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04-100576
a + , III • City of Federal Way Community Development Services Building - Single Family Permit #: 04 - 100576 - 00 - SF 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 ®p Inspection request line: 253.835.3050 Project Name: WILLIAMS MELD Itts1'-CT!®14- Project Address: 29722 3RD AVE SWSU�3E' Parcel Number:720532 0090 Project Description: ADD-Replacing existing sqft deck with a new sqft deck. Owner Applicant Contractor Lender Mary Anne Williams GARY PENISTON GENERAL CONT GARY PENISTON GENERAL CONT NONE 29722 3RD AVE SW 11224 17TH AVE CT NW GARYPGC187J1 4/12/04 FEDERAL WAY WA GIG HARBOR WA 98332 11224 17TH AVE CT NW 98023-3509 GIG HARBOR WA 98332 NONE Includes: Census category: 434-Reside #1 #2 #3 1 #4 Occupancy Group: R-3 r--- Construction Type: Type V-N J Occupancy Load: — �I Floor Area(Sq.Ft.): Census Category 434-Residential alt/add-no Deck Proposed Sq.Feet 940 Mechanical No Occupancy Group#1 R-3 Plumbing No Total Proposed Sq.Feet 940 Zoning Designation RS 9.6 CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES August 18,2004. Permit issued on February 20,2004 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: "2--7-0 Yf 5* 7 6Y /f - NV ACCs Ss/irre pave .mine POS IS CARD ON THE FRONT OF BUILDI T • ikCITY OF Federal Way BUIL ING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 04-100576-00-SF OWNER'S NAME: Mary Anne Williams SITE ADDRESS: 29722 3RD SW TQM P Eeosi on Cori a- --_- O 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 FRAMINC () ROUGH PLUMBING: DWV Water piping O _OUC"i MECHANICAL Gas piping .EA':_.1IN : — -- �c. .Floor --- — I) :::EAS?'-WALLS — — ,FCC :vAL ROUGH-P' Ditch.Cover ( ) ',,S/URAr ST:DPS-- —ALL THi:: _`> )VL MUST BE A',pi•. iEP PRIOR TO FRAMINC INS CT'.CN ( ) F!:AM NG/FIRESTCPPING THE ABOVE P'M 75T BE AFPRO/ED FTO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Wall, Attic THE ABOVE MUST BE API ROVED PRIOR TO APPLYING SHEETROCK O 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 ( ) BUILDING FINAL 62— 7 -0 V __, 10,44.4,,,c6Q/I a -,L- DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED � REG L... ^ � COMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH•PO BOX 9718 crry OF vim' —/ FEDERAL WAY,WA 98063-9718 PtRMIT A�ICATIO4110 25366I4I15•£AX 2536614I29 Federal W 2004 off yl<..n,„nicorn For om”Er Oi11rJ F r(Frs1umberl - 2 � C _ - D 3 BUILD. : / The ollourin• is re.uired in ormation-an incom•fete a..lication will not be acce.ted. Please •rint le.ib1 (in ink)or •e. . S• • PROPERTY INFORMATION -,2.„4:1 SITE ADDRESS: -,2.„4:11-?.:2,,, -vAve W SUITE/APT# ASSESSOR'S TAX/PARCEL #: `1 Z 0`5 . 2. - 0 _01Q SQUARE FOOTAGE OF LOT: ` L LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1) itaii.014E) kailt M ,C '"L5+9 (Attach` parate page for lengthy legal description) . • PROJECT INFORMATION TYPE OF PERMIT(This application): BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onit/j: a-•• CfeU,,tyt d r ` L CC CL PROJECT NAME(Name of Business/Owner Last Name): • PEOPLE INFORMATION PROPERTY NAME: 1L� PRIMARY PHONE: OWNER: tri � W hit ( ) ©3c -(079 MAILING ADDRESS)STf;,EET ADDRESS;): CITY,STATE,ZIP iCZ22. ' Aire Sik) F ri (../.*t. kJ 4- ct ,3 CONTRACTOR: NAME COMPANY OFFICE PHONE: MAILING ADD SS(STREETADDRESS;(: CITY, ATE, ATE,ZIP CELL PHONE: (iZZ� t7 vLI N NUMBER: �•+ EXPIRATION DATE: 3 ( NUMBER: 7 -5 FEDERALzetez CITY OF WAY BUSINESS - - - / / (z 3 ) si -0E41 CONTRACTORS REGISTRATION NUMBER: /' EXPIRATION DATE: (copy of card required with each application)G,4 ,le G i S' / n_ CA / k-2- /6 LENDER: NAME: DAYTIME PHONE: I! (If Proposed Value>55,0001 ( ) MAILING ADDRESS(STREET ADDRESS;(: CITY,STATE,ZIP l APPLICANT: NAME- COMPANY OFFICE PHONE: MAILING ADDR SS STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE: ( ) - RELATIONSHIPTO PROJECT: ,�"�"�"" �� FAX NUMBER: 0 Architect ❑Tenant .Other (Describer C.0 141211 ( ) - 1 CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor ❑ Applicant E-MAIL ADDRESS: , • DETAILED BUILDING INFORMATION EXISTING USE: ►'esiCk,Pew- ( PROPOSED USE: CI;ot.H,..t EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ (1,000 SPRINKLERED BUILDING? ❑ YES ga NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES RI NO WATER SERVICE PROVIDER: n LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: U LAKEHAVEN H HIGHLINE II PRIVATE(SEPTIC) ,� • • PROJECT FLOOR AREAS 11 t "��REA*DE9CRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL ' It MEXT k. $ I-i .-FIRST IP SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) lett, 4 i eV-10 GARAGE/CARPORT 1 HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED •*NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ - AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) _COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roil.) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS ' 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 I 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 ;I undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, I i including its officers and erupt.gees, upon the accuracy of the information supplied to the city as a part of this application. I NAME/TITLE: 1DATE: 2-11-0-1 at I (Title) RELATIONSHIP TO PRO e) T: 0 Property Owner 0 Applicant [ontractor o Architect ❑ I 1 I FOR OFFICE,USE ONLY o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION: CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO ' PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO )iuileult -,10;: , Page 2