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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 1'1`)C4`t -L0�� 0 3 SF MF CO ME EL PL DE EN FP 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. 0� Y. , gt,,�4 V, ISqo I IVEW WAIK 0 -4 Ivi 7a-07 RECEIVED OCT 3_1 2005 CITY OF FEDERAL WAY BUILDING DEPT.