03-105159 /w 4.
• r- . • •
City of Federal Way
Community Development Services Building - Single Family Permit #:03 - 105159 - 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: AVERY
Project Address: 2611 S 288TH ST Unit22 Parcel Number:283920 0220
Project Description: ADD-126 sf office addition to existing home
Owner Applicant Contractor Lender
GARY AVERY GARY AVERY GARY AVERY GARY AVERY
2611 S 288TH ST UNIT 22 2611 S 288TH ST UNIT 22 2611 S 288TH ST UNIT 22
FEDERAL WAY WA FEDERAL WAY WA 2611 S 288TH ST UNIT 22 FEDERAL WAY WA
FEDERAL WAY WA
Includes:
Census category: 434-Reside #1 i #2 1 #3 #4 j
Occupancy Group: R-3 '
Construction Type: Type V-N •
Occupancy Load:
Floor Area(Sq.Ft.): 1 I 1
1st Floor Proposed Sq.Feet 126 Basic Plan No
Census Category 434-Residential alt/add-no. Height of Structure 11.6
Mechanical No Occupancy Group#1 R-3
Plumbing No Total Building Sq Feet 168
Total Proposed Sq.Feet 126 Zoning Designation RM 3600
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES November 10,2004.
Permit issued on May 14,2004
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: J`--7y-v y
, ,
, .
• • , ., . .
THIS CARD IS TO REMAIN ON SITE
CITY OF "'"► -.- COMMUNITY DEVELOPMENT INSPECTION
Federal Wa" IVR INSPECTION REQUEST PHONE#(253)835-3050
PERMIT#: b3- (0515.1 - OV PROJECT NAME: fiVeAr•-i
❑TEMP.EROSION CONTROL(4365) ❑FOOTING/SETBACKS(4110) 0 FOUNDATION WALLS(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By /_ W Date ( e ! w T By G j Date"VA Q
0 DRAINAGE/DOWNSPOUT(4040) ❑RE-STEEL(4426) gal c 0 GROUNDWORK PLUMBING(4190)
Approved to backfill Approved to place concrete or grout Approved to cover
By Date By Date By Date
❑SLAB ON-GRADE(4255) 0 UNDERFLOOR(4285) 0 FLOOR SHEATHING(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date I Date ✓ By Date
0 SHEAR WALLS(4245) ❑ROOF SHEATHING(4220) 0 ELECTRICAL ROUGH-IN(4225)
Approved to install siding Approved to install roofing Approved
By 11/1/ Date 41111" 4"? By '// Date /0/0Y 0 By Date
0 PLUMBING ROUGH-IN(4230) ❑MECHANICAL ROUGH-IN(4165) 0 GAS PIPING ROUGH-IN(4125)
Approved Approved Approved to release test
By Date By Date By Date
❑FIRE STOPPING(4095) NOTE: ❑FRAMING(4120)
0 Approved Prior to framing inspection,all rough-in& Approved to insulate
g a qq firestopping sign-offs must be approved. Q Pl' f.
By ' /. ! ' Date /D 0 U itIBC 109.3.4/UBC 108.5.4 By r O a DVDate
■INSULATION(4150) 0 GYP.WALLBOARD NAILING(4130) 0 SUSPENDED CEILING GRID(4265)
Approved to install wallboard Approved to mud&tape Approved to drop tile
By g- Date/40//0)1/ By Date/Q ••• /21_____,3—t)7 By Date
❑FINAL-FIRE(4060) 0 FINAL-PLANNING(4070) 0 FINAL-PUBLIC WORKS(4080)
Approved Approved Approved
By Date By Date By Date
❑FINAL-S.W.M(4375) FINAL-ELECTRICAL(4090) 0 FINAL-BUILDING(4050)
Approved Approved Approved
A
Date By 11,, / Date ` ` " 0 A By Date /i /0y
Tir467V" .,
Co (2(1 0 a
CONS I RU c nerN PERMIT APPLICATION
CITY OF /,�
APPLICATION NUMBER: _03- 10557£T 7- +1 v
Federal Way APPLICATION NUMBER: - -
'APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. 1\k`4(t7
, _ ■ PROPERTY INFORMATION
SITE ADDRESS: ,// S :Z ttsr i t t a ,ClU ail ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROJECT INFORMATION 0 -
•
TYPE OF PROJECT(This application): )BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
' ❑ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
t PROJECT-- DESCRIPTION(Provide detailed description): J v''1 ,)( 13 V/>OOkki �b _,6 ' as ed%/ as gm
o rI`LP
PROJECT NAME: ilY P/1I.1
- . - ' 0 . -0 ■ PEOPLE INFORMATION 0 . - 0 ,. - - -0 I
PROPERTY OWNER: NAME: : DAYTIME PHONE
G6.ry f- Avery j c253) 95// - 5'S6
MAILING ADDRESS(STREET ADDRESS;CITY,STA ZIP): Fe
/ , ,/ c,
a6,// S a8-8'` gr -#2 / ec/ m� (lcs y, / J4 !.�C�LS�(015- C'°vt�'TII.'76-0 t'�CONTRACTOR: NAME: ?�j co — '�7
-- 4_0(y ' ME P E:
Ktr1 Mons - • � l to C11,44rjrt (2-53 )Is:;"> -715,
i MAILING ADDRESS(STREET ADDR ;CITY,STATE, EVENING PHONE
I a 935 3gtA a I (.253) 94'l - 9n
CITY�OF FEDERAL WAY BUSINESS LI0 E . BER: FAX NUMBER:
Awb urn ' 7s/00 - - ; U53) qV y ric,
CONTRACTOR'S RE ' ON NUMBER: nI EXPIRATION DATE:
(war a cats rewu d) k `-olc-C.175- Q C._ ; 11 1:b3 l j�C. 'V
APPLICANT: NAM : DAYTIME PHONE'
i t r 1 F_ A ve rx (a"53 ) 9V/ -5Sl6
MAILING ADDR SS(STREET ADDRESS;C STATE,ZIP): EVENING PHONE
It72 6, /I S a 5A S r - a 2 Fe derv&I l i/ay, CAM ; (a536)R 99/ - 556
RELATIONSHIP TO PROJECT:
o ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ' ( ) -
E-MAIL ADDRESS I
�
CONTACT PERSON FOR THIS PROJECT: . PROPERTY OWNER r APPLICANT o CONTRACTOR
- 0 ■ DETAILED BUILDING INFORMATION .
EXISTING USE: r EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: Novi 0FFt'c r✓- PROPOSED VALUATION FOR IMPROVEMENTS: $ /D,
SPRINKLERED BUILDING? 0 YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ,<NO
WATER SERVICE PROVIDER: X LAKEHAVEN ❑ HIGHLINE o TACOMA a PRIVATE(WELL) 1
SEWER SERVICE PROVIDER: XLAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O * •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST / V• ‘'.0ZSECOND [O I�
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
fi
GARAGE
HOW MANY FLOORS? >
TOTAL: <
• ■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
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: 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to e dty as p f this application. /
NAME/TITLE: DATE: /1"- 0- 0
PROPERTY OWNER o APP CANT o COIC-TACTOR
-FOR,OFFICE,USE ONLY: ;I
NEW 0ADDITIbN ,:raelLTERATIONREPAIR 'nal yetakelgoitaiiimitfe,nfztvi
.CENSUS
2ZONINGr0ESIGNATION == BUILI ING HEL) ONL ? OYES D NO= "=_
.:COMPPLAN DESIGNATION '5,1,0 NO';