06-100699 deBuil - Single FamilyPermi #: 06g-1006:99-300-SF
CznieuCr!yil:DoaffvBeewor9ma791:11ta6fer9
ervices g g-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Reuest Line (25 )835-3050
Project Name: HANSON
Project Address: 28230 15TH AVE S Parcel Number: 025130 0060
Project Description: ALT-Adding 2nd story addition above existing vaulted ceiling dining room. Including
mechanical. No plumbing.
Owner Applicant Contractor Lender
BRIAN L&TANYA A HANSON BRIAN L&TANYA A HANSON 28230 15TH AVE S CHASE HOME FINANCE
28230 15TH AVE S 28230 15TH AVE S FEDERAL WAY WA 98003-6182 PO BOX 78420
FEDERAL WAY WA 98003-6182 FEDERAL WAY WA 98003-6182 PHOENIX AZ 85062
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3 U
Construction Type: Type V-B Type V-B
Occupancy Load:
Floor Area(sq. ft.) 1,691 521 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 1691
Occupancy#2-Area(Sq.Feet) 521 New/Additional Sq.Feet-Basement 0
Occupancy#1 -Construction Type Type V-B Occupancy#2-Construction Type Type V-B
Mechanical to be Included? Yes Occupancy#1 -Class R-3
Occupancy#2-Class U Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2 Occupancy#2-Use Private Garage
family)
Zoning Designation RS 9.6
Mechanical Fixtures
Ducts 1
CONDITIONS:
PERMIT EXPIRES Thursday, March 13, 2008
Permit Issued on Monday, March 13, 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 be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: sir: — `,_ Date: 3 1 , ) 6 ( l
' DATE INSPECTOR AREA AND TYPE OF INSPECTION
3 3 t O to �� vt�O.�L \ae ` cc_. 5.e cse,ea ooac-
- ihk. THIS CARD IS TO.EMAIN ON-SITE
CITY OF Community Development Inspection Reco1110 rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-100699-00-SF
Owner: BRIAN L & TANYA A HANSON
Address: 28230 15TH AVE S
FEDERAL WAY, WA 98003-6182
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) ❑ Underfloor Framing(4285) ❑ Floor Sheathing (4105)
To be done prior to breaking ground Approved to sheath floor Approved to install flooring
By Date By Date By (,A Date ''? . 2_1 . vcc,
❑ Shear Walls (4245) 0 Roof Sheathing (4220) .0 Mechanical Rough-in (4165)
Approved to install siding Approved to install roofing Approved
By C. c v Date 7-2, 1 c) Coy �•.� Date-7. z_t - 6 �s By� li ,2 Date 3(5‘1 ,0L:2._7F"
❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) " NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
cop signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By e_._e_._ ee_.,3Date-7 d�- lop
,-..[
❑ Framing (4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing (4130)
Approved to insulate Approved to install wallboard Approved to install mud&.tape
By Date"2 - 'Ll• C) ' By W Date.2 S 0 (� Date 670.
O Final- SWM(4375) El Final -Mechanical (4065)• r ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date By G. (J Date / o . 3 . 0
❑Temp.Erosion Maintenance(4370)
Approved
By Date
CITY OF A IFtE.G
0G -
Federal
WaY 6 — _/ 00 b / 61
COMMUNITY DEVELOPMENT SERVICES '--E3 �' 3.200 ��`PERMIT ;f SF F CO ME EL PL DE EN FP
Ni
33325 8TM AVENUE SOUTH•PO BOX 9718 TU
FEDERAL WAY,WA 98063-9718 DEP�'L I C AT I O N Co253 www cityn FAX 253-835-2609 ,.`Y OF }NG 3 / / `
www.dtyojjederalwa4.tom V n,`\k- v �(J
The ollowi • is re•uired in ormation-an inco .fete a..lication will not be acce.ted. Please .tint le.ibl (in in or .e.
` ■ PROPERTY INFORMATION .
SITE ADDRESS 'Z$23CJ )S14'p.&.1 E S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3 Z s I 3 O - d 0 (p 0 LOT SIZE(sf 9,4I(P
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1�(-� (..600D ) L--07-- p
(Attach separate page for lengthy legal desoiptionl
■ PROJECT INFORMATION -
TYPE OF PERMIT
%BUILDING ‘i� �MECHANICAL❑ DEMOLITION
JJ
❑����i((tELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
A--t)11. AH A-,YbI-Ttoi-1 O14 -nti: S€coAtb S7o1--y ISCWIE TN's 5--X I riA4 S
V A u L iz b G E( L/til 41 -i ij i i,'../k Tzcarn .0,-.( F 1 g 7 [--,30;?-,•
(2-arM I s A 1. E D 12.cxSY \ Co F i�P1 -o)(I m/rfn4-4`1 1CDP ScS --/-,.
PROJECT NAME(Name of Business or Owner Last Name) /14111,15611-t
PEOPLE INFORMATION -
PROPERTY NAME
PRIMARY PHONE
OWNER e. ( AA-j4 /tel SOI, (ZS'3) 5-2 a( - 2.11 y
MAILING ADDRESS CITY,STATE,ZIP -
E5Z0 15. F s FEbe,tA& wit-/, cADA, q/8003
CONTRACTOR COMPANY NAME { APPLICANT NAME OFFICE PHONE _
,See.
/ �+(FC'`r')L1r J ( )
MAIL GAD ESS 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 application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
L(V_.-)e.- Ckr)
Ler ) . ( )
ILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( )
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME _ \ PRIMARY PHONE
E-MAIL ADDRESS
- (" CC,4 fe 6" ,, ( 4)kil ASK- -L) /1 ) ,
LENDERS w - ',utter NAME
4 .,, cN slr e. r-,I.�► �-�
MAILING ADDRESS -" CITY,STATE,ZIP
r o `'c3,C ?84b0 PI4O�0►X, A-2/ S 57)2. ( 'L
• : . • . . . - • ■ DETAILED BUILDING INFORMATION •
EXISTING USE 'ie'"a PROPOSED USE F'
EXISTING ASSESSED/APPRAISED VALUE $ /54/ 0a2 VALUE OF PROPOSED WORK $ 5 DOS
SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES *At NO
WATER SERVICE PROVIDER IcLAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER :> LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
i.
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST Loll Z
SECOND �1 �S -S2
THIRD „/ 15 /
ci
61
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
C
DECK(COVERED?) ,,(
GARAGE G CARPORT❑ 521 Z , 6—Z
EXISTING PROPOSED TOTAL TOT WOE'P"< "'< �T AL PROPOSED SF TOTAL 6r' '°�
NUMBER OF FLOORS �� °.,, q` -
**NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES ,
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ Zd O
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS RMISCEFRIG.SYSTEMS
BBQS FANS HOODS(commercial)AIR
BOILERS FIREPLACE INSERTS RANGES ribe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
r
PLUMBING
BATHTUBS or Tub/shower combo)
BOWERS fl COS Roaey MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS MPS RAINWATER SYST
WASHING MA URINALS HOSE BIBBS
(Bathroom sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS----------
..
—�-
•
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 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. ,�
NAME/TITLE G' DATE 2//0/°6'°�
(Signature) (Title)
RELATIONSHIP TO PROJECT 'Owner 0 Agent 0 Contractor 0 Architect ❑ Other
.. ® ® v..x.'
£ ®,� s I ® F OE ISE(} �
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application