04-102427Wo
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
0 `11
B4 0 uilding - Single Family Permit #: 04 -102427 - 00 - SF
g Y
' Inspection request line: 253.835.3050
Project Name: HABITAT FOR HUMANITY
Project Address: 33419 23RD AVE SW Parcel Number: 932090 0410
Project Description: NEW - Construct new 1,440 sqft single-family residence, including plumbing & mechanical, with 112
sqft covered porch & 72 sqft deck. No Garage. **4 bedrooms; estimated selling price $125,000.
Owner
Applicant
Contractor
Lender
HABITAT FOR HUMANITY
HABITAT FOR HUMANITY
HABITAT FOR HUMANITY
HABITAT FOR HUMANITY
13925 INTERURBAN AVE S SUITE
13925 INTERURBAN AVE S SUITE
Occupancy Group#2 ...........................................
13925 INTERURBAN AVE S SUITE
TUKWILA WA
TUKWILA WA
13925 INTERURBAN AVE S SUITE
TUKWILA WA
98168
98168
TUKWILA WA
98168
Includes:
Census category: 101 -New si #1
Occupancy Group: R-3
#2
#3
#4
R-3
20
Mechanical.................................................
Construction Type:
Type V - N
Type V - N
Occupancy Group#2 ...........................................
R-3
Occupancy Load:
Floor Area (Sq. Ft.): ----------
L11q
Plumbing .................................................
- - ---- ._
„ -
1 st Floor Proposed Sq. Feet ................................. 720 2nd Floor Proposed Sq. Feet............................... 720
Basic Plan ................................................ No Census Category................................................. 101 - New single family houst
Construction Type42..........................................
Type V - N
Deck Proposed Sq. Feet .......................................
72
Height of Structure ..............................................
20
Mechanical.................................................
Yes
Occupancy Group #I ...........................................
R-3
Occupancy Group#2 ...........................................
R-3
Other Proposed Sq. Feet ......................................
112
Plumbing .................................................
Yes
Total Building Sq. Feet........................................1624
Total Proposed Sq. Feet .......................................
1624
Zoning Designation .............................................
RM 3600
Plumbing Fixtures
DescriptionQuantity I Description Quantity Descnptior ntity
Bathtubs �— 1 j Dishwashers l� Laundry Washer Outlets 1
Lavatories 2 Other Plumbing Fixtures 2 Sinks 1
_J
Water ------ �0
Water Closets 1� Water Heaters ��
�_ 1I
Mechanical Fixtures
Descri tion__ Quantity Description Quantity F__ Description Quantity
Fans F 4 Ranges
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.
The driveway shall be paved per FWCC, Sec. 22-1453. The driveway shall be paved from the existing roadway pavement
edge, or curb, to the garage or carport.
Maximum driveway width is 20 feet.
No final building inspection shall be permitted until Public Works inspector has communicated in writing to the Building
Staff that the conditions of the right-of-way permit has been satisfied. In order to install the driveway as proposed on the
approved site plan, right-of-way permits are required from the Public Works Dept. Contact Street Systems Technician at
253-661-4127 for permitting information.
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal. rn \
THIS CARO IS TO `.MAIN ON -SI'Z'E
>r alt Community Developm t Inspection Recon
' , t IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102427 -00 -SF
Owner: HABITAT FOR HUMANITY
Address: 33419 23RD AVE SW
FEDERAL WAY, WA 98023-2807
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.
Insdections 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 cevcred 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) �E] Foundation Wall (4115)
To be dune prior to breaking ground Approved to place concrete Approved to place concrete
Ey Date By Date By Date „Cf
Drainage/Dowaspout (4040)
Approved to backfill
By /%% v nate
® Plumbing Groundwork (4190) Q Slab/Concrete Floor (4255)
Approved to cover 1 Approved to place concrete
By Date By Date
Ll Underfloor Framing (4285) ® Floor Sheathing (4105) Shear Walls (4245)
• A77roved to sheath floo- Approved to irstall flooring Approved to ivstall siding
�a
[sti .._`�//.-Data /DO i BG`7 Datta../�.— '� _ Date
1:ori Sheathing (4220) [] RoughPlur,tbinl; (42.%'10)r [,� ;Vlec.>troicai Rough -in (4165)
- Approved to instal; roofing Piroved Approve,*.
