04-101525s
City of Federal Way
Comntunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
0 0 ' -W r
Building - Single Family Permit #: 04 - 101525 - 00 - SF
Inspection request line: 253.835.3050
Project Name: McRAE
Project Address: 34011 23RD AVE SW Parcel Number: 330630 0070
Project Description: REM - Remodel existing 28sgft laundry closet to create new 47sgft bathroom, including new lav, water
closet & vent fan. Project includes moving existing water heater, washer and dryer to garage.
Owner
Applicant
Contractor
Lender
Robert Scott McRae & Kathleen K M.
Kathleen K McRae
Robert Scott McRae
NONE
34011 23RD AVE SW
34011 23RD AVE SW
Lconstruction Type_--
1
FEDERAL WAY WA
FEDERAL WAY WA
34011 23RD AVE SW
Occupancy Load.
98023-7769
98023-7769
FEDERAL WAY WA
NONE
Includes:
Census category: 434 - Reside #1
#2 ��
#3#4
—�
_ Description
Occupancy Group: R-3
Laundry Washer Outlets
1
Lavatories
1
Lconstruction Type_--
1
Occupancy Load.
Floor Area (Sq. Ft.): , _J�
—
Census Category ................................................. 434 - Residential alt/add - no - Mechanical................................................. Yes
Occupancy Group # 1 ........................................... R-3 Plumbing ................................................. Yes
Zoning Designation ............................................. RS 7.2
Plumbing Fixtures
L— Description _ JlQuantity
I Description JQuanti
`
_ Description
Quantity)
Laundry Washer Outlets
1
Lavatories
1
Water Closets
1
Water Heaters -7�
LJ Mechanical Fixtures
Description IlQuantity Description IQuantity F_ Description Quantity
Fans I
-
PERMIT EXPIRES October 20, 2004.
Permit issued on April 23, 2004
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:
POSWIS CARD ON THE FRONT OF BUILDI ,.
CITY OF
Federal Way BUI ING DIVISION
J INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 04 -101525 -00 -SF
OWNER'S NAME: Robert Scott McRae & Kathleen K McRae
SITE ADDRESS: 34011 23RD SW
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV '7-2 e,00 Water piping -7-2
() ROUGH MECHANICAL -7 ' Z 60 Gas piping
{) SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH -IN Ditch Cover
O FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING -7 ` `7
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING'
() INSULATION: Floors Walls Attic
THE ABOVE MUST BE/ APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING 7/`//®'�/ O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL �► n G' ��.��
() PLANNING FINAL
O PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APP OVED PRIOR TO BUILDING DEPART NT FINAL
() BUILDING FINAL -- � — V
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
CF"- AS-, RECEIVED
Federal way PkMIT APPLICATION
A Pp 2 `1 )nnA
For Office Ux O�dY^T J ,Fkl.FA vu AbTr►. [1 T - L v_ /_ ✓ G - � -
The followinq is
-an
will not be
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-6614715• FAX 2S3-661-4129
Please rint le ibi/ (in ink) or e.
n
SUITE/APT #
FOOTAGE OF LOT:
2�44-.)
TYPE OF PERMIT (This application): QrBUILDING PLUMBING IeMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only ..
Nnk "c"vAvr'j r 1 c -F -)P-2, -Vn n . r�- (` 0 . C, i n K d .
PROJECT NAME (Name of Business/Owner Last
PROPERTY
OWNER
CONTRACTOR
LENDER
(If Proposed Val—> $5,0001
APPLICANT:
ME: PRIMARY PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
r V� VA
�CJL1
NAME
I
OFFICE PHONE:
FOMPA
A
(
MAILING ADDRESS (STREET ADDRESS): CITY, STATE, ZIP
OFFICE PHONE:
RELATIONSHIP TO PROJECT:
�
❑ Architect ❑ Tenant .Other (Describe) Qne r
( -
MAI00 .Z ADDRESS L3TREET AlaDRESS,).
— 5-W,E
ZIP
RVI STATI
CELL _, (P 4
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
XPIRATION DATE:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: (�
(copy of card required with each application) M 1 \
L^ t T y,
1 L u -i- '7�
D
XPIRATION DATE
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
A
(
MAILING ADDRESS (STREET ADDRESS): CITY, STATE, ZIP
PHONEL,
(EVENING
(
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ Architect ❑ Tenant .Other (Describe) Qne r
( -
l
CONTACT PERSON FOR THIS PROJECT:Property Owner ❑ Contractor ❑ Applicant E-MAIL ADDRESS:
DETAILED BUMDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ \� VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO !(
WATER SERVICE PROVIDER -HAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ L HAVEN ❑ HIGHLINE PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
a
o REPAIR o TENANT IMPROVEMENT
FIRST
o YES o NO
BASIC PLAN?
o YES
SECOND
ZONING DESIGNATION:
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS, REQUIRED?
o YES o NO
FOURTH
a YES
❑ NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
a YES
o NO
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL. EXISTING AND PROPOSED
••NEW 'ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
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.
Value of W k
-AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS *Tub/Sho Combo
DISHWASHERS
GAS PIPE OUTLETS
�— WASHING MACHINES
LAVS path -sink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS (commercial) WOODSTOVES
RANGES MISC (Describe)
W WATER HEATERS
WATER CLOSETS (Poaeq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
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 apart of this application.
NAME/TITLE:
RELATIONSHIP TO PROJECT:
A
% Property Owner ❑ Applicant ❑ Contractor o Architect ❑
FOR OFFICE USE ONLY
❑ NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
WELDING, SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION:
CHANGE OF USE?
o YES
o NO
NEW ADDRESS, REQUIRED?
o YES o NO
UP/SEPA/SU?
a YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
a YES
o NO
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