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04-102736
l t d City of Federal Way Building - Singly, Family Permit#: 04 - 102736 - 00 - SF Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 • Ph:(253)835-7000 Fax (253)835-2609 • Inspection request line: (253) 835-3050 Project Name: BERRY Project Address: 122 SW 291ST ST Parcel Number: 119600 0024 Project Description: ADD-861sgft addition to existing house w/32sqft deck located in steep slope area on shoreline, including plumbing and mechanical. Owner Applicant Contractor Lender MARC&SUSAN BERRY MARC&SUSAN BERRY QUALITY NORTHWEST CONSTRU RESPONSE MORTGAGE*GENE Ht PO BOX 543 PO BOX 543 QUALINC141DR 4/10/07 RESPONSE MORTGAGE 805 S MARINE HILLS WAY 12910 TOTEM LAKE BLVD NE PO BOX 543 !REDONDO,WA 980 PO BOX 543 !REDONDO,WA 980 FEDERAL WAY WA 98003 KIRKLAND WA 98034 Includes: Census category: 434-Reside #1 #2 I #3 -' #4 1 Occupancy Group: R-3 R-3 1 -- — Construction__Type: Type V-N Type V-N j _- 1-Occupancy Load Floor Area(Sq Ft F__ ___} 1st Floor Proposed Sq.Feet. 335 2nd Floor Proposed Sq.Feet........, 322 Census Category.. – .............................434-Residential alt/add-no. Construction Type#2......... !.. :....Type V-N Deck Proposed Sq.,Feet.. .... ....'. ,. ..32 Height of Structure 29.75" Mechanical Yes Occupancy Group#1 R-3 Occupancy Group#2 R-3 Other Proposed Sq.Feet 358 Plumbing Yes Total Building Sq.Feet 3073 Total Proposed Sq.Feet 1015 Zoning Designation RS 9.6 Plumbing Fixtures Description - Lavatories - uantity Description Quantity [_ Description Quantity [Bathtubs ,F 1 Lavatories 2 7� Other Plumbing Fixtures ] 1 -- — ShowersI! 2 Sinks 1 i Water Closets 2 Mechanical Fixtures � Description'p Quantity Description ' Quantity L_ Description Quantity Ducts r 10 Furnaces 1 CONDITIONS: 1. Any landscaping removed from the slope in conjunction with the project shall be replaced prior to final inspection. Contact Deb Barker for an inspection of this element.253-835-2642. 2. This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. ww1b9(tl)3 a • PERMIT EXPIRES September 10,20051 Permit issued or`, 1VI*rcjh 14,2005 I hereby certify that the above information is correct and that the com t action 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. 4 i � � / Owner or agent: �v� _ Date: '� �/` Q� ir 4:sik ‘ . THIS CARD IS TO *AIN ON-SITE ' ' ' CITY OF t3' Development Pommuni Inspection Record p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102736-00-SF Owner: MARC & SUSAN BERRY Address: 122 SW 291ST ST FEDERAL WAY, WA 98023 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. 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. #❑ Temp.Erosion Control (4365) '❑ Footings/Setback(4110) 0 Foundation Wall(4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By e S Date 73 4r By 6. fsj Date 60.3 • es ' By ft/f. v/ Date /0 7 6r ❑ Drainage/Downspout(4040) • ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) Approved to backfill Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By5 Date /2-.23.-c7 ❑ Roof Sheathing(4220) 01 Rough Plumbing(4230) 1511 Mechanical Rough-in (4165) _ Approved to install roofing Approved Approved ByDate B Date `'4, iz,4 . 1 ` \ Zf� ©c 7 . By IVY Date � , Gas Piping(4125) .1_1 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) Approved to release test Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be B `'"`� Date `�� By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 ✓ . Qfm.IP Framing(4120) 0 Insulation(4150) 'r.„ Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By ,i Date ` A By G Date/_ 2 7 -d(4 By ..,,,, (J Date 2 6.0 7r„ .