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04-101260City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Building - Single Family Permit #: 04 -101260 - 00 - SF Inspection request line: 253.835.3050 Project Name: MICKELBOROUGH Project Address: 34610 27TH AVE SW Parcel Number: 502945 0130 Project Description: ALT - Alterations to existing basement combo laundry/bathroom: relocate gas water heater in garage; move washer & dryer into garage, install new utility sink in garage, install new shower in laundry/bathroom, reduce size of existing bathroom window & re -i Owner Applicant Contractor Lender Kenneth Mickleborough & Alexia Mit Kenneth Mickleborough Kenneth Mickleborough Kenneth Mickleborough 34610 27TH AVE SW 34610 27TH AVE SW SinksI 34610 27TH AVE SW FEDERAL WAY WA FEDERAL WAY WA 34610 27TH AVE SW FEDERAL WAY WA 98023-3076 98023-3076 FEDERAL WAY WA 98023-3076 Includes: Census category: 434 - Reside #1 #2 #3 #4 g Occupancy Group: R-3 i Construction Type: Type V - N I Description Occupancy Load: Laundry Washer Outlets Floor Area (Sq. Ft.): Lavatories 1Showers Census Category ................................................. 434 - Residential alt/add - no - Mechanical................................................. Yes OccupancyGroup #I ........................................... R-3 Plumbing................................................. Yes Zoning Designation ............................................. RS 7.2 Plumbing Fixtures L Description lQuantity I Description QQuantityl I Description lQuantity Laundry Washer Outlets 1 Lavatories 1Showers I� SinksI I Water Heaters 1 Mechanical Fixtures DescriptionQuantity I Description Quanti Description Quantity Fans 1 CONDITIONS: 1. No framing or structural elements allowed under this permit. 2. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. I hereby certify 0 the occupancy an the City of Feder, Owner or agent: PERMIT EXPIRES October 3, 2004. Permit issued on April 6, 2004 ruction on the above described property and id regulations of the State of Washington and Date: ` /t.) P� THIS CARD ON THE FRONT OF BULL G CITY OF Federal V11a B 'DING DIVISION Y INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 PERMIT #: 04 -101260 -00 -SF OWNER'S NAME: Kenneth Mickleborough & Alexia Mickleborough SITE ADDRESS: 34610 27TH SW () FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED () DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED () UNDERFLOOR FRAMING_ {) ROUGH PLUMBING: DWV O ROUGH MECHANICAL_ {) SHEATHING () SHEAR WALLS {) ELECTRICAL ROUGH=IN () FIRE/DRAFTSTOPS ALL THE ( ) FRAMING/FIRESTOPPING X -I Water Dining �l, Gas piping Roof Floor Ditch Cover MUST BE APPROVED PRIOR TO FRAMING INSPECTION THE ABOVE MUST BE APPROVED PRIOR TO ( ) INSULATION: Floors W THE ABOVE Attic TO APPLYING SHEETROCK () WALLBOARD NAILING ( ) SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL () PLANNING FINAL O PUBLIC WORKS FIN. () FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING FINAL. DO NOT OCCUPY TMS, BUILDING UNTIL BUILDING FINAL IS APPROVED r • carr of POST THIS CARD ON THE FRONT OF BUILDING Federal Way BUISING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 PERMIT #: 04 -101260 -00 -SF OWNER'S NAME: Kenneth Mickleborough & Alexia Mickleborough SITE ADDRESS: 34610 27TH SW ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL. ( ) DRAINAGE: Line DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) Connection, DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping () SHEATHING Roof ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH -IN ( ) FIRE/DRAFTSTOPS Ditch Cover Floor ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors. Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK () WALLBOARD NAILING ( ) SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE ( ) ELECTRICAL FINAL ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL ( ) BUILDING THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL -51f DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED My OF 4QM� FederalWa C0AWmffwvopwE1VEi3 *PERM' IT mmLW 3=0MWWAY,"fTff-POBGX9ZI8 M&W WAX WA 98069-97Z8 APPLICATION 253 .6 ,. Ts`,Adx�2"t R 0 6 2004 The an - —1-o— L Z 6 o SF )AF CO ME EL PL DE EN Fp not be accevted, Please SITE ADDRESS 3 if & I a 7_77 ""A^-, 5W j Pegg - WA41) vJA CIVO Z3 SUITE/UNIT # ASSESSOR'S TAX/PARCEL # !;'0,;!tC145—(o130 - LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) M "ao�%AA -MA 14-5 0 t V 01 PROJECT INFORMATION or TYPE OF PERMIT &OBUILDING ef'PLUMBING 0 MECHANICAL o DEMOLITION AT ELECTRICAL o ENGINEERING 13 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onU ISTINi�' P)&3e_M97vT '/Z 6A -y -if 4A/1-rH LAV^.1012f I imovom.'47m ote*lv?z .6 ,f A/an4oF ;A157*t4.- CORAZk VAo1i7-5)(W-*TW6i #1 MM PROJECT NAME (Name of Business or Owner Last Name) Al I C4C Lo�) O/_Zog_,4,H PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER 'rEAJ M1CXte401gZ0V4*N PRIMARY PHONE MAILING ADDRESSCITY, STATE, ZIP p, 0. eox 2.42-1+3 1 r-?,_-0e—MAo%.- WAI-f I WA crif-0 12-3 COMPANY NAME APPLICANT NAME OFFICE PHONE t4OA4 eDWAI MAILING ADDRESS CITY, STATE, ZIP MAILING ADDRESS CITY, STATE, zip CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER a Architect 0 Tenant 0 Agent 0 Other (Describe)— ( - — --- --- — — — — -- B L CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE COMPANY NAME APPLICANT NAME PH OFFICE ONE t4OA4 eDWAI MAILING ADDRESS CITY, STATE, ZIP MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER a Architect 0 Tenant 0 Agent 0 Other (Describe)— ( - NAME PRIMARY PHONE ADDRESS r0r,xCW I 27.0"S. Lender information is NAME , required if project value exceeds $4,000 MAILING ADDRESS CITY, STATE, ZIP EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ 113 i Oo90 VALUE OF PROPOSED WORK SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLUM a TACOMA E3 PRIVATE (WELL) SEWER SERVICE PROVIDER ^AKEHAVEN 0 HIGHLINE o PRIVATE (SEPTIC) r PROJECT FLOOgAr.EAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT Ir I o YES NO ZONING DESIGNATION FIRST CHANGE OF USE? ❑ YES NEW ADDRESS REQUIRED? SECOND UP/SEPA/SU? ❑ YES PLATTED LOT? THIRD DEMO PERMIT REQUIRED? ❑ YES NO FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) GARAGE/ RT �I (i- fs- 0 HOW MANY FLOORS? TOT'u'ENISMa TOTAL PROPOSED TOTAL EXISMG AHD PROPOSED —NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 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 $ 80 AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub/Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS REFRIG. SYSTEMS HOODS (commerc al) WOODSTOVES RANGES MISC (Describe) GAS WATER HEATERS WATER CLOSETS (Tonal -4—� MISC (Describe) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS 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 relianc of the city, including its offJicers and/ ployees, upon the accuracy of the information supplied to the city as a part of this application. An Z—, n 'd /? �� NAME/TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor (Title) ❑ Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES O BASIC PLAN? o YES NO ZONING DESIGNATION CHANGE OF USE? ❑ YES NEW ADDRESS REQUIRED? ❑ YES 00 UP/SEPA/SU? ❑ YES PLATTED LOT? ❑ NO DEMO PERMIT REQUIRED? ❑ YES NO Bulletin #100 — March 30, 2004 Page 2 of 4 l:\Handouts — Revised\Permit Application