09-102901 ' - Building - Single Family
City of Federal Way Q
Community Development Services Permit #: 09-102901 -00-SF
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253) 835-3050
Project Name: MICCICHE
Project Address: 1322 SW DASH POINT RD Parcel Number: 515320 0637
Project Description: ADD-Construct approximately 100 square foot storage room attached to rear of existing
garage.
,
Owner Applicant Contractor Lender
JOHN MICCICHE JOHN MICCICHE 13 DASH PO ► RD
1322 S DASH POINT RD 1322 S DASH POIN .* ED A . 98 23-4529
FEDERAL WAY WA 98023-452 ERA WA WA ''1 • 29
Census gory: - Res s ential /a d - n c ange in number of units
Includes: 1
idliiii•cooii #3 #4
Occupancy
juft,
Construction T _
Occupancy o :
Floor Area(sq. ) 00 0 0 0
f<
,s a
.�...�.:ate -.4„,) �� '�'. € x: : t
- .. . .'., X45 ,. =
New/Additional Sq.Feet 1st Floor 0 New I Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) ' 100
New/Additional Sq.Feet-Basement 0 Occupancy#1 -Construction Type Type V-B
New!Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No Occupancy#1 -Class U
New/Additional Sq.Feet-Other 0 Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With Tl Permit Il
PERMIT EXPIRES Tuesday, January 26, 2010
Permit Issued on Thursday, July 30, 2009
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 Sta - of Washington
,/ and the City of F deral Way.
Owner or agent: L. �j Date: ' 00
. THIS CARD IS TO REMAIN ON-SI.TE
CIT Y°F ° Construction Inspection Record '
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-102901-00-SF Address: 1322 SW DASH POINT RD
Owner: JOHN MICCICHE FEDERAL WAY, WA 98023-4529
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections 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 covered 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.
o SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By .Date By Date
•
0 Foundation Wall(4115) 0 Drainage/Downspout(4040) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete.
By Date By Date By Date
Underfloor Framing(4285) El Floor Sheathing(4105) ElShear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By • Date
o Roof Sheathing(4220) 0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Ej Framing(4120) ID Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
i
. ❑Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Date
i
•
.
•
•
For inspector reference only
0 Rough Electrical D • FINAL-Electrical
By Date • ByDate .
440 RECEIVE . s,� = iLd ? a L .
Feiteral My PERMIT CO ME EL PL DE EN FP
.9 AV P��JUL 30 200° viii''
FEDERAL WAY,WA 98069.9718 APPLICATION
2534354607.F _
�F FEDERAL WAY
The following is required gation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
1111 PROPERTY INFORMATION
SITE ADDRESS_/ 3 4z)b..0/, A i/V 1 i M SUITE/UNIT# .
ASSESSOR'S TAX/PARCEL# - _— __ • LOT SIZE(sf) ,4/S c►..c r-
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) •eS/d .t1 c Q_
peach Wor.aleF4wfir Yhad a..oy y
/■ PROJECT INFORMATION
TYPE OP PERMIT B'UUILDING 0 PLUMBING • 0 MECHANICAL
O DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) '
• '1 i• e _ A e I r- - X . •• _ a... .. ► - 74 • ' a e
I e
•
PROJECTNAME(Name of Business or Owner Last Name) t CC(C_Pi P
• PEOPLE INFORMATION
PROPERTY NAME PHONE
Mr
OWNER .37j1-%--, C C/C �e (.0 5 3) LI / - s5ti.4 7 q
MAILING ADDRESS CITY,STATE,ZIP EMAIL ADDRESS
I3gid. J otSA ii),NT r di Fe trc1 Wm), in/o, ig'0d.S
CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE
NON t ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY,STATE.ZIP CELL PHONE - g
7
r3aot .io-cA Po;Nt rd fecie-ral Way )da ctel.3 (A.s3) 'o'- 1030
RELATIONSHIP TO PR9JECT FAX NUMBS
o Architect dTenant O Agent o Other ( ) -
-
NAME-PROJECT , c E-MAIL ADDRESS
CONTACT ' \AJ V (Cc.f c � �3 )rct/ nQ^"7
•
LENDER NAME
Per RCW 19.2.7.095:
Lender information is required{/project value exceeds$5,000
MAILING ADDRESS COY,STATE,ZIP PHONE
• ( ) -.
• DETAILED BUILDING INFORMATION
• EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ cid-0 ��
SPRINKLERED BUILDING? o YES 1340 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 040
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE o TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN o HIGHLINE O PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DES. ON •EXISTING PROPOSED TOTAL
SQ:FT. SQ,F'T'. SQ.FT.
BASEMENT
FIRST
'L.
SECOND • •
THIRD .
•
ADDITIONAL FLOORS(DESCRIBE) •
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE CARPORT 0 •
6CIDS 6_D 10-0 .
NUMBER OF FLOORS snrrme PROM= 7OTAL rammermar W rouser
•
"NEW HOMES ONLY" . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ •
•
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
•
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerdos
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS. •
•
•
PLUMBING( •
BATHTUBS for Tub/Snewercombcs LAVE(Bathroom Slake) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(renes
• ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
.
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, but only
where suchclaim 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 ej� •plication. •
•
SIGNATURE: / 1 "�Sil/Ar.,.t/iL L DATE 7-30 __ //
Prope • Owner and/or Authorized Agent .
•
o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES.o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO •
NEW ADDRESS REQUIRED? a YES o NO UP/EWA/SU? a YES a NO •
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100_August 16,2007 Page 2 of 4 . k' Handouts\Pennit Application