 "s " ©_N �l OVE M UST ..:, B� ;: 13V,, 4 ,;,_„ +�'�,.� 4Pil'l'�LV*G'iSHEETRU(KV 4464... () WALLBOARD:NAILING if0//‘ 03 1— ) SUSPENDED CEILING THE ABOVE 1VIUST 'PROVED PRIOR TO TAPING OR INSTALLIING-CE ,I ILJ,:744 O ELECTRICAL FINAL ( ) PLANNING FINAL O PUBLIC WORKS ETNA', () FIRE FINAL — r KUi,...ABOVE. ST BE APPR VE PRIOR` OpINC DEART NT FINAL ( ) BUILDING FINAL 2 Y �" x ° • G x' ; -IIS BUILDING UNTIL BUILDING FINAL IS APPROVED CONS I RUN PERMIT APPLICATION CITY OF �.�/ APPLICATION NUMBER: O3- t Q3 (,1 -00 Ft"\+ v a,I tl APPLICATION NUMBER: - - APPLICATION NUMBER: - - AUG 0 8 2003 "The foiling is required information-Please print(in ink)or type" Ck' CITY Please note: Electrical, Fire Prevention ystems antl Engineering permits may require a separate application. .2 PROPERTY;INFORMATION SITE ADDRESS: 2-O6i R- 2,R6 *S F"I..c SC, ASSESSOR'S TAX/PARCEL #: 5-52 CI 0Q - 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 111 PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑rrFIRREE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): C, Sj�YSl jV t' b4)( t Q)Y Gava es l'c, L.:iv 1:IA3 iu�vTC'v 1 Vv' � (� N PLL)S PROJECT NAME: �JG l N soN4. /`PEOPLE.INFORMATION` PROPERTY OWNER: NAME: ; DAYTIME PHONE: t1--1-i A t.A 12__ J O H NSO N1 1 (2.o6) - 7 7 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): tC % U act-- PL N.G. -_ L<tVl-KLAN A X 8'43 K CONTRACTOR: ( NAME: i DAYTIME PHONE '1 O MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE: C�C7►1'�F� II ( ) - i CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: ( NAME: DAYTIME PHONE: W I Ll.s 1 A N A . ,_01--)N SO 1 1 (2°) I3l -.77Z? MAILING ADDRESS(STREET ADDRES CITY,STATE,ZIP): P -73 L i EVENING,PHONE. , - NG. Rkp RELAITONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT o TENANT ❑ OTHER ( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: XPROPERTY OWNER Li APPLICANT [i CONTRACTOR ■ DETAILED BUILDING INFORMATION . , - EXISTING USE: hUrp X (c-'%' I"AAt.EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ! 3 PROPOSED USE: wPLGX N\A L PROPOSED VALUATION FOR IMPROVEMENTS: g / 1 000 SPRINKLERED BUILDING? ❑ YES '.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES )(NO WATER SERVICE PROVIDER: riLLAKEHAVEN ❑ HIGHLINE I TACOMA ri PRIVATE (WELL) SEWER SERVICE PROVIDER: .i'LAKEHAVEN ❑ HIGHLINE n PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION Ol * NUMBER OF BEDROOMS: ESTIMATE SELLING PRI : $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. „ PROPOSED SQ.FT. TOTAL BASEMENT FIRST t c1.7 /9 V9 1 rl 11-J5-c? /frct SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? -73/ 15/cie (2C/0.. TOTAL: ■ 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: 0 ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. ACUUM BREAKER(S) ❑ ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE CLOSET(S)OUTLET MISC.( ) GAS PIPE OUTLET(S) SINK(S) WATER 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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. 1 NAME/TITLE: ti.;(, i _ 1 DATE: "' --o C PROPERTY OWNER ❑ APPLICANT 0 RA OR ..FOR OFFICE USE ONLY ; ';aiEW ;..'o ADDITION Van ALTERATION ii REPAIR ,TENANT IMP OVEh1ENT StVg CENSUS CODE a; 1"4W* > " .R IVA 'LOT SIZE 'ZONING DESIGNATION:° � . . L `Y ,_,,,r. „_ „�':: r��ix�,�"�� BUILDING SHELLONLY?,��`OYES �O NO�">'`'.. ��.• .,�' COMP PLAN DESIGNATION BASIC PLAN? YES H'NO SECTIONS_ TOWNSHIP-tn ', -RANGE I, NEW ADDRESS REQUIRED? ::' ❑YES' [7 NO PLATTED LOT? ,p YES... NO ; `CHANGE OF USE?,. ❑YES '`L] NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www,dtYoffederalway.com