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01-104835City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address: Building - Single Family Permit #: 01 -104835 - 00 - SF DRANGSHOLT 200 SW 292ND ST Inspection request line: 253.835.3050 Parcel Number: 119600 4870 Project Description: Permit to complete and final work authorized under permit number #BLD98-0039 to Construct a 125 SQUARE FEET addition to existing single family residence, subject to field inspection. Owner Applicant Contractor Lender Mark T Drangsholt MARK DRANGSHOLT RICK HAIGHT CONSTRUCTION OWNER IS LENDER 200 SOUTH 292ND ST FEDERAL WAY WA 98032 PO BOX 589 MAPLE VALLEY WA 98039 Includes: Census category: 434 - Reside #1 #2 #3 #4 Occupancy Group: Construction Type: Occupancy Load: 0 Floor Area (Sq. Ft.): CONDITIONS: Original approved plans and permit to be available on site. PERMIT EXPIRES June 18, 2002, IF NO WORK IS STARTED. Permit issued on December 20, 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: M �i vJl lig Date: (2 — [% y a , H City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 r • Building - Single Family Permit #:01-104835 - 00 - SF Inspection request line: 253.835.3050 Project Name: DRANGSHOLT Project Address: 200 SW 292ND ST Parcel Number: 119600 4870 Project Description: Permit to complete and final work authorized under permit number #BLD98-0039 to Construct a 125 SQUARE FEET addition to existing single family residence, subject to field inspection. Owner Applicant Contractor Lender Mark T Drangsholt MARK DRANGSHOLT RICK HAIGHT CONSTRUCTION OWNER IS LENDER 200 SOUTH 292ND ST FEDERAL WAY WA 98032 PO BOX 589 MAPLE VALLEY WA 98039 Includes: Census category: 434 - Reside #1 #2 #3 #4 Occupancy Group: Construction Type: Occupancy Load: 0 Floor Area (Sq. Ft.): CONDITIONS: Original approved plans and permit to be available on site. PERMIT EXPIRES June 18, 2002, IF NO WORK IS STARTED. Permit issued on December 20, 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: POSEWIiIS CARD ON THE FRONT OF BUILD ` BUILD DIVISION'- 0 �� INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 PERMIT #: 01 -104835 -00 -SF OWNER'S NAME: Mark T Drangsholt SITE ADDRESS: 200 SW 292ND () FOOTINGS/SETBACKS () FOUNDATION WALL t NOT PQU12:.CON�RETE : 'A�4VE XS, APPZtOV,ED () DRAINAGE: Line () Connection ' i1T'0Sl v 'iHE,B () UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV Water piping O ROUGH MECHANICAL Gas piping () SHEATHING Roof Floor () SHEAR WALLS () ELECTRICAL ROUGH -IN Ditch Cover () FIRWDRAFTSTOPS nj�:� '��:��>'; ,,;; • $'- B �i�D,P Off: (i01IN () FRAMINGWIRESTOPPING t;12"'ID:TNSU>A'1'XtG;DSEETRQCK1'''s..;.' •�,;,,.::. () INSULATION: Floors Attic fir. W�Walls 5 yq FRI,..0 .OR - •.j��,;_;:�?",,r�..�;'�Fi •�, ,. .�;,sn'.-r () WALLBOARD ()� CEILINGT{ ♦NAILING Mw � vac+ .acs ]S�USP�E}N■�D�.nED �� ■�■r �� ^'^,y '•(;'�i.:x ;%rye r5. ., �i r: A!L ,,M JV FT�4.� i.�J ..4 19- TO' ,FJ.+ �4w ib\$TAI—C , •1.iA:I�J�/Ai� i ,1 •S„ ;..��'C.r��;�{ () ELECTRICAL FINAL () PLANNING FINAL O PUBLIC WORKS FINAL () FIRE FINAL APPRO, () BUILDING FINAL ''l ,( T `+ ►C .:'THIS LDI G' N . wu7 ,jLD NG."AN) :7; DEC 20 0 CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: ®— - t? ds v IF APPLICATION NUMBER: - - PPLICATION NUMBER: _ _ - �d — ►�apareqired information - Please print (in ink) or type** U!LDI NB u O�� Please note: Electrical, Fire PreveF&gn Systems and Engineering permits may require a separate application. PROPERTY•. • SITE ADDRESS: U O S W g ASSESSOR'S TAX/PARCEL #: 15 G 0 O- 7 O LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT•• • TYPE OF PROJECT (This application): VtUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PEOPLE•• • PROPERTY OWNER: CONTRACTOR: NAME:DAYTIME PHONE: MA✓PK A24A/G s -'H0 c — (int.) 5y3 - 2o3N MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): i3OX S-'-//7 !�- Rt-�,OONO0 t,14 7eOS- / NAME:DAYTIME R16K N416,ff7— CoA/S'7�e(4C-r-10A/ PHONE: ( ZZs) y3l-,- - �r<< MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: '00 'So)c 5-8 9 ( ) s1w - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACT'OR'S REGISTRATION NUMBER: EXPIRATION DATE: / A r (copy of card required) / C !"� 1 APPLICANT: NAME: DAYTIMEPHONE: MiW K ��(� S1 �d �-%^ ( 206 ) S111-7 - 20311 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( 25-3 ) 939 - 32 y RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT is TENANT ❑ OTHER ( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION SPRINKLERED BUILDING? o YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ PRIVATE (SEPTIC) r **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: 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 ❑ NO SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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 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: L a� &0n;54 "& DATE: r L 2 o/o J g 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 ❑ NO COMMUNITY DEVELOPMENT SERVICES * 33530 FIRST WAY SOUTH * PO BOX 9718 * FEDERAL WAY, WA 98063-9718 * 253-661-4000 * FAX: 253-661-4129