04-104320 , II •
ICommun'tY
evelpenBuilding - Single Family Permit #: 04 - 104320 - ff F
:(253Fax 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-Convert 400 sq ft detached carport to a 676 sgft garage with a 494 sgft second floor,including
plumbing and mechanical. **7/29/05 Add gas piping for on-demandHWT**
Owner Applicant Contractor Lender
MARC&SUSAN BERRY MARC&SUSAN BERRY QUALITY NORTHWEST CONSTRU RESPONSE MORTGAGE*GENE Hi
PO BOX 543 PO BOX 543 QUALINC14IDR 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 J #2 #3 #4
Occupancy Group: _ U-1 R-3
Construction T Type V-N Type V-N
Occupancy Load:
Floor Area(Si.Ft.): -
E
Census Category ..... 434-Residential alt/add-no,,m Occupancy#2-Construction Type 1 y} V-N
Height of Structure........: r... 22 7 Mecha al..:... Yes ''
Occupancy#1-Class ..U-I - Occupancy#2-Class....... ....... .........,,,,..R-3.
Plumbing Yes Total Building Sq.Feet,-....... :. .,1170
Zoning Designation RS 9.6
Plumbing Fixtures
DescriptionQuantity Description Quantity Description Quantity
_
Lavatories I Showers II L I Water Closets 1
Water Heaters j 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Fans 1 1
CONDITIONS:
1.Prior to certificate of occupancy and final inspections,existing vegetation removed from the slope adjacent to the garage
shall be replaced.Contact Deb Barker for a landscape inspection at 253-835-2642.
PERMIT EXPIRES December 6,2005.
Permit issued on March 9,2005
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 W. /•
Owner or agent: 2 . - Date: /
! j
r\q-S19 4Zr ,
J 4 \ V).,
r • • - .
City of Federal Way Building - Single Family Permit #: 04 - 104320 - '00 - SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 f
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-Convert 400 sq ft detached carport to a 676 sqft garage with a 494 sqft second floor,including
plumbing and mechanical.
Owner Applicant Contractor Lender
MARC&SUSAN BERRY MARC&SUSAN BERRY QUALITY NORTHWEST CONSTRU RESPONSE MORTGAGE*GENE Hi
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 9801 PO BOX 543 !REDONDO,WA 980 FEDERAL WAY WA 98003 KIRKLAND WA 98034
Includes:
Census category: 434-Reside L
#1 #2 #3 r #4 1
y-
Group' U'1 R'3
OccupancyJ
i Construction Type: Type V-N Type V-N
I Occupancy Load:
1—Floor Area(Sq.-Ft.):
w
Census Category 434-Residential alt/add-no, Construction Type#2 Type V-N
22.7 Mechanical..,.,:...
Height of Structure........ Yes
Occupancy Group#1,....., U-1 Occupancy Group#2 ,.,...,., R-3
Plumbing Yes Total Building Sq.Feet. 1170
Zoning Designation RS 9.6
Plumbing Fixtures
1 Description Quantity Description Quantity Description Quantity
Lavatories 1 Showers 1 Water Closets I[ -1
Water Heaters ,I 1 1
Mechanical Fixtures
Description Quantity' Description [uantity Description -
Quantity]
Fans i 1
I
CONDITIONS:
1.Prior to certificate of occupancy and final inspections,existing vegetation removed from the slope adjacent to the garage
shall be replaced.Contact Deb Barker for a landscape inspection at 253-835-2642.
PERMIT EXPIRES September 5,2005.
Permit issued on March 9,2005
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: 1CJ
THIS CARD IS TO MAIN ON-SITE •
CITY OF A ! ommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104320-00-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.
0 Temp.Erosion Control(4365) 0 Footings/Setback(4110) ❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
a/C
By GS Date 4..�-06-- B S Dated - s-or c Date 4—L--_ ---
•
ElDrainage/Downspout(4040) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
B c5 Date 4_` .J, `ByS-A/01----
W Date By Date
❑ Underfloor Framing(4285) ,❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date Byy Date(o— a p��-
• •
❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) 0 Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By( l`/„ Date .c./E3. ctc' Bye cAi Date(D.. 6-OA--- By Date
0 Gas Piping(4125) ❑ 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
By C..-tA) Date ..,1 - ��" By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
.
