04-100571* s
City 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:
.fT-►LI : 1
Building -
30215 27TH AVE S
Single Family Permit #: 04 -
100571 - 00 - SF
Inspection request line: 253.835.3050
Parcel Number: 798480 0190
Project Description: ADD - Construct 642 square foot addition to first floor and daylight basement of existing residence.
Owner
Applicant
Contractor
Lender
Vernon D Warmbo & Jean C Warmbc
Vernon D Warmbo & Jean C Warmbc
Vernon D Warmbo
Vernon D Warmbo
30215 27TH AVE S
30215 27TH AVE S
30215 27TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA
30215 27TH AVE S
FEDERAL WAY WA
98003-4212
98003-4212
FEDERAL WAY WA
98003-4212
Includes:
Census category:
434 - Reside #1 #2�
#3 #4
Occupancy Group:
— ------ H-2
—
Construction Type:
_ _ Type V - N
Occupancy Load:
_
Floor Area (Sq. Ft.):
1st Floor Proposed Sq. Feet ................................ 432 Basement Proposed Sq. Feet ......... ...................... 432
Census Category ................................................. 434 - Residential alt/add - no - Height of Structure ................................ ............. 19.5
Mechanical....................................I...... Yes Occupancy Croup #I ........................................... H-2
Plumbing.......... ............................... Yes Total Proposed Sq. Feet ....................................... 864
Zoning Designation ............................................ RS 7.2
Plumbing Fixtures
!` Description _ Quanti Description Quant ty� Description _ Quanti
Bathtubs Laundry Washer Outlets 1 Showers 1
Sin( ks _ — - [WateW Closets 1 1
Mechanical Fixtures
i— Description Quanti Description Quantity Description Quantity
Fireplace Inserts — �' I
CONDITIONS:
No building shall encroach onto any building setback line or easement shown or not shown.
Maximum building height is 30 feet above average building elevation, per Federal Way City Ordinance #90-51.
Retain & protect identified significant trees per FWCC, Sec. 22-1565 through 1569. Bright protective fencing is required at
the dripline of retained trees.
Maximum driveway width is 20 feet.
Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
Prior to any clearing or grading on a lot, the owner/builder shall install temporary erosion/sedimentation control facilities
approved by the City. These facilities must ensure that dirt or sediment laden water does not enter the public drainage
system, adjacent lots or public streets. The owner/builder bears the responsibility to maintain the facilities in proper
working order, replacing as necessary. The facilities may be removed only after such time as construction is complete &
landscaping is installed. See attached for standards and site plan for location of silt fencing.
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
�v
AW I THIS CARD IS T'AMAIN ON-SITE
CITY of ty eve
Itommuni Dlom t Inspection Record
Federal Way rn
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -100571 -00 -SF
Owner: Vernon D Warmbo
Address: 30215 27TH AVE S
FEDERAL WAY, WA 98003-4212
This card is part of your required inspection documents. 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.
❑ Temp. Erosion Control (4365)
❑ Footings/Setback (4110)
❑ Foundation Wall (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By Date
By L tDate Z _0 14
By Date
❑ Drainage/Downspout (4040)
❑ Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to backfill
Approved to cover
Approved to place concrete
By Date
By Date
By . Date
❑ Uaderfloor Framing (4285) ❑ Floor Sheathing (4105)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By Date
By Date
By ,::f u� Date G . —
Roof Sheathing (4220) ❑ Rough Plumbing (4230) ❑ Mechanical Rough -in (4165)
Approved to install roofing Approved Approved
Date (3-G By;(Z�E Date �® �% ® By Dat
#/�/R j %
❑ Gas Piping (4125)
❑ Fire/Draft Stops (4095)
Approved to release test
Approved
By
Date
By ate44�
❑ Insulation (4150)
❑
Framing (4120)
Approved to insulate
Approved to install wallboard
By
i Date
By iV G� Date 9
❑
Final - SWM (4375)
Final - Mechanical (4065)
ved
Approved
ja6a:e
By
B4NtDate `Z i
Erosion Maintenance (4
Final - Building (4050)❑Temp.
