05-105603ay
CommuntyDeveopmentServices Building - Single Family Permit #: 05 -105603 -00 -SF
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BESS
Project Address: 28615 21ST AVE S
Parcel Number: 422200 0150
Project Description: ADD - Demolish work performed w/o permit by previous owner; construct 132 square foot
addition to front of attached garage.
Owner
Applicant
Contractor
Lender
FRED BESS
FRED BESS
WESTERN PACIFIC GENERAL
FRED BESS
1222 N 185TH 101
1222 N 185TH 101
CONTRACTORS INC.
1222 N 185TH 101
SHORELINE WA 98133
SHORELINE WA 98133
J WESTEPG956RK 12/2/07
SHORELINE WA 98133
Mechanical to be Included? ...................................
11211 SE 82ND AVE SUITE J
Occupancy # I - Class.............................................0
New / Additional Sq. Feet - Other .........................
PORTLAND OR 97266
Plumbing to be Included?......................................No
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
U
Construction Type:
Type V - B
Occupancy Load:
New / Additional Sq. Feet - Basement...................0
Floor Areas . ft.
0 0 0 0
No Fixtures Associated With This Permit !!
CONDITIONS:
PERMIT EXPIRES Thursday, January 17, 2008
Permit Issued on Tuesday, January 17, 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 b ' accordance with the laws, rules and regulations of the State of Washington
he City of Federal Way.
Owner or agent: Date:
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor....................0
New / Additional Sq. Feet - 2nd Floor ...................
0 .
New / Additional Sq. Feet - Basement...................0
Basic Plan?...........................................................
No
New / Additional Sq. Feet - Deck..........................0
Fire Dept. Access/Hydrant Loc. Needed? ..............
No
New / Additional Sq. Feet - Garage .......................132
Mechanical to be Included? ...................................
No
Occupancy # I - Class.............................................0
New / Additional Sq. Feet - Other .........................
0
Plumbing to be Included?......................................No
New /Additional Sq. Feet - Total ..........................
132
Zoning Designation ...............................................
RS 7.2
No Fixtures Associated With This Permit !!
CONDITIONS:
PERMIT EXPIRES Thursday, January 17, 2008
Permit Issued on Tuesday, January 17, 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 b ' accordance with the laws, rules and regulations of the State of Washington
he City of Federal Way.
Owner or agent: Date:
City ofTeddral Way
Certificate of
Occupancy
C. l
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: BESS
Address: 28615 21ST AVE S
Permit #: 05 -105603 -00 -SF
Includes:
#1 42 #3 #4
Occupancy Class:
U
Construction T e:
Type V - B
Occupancy Lo
Floor Area (s . ft.)
0 00 0
wner Na FRED BESS
FRED BESS
Owner N e:
5
O er Adess: 1222 N
SH RELINE WA 98133
ing Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD IS TO MAIN ON-SITE
CITY of tommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -105603 -00 -SF
Owner: FRED BESS
Address: 28615 21 STAVE S
FEDERAL WAY, WA 98003-3339
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
By
Approved to place concrete
By
Date
By
4:�._ lit./ Date 6 — 7• v
By
de— � Date6 - "7- C!4Cw
❑
Drainage/Downspout (4040)
❑
Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
Approved to backfill
Approved to place concrete
Approved to sheath floor
By
Date
By
Date
By
Date
❑
Floor Sheathing (4105)
Approved to install flooring
By
Date
❑
Fire/Draft Stops (4095)
Approved
By
Date
❑ Shear Walls (4245)
Approved to install siding
By Date ill-lil
=and
o scheduling a Framing (4120)
in
rical,Plumbing & Mechanical
e/Draft Stop inspections must be
roved. IBC 109.3.4/UBC 108.5.4
❑ Roof Sheathing (4220)
Approved to install roofing
By Date
❑ Framing (4120)
Approved to insulate
By , 1-1 Date _/ — b%
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) ❑ Final - SWM (4375)
Approved to install wallboard Approved to install mud & tape Approved
By Date By L.,j Date 3 —/ — b By Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
By G 63 Date 3 . — d By Date
M
r4
0
arr of 1"^�
Federal Way
COMMUNITY DEVELOPMENT SERVICES
33325 8TM AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
www.cffyqffederq1wqtj.com
The_foilowinp is require
tISCEIVE0
_ 12005
PERMIT FEDERAL%
APPLICATICNE'
- an
will not be
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Please
or
SITE ADDRESS'i6�045 C_ �P, �.E'_ A f ,J5g_ SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # G SL _T SIZE (S(% / '7
�C
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) ,
TYPE OF PERMIT iT1.BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description Of work included on this permit only
PROJECT NAME (Name of Business or Owner Last Name)
0. 0.
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME �� e 6 �e 6 J PRIMARY PHONE
MAILING ADDRESS CITPC, STTATE, ZIP / _
Ce
COMPI,C APPUCANX NAME `
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS -CITY, STAI E ZIP '7
�� ,' •�riG..�' '`>!c
F
,.�
�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE -
FAX NUMBER
_-B L
CONTRACTORS REGISTRATION NUMBER (copy of card re Hired with each application)
EXPIRATION DATE
COMPANY N�
/�, n 5�
APPLICANT NAME
F1�"<�
OFFICE PHONE
W5" -.g
MAILING ADDRESS
/22 z A),
CITY, STATE, ZIP —
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
NAME " PRIMARY PHONE E-MAIL ADDRESS
er o o s
NAME
MAILING ADDRESS
CITY, STATE, ZIP
p PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $_j 0 �� ��� VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ 13 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
WATER SERVICE PROVIDER HAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER HAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
� T•
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL;
SQ. FT.
BASEMENT
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
FIRST
LAVS (Bathroom Stnks(
VACUUM BREAKERS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE11 CARPORT ❑
C
7
x3asrucoPROPOSED TOTAL AL PR ED .�rr A.T
NUMBER OF FLOORS,:(
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
EVAPORATIVE COOLERS
FANS
FIREPLAC NE j_ SERTS
FURNACES
GAS PIPE OUTLETS
PLUMBING
LATHTUBS (or Tub/Sno—combo) SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Stnks(
VACUUM BREAKERS
GAS LOGS
HOODS (commemiai)
RANGES
GAS WATER HEATERS
WATER CLOSETS (ioiley _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 cipy, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. _/
NAME/TITLE
'e S�� �� /�� til DATE < V �3 / 0
(Title)
❑ Architect
TO PROJECT Ct Owner ❑ Agent ❑ Contractor
N
Bulletin. 0100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application
';L 2 65-
Y, Fence propf The contractor I verify lify the
rty lines and setbacks for the
Placement of the structure
Z Y, 1 1 Y,6" 1 authorized by this permit.
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I IVEW WAIK 0 -4 Ivi
7a-07
RECEIVED
OCT 3_1 2005
CITY OF FEDERAL WAY
BUILDING DEPT.