03-105088 I •
ederal Way
Communiof itt'yDevelopment Services Building - Single Family Permit #:03 - 105088 - 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: BRACKETT
Project Address: 1150 S 299TH PL Parcel Number: 515160 0465
Project Description: ALT-Extendingnon load-bearing kitc en wall 30 inches,into gar e. No plum g r echan'cal.
Wo /2pix t - parks -sl e 't5[ q -O
Owner Applicant Contractor Lender
Louis J Brackett &Martha L Brackett LOU BRACKETT,SR. LOU BRACKETT,SR. NONE
1150 S 299TH PL 1150 S 299TH PL
FEDERAL WAY WA 1150 S 299TH PL
98003-3751 \FEDERAL WAY WA 98003 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.): I
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject
proposal.
PERMIT EXPIRES May 11,2004.
Permit issued on November 13,2003
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 in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa .
\ J
Owner or agent: 4'rn vk �.`— � l.{ iDate: (
- 1 1-I -°1-(
14'v'
POSEIHIS CARD ON THE FRONT OF BUILD
CITY OF
Federal WayBUI ING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-105088-00-SF
OWNER'S NAME: Louis J Brackett & Martha L Brackett
SITE ADDRESS: 1150 S 299TH
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV _Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Rcof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/EtRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( UILDING FINAL \\ - \ y- 3 - (3
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
RIDEIVIiiihra
� _ CONSTRU N PERMIT APPLICATION
CITY OF �.� NOV 1 3 2003 APPLICATION NUMBER: - 105/2 Z Z - X SP
Federal Way APPLICATION NUMBER: -CITY OF OF FEDERAL WAY !APPLICATION NUMBER: -
BUILDING DEPT.
**The following is required information-Please print(in ink)or type** 15q 4-":6 3 SF
113-02411 E
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. . _ - FA PROPERTY INFORMATION , - •
SITE ADDRESS: `` D� . lel kCe- ASSESSOR'S TAX/PARCEL #: S I.S. L O D4(O c
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Al PR07ECT INFORMATION - -_ _
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
O ELECTRICAL ^❑ ENGINEERING ❑(/��FIRE PREVENTION SYSTEM (//
PRO CT DESCRIPTI ..
, .
ON(Provide de filed description): - -1 A -4 P et, ra-�re&
- tvp vi-0,5
pe,
:: ....
a PROJECT NAME: vr7rac k
44
' kvA PEOPLE INFORMATION - -
PROPERTY OWNER: NAME:1 ;� : DAYTIME PHgAE'
LLL UL• 1�10C Y=`SCC ZSR )`'MU/ SSfSC11
MAILING ADDRESS(STREET ADDRESS;CITyNSTATE, IP):
i
CONTRACTOR: NAME: �, I DAYTIME PHONE:
• II S 6-2 �—iJ ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING P"`/HONE• _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
—
( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE•
MAILING ADDRESS( ITY
EET ADDRESS;C ,STATE.ZIP): EVENING PHONE•
S ( \ I
RELATIONSHIP TO PROJECT- I FAX NUMBER •
0 ARCHITECT O TENANT o OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT 0 CONTRACTOR
- - . ' -■ DETAILED BUILDING INFORMATION - - -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONO ,, - " Ab...:--;
NUMBER OF BEDROOMS: ESTIMATE[3 SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
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: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) a ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
I: 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 suppii
r—
a 'ty as a art of this . •plication.
NAME/TITLE: \\k 1-.5(*
A <, C 1 - fa" DATE: '
PROPERTY OWNER a APPLICANT o CONTRACTOR
?ii\,
..FOR OFFICE.USE_ONLY:rel
§t]� ,,NEW -: :s p`ADDITION iii ALTERATIiik$W REPAIR' "'Z TENANT IMPROVEMENT .`.
}CENSUS CODE �:,€s~ Et" = 4-P ey,, .c•I.�.;x r_ .. ;v .'_ ._ •
,a�-a'� �:`LOTSIZE:�'�'� ��rK.r",�;_�,... .:��:,•:3
2ONINGmDESIGNATIONx -- .3 .,-. - •-- ., = ;
..,,:� . �`_-'-�.�"��'�l�'Bt1ELDING,SHELL'rON'L�RI'fl 1fES =;a NO:_; _
:COMP PLAN D'ESI6NATIUIVr -Zt t-E°::: - _"Y.� .-i = :�;-�i:..
-;._ ABASIC PLAN? ,�[3 YES -.d;NO - _
SECTIONZ5, TOWNSHIP:• '=r:1,RANGE , jINE* DRESS REQUIREDiik,: -��Yci YES4-$','0 NO-,,
^PUITTEU-LOT? l-a YES 'o`NO'igeoi ' :t -Ki; _"' ,`" ;_'``--_
{ '`CHANGE OF USE?,�.-.,- = 'a YES. -❑'NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 i FAX:253-661-4129
4"' www.dtvoffederalway.com