❑ Framing(4120) .❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
, By e.......r 4LDate 4...1,..„,s-- ,1 e.5 Date 3 By Date
❑ Final- SWM(4375) 0 Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
1111, Approved Approved
By �s1 Date e \V ) By Date
of��" Eiv - L 2
Federal Way REC IP
PERMITos
Q 3 —�
COMMUNITY DEVELOPMENT SERVICES MF CO ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9744, {� r a n
FEDERAL WAY,WA 930639718 �J 4 F b Uig p p L I C A T I O N TO ��1
253-835-2607.FAX 253-ti COM ((�
uuu,.dtuoll"ederduatbcom (v
CITY OF FEDERAL WAY
The following is reqs -ajlr<FnI&Ti,-an incomplete a..lication will not be acce'ted. Please •rint legibly(in ink)or type.
- ; t • PROPERTY INFORMATION
SITE ADDRESS /L- 51„) Z c�q� r L. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 l °I (, 00 - 06 -2. ---0q rr� (1� L LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) I"Cs� co pirN 1,0T( B L 1 ( /1-00) 7-1 NJ
(Attach separate page for lengthy legal description) ,
. . ■ PROJECT INFORMATION
TYPE OF PERMIT 4BUILDING LUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCION(Provide detailed description of work included on this permit only)
C €, c, p - r ntp�(JemErcr
PROJECT NAME(Name of Business or Owner Last Name) SeF-ILy
- • PEOPLE INFORMATION
PROPERTY NAME
M624.- nn / PRIMARY PHONE/
OWNER M P&c- s- Si.6AKS I3 E� �7 1� (23)q T - 4'z
MAILING ADDRESS CITY,STATE,ZIP
Plc eo> 5-4 30 (btat wf- 0196 SY _
CONTRACTOR COMPANY NAM
E APPLICANT NAME
MT(N�Loygr,
OFFICE )ONE
( U4Utf N� C Tiz ted M -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CtTY OF FEDERAL WAY BUS ,S I i �1 B R EXPIRATION DATE
E FAX NUMBERM -
COTRAJ/�EGI"�TI E(Tf0[B R(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAMES APPLICANT NAME
cam!r`e1. kc OFFICE P -ONE
� 1I )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME
-- �(fl(yPRI XP E J E-MAIL ADDRESS
( 45. lQZ
LENDER #Per RCW 19 27 095 Lender 3n orniataon is` o , ^ '
regtureci if project value;exceeds$5 000 p St ii"JIw.0 I edo
/�
MAIL G ADDRESS 'CITY,STA E.ZIP V�Z�
I 10 ka Lk. N.: 6 ctso54
■ DETAILED BUII.DING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VAL . $ VALUE OF PROPOSED WORK $
,
SPRINKLERED BUILDING? ❑YES 6N FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
. WATER SERVICE PROVIDER 0 LAKERAVEPI 0 UIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST /
SECOND O. ���j •I ow /.)((9C)
w
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT GrAwebtaT "re) t+043 s.ejle O
IQDIr
TOTAL ESTG T AL PROPOSED TOTAL EICISr,I��OPOSED
HOW MANY FLOORS? 1 -2.-
"NEW
L"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offudure to be installed or relocated as part of this project. Do not include existing factures to remain.
• MECHANICAL Oa'
Value of Mechanical Work $ 'i_—
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
FANS HOODS(comm<rd l) WOODSTOVES
BBQS RANGES MISE(Describe)
BOILERSFIREPLACEINSERTS
COMPRESSORS FURNACES ,it-- GAS WATER HEATERS
II DUCTS GAS PIPE OUTLETS
}
4 PLUMBING1
BATHTUBS lorrubisno�«compo)
SHOWERS 1 WATER CLOSETS iroi<t) MISC(Describe)
DISHWASHERS [/' "7 SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS ; RAINWATER SYST
WASHING MACHINES —"AV URINALS HOSE BIBBS
1 LAVS(Bathroomsinks) VACUUM BREAKERSLECTRIC ATER 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 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 of Federal Way,but only where such claim
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 of
this application. /0/ 2.0/6 VNAME/TITLEw�— � DATE
i (Signature) (Title)
RELATIONSHIP TO PROJECT /S6Owner o Agen o Contractor o Architect 0 Other
( ,FOR OFFICE USE ONLY;
a NEW a ADDITION ❑ALTERATION a REPAIR a'TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES ..�',- ---` —
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YE a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a,`ES o NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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