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01-102188 City of Federal wa , b uild J''l Community Developmen nQle amily Permit #:01 - 102188 - 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: MESICK Project Address: 30019 2ND AVE SW Parcel Number: 513700 0230 Project Description: RES ALT-Alteration of existing roofline above bonus room to construct a dormer with window Owner Applicant Contractor Lender Gary L&Anne C Mesick Jr. D&L CONSTRUCTION D&L CONSTRUCTION Gary L&Anne C Mesick Jr. 30019 2ND AVE SW 32733 111TH PL SE DLCON**21 IMA 7/1/02 30019 2ND AVE SW ' FEDERAL WAY WA AUBURN WA 98002 32733 111TH PL SE FEDERAL WAY WA 98023-3901 AUBURN WA 98002 98023-3901 Includes: Census category: 434-Reside #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: I Type V-N Occupancy Load: Floor Area(Sq.Ft.): Census Category 434-Residential alt/add-no Height of Structure 19.5 Mechanical No Occupancy Group#1 R-3 Plumbing No Total Building Sq.Feet 3550 Zoning Designation RS 9.6 CONDITIONS: 1.No building shall encroach onto any building setback line or easement shown or not shown. 2.Building setbacks are: 20 feet front; 5 feet side; 5 feet rear. 3.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES January 7,2002,IF NO WORK IS STARTED. Permit issued on July 11,2001 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: /vl _L. Date: c / QJ Pli THIS CARD ON THE FRONT OF BUI G • alcw BDING DIVISION EOEJZAL VV AY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-102188-00-SF OWNER'S NAME: Gary L & Anne C Mesick Jr. SITE ADDRESS: 30019 2ND SW ( ) 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 _Roof g - 3 -d( C.jFloor () SHEAR WALLS g 3 --o • () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS '4,1,', ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING e - €5 " ( c: CEJ THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING () INSULATION: Floors Walls 8— e— (CCJuic 8 — O / L ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK" () WALLBOARD NAILING Z3t / 3 - p / G O 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 () BUILDING FINAL DO'NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED 4'‘c2)<( AlIlk dCONSTRLIION PERMIT APPLICATION BC: � �� APPLICATION NUMBER: 0 I - I U 2 Ltii5 -jF APPLICATION NUMBER: APPLICATION NUMBER: - - 'UN R 4 **The following is required information-Please print(in ink)or type** •.IiYG, Please note: Electrical, Fire PEognM911,Sy�stenns and Engineering permits may require a separate application. ■ PROPERTY INFORMATION 3 SITE ADDRESS: C �� A/ S( ASSESSOR'S TAX/PARCEL #: 373 2W 1CQ30-07_ LEGAL 0/- LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): L(4- ;2 3 ,44 1,,..- C, h j A / t/l 77 PC-- RAI-- . .x.", . • • ■ PROJECT INFORMATION ..- . . TYPE OF PROJECT(This application): X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM l r1 PROJECT DESCRIPTION (Provide detailed description): A 1 E''Y-zz a ' -epci e_�, l v,�/J '1't / ron Cc.V;?')r, 4_L-Ax:, vl'eo✓- PROJECT NAME: %/e$ ,'c k ■ PEOPLE INFORMATION PROPERTY`' '' ��y�� OWNER:�/jNAME: (Oar)/ de._ A DAYTIME' PHONE: ry/ 4.-ai�-/�.adtep_ MAILING Al ar DDRESS/EET AIV hhDDRESS;Cm Ales) ck (453) 83-/ -3 /E. 3fes)C/ 2hdSTATSLA) Fede-rn((, f, L44 ckD23 1 CONTRACTOR: NAME:: h `� '). 4.-i-- DAYTIME PHONE: LDG J r I r4 e C.l Cows.-*nx h (,25.3 ) 3 5-6 -kg-27 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 3 x'33 ///1 pi .Si / ✓r K ( 4 9 s'05,.. (J-c3) 73C -0362 1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: -- - -z 0 - 0 v 1 Q 3 3/9-a) DI- (.;20 735 --5-) / CONTRACTOR'S REGISTRATION NUMBER: ^ ) EXPIRATION DATE: a / (copy of card required) D L C 0 N -* / k A,4 7 / / / ©I APPLICANT: NAME: DAYTIME PHONE: 7J c—L- Si rz,th bl-. ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) - , E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR - .. ■ DETAILED BUILDING INFORMATION EXISTING USE: 1 /G(Yn_ , 'sl[onrc2 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ n PROPOSED USE: t m�' PROPOSED VALUATION FOR IMPROVEMENTS: $ llitj - SPRINKLERED BUILDING? ❑ YES X.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: KLAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: JLAKEHAVEN Cl HIGHLINE ❑ PRIVATE(SEPTIC) • • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . • ■ PROJECT FLOOR AREAS - FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST p SECOND / '7 p THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE �/� HOW MANY FLOORS? TOTAL: 3 5J Q 0 ■-FIXTURES Indicate number of each type of fixture MECHANICAL 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: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 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. n NAME/TITLE: , �! M V� et& )tL - ,ivs DATE: /Z WO ❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION Cl ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES Cl NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES Cl NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129