05-100768City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609
Project Name:
Project Address:
OLMSTEAD
0
Building - Single Family
t
31054 22ND AVE S
0
Permit #: 05 -100768 - 00 - SF
Inspection request line: (253) 835-3050
Parcel Number: 053700 0652
Project Description: ADD - Construction of 2 small attached sheds and a 622 sqft patio cover. No plumbing and
mechanical.
Owner
Applicant
Contractor
Lender
Janice A Olmstead
Janice A Olmstead
Janice A Olmstead
NONE
31054 22ND AVE S
31054 22ND AVE S
FEDERAL WAY WA
FEDERAL WAY WA
31054 22ND AVE S
98003-4922
98003-4922
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside #1
#2 #3 #4
Occupancy Group: U-1
R-3
Construction Type: Type V - N
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Ist Floor Proposed Sq. Feet ................................. 95 Census Category............................... ........... 434 —Residential altladd - no
Construction Type #2 ..... ............................... Type' V - N Mechanical.................,...... ........... No
Occupancy Group #1' ........................................... U-1 Occupancy Group #2......... .....:.....................R-3
Other Proposed Sq. Feet. .......................... 622 Plumbing ................................................. No
Zoning Designation ............................................. RS 7.2
PERMIT EXPIRES September 19, 2005.
Permit issued on March 23, 2005
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 Wily. n
Owner or agent:
ti '(Zo
\ 2�
--7
Date: 3 • a-3
THIS CARD IS TO MAIN ON-SITE
CITY OF ommunity Developm nt Inspection Record
Federal Way IVR INSPIECI'ION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -100768 -00 -SF
Owner: JANICE A OLMSTEAD
Address: 31054 22ND AVE S
FEDERAL WAY, WA 98003-4922
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
Date
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
❑
❑
Underfloor 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 Date
❑
❑
Roof Sheathing (4220)
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120) h
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
signed -off and approved. IBC 1093.4/UBC 108.5.4
❑
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑ Final - SWM (4375)
❑ Final - Building (4050)
[]Temp. Erosion Maintenance (4370
By
Approved
Date
By
Approved f
/(�{
Date ;
Approved
By Date
jr
- Federal WayECE T
PERMI
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COMMUNITY DEVELOPMENTSERVK=
333258TMAVENUE ,WrIN•PDBOX9718 B 1 7 APPLICATION
WAY, WA 98063-9718FE
253-835-2607• FAR 253-835.260-26o9
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The followirm is
wilt not be
94�MF-
SITE ADDRESS '3/D 54 - ;L�2 hdK�e S% . """ ' 'Idw 3 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # O S 3 —7 U 0 - 0 2— LOT SIZE (s,)) 42-00 _` /`
LEGAL DESCRIPTION (e.g. Acme Estates, Lot IJ � �Z Z7 ''�7� 1A /unge Lo -i- I CST"
TYPE OF PERMIT XBUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide4eta`ted description of work included on thisn_ernt�u) ,
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME /vo/I41 —TPRIMAIZY GPi OAV5 '�` Z�� H�3'1
MAILING®t ADDRESS CITY, STATE, ZIP W04�3
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
� � /���
CITY, STATE, ZIP -
-
\!/CELL
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
l � -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
- - — B L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COM NY
s f� 57 �'6J
`J L // 0�
APPLICANT
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP -
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( -
NA Com./ �S PRIMARY PHONE - ��5� E-MAIL ADDRESS
FAIL
EXISTING USE 6"1?Me, + Cw' -'Pa D PROPOSED USE I I I WtS�'l�l�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK �-
i
SPRnuMERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 01LAKEHA !LIVEN ❑ BIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER b(LAI SHAVEN 13 HIGHLINE ❑ PRIVATE (SEPTIC)
number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/shoaa combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS M thmom std
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (com erdeq
RANGES
GAS WATER HEATERS
WATER CLOSETS (roaeq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the ir{ formation furnished by me is true and correct to the best of my knowledge, and further, that t
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 religtic� of the city, including its officers and employees, upon the accuracy of the ir{formation supplied to the city as a part of
this application. / / ^ .t n fI
NAME/TITLE PJV
LDATE
(Signatu ) (Title)
RELATIONS . TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
#100 —January 7, 2005 Page 2 of 4 MandoutsWermit Application