05-101213 it,, r
1 City of Federal Way Building - S_ngl`e Family Permit #: 05 — 101213 — 00 — SF`
Community Development Services � " _
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:1253)835-7000 Fax:(253)835-2609 -— Inspection request line: (253) 835-3050
Project Nam,.,: MCCANN 4.; ,,,.,;.:„.. .tire-
Project Address: 27732 23RD AVE SParcel Number:757561 0160
Project Description: ADD/ALT-Creating daylight basement from existing crawlspace and adding 400sqft. Includes
plumbing& mechanical.
Owner Applicant Contractor Lender
Gregory J McCann &Lisa E McCann Gregory J McCann Gregory J McCann PENTAGON FEDERAL CREDIT UN
27732 23RD AVE S 27732 23RD AVE S PO BOX 19927
FEDERAL WAY WA FEDERAL WAY WA 27732 23RD AVE S ALEXANDRIA VA 22320
98003-6936 98003-6936 FEDERAL WAY WA
Includes:
Census category: 434-Reside #1 1 #2 #3 #4
j Occupancy Group: R-3 I— R-3 l- . — --
Construction Type: r Type V-N Type V-B
_ yp
Occupancy Load:
I Floor Area(Sq.Ft.): ff ii i
1st Floor Proposed Sq.Feet 197 Basement Proposed Sq.Feet 197
Census Category 434-Residential alt/add-no Occupancy#2-Construction Type Type V-B
Deck Proposed Sq.Feet 400 Fire Sprinklers Required No
Height of Structure 30.5 Mechanical Yes
Occupancy#1 -Class R-3 Occupancy#2-Class R-3
Plumbing Yes Total Building Sq.Feet 990
Total Proposed Sq.Feet 394 Zoning Designation RS 7.2
Plumbing Fixtures
Description Quanti Description Quantl
_1Quantity � Description 1,ilQuantity
Lfr p- I tY P � -- -
Bathtubs 1 Dishwashers T 1 Lavatories J 1 -
I Other Plumbing Fixtures I 2 Showers Sinks 1
_,I '
Water Closets 1 I I Water Heaters 1 '
Mechanical Fixtures
Description Quantity j, Description iiQuantlty, Description Quantity]
-g -
I I r-- _ ---- ----- 1 --
Air Hlndlina Units 1 Ducts Ir 1 1 Fans 3
-- 1
PERMIT EXPIRES December 7,2005.
Permit issued on June 10,2005
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 W -
Owner or agent: Date:
10 ti,r nS-
*119 01, t Jc
04 _1
•
•
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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;4 • THIS CARD IS TO AIN ON-SITE •
CITY OF Community .development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101213-00-SF
Owner: GREGORY J MCCANN
Address: 27732 23RD AVE S
FEDERAL WAY, WA 98003-6936
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.
O Temp.Erosion Control (4365) 0 Footings/Setback(4110) a Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By Dateq - r •j>5' Br No...._, Date‘x_,12-4
,
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) ❑ `
Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By C.„_ (J.lDate i/t /g..0/'.,,. B / &c.) Date(7`op By fi f Dateg /9e* ,
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) JJ Shear Walls(4245)
Approved to sheath floor Approved to install flooring ' \ Approved to install siding
By( Datep�.l�' •�`� By L Date a•20.0 By C-- Date/J• 27. p�S
Roof Sheathing(4220) 0 Rough Plumbing(4230) 0 Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
[ By G t...i Date co�,7 . d,6 By Date By Date
%
❑ Gas Piping(4125) ❑ Fire/Draft Stops (4095) , NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
y Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By � � Date _ -�_O`l By Date
❑ Framing(4120) El Insulation (4150) 0 Wallboard Nailing (4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Final-SWM(4375) ❑ Final-Mechanical (4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
By Date By Date
•
Federal Way 0____'9_ _.- -+ - 4_ 2 t 3
PERMIT ('jD MF CO ME EL PL EN FP
COMMUNITY DEVELOPMENT SERVICES DE
333258FEDERAENUE SOA 98063 BOX 9718 ' r ° 'APPLICATION
FEDERAL WAY,WA 98063-9718 TD / /
253-835-2607•FAX 253-835-FY9OF FEDERAL t' �.Jf / /
.6"cit,Ioffederolwaq.cm BUILDING DEPT i/`F!!'�1/
The following is required information-an incomplete ap.lication will not be acce'ted. Please print legibly(in ink)or type.
'v . . ■ PROPERTY INFORMATION • .
