01-103233r
City of Federal Way _
Connnunity Development SeMees Building Single FamilyPermit #:01 -103233 - 00 - SF
e t
33530 lst Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: LARSONIMISS
Project Address: 2247 S 308TH ST
Parcel Number: 053700 0485
Project Description: RES ADD - New two story shop building (storage on second floor). No plumbing or mechanical on
this permit.
Owner
Applicant
Contractor
Lender
Michael G & Sheila M Larsen
HEARTLAND INDUSTRIES INC
HEARTLAND INDUSTRIES INC
Michael G & Sheila M Larsen
862 S 318TH ST
1623 62ND AVE E
HEARTIIl01KJ 2/26/02
862 S 318TH ST
FEDERAL WAY WA
FIFE WA 98424
1623 62ND AVE E
FEDERAL WAY WA
98003-5336
FIFE WA 98424
98003-5336
Includes:
Census category: 434 - Reside
#1 #2
#3
#4
Occupancy Group:
U-1
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 434 - Residential alt/add - no � Garage Proposed Sq. Feet .................................... 1100
Height of Structure .............................................. 20 Mechanical................................................. No
Occupancy Group # 1 ........................................... U-1 Plumbing ................................................. No
Total Proposed Sq. Feet.......................................1100 Zoning Designation ............................................. RS 7.2
PERMIT EXPIRES March 27, 2002, IF NO WORK IS STARTED.
Permit issued on September 28, 2001
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: �/�� Date: 0cl,.•a�-'�j
POI&HIS CARD ON THE FRONT OF BUILD T .
BUI ING DIVISION
dFly INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01 -103233 -00 -SF
OWNER'S NAME: Michael G & Sheila M Larsen
SITE ADDRESS: 2247 S 308TH
( ) FOOTINGS/SETBACKS
( ATION �A1LL
m
O DRAINAGE: Line O Connection
DO NOTPQTT2 SLAB UNITE ABOVE IS"APPROVA; fi
.< .
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
O ROUGH MECHANICAL_
O SHEATHING
() SHEAR WALLS _L
O ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
%— — a / G
Water piping _
Gas piping
Roof /p -- / S-- D/GouFloor
J
Ditch Cover
O FRAMING/FIRESTOPPING
�; � HE ABOE�k�IL�ST��:�A'P�(�=VE�D1'`R�RfiO INSULATING OR SHEETROCKIN'G
( ) INSULATION: Floors
( ) WALLBOARD NAILING
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL.
( ) FIRE FINAL.
( ) BUILDING FINAL /0— /g;
Walls
Attic
( ) SUSPENDED CEILING
1M.
CONSTRUC N PERMIT APPLICATION
VV f3Y L fVED APPLICATION NUMBER: O L - 10.3 Z33 -SF
PPLICATION NUMBER:
Aub 16 2001 APPLICATION NUMBER: - -
**The IWgQwW4i& tl�(tPA(Wformation - Please print (in ink) or type**
BUILDING DEPT,
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: WLu6� I 3 � ` Q S 3 % QC) - Q 11
ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): -5Et
y ■ PROJECT INFORMATION
TYPE OF PROJECT (This application): fPBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):` I
PROJECT NAME:
PROPERTY OWNER:
K -Sl <[LSL4[61:m
APPLICANT:
S
ENAME:
DAYTIME PHONE:
S (STREET ADDRESS; CITY, STATE, ZIP):
act
NA4p, Mf:
Dgp/,pYTIME PHONE:
MAILING 1ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
EXPI^R�ATION DATE:
NAME: DA ME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): -
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
'IFTATI En R11TLnTNP. TNFARMOTTC
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
d
SPRINKLERED BUILDING? ❑YES q NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES P'NO
WATER SERVICE PROVIDER: XLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: IVLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: - �D ESTIMATED SELLING PRICE:
■ noxcT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES 11 NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
HOW MANY FLOORS?
O
L/Co
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER
DRIN FOUNTAINS)
PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S REFRIG. SYSTEM(S)
FAN(S) HO WOODSTOVE(S)
FIREPLACE INSERT(S) NGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTL HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
'ITCCI ATMRR/CTONAT110P R1_C
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: Z DATE: Y' ' ICn J O 2
r
❑ PROPERTY OWNER ❑ APPLICANT /CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES 11 NO