02-103068N
L
City uof mFederal Way
mun
Comity Development Services
Applicant
Building - Single Family Permit #: 02 -103068 - 00 - SF
33530 1st Way S
BARRY & PATRICIA HORNBY
BARRY & PATRICIA HORDIBY
Federal Way, WA 98003-6210
NONE
33319 41ST AVE SW
Ph: 253.661.4000 Fax: 253.661.4129
Sumps
Inspection request line: 253.835.3050
FEDERAL WAY WA 98023
Project Name: HORNBY
Project Address: 33319 41ST AVE SW
Parcel Number: 327900 0150
Project Description: RES REM - Finishing out room in basement into new bath/laundry room. Includes plumbing and
mechanical.
Owner
Applicant
Contractor
Lender
BARRY & PATRICIA HORNBY
BARRY & PATRICIA HORDIBY
BARRY & PATRICIA HORNBY
NONE
33319 41ST AVE SW
33319 41ST AVE SW
Sumps
l
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
33319 41ST AVE SW
Floor Area (Sq. Ft.):
FEDERAL WAY WA 98023
NONE
Includes:
Census category: 434 - Reside
#1 #2
#3
#4
Occupancy Group:
R-3
I
—1
L�
Bathtubs
Bathtubs
Construction Type:
Type V - N
Sumps
l
Occupancy Load:
Floor Area (Sq. Ft.):
Basement Proposed Sq. Feet................................924
Census Category ................................................. 434 - Residential alt/add - no
Mechanical ................................................. Yes Occupancy Group#1........................................... R-3
Plumbing ................................................. Yes Total Building Sq. Feet ....................................... 2124
Zoning Designation ............................................. RS 7.2
Plumbing Fixtures
p°
Quant.,,:..Descr�ptiari_
z:G_lit�t
4
Laundry Washer Outlets
I
—1
L�
Bathtubs
Bathtubs
1�
Lavatories
Sumps
l
Showers
Mechanical Fixtures
=.:
'Fans � 2 -
♦III H_I
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to
the subject proposal.
PERMIT EXPIRES February 1, 2003, IF NO WORK IS STARTED.
Permit issued on August 5, 2002
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: �,
anon �
VV FlY
PERMIT #: 02 -103068 -00 -SF
POST THIS CARD ON THE FRONT OF BUILDING
BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
OWNER'S NAME: BARRY & PATRICIA HORNBY
SITE ADDRESS: 33319 41ST SW
FOOTINGS/SETBACKS FOUNDATION WALL
( ) DRAINAGE: Line
b
�O U R� -1 ��N
UNDERFLOOR FRAMING
-9 ro 1411 of work 1011—v
ROUGH PLUMBING: DVvrV.
O ROUGH MECHANICAL
( ) SHEATHING.
() SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFrSTOPS
( ) FRAMING/FHLESTOPPING
( ) Connection
I A Ditch
00,
VIT, r 'ink
INSULATION: Floors Walls _Attic,
I MOV01W
(�ALLBOARD NAILING SUSPENDED CEILING
TO,"r CE'j f
( ) ELECTRICAL FINAL
() PLANNING
( ) PUBLIC WORKS
( ) FIRE FINAL.
,PWO4-T0,PM- IN000- TMENT
( ) BUILDING FINAL
77—'
Or
All
uV i�tz�i�
DECEIVED CONSTRAON PERMIT APPLICATION
APPLICATION NUMBER:
JUL 19 2002PPI ICATION NUMBER:
- -
CITY 4F FEDERAL WAY APPLICATION NUMBER:—' — — — —'
**The foliowin0dKQ"cQF ATnation — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate -application.
MATION
PROPERTY IN• .
SITE ADDRESS: ASSESSOR'S TAXIPARCEL #»
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
= PR03ECT INFORMATION
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION (Provide detailed
j1Z^UILDING KPLUMBING aMECHANICAL ❑ DEMOLITION
;j% ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
.4 9-V I P 4#- is
MAILING ADD (StREET ADDRESS; CITY, STATE, ZIP):
35919 it! S -P AVC Jw ry AMW ram q�a2?
NAME:
DAYTIME PHONE:
dJ -O
{ -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
PHONE:
/EVENING
l
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
— — —
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(ppY of card required) — — —
I
DAYTIME Pf
EVENING K
{
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): I (
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: = EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE kTACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: )9 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTIO LY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS -
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
�
�`9
FIRST
d
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
de's "1j 1*e�t�d f} ' - 1L�r-:i �• a 1`^�. Ti3 ��i-:101e41:iyer of�Qri1'-"Qo flr&'��7.'iii: , ofd •'i :r�siv ^•,s��y�. .i -��
'-�`;1�`n 9 �"�� '9�'i'Qi` .�ip<•�.4F� �•.�'�R`}i i.�1�•,'� •.�,i1MECi�NIC�.f,' . •a., •.i �:ii•'_ �7\-;� •�,•�,►="+'��•
z#1'ANDLINi�1Ni)I �' `� E�VtAAI`IVEOOL t L OpG('s7%
BBQ(S) FAN(S) HOODS)'`�I�VE>:S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC OGAS
+ •FHTUB(S)
DISHWASHER,($)
DRINKINF MUNTAIki) -
GAS PIPE OUTLET(S)
INTERCEPTORS)
• PLUMBING
.s• � � „� y"...: ;,°: " :�.,_.. =1 �', �-'4-`l.e� `
LAVATOfiY(S) dFiINAQS) J-0
, WATER HEATER(S)
RAi1�TER S. _ Y4CUUM-?►R,EAJ(ER(S) %;%ELECTRIC ❑ GAS
SHd 1NASH-MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
'iSCLAIMER/SIGNATURE RLC
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 pa of this application.
NAME/TITLE: DATE:
PROPERTY OWN PPLICANT ❑ CO CTOR
OOMMUNiiI(DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 9806,t9718.253 -661-4000 •FAX 253-661-4129
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