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04-105106
• 1 City of Federal Way Building - Single Family Permit #: 04 - 105106 - 00 - SF Comma ily Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: VAUGHN Project Address: 33053 16TH PL SW Parcel Number:410457 0580 Project Description: ADD-Construct a 368-square-foot,single-story,family room addition onto a single-family residence. Owner Applicant Contractor Lender Donald E Vaughn &Young H Vaughi Young H Vaughn Young H Vaughn 'NONE 33053 16TH PL SW 33053 16TH PL SW FEDERAL WAY WA FEDERAL WAY WA 33053 16TH PL SW 98023-6461 98023-6461 FEDERAL WAY WA NONE Includes: Census category: 434-Reside #1 [ #2 #3 #4 7 Ht j Occupancy Group: R-3 _— — -- '--Construction Type: _ Type V-B Occupancy Load2-lr -------- F– Floor Area(Sq Ft.): J 1st Floor Proposed Sq.Feet 368 Census Category 434-Residential alt/add-no Mechanical No Occupancy Group#1 R-3 Plumbing No Total Building Sq.Feet 2968 Total Proposed Sq.Feet 368 Zoning Designation RS 5.0 PERMIT EXPIRES June 15,2005. Permit issued on December 17,2004 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: ✓ r' 45-)-4---a.4-e.4_,- . Date: r Zf/ 7/0, •/lilt/ (34 ,, aff teroN 40 1 ,k-„AniP: iN ' r • pi CI P *-Aw,, rr. ...,;=-1 *:;1) .4 . 4i ,. , . ,,,,/,41!,ta( , ' 4bie t 1' a-iP , lel 1,--, ,.=mac D r' w ' DATE INSPECTOR AREA AND TYPE INSPECTION THIS CARD IS TO MAIN ON-SITE - CITY OF . . Pommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-105106-00-SF Owner: DONALD E VAUGHN Address: 33053 16TH PL SW FEDERAL WAY, WA 98023-6461 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. 51416 pit/ 6/Lefee ..❑ Temp.Erosion Control (4365) \ 0 Footings/Setback(4110) ❑ Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete , Approved to place concrete By Date By Date OZ/O-S— By Date • EY Drainage/Downspout (4040) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By C ,,,,J, Date —2.p_p 5 By Date By Date • ❑ Underfloor Framing(4285) •❑ Floor Sheathing(4105) ri Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date , y Date ❑ Roof Sheathing (4220) IN Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical y, Rough-in and Fire/Draft Stop inspections must be By ( .,- Date // '`{/a Date t'. ./ signed-off and approved. IBC 109.3.4/UBC 108.5.4 ..ca Framing(4120) • ,❑ Insulation (4150) 1 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard j Approved to install mud&tape i ` B,�;+ _-� `Date D--\k%\\05" By / Date By 17---f- Date Z •-:/ / - .❑ Final- SWM(4375) �❑ Final-Building(4050) OTemp. Erosion Maintenance(4370) Approved Approved Approved By Date ByC7 Datet•C_i;��_ By Date lobosC\relLN\C" 'C‘I‘flti 4 05. `NuA.$ cilhierv.4 s.\%., els •i., .),,,,,,p0.,,,,Lk__ 1,5,E City OF ' — `/ s' i r) Federal Way ��"�� ,.�" ? .R.`` PERMIT€"ti_. COMMUNITY DEVELOPMENT SERVICES SF F CO ME EL PL DE EN FP 33325 8r"AVENUE SOUTH•PO BOX 9718 FEDERAL WAY, 63 9718 t i APPLICATION 253- 35-2607•FAX 253-835-2609 !j_L. /uunt.c,Iyo((ederahaaq.corrt The following is requ(? t'tt �iri>ralti6 �. VA'Complete ap•lication will not be accepted. Pleaseprint legibly P g y(in ink)or type. :; . - PROPERTY INFORMATION SITE ADDRESS 3 30 5 3 /4 )'2L 5'. Mf SUITE/UNIT# ASSESSOR'S TAX/PARCEL# d/0 95 7 - O S e © ^ O S • LOT SIZE (sJ G75) y, LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 4E6% 20,5' —44—O ' ' iC 0 K /Attach separate page for lengthy legal decor Aon) - ■.PROJECT INFORMATION TYPE OF PERMIT XBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) /c'.X 23 d . ^4 1 L..y a..--c 13. tx,' r10N. PROJECT NAME(Name of Business or Owner Last Name) U Ps 4*4 R"PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 7lAL//VCv- V"U&•Hid! 2553 )815= 03(34. MAILING ADDRESS CITY,STATE,ZIP .33 G 5-3 4 '!`-ti /474 5.w _ , 'a4 iawt_ tvAif wi4, 75P0 2 3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE G/n.x..Airs wAj. ( ) MAILING ADDRESS 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 c eeiti G.- VAv /fAir .'•----- 4 ( ) MAILING AIXLSSCITY,STATE,ZIP CELL PHONE }Wo/✓fa ow1wAft //a ( ) RELATIONSHIP TO PROJECT J FAX NUMBER 0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS ,/tife� o (2° ) 8'7— I Q.,,ENDER Per RCW 19.27.095: Lender information is NAME . required if project value exceeds$5,000 /v �L. MAILING ADDRESS CITY,STATE,ZIP ',■ ,DETAILED BMW=INFORMATION --..11 EXISTING USE �S/C7!sM GCS PROPOSED USE A.�L>t,T.i 6/"t EXISTING ASSESSED/APPRAISED VALUE $ 2--C11 c'ea©` VALUE OF PROPOSED WORK $ Z 4 U"" �" SPRINKLERED BUILDING? 0 YES 'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YESNO WATER SERVICE PROVIDER �LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER . LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTIO EXISTING SQ. FT. •i SED SQ.FT. _ TOTAL BASEMENT /►7//.k• ///Q 1Y�i/�{ FIRST /a6 IV3G'e /fl�gj5i SECOND v —S/ `) THIRD FOURTH _ 2 ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? oTAL oasrmG TOTAL PROPOSED TOTAL • DiG MD PROPOSED ' **NEW HOMES ONLY.* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Q` l7 fes. - ^°" 42'404. -1' • s- Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain. ti . .• •I CAL Value of Meehan •. • k $ 7e..10 • AIR HANDLING UNITS • -•' VE COOLERS —@TtSZ'I:MS REFRIG.SYSTEMS BBQS 3, HOODS(comm<rci WOODSTOVES BOILERS FIREPLACE INSERTS _ •: GES MISC(Describe) FURNACES GAS t• -• .EATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orT„h/showrrCombo] SHOWERS WATER CLOSETS(roial MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(BathroomSmksl ' VACUUM BREAKERS ELECTRIC WATER HEATERS . :.-Ve t i' _t : _: w r;-DiSVYiiii IR1SIGAAiiMiti OCi1 `"Oxa l'=r4S Ve tR*147:: - . '- 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 i officers and employees, upon the accuracy of the information supplied to the city as a part of this application. ,gip NAME/TITLE -- / 1f5P4(.— e ��" r, DATE tZX 5%* �Lit (S rel (Title) • RELATIONSY O PROD Owner I3.Agent O Contractpr p Architect 0 Other f E • FOR OFFICE USE ONLY _ a NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES o NO i ZONING DESIGNATION - CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES-`d NO • v DEMO PERMIT REQUIRED? o YES o NO . - ,. /)? '- • Bulletin#100–March 30,2004 – of 4 - k\Handouts—Rcvised\Permit Application