❑ Final-SWM(4375) 0 Final-Mechanical (4065) ❑ Final-Plumbing(4075) � Approved Approved / '� Approved %,By al" 5 Date S �� By NO Date 4'ka j By e4ti Date .; /� ❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370) Approved Approved L. it/,62 - g0,7j✓/Aft By f Date 2:2 0 By Date , c /2 O( o W t 0 U n j :''' 4 ,., _ ..., =_.- , 7. L.--.. 5 _...1 W. ,_. i ,, , i , ,. .. ,..,_ I. 1 ,. gkis „,,, ,.._- , (.1 - O U .-3 WAN cA z %.9 c, 9 • OF dated. sot vci-ton 3? �� A - d 2. 3 (O FederalWay • PERMIT L la 1F1F COMMUNITY DEVELOPMENT SERVICES F CO ME EL PL DE EN FP 33530 FIRST WAY SOUTH•PO BOX 9718FEDEL WAY,WA 98063-9718 • 253-66FAX 253-661-9129 APPLICATION 1 The ollowin• is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please .rint le.ibI (in ink)or . PROPERTY INFORMATION • SITE ADDRESS ) Zs. ?141 0).221,1 ' '-Fl ill SUITE/UNIT# ASSESSOR'S TAX/PARCEL# _ l 1 9 0 ( - _o 0 2 Al LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desotproe) • PROJECT INFORMATION TYPE OF PERMIT (BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 1 5F OW I)111 o w + ea&k '4 Mi Of w/ 7 Z Se b _ q PROJECT NAME(Name of Business or Owner Last Name) 0"e r Y PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE M OWNER 1� 1 ► k SUcj I� /�"Jewry (aril ) _ MAILING �a.SS 5+3 1- CI STATE, 940Apo / A / 8Os4- CONTRACTOR Co PANY NAME APPLICANT NAME OFFICE PHONE Vl�(i 4k.01 MW ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - B L / / ( ) - CONTRACT R5 REGISTRATI N NU ER(co y of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANTMNAM V f`V,Z.G.. q So C ) 7 (FFICE PHONE MPAILING ADDRESS CITY,STATE,ZIP V J/J•� CELL PHONE Po 6,>1. TOS43I-) I�h0).40o , (A4 g10E4 ( )RELAFAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) of-SW NC,&, ( ) CONTACT NAME Josn_ AI L`LL eye_ PRIMARY PHONE E-MAIL ADDRESS (4?-114 55 1 LENDERPer RCW 19.27.095: Lender information is NAMFL required if project value exceeds$5,000 �Atf 4 clitilabley. (li e,,tl Raise,/a(se,/ MAI(i :ADDRESS 1 O S 1^� lid (\)e._CITY, Vale- A �I�G V v/\ 9/803Y ✓ DETAILED BUILDING INFORMATION • EXISTING USE Sf PROPOSED USE Sf" EXISTING ASSESSED/APPRAISED VALUE $ G3S� 000 VALUE OF PROPOSED WORK $ /SO/ 000`b SPRINKLERED BUILDING? ❑ YES 5(NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER '*.j AKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC) 11 I s1J\ ti PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT o D D FIRST ' Z +D 3rr3 /� 1.� 3 SECOND o I. o 1 l*A .l5`[ 9 7g 154 THIRD 0 `3 S FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) UKCOV 3 iii GARAGE/CARPORT 3� HOW MANY FLOORS? TOTAL.GRISTLES TOTAL.PROPOSED TOTAL IRO AND PRO SED 3633 .ii "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ { FIXTURES Indicate number of each type . -- - to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL a, ??? Value of Mechanical Work $ Z-7 00� • , ` AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commerdal) WOODSTOVES BOILERS FIREPLACE INSERTS • RANGES MISC(Describe) COMPRESSORS _ Q FURNACES I GAS WATER HEATERS 10 DUCTS GAS PIPE OUTLETS PLUMBING ^ WATER CLOSETS(-rode) MISC(Describe) BATHTUBS(orr.n/sno..�rcomt.) 94 SHOWERS �+® DISHWASHERS I SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST —� WASHING MACHINES URINALS I HOSE BIBBS 371.11— )� LAVS(Bathrooms:) VACUUM BREAKERS ELECTRIC WATER HEATERS 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 c •im(including costs, expenses, and attorneys'fees incurred in the investigation and defense of ' such claim),which may br nade by any pers. i eluding the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance o4 the city,includi officers and employees, upon the accuracy of the information supplied to the city as a part of this application. S NAME/TITLE , I 0A44 N-(4- DATE '")//16‘t (Signatur (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor f eArchitect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application