15-100468wilding - Single Family
City of Federal Way Permit #: 15-100468-00-S F
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BLAKE
Project Address: 30512 6TH AVE SW Parcel Number: 178880 0800
Project Description: ALT - Removal of 288 square foot carport.
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
BasicPlan?........................................................... No
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total ..........................
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck..........................0
Mechanical to be Included?...................................No
Plumbing to be Included?.......................................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Wednesday, July 29, 2015
Permit Issued on Friday, January 30, 2015
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
nd t Ci of Federal Way. As
Owner or agent: Date: C o
Owner
ApRlicant
Contractor
Lender
KENNETH D & KELLEY D BLAKE
KENNETH D & KELLEY D BLAKE
OWNER IS CONTRACTOR
30512 6TH AVE SW
30512 6TH AVE SW ,
FEDERAL WAY WA 98023-3919
FEDERAL WAY WA 98023-3919
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 0 1 0 1 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
BasicPlan?........................................................... No
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total ..........................
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck..........................0
Mechanical to be Included?...................................No
Plumbing to be Included?.......................................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Wednesday, July 29, 2015
Permit Issued on Friday, January 30, 2015
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
nd t Ci of Federal Way. As
Owner or agent: Date: C o
' THIS CARD IS TO MAIN ON-SITE
CITY OF - Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -100468 -00 -SF Address: 30512 6TH AVE SW
Project: KENNETH D & KELLEY D BLAKE FEDERAL WAY, WA 98023-3919
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.
El Final - Buildii
Approved
By r, �,& Date . `
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF `
Federal Way
RECEI*D
JAN 3 0 2015
CITY OF FEDERAL WAY
CDS �j
PERMIT NUMBER _ / x _
PERMIT J&PLICATION I
�y
/A TARGET DATE V
SITE ADDRESS
SUITE/UNIT #
r„ n
PROJECT VALU TIOW
$ NIA
ZONING
ASSESSOR'S TAX/PARCEL #
1 -7 �S
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Ile le c
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
�� 1� ' ��< .
PRIMARY PHONE
2-S J , _ /// %
MAILING ADDRESS
E-MAIL
CITY r
STATE
�ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME / �<
PRIMARY PHONEI
UU
MAILING ADDRESS `
�5c's 4 G 1 T 6° S C
E-MAIL
C--- c
APPLICANT
CITY i y I )
STATE
ZIP
FAX
PROJECT CONTACT
NAME
vk
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
FZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
ElOWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 apart of this application.
SIGNATURE: -� l �G'� - _ DATE f +�
PRINT NATME:
Bulletin #100 - January 1, 2013
Pagel of 3
k:\Handouts\Permit Application
� � 1
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS )
COMPRESSORS GAS LOG SETS REFRIGERAT SYST
DUCTING GAS PIPING WOOD VES
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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Indicate how many o each type o ure to be installed o elocated as part o this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo) LAVS (Hand s)
TOILETS WATER PIPING
DISHWASHERS
RAI ER SYSTEMS URINALS OTHER (Describe)
DRAINS
WERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
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GENERAL INFORMA
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CRITICAL AREAS ON PROPERTjI.
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
AREA DESCRIPTION
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Occupancy Group(s)
Construction
EXISTING/PREVIOUS USE
LOT SIZE (In Squaze Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
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❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
_.........._...__.— ............. .............-.._.--------._......_............_.....
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AREA DESCRIPTION
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Occupancy Group(s)
Construction
# of
GARAGE ❑ CARPORT
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TOTAL
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TENANT AREA ONLY
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COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in S uare Feet
Type
Stories
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Additional Information
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Type
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Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application