05-104684r
City of Federal Way Building - Single Family Permit #•• 05 -104684 -00 -SF
Community Development Services
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: MCLAIN
Project Address: 28020 22ND AVE S
Parcel Number: 422230 0090
Project Description: ADD - Construction of 560 square foot garage space at SW corner of lot, attached to
existing building.
Owner
Applicant
Contractor
Lender
JAMES W MCLAIN
JAMES W MCLAIN
28020 22ND AVE S
New /Additional Sq. Feet -Basement ....... ...:....:0
28020 22ND AVE S
28020 22ND AVE S
FEDERAL WAY WA
Fire Dept. Access/Hydrant Loc. Needed?..............No
FEDERAL WAY WA
FEDERAL WAY WA
98003-3236
Height of Structure......................:..........................12.3
98003-3236
98003-3236
No
J `*��A'�iO�
1 i
Gam• -
Census Category: 434 - Residential alt/add - no change in n b units
Includes:
41 42 #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 H
CONDITIONS:
Prior to any clearing or grading on a lot, the owner/builder shall install temporary erosion/sedimentation
control facilities approved by the City. These facilities must ensure that dirt or sediment laden water does not
enter the public drainage system, adjacent lots or public streets. The owner/builder bears the responsibility to
maintain the facilities in proper working order, replacing as necessary. The facilities may be removed only
after such time as construction is complete & landscaping is installed.
PERMIT EXPIRES Friday, January 4, 2008
Permit Issued on Wednesday, January 4, 2006
I hereby certify that the above informationJrnXrnceCwith
rret and that the construction on the above described property and
the occupancy and the use will be in ac the laws, rules and regulations of the State of Washington
d tie City of Federal Way.
Owner ora /
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
New /Additional Sq. Feet - Deck .................
:....:.::0
Fire Dept. Access/Hydrant Loc. Needed?..............No
New / Additional Sq. Feet - Garage .......................
560
Height of Structure......................:..........................12.3
Mechanical to be Included? .................. :................
No
Occupancy # 1 -Class .......................................
U
New /Additional Sq. Feet - Uther.........................0
Plumbing to be Included? ..............................
No
New f Additional Sq:' Feet'- Total .........
.
..::.....560
Zoning Designation ...............................................
RS 7.2
No Fixtures Associated With This Permit H
CONDITIONS:
Prior to any clearing or grading on a lot, the owner/builder shall install temporary erosion/sedimentation
control facilities approved by the City. These facilities must ensure that dirt or sediment laden water does not
enter the public drainage system, adjacent lots or public streets. The owner/builder bears the responsibility to
maintain the facilities in proper working order, replacing as necessary. The facilities may be removed only
after such time as construction is complete & landscaping is installed.
PERMIT EXPIRES Friday, January 4, 2008
Permit Issued on Wednesday, January 4, 2006
I hereby certify that the above informationJrnXrnceCwith
rret and that the construction on the above described property and
the occupancy and the use will be in ac the laws, rules and regulations of the State of Washington
d tie City of Federal Way.
Owner ora /
Date:
City & Federal Way
Certificate of Occupancy
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: MCLAIN
Address: 28020 22ND AVE S
Permit #: 05 -104684 -00 -SF
Includes:
#1 #2 #3 #4
Occupancy Class:
U
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.) 1
0 0 0 0
Owner Name: JAMES W MCLAIN
JAMES W MCLAIN
Owner Name:
Owner Address: 28020 22ND AVE S
FEDERAL WAY WA
98003-3236
Building 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 it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE Y
CITY OF Community Development Inspection Record
Federal Wad' IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -104684 -00 -SF
Owner: JAMES W MCLAIN
Address: 28020 22ND AVE S
FEDERAL WAY, WA 98003-3236
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. L _ — "7) 0,11 / r/')
❑ Temp. Erosion Control (4365)
To be done prior to breaking ground
By �� Date 1 lo
❑ Drainage/Downspout (4040)
Approved to backfill
By G cl)\\Date
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
❑ Fire/Draft Stops (4095)
Approved
By Date
❑
Footings/Setback (4110)
❑
Foundation Wall (4115)
❑
Approved to place concrete
Approved to place concrete
By
Date
By
Date f1
By
Date
By Date
❑
Slab/Concrete Floor ( 255)
[El
Underfloor Framing (4285)
Approved to place concrete
Approved to sheath floor
By C Date6_ 1?.�j �� l By Date
❑ Shear Walls (4245) ❑ Roof Sheathing (4220)
Approved to install siding Approved to install roofing
By Date By Date
NOTE: Prior to scheduli=Framing0). � Framing (4120)
inspection; Electrical, Pluical Approved to insulate
Rough -in and Fire/Draft Stst besigned-off and approved. IB8.5.4
By G Date -- C, oq
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final - SWM (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
Date
By Date
By
Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
By Date By Date
pp.'JCITY
;js�
Federal Way
COMMUNITY DEVELOPMENT SERVICES
33325 Fff AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-83S-2607• FAX 253-835-2609
www.cityo((ederalwaticam
The following is
SITE ADDRESS
oECEivED
PERMIT" " � A
APPLICA'�''Y4GDE T4
- an incomplete application will not be
MF ME EL PL DE EN FP
/ / l
Please print legibly (in ink) or tune.
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #-� - ® 0 o LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) La eff wooC�]f Nor-fA
(Attach separate page for lengthy legal description)
PROJWT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of .Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
/�cI . - 1(
MAIL DRESS Ar<17'7&
Soa
COMPANY NAMEAPPLICANT
APPLICANT NAME
NAME
OFFICE PHONE
CITY, STATE, ZIP -
CELLPHONE
RELATIONSHIP TO PROJECT
( -
MAILIN DRESS
( _
CITY, STATE, ZIP
CELL PHONE
CITY ODISKAL WAY BUSINESS if
ENSE NUMBER EXPIRATION DATE
FAX NUMBER
-
_-B L
CONTRACTORS REGISTRATION NUMBER
(copy o[ card required with each application)
EXPIRATION DATE
COMPANY NAME.
APPLICANT NAME
OFFICE PHONE
( 1 -
MAILING ADDRESS
CITY, STATE, ZIP -
CELLPHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( _
NAME A ��
MARY PHONE -
NE
Y. ST .
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE ff� 26�Q-VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES Ile" FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES i?I NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER & LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
'
EXISTING
SO. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE M CARPORT O
NUMBER OF FLOORS
c1asrtxc
PROPOSED
torn�toT
stnvas�Pxoroseortoty
ar: t-
**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
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Commemia)
RANGES
GAS WATER HEATERS
WATER CLO oaey
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. 1 further agree to hold
harmless the City of Federal Way as to any claim (including costs,nses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, includ,(ng the undgri gntd, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its "e s dto es, upon the accuracy of the information supplied to the city as apart of
this application.
NAME/TITLE DATE
(Si a re) (Title)
RELATIONSHIP TO PROJEC IjtOwner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application
SITE
SGALE
LEGAL DESGRI
LOT 9 LAURELWOOI
LOT GOVERA
LOT AREA:
FOOTPRINT (r%IST6
LOT GOVERA6E:
,6mo, J Nvt
0