Approved , ,
Approved
Date t)Pj7 j hQ I jBy Date
NOTE: Prior to scheduling a Framing (4120`
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By 4/S // Date
Final - Plumbing (4075)
Approved a I
• COMMUNITY DEVELOPAIENT SERVICES
335301TRST WAY SOUTH • PO BOX 9718
Federal way PERMIT APPLICATION �
FEDERAL X^9800-9718
For Office Ua Only: O— JL 1 0 0 � 72 St_ — ® @. A TD:
FW File Number:
The following is required information -an incomplete application will not be accepted. Please print leaiblu fin fn&-) #v—
SITE ADDRESS: 302.19 27 !AVe_, S QdzmI Waa,NxIA 9WUITE/APT #
ASSESSOR'S TAX/PARCEL #: _79 $ A $ Q - Q ._ 9 0 SQUARE FOOTAGE OF LOT: ,L VC)
r
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1) 81o.' :2 Ld 7 RpeJ L&te, 41
separate page
■ PROJECT INFORMATION
TYPE OF PERMIT (This application): /-.BUILDING ❑ PLUMBING ❑ MECHANICAL O DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul:
Rv�►,� 1 _aJds al x z'/. ` -y weA siAg 4 Ilm o 2, sj7rpas / pax
IAPAgAil AAnd 56P Drop 6&W
PROJECT NAME (Name of Business/Owner Last Name):
•� •- •
PROPERTY
OWNER
CONTRACTOR.-
LENDER.
ONTRACTOR
LENDER
(If Proposed Valae > $5.0001
APPLICANT:
NAME: PRIMARY PHONE:
JeOAN C. warn66 2573) 193P
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
2 W o
NAME 1
Saws (®tv►
COMPANY
OFFICE PHONE:
e. tom' rLve
( ) -
MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
CELL PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER, EXPIRATION DATE:
FAX NUMBER:
❑ Architect ❑ Tenant ❑ Other (Describe):
) _
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) —
NAME: /DAYTIME PHONE:
l )
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
)camzcts kb&vt coxyne43-
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ Architect ❑ Tenant ❑ Other (Describe):
) _
CONTACT PERSON FOR THIS PROJECT. ❑ Property Owner ❑ Contractor ❑ Applicant E-MAIL ADDRESS:
DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ 19T000 VALUE OF PROPOSED WORK:
SPRINKLERED BUILDING? D YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES X NO
WATER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE ❑ TACOMA D PRIVATE (WELL)
SEWER SERVICE PROVIDER: )Q LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCR_
EXISTING _FT.
SIPTION
PROPOSED SQ. FT.
TOTAL_
BASEMEN"T
❑ YES ❑ NO
BASIC PLAN? o YES
❑ NO
FIRST
n YES n NO
CHANGE OF USE? ❑ YES
UP/SEPA/SU? n YES
n NO
n NO
SECOND
❑ YES ❑ NO
DEMO PERMIT REQUIRED? n YES
❑ NO
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
"NEWHOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
111''i JZ
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechaniazl Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
GAS LOGS REFRIG. SYSTEMS
HOODS (co-ciel( W OODSTOV ES
RANGES MISC (Describe)
GAS WATER HEATERS
BATHTUBS (or Tub/Shownrcumbo) _ SHOWERS WATER CLOSETS Qbikr( MISC (Describe)
DISHWASHERS y SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS (Batt--sirrk VACUUM BREAKERS ELECTRIC WATER HEATERS
')TRCLATMFR/SIGNATURE BLC
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:
TE: 2-(9-64
ISignature�_ (Title(
RELATIONSHIP TO PROJECT: Ik Property Ourncr ❑ Applicant ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY:
❑ NEW c ADDITION
❑ ALTERATION
o REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? o YES
❑ NO
ZONING DESIGNATION:
NEW ADDRESS REQUIRED?
n YES n NO
CHANGE OF USE? ❑ YES
UP/SEPA/SU? n YES
n NO
n NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? n YES
❑ NO