03-102901 ~ l
City of Federal Way
Comtnunity Development Services Building - Single Family Permit #:03 - 102901 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: MUSSELMAN
Project Address: 165 S 293RD ST Parcel Number: 720250 0020
Project Description: ADD-Rebuild existing deck to original location and configuration,subject to field inspection.
Owner Applicant Contractor Lender
Lloyd R Musselmna &Tina C Mussel R BERINGER CONST INC*ROGER R BERINGER CONST INC*ROGER NONE
165 S 293RD ST 1902 N PUGET SOUND AVE RBERICI033LF 6/2/04
FEDERAL WAY WA TACOMA WA 98406 1902 N PUGET SOUND AVE
98003-3694 TACOMA WA 98406 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Basic Plan No Census Category 434-Residential alt/add-no c
Deck Proposed Sq.Feet 320 Mechanical No
Occupancy Group#1 R-3 Plumbing No
Total Proposed Sq.Feet 320 Zoning Designation RS 9.6
CONDITIONS:
1.No building shall encroach onto any building setback line or easement shown or not shown.
2.Maximum building height is 30 feet above average building elevation,per Federal Way City Ordinance#90-51.
3.Building setbacks are: 20 feet front; 5 feet side; 7 feet rear.
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 11,2004.
Permit issued on July 15,2003
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.
/.f
Owner or agent: Date: ?"1/5—/0 3
ti POSIVIS CARD ON THE FRONT OF BUILDI
CITY OF
Federal Way BUILTING DIVISION
J INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 03-102901-00-SF
OWNER'S NAME: Lloyd R Musselmna & Tina C Musselmna
SITE ADDRESS: 165 S 293RD s i
( )'SETBACKS 7/3V 71/-6 FOUNDATION WALL
t .: ICi7NC>T CIUR 1 `' D 513 ABQVEW WW
( ) DRAINAGE: Line ( ) Connection
.<.n:, L.:.. �.•s"�rdV'i�"..L,ywiZ'y' 4ibp:x°ml�<. . nTII��ABI]szI�.mk Rib ygp. .:-i. ;:t1af: „:..:`FY"�'.., .:li,:,f'w-.
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL _ Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING 3O ,”
( ) INSULATION: Floors Walls Attic
£; :::iL44• 't' _ U_ :AVS .KO:tg. +*TTS!.= _ . E.. ti. �! Ir!ntai;;O:Viltai
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
07x 51;' {(� _ _ .�._.._......__.. __ iG1TNw._.. •4I Via, i+t. `m "
() ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
s 014-
() BUILDING FINAL Je3 t
5 `� �,w 17 � 1Z :3# T D^ _ :&21$?M*.9VStrA
RE CONSTRU PERMIT APPLICATION
I UIY OF �/ t IVED APPLICATION NUMBER: S —/' -d/ _ - 5'14--
Federal
'fFederal WayJUL z 5 2003 APPLICATION NUMBER: — —
�` F f APPLICATION NUMBER: — —
•'Th:i . I tWAitinformation-Please print(in ink)or type**
LJ' DEPT (ale.Qd
Please note: Electrical,Tre Prevention Systems and Engineering permits may require a separate application.
- ■ PROPERTY INFORMATION . ,' : . ' , -
SITE ADDRESS: lig- 50• l 3 L ST ASSESSOR'S TAX/PARCEL #: 72' - V(O 2-0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. ■ PROJECT INFORMATION - _ _- _
•
TYPE OF PROJECT(This application): )(BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING,/ ❑ FIRE PREVENTION1SYSTEM
PROJECT DESCRIPTION"(Provide detailed description): 'z 6 c-c.., /Gf ek /s(--'7, "+0, 1z7 fL
on,. l�+'✓I k 6-oC t'{T-2r ez-v( // Oia-vt g i 1d3,1-€4,4 i 04-7 .
PROJECT NAME: /lice S S L/ r.c.�-t
■ PEOPLE INFORMATION , •. - . . -
V
PROPERTY OWNER: NAME: ; DAYTIME PHONE'
&d Vr,.-7c(. rirkssv-ipsyce....-1 (Z% ) y31 - 523 St
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/6S- So . 2/3 — Sr 441/41-7
CONTRACTOR: NAM :
IDAYTIIME PHONE'
` Y ` �� ( / 2r,?C• 2O( )5/
/ - q 7-yi.
MAILING ADDRESS R DDRESS;CITY, ZIP): PHONE'
P o B o14 5107. D6voi-rte' �� 9F3Z7• I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: • FAX NUMBER:
003 t o 2 ) I O - O O f3L. _ _ _ (-14
)
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy card reqs ) R-Q u. it. I C Z c 3 •
3 L F ;06, /o z / o Li
APPLICANT: NAME: _` DAYTIME PHONE
e�
og x*t EC-4✓C.,c
M NG KESS(STREET ADDRESS;CITY,STAT ZIP): EVENING PHONE'
fox Ifo D,‘_fro. .., �.v 9 732 7- ; ( ) -
RELATIONSHIP TO PROJECT: �c � �'� j FAX NUMBER
❑ ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE): Lamf"Z t c- ( ) -
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER p APPLICANT o CONTRACTOR
. ■ DETAILED BUILDING INFORMATION - ' - /VV
EXISTING USE: (5'"---)4-- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 11/ Ll/
PROPOSED USE: •- ‘1,' )' e: PROPOSED VALUATION FOR IMPROVEMENTS: $ 7��0
SPRINKLERED BUILDING? 0 YES )O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES $ 0
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O** S -
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
•
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK 3&0 s z o z o
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
•
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
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 daim(induding costs,expenses,and attorneys'fees Incurred in the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding Its officers and employees,upon the accuracy
of the information s •plied to the ci as a part of this application.
NAME/TITLE: ` _ / _ _ / G eDATE: 7/./0.5
0 PROPERTY OWNER ❑ APPLICANT )(CONTRACTOR
_FOR OFFICE USE ONLY:
`KNEW' #❑OADDITION '. ❑ALTERATION } b REPAIR LL={_= fl TENANT-IM PR0VEM ENT
-LOT SIZE:22:4 -. .:rte,:t:„ w
;ZONING DESIGNATION:::=-.-_,:"'",-.�';;_;.�_;;'--._, ;'�,__ BUILDING SHELL ONLY??=n'YES .-❑ NO ' " .'
-COMP PLAN DESIGNATION j -` ;. ,:. .=BASIC PLAN? =,' D YES -❑"NO '
SECTIONM= TOWNSHIP :==" "RANGE `; 'NEVHADDRESS REQUIRED?' .-'- ❑YES- ❑ NO
-PLATTED LOT?- ':'❑YES a`NO :"` CHANGE OF USE? '= ❑YES' s-0 NO-
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cttyoffederatwav,com