_... _.� Date ( By .... _ Date J 6a BV C'j Date
—
PGas
Piping (1.12$)
IV 1 1 Ali e/llralt Stops (4095)
Nt1TF : Prior tc scl edufing a Framing (4120)
Approved to releas? teat
Approved
mspecUun; El.ctr�cai, Plumbing & Mechanical
l
Rough -in and Fire/Draft Stop inspections must he
By
Date
B ,Date J �
signed -off and approved. IBC 109.3.4/UBC 103.5.4
�rL
Framing (4120)
Insulation (4150)LIN
Cypsum Wallboard Nailing (4130)
Approved to insulate
Appro%ed to install wallboard
Approved to install mud & rape
By
Date/ s, G S
B Date
B Date
[] Fin2l - SWM (4375)
Final - Mechanical (4065)
❑ Final - Plumbing (4075)
Approved
Approved
Approved
By
Date
By Date
By Date
Final - Building (4050) ❑Temp. Erosion 1'Nlaintenance (4370)
Approved Approved
By(l�&Z Date Z, By Date
4
i
Of
Cry
Way
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-661-4115- FAX 253.6614129
WWW.
dtyoffederalwatt. com
The following is require
9.
PERMIT
1 a I- F 1
APPLI CATI Off'
CITY OF FEDERAL WAY
BLUILDING DEP
ton - an incomplete application_will not be accepted.
CO ME ZL PL DE EN FP
or
SITE ADDRESS 33 X 19 � 3 �T Ui'. W . SUITENNIT r Zr-
7r 0 9 U- d i I O LOT SIZE (sj) `f
ASSESSOR'S TAX/PARCEL N 9 3 --11— — S
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for 1 y legal descriptlonl
PROJECT• •
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
AMY:
i CL-kf 4-r 60kd Ci (206 ) Z92. - S2VO
MAILING ADDRESS I CITY, STATE; MP
139 ZS Yv► 447- (k) -ba Awe 5 #�°"
COMPANY AME
APPLICANT NAME
OFFICE PHONE
( )
MAILING A RESS
CITY, STATE, ZIP
CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CELL PHONE
(Z06) q Z3 - �-O SO
S Wi P a5 owr1e -.-
CONTRACTORS REGISTRATION NUMBER (copy of card reegn4ed with each application) EXPIRATION DATE
FAX NUMBER
COMPANY NAME
APPLICANT NAME
Tw, La %5s
OFFICE PHONE f/
(7.c6) 2-9z--52-YO
541m , C.5 oweie�-
U-)
ADDRESS
CITY, STATE, ZIP
CELL PHONE
(Z06) q Z3 - �-O SO
S Wi P a5 owr1e -.-
RELATIONSHIP TO PROJECT
Tenant ❑ Agent A Other (Describe) O W" Q
FAX NUMBER
❑ Architect ❑
NAME & Lj 5� jyy j r. PRIMARY qzJ PHONE �3Z - f 5 7b ®�US�UaCR��Yc�1t 2G{11YP
PsrRCW 19.87.095: Ldn der i4fOrmation is NAME AJIA
required if projeci value exceeds $S,000_
ufen intr ennrtFcc CITY, STATE, ZIP
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE l$_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDERLAMIAVEN
SEWER SERVICE PROVIDER LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
LA
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
�--
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
CHANGE OF USE? ❑ YES
o NO
SECOND
-----
UP/SEPA/SII? o YES
c%0
THIRD
o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
"�-
DECK (COVERED?) Cc V49/ Pc
I l Z
1 t y
GARAGE/CARPORT
HOW MANY FLOORS?
TarN.nsermu
TOTAL FROrosm
TOTAL ZZINT010 AND PROPOSMD
...rr.rrr r rr, no n>,rr wr 1UrT1t.fMU D nr nPr)POOL R ESTIMATED SELLING PRICE $ 000, 0o
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL ' L5 O Q
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tub/ Shower combo)SHOWERS
—�
o ALTERATION
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS )Bathroom Sinks)
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS (commercial) W OODSTOV ES
�— RANGES MISC (Describe)
GAS WATER HEATERS
a WATER CLOSETS (.a q MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
— 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 a part of
this application.
NAME/TITLE -`J� l C1ci�l5! DATE �O /
(Sign re) (Title)
RELATIONSHIP TO PROJECT Owner ❑ Agent o Contractor o Architect ❑ Other
..... _ _ _ ,:., ... ' ria. .•.
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN? ❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SII? o YES
o NO "
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
2 of 4 k\Handouts - Revised\Permit Application