02-102255."y of 4ederal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
0
Building - Single Family
Project Name: LELAND
Project Address: 30815 28TH AVE S
Project Description: RES ADD/ALT -Work ezis
convert carport torag shod
4
new
sf-.777� 06 - S)
ecT Vest line: 25M35.30:
Parcel N : 092 243
ove eting dddddddand construct new,
reDI windo and finish lower
er
Applic
VNC
Co or
Lender
Norman C Lelan
Leland
C Leland
NONE
30803 28TH AVE
308 2 VE S
I Lavatorie
FEDERAL WAY 98003-5104
RAL WA 98 3-5104
30803 28TH AVE S
1
bowers It
1
FEDERAL AY WA 98003-5104 ®
NONE
Includes: WV
6'�k MV9 i M � ��,A U 7m"- R" A I
Census category: 434 - Reside #1 #4
Occupancy Group: R-3
Construction Type: Type V - l�
Occupancy Load:
Floor Area (Sq. Ft.): -AV IL
Census Category ................................................. 434 - Residential altladd - no, ical...... % Ye
r
. Occupancy Group#1..........................0..............R-3 ` lum g................... I...............
1 PmVing
a
Ducts
Fans
Desai ,
Fireplace Inserts
1. No building shall encroach onto any btuUina ack line orbasement shown or not shown.
2. Building setbacks are: 20 feet front; 5 fe; eetrear.
3. Service connections for electrical & coatio acilities shall be placed underground per FWCC, Sec.
16-48.
4. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES January 7, 2003, IF NO WORK IS STARTED.
Permit issued on July 11, 2002
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: —. Date: 7
1
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Laundry Washer nutlets
1
Bathtub
I Lavatorie
22
Water Heaters
1
bowers It
1
I Water Close
Ducts
Fans
Desai ,
Fireplace Inserts
1. No building shall encroach onto any btuUina ack line orbasement shown or not shown.
2. Building setbacks are: 20 feet front; 5 fe; eetrear.
3. Service connections for electrical & coatio acilities shall be placed underground per FWCC, Sec.
16-48.
4. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES January 7, 2003, IF NO WORK IS STARTED.
Permit issued on July 11, 2002
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: —. Date: 7
1
Pt THIS CARD ON THE FRONT OF BUIL G
G BDING DIVISION
VV AY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -102255 -00 -SF
OWNER'S NAME: Norman C Leland
SITE ADDRESS: 30815 28TH S
( ) FOOTINGS/SETBACKS ( ) FOUNDATION W
a` DONQT POUR �O1�CRETEUNTIL 7'YQE8_IZCfYEI?
( ) DRAINAGE: Line
( ) Connection
DO,1OT POUR SLiB ST�NTIL TFIE'ABOVE
( ) UNDERFLOOR FRAMING,
( ) ROUGH PLUMBING: DWV
Water piping
O ROUGH MECHANICAL Gas p2iping
() SHEATHING Roof % ® ✓ Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN Ditch Cover.
( ) FIRE/DRAFTSTOPS
APPROVED PRI()Tt�x,
( ) FRAMING/FIRESTOPPING
YSfiA� A �PD PI2IC? Td 'I`1N f(i E■ y��(�4 cs
�ad:�.
( ) INSULATION: Floors Walls
( ) WALLBOARD NAILING
( ) ELECTRICAL FINAL
Attic
E' -0,11"k D PRIORr O APPLYING SHETR(�CI?
( ) SUSPENDED CEILING,
DC► NOT CICCZTPY THIS BUILDING UNTIL BUILDG FINAL IS APPROVED
INSPECTION LOG
"DATE
INSPECTOR
OK
EJ::;
AREA ANIS TYPE0INSPEi�T�UN _
GfIF-00JED CONSTRU�(ION PERMIT APPLICATION
AAW—PPLICATION NUMBER: �_ Z.
MAY 3 0 200Z PLICATION NUMBER:
r,ITY OF FEDERAL WAY PPLICATION NUM6ER:._-
**The folO iWINQeQfreTd information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
,30815 -28th Ave. S. • Federal
9243
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ( See attached)
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): X1 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):` 1. Replace roofing w/ 30 yr. comp. B g e
2_ Replace existing rotted deck w/rp eR treated w.p. deck & vinyl railing.
3. Replace existing windows,w/ vinyl insulated windows- 4. Enclose exist.
narnnri- Remove Axig siding install yaDor barrier & new siding. 6.
Complete exist. unfinished daylight basement.
PROJECT NAME: TRLAND RE TT) . TCT'.
PEOPLE•• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME. DAYTIME PHONE:
Norman C. Leland (253)946-0899
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP):
30815 - 28th Ave_ S-; Federal Way..98003 5101
NAME:
DAYTIME PHONE: -
(Owner above)
MAILING ADDRESS (S1REEr ADDRESS, QTY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
— — — — — — —
FAX NUMBER:
—
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE,
(copy of card required
Norman C. Leland 1( 253) 946 -08
MAILING ADDRESS (STREET ADDRESS: CITY, STATE, ZIP): I FVFNINc PHONF!
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): Homeowner
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: i� PROPERTY OWNER 14APPLICANT ❑ CONTRACTOR le landnc@' at tb i . c
Di
EXISTING USE: Owner residence EXISTING BUILDIN ESSED APPRAISED VALUATION $18O, OOO (Tago g
residence with (�C/v h rive -n caregiver. 002)
PROPOSED USE: _Owner handicap / PROPOSED VALUATION FOR IMPROVEMENTS: $ ZT& &90P0
SPRINKLERED BUILDING? ❑ YES X1 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES X1 NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL
NUMBER OF BEDROOMS:
Y**
ESTIMATED SELLING PRICE:
FLOOR
M
EXISTING . FT. PROPOSED . FT.
TOTAL
BASEMENT _
1350 Finish exist.
10
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
450 Replac
450
How GMaNY FOi �s°tet
720 Enclose
TOTAL'
2520
FIXTU RES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) WOODSTOVE(S)(S)
BBQ(S) _ FAN(S)
BOILER(S) FIREPLACE INSERTS) �g RANGE(S) MISC. [ )
COMPRESSOR(S) FURNACES) exist. HEAT SOURCE: ❑ELECTRIC GAS
_ ] _ DUCT(S) GAS PIPE OUTLET(S) `
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC XX GAS
DRINKING FOUNTAIN(S) _ SHOWER(S) I WASH MACHINE OUTLET
GAS PIPE OUTLET(S) R(+S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
']iSCLAIMER/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 attomeys' 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.
DATE: Hay 30, 2002
NAME/TITL.E:
PROPERTY OWNER APPLICANT ❑ CONTRACTOR
COMMNITY DEVELOPMENT SEMCES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
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