01-102829City of Federal Way "
Cotmumity Development Services Building - Single Family Permit #:01 - 102829 - 00SF
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: BROOKS
Project Address: 28656 11TH AVE S Parcel Number: 515296 0580
Project Description: RES ADD - Adding a 160 sqft deck to front of house. No stairway.
Owner
Applicant
Contractor
Lender
Daniel E Brooks
Daniel E Brooks
Daniel E Brooks
NONE
28656 11TH AVE S
28656 11TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA
28656 11TH AVE S
98003-3139
98003-3139
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside
#1 #2
#3
#4
Occupancy Group:
R-3
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Basic Plan ................................................. No Census Category ................................................ 434 - Residential alt/add - no
Deck Proposed Sq. Feet.......................................160 Mechanical................................................. No
Occupancy Group#1........................................... R-3 Plumbing ................................................. No
Total Proposed Sq. Feet.......................................160 Zoning Designation ............................................. RS 15.0
CONDITIONS:
1. No building shall encroach onto any building setback line or easement shown or not shown.
2. Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
3. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES January 15, 2002, IF NO WORK IS STARTED.
Permit issued on -41111 zoo
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
Owner or agent: Date: -7-19-0/
IV, 1/. It. /&/- 0( ft
i�
- - I POSWUS CARD ON THE FRONT OF BUE
B31NG DIVISION
=-
,"0574 -P-rXAFUINSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01 -102829 -00 -SF
OWNER'S NAME: Daniel E Brooks
SITE ADDRESS: 2865611Th S
FOOTINGS/SETBACKS FOUNDATION WALL
V
RETE A 7.
DRAINAGE: Line Connection
UNDERFLOOR FRAM[ING
ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL Gas piping
SHEATHING Roof Floor
SHEAR WALLS
ELECTRICAL ROUGH -IN Ditch Cover
FUZ-EMRAFFSTOPS
---�XUSTS
O FRAMING/FIRESTOPPING
—E API
INSULATION: Floors Walls Attic
7"
WALLBOARD NAILING SUSPENDED CEILING
ELECTRICAL FINAL
PLANNING FINAL
PUBLIC WORKS FINAL
FIRE FINAL
BUILDING FINAL"%c,
PC
, T-Ty9w Am
Prot
CONSTRU(WN PERMIT APPLICATION
�APPLICATION NUMBER:
APPLICATION NUMBER:
IVY
APPLICATION NUMBER:
Jt —;f' (�rh ;Pls °required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. _
PROPERTYINFORMATION
SITE ADDRESS: 6S(v 1Ave- a ASSESSOR'S TAX/PARCEL #: j C- O 5 P D
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
o- a •r- -.L 1- 'j r C _s f _ 'r I f } 1;
PR03ECT INFORMATION
TYPE OF PROJECT (This application): O'BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM �L
PROJECT __Dtt'E__SCRI,�P�pTION(Provide
�detailed
rdescription): AdJik c, JZi of ry -1m-- jib !� �v "f'4#- �t
OV' �.fIIwTR-14�1'.1S1I 4a1li�tl�e tCJ Y .t [L' (�VD� 4i�. 1 SyS j t w, �d 'b" -pro - ��F�/rlCii�CYji �c YitO pCf6� i lets . i
� y+v, tL/a�'i1� wJ'�IoAlt.f.G�"!'Y'+nGInd @ nytgs..v� /✓e=.Fedp �}P �t:s's,S e f t Ioc1,S If t j4 pn°� -'A Dl�,ltil�5
1-a5.2t�,, .i�..�u,a2Y4 rrd.is cF cs.fls 2�% 1xalKs'T�✓S. °� Y►eA.
PROJECT NAME: r.0pVc., V S
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
Zf3'e56 1141- Avc.%Ae G A-.. f��-mf "X, LOA 9ftV3
NAME:
DAYTIME PHONE:
MAILING MDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of -'d required)
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
0065& V't� Avc�*+Ke- rte- X03
(z5-3) q,4& - 5r, -1i
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
( } -
E-MAIL ADDRESS:
FOR THIS PROJECT: VPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: � �d u 1C' @. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES WNO
WATER SERVICE PROVIDER: KAKEHAVEN
SEWER SERVICE PROVIDER: 1/LAKEHAVEN
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
0
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- ■ PROSECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY?�f s' NO
BASIC PLAN? ❑ YES ❑ hcJ
SECTION '�,ZTOWNSHIPJZ RANGE OM
NEW ADDRESS REQUIRED? ❑ NO
FIRST
I Z4 O
�l
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
Z5D
GARAGE
HOW MANY FLOORS?
n,�
b�V
TOTAL:
r f,
16 V
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER( ) _
FAN(S) rG FIREP C INSERTS)FURN GASP O TLET(S)
PL MBI
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINALS) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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 ol( . the reliance of the city, including its officers and employees, upon the accuracy
of the informatioplied to t city as a part//�JJt +s application.
NAME/TITLE: ��.C[/(.�%� DATE: ? l�
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW EVADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION :
COMP PLAN DESIGNATION
BUILDING SHELL ONLY?�f s' NO
BASIC PLAN? ❑ YES ❑ hcJ
SECTION '�,ZTOWNSHIPJZ RANGE OM
NEW ADDRESS REQUIRED? ❑ NO
PLATTED LOT? WYEs ❑ NO
CHANGE OF USE? ❑ YEV ti ho
COMMUNITY DEVELOPMENT- SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129