SITE ADDRESS (2 3'' ..)3, R
Q { S SUITE/UNIT#
T
ASSESSOR'S TAX/PARCEL# 5 3 s C L - 0 1 ( 0 LOT SIZE(sf) //C `� 1
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) '..."a4-(3,.>\'-cDLA-e*k - I AJ �r � l' ,fJ C
(Attach separate page for Iengthy4al desaipiion)
- ■ PROJECT INFORMATION •
TYPE OF PERMIT 14BUILDING H PLUMBING 9 MECHANICAL
D DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
Ccett .iiS,cJG:.Ck.. exLCL::V' 1ov' A-0 C.!' A cA041 tic' Ice
'd- b v a '14_1 C'Lu
,2 - s ‹i Q 411 . ch '--ti l.L C-L C.'✓✓A c-:,ccs' ,bt��(� \V vvv‘ lit cc i Po,. C i-e)
ljci"_�L IAlL.A-I., k A...a:,.,: I a Gk u3 i ( Ccicc .e. c=am ck �; FL"i,s�wt b.:.,; i1 /
2-f' el t-- r
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PROJECT NAME(Name of Business or Owner Last Name) —c- L Cz,V, V\
`:' < "-='.5 s - `:'I PEOPLE INFORMATION -
PROPERTY NAME / PRIMARY PHONE
OWNER L. eC t)(..- rV I°1' i.� ✓1 053) ;J 34j -0d12
MAILING ADDRESS I C CCI STAT,,ZIP
t
� ni � Lc)T
CONTRACTOR COMPANY NAME APPLICANT NAME
_ OFFICE PHONE
MAILING RESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -
B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applications EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
(`{�I\\ OFFICE PHONE
MAILING ADDRESS GrOt;TE ZIP ., �c.. .ct V' ( 'tX(4
CELL PHONE
,x4-4--2, -t� 22,:21 -„LiA 49 (.s5) 332 -
RELATIONSHIP TO PROJECT FAX NUMB);
0 Architect ill Tenant o Agent 0 Other(Describe) ( tY � -
i
CONTACT N E PRIMARY PHONE E-MAIL ADDRESS
Lx 4 1 `I T 7_ cy .1 T►KCCCtn1..
LENDER Per RCW 19.17.095:cLender information is NAME r�'A,,C6 A
required if project value exceeds$5,000 f'nP (Jv� 1 til C.rp{Z/D,L.;LL.✓�
MAILING ADDRESS CITY,STAT ZIP , W
6i.94.. I qCi M' , 1/41)6 jv`k )2 .2u
-4',;‘.':•;i:.- .- --.t.--.',.-5..., ..•-•-!..,--,• DETAILED BUILDING INFORMATION
EXISTING USE 5t0V. 1.0ny y f tai. .It w - PROPOSED USE '"- A `el.w' t (PS. Ir it4-
l� GG t
EXISTING ASSESSED/APPRAISED VALUE $ J10 pO 0 VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 6(NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER vz LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER AtLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS .
AREA DESCRIPTION EXISTING SQ.FT. PRO•I ,ED SQ.FT. _ TOTAL
BASEMENTl*fLtl-1 _I
FIRST 9 /7770 -I-b`ek l ` r - 1 09'0
_ i
SECOND 0 7)V •i�,'41/�Oin 7 CY
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT 400 0 L(OC)
HOW MANY FLOORS? ;OAT(G TOTAL PR POSED TOTAL EXISTING AND PROPOSED
��-I li �(� %P-C)
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMGIL /�
. Value of Mechanical Work $ tit R 1 ffe
f AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS -3 FANS HOODS(commer<iei) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
'?. ' DUCTS GAS PIPE OUTLETS .
PLUMBING
I BATHTUBS(or Tub/Shou<r Combo) / SHOWERS I WATER CLOSE IS(Toth() MISC(Describe)
I DISHWASHERS / SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS a HOSE BIBBS
/ LAVS(Bathroomscrks) VACUUM BREAKERS ELECTRIC WATER HEATERS
- - '`F =;DISCLAIMER/SIGNATUREBLOCK '
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 information supplied to the city as a part of
this application. Jf,, j}�
NAME/TITLE .4 DATE i v Y
UCe) (Title
I RELATIONSHIP TOO ROJECT 19.Owner 0 Agent ❑ Contractor o Architect ❑ Other
F
1
1 FOR OFFICE USE ONLY
o NEW o ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
IBUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES a NO
f ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
I
I Bulletin#100—March 30,2004 _ Page 2 of 4 k\Handouts—Revised\Pcrmit Application
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