03-104993 • • x
•City of Federal n Developen
Cot Services Building - Single Family Permit #:03 - 104993 - 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: PEARSON
Project Address: 2215 S 304TH ST Parcel Number: 053700 0110
Project Description: Detached 28011 garage
Owner Applicant Contractor Lender
John A Pearson &Susan Pearson HEARTLAND INDUSTRIES INC HEARTLAND INDUSTRIES INC NONE
2215 S 304TH ST 1623 62ND AVE E HEARTII101KJ 2/26/03
FEDERAL WAY WA FIFE WA 98424 1623 62ND AVE E
98003-4807 FIFE WA 98424 NONE
Includes:
Census category: 434-Reside #1 #2 li #3 #4
Occupancy Group: = U-1
Construction Type: Type V-N
Occupancy Load: iL
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no Garage Proposed Sq.Feet 280
Height of Structure 13 Mechanical No
Occupancy Group#1 U-1 Plumbing No
Total Proposed Sq.Feet 280 Zoning Designation RS 7.2
CONDITIONS:
Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject
proposal.
PERMIT EXPIRES May 3,2004.
Permit issued on November 5,2003
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 Federalay.
Owner or agent: 't Date: if- OS -03
POST IS CARD ON THE FRONT OF BUILDI
41/4, CITY OF
Federal Way BUIL NG DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-104993-00-SF
OWNER'S NAME: John A Pearson & Susan Pearson
SITE ADDRESS: 2215 S 304TH
() FOOTINGS/SETBACKS ;J 13 ) FOUNDATION WALL /0`' C� 3 gl
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 1040 Floor
() SHEAR WALLS 1//703
Z /(3
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROV D PR�1OOR TO FRA NG INSPECTION
() FRAMING/FIRESTOPPING Z /J
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() 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 RIO TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL /1 ?
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
E -'IVED
.„....._ ,AINk_. CONSTRUCT I 1 PERMIT APPLICATION
CITY OF / is
NOV U 5 2003 APPLICATION NUMBER: - (5- t L)91?2 2- c`
.."
Federal Way APPLICATION NUMBER: - -
CITY OF FEDERAL WAY. , kPPLICATION NUMBER: - -
BUILDINGc
"The following is required information—Please print(in ink)or type" `�\�
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: ,,� 1 5 3_,-. ASSESSOR'S TAX/PARCEL #: 6 5 3 00_ - Q L LQ 09
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - , l.I• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
o ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): e.�p(le_l (1
i ____
PROJECT NAME: CAIzs.
1
. .:_■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: i DAYTIME PHONE
3 )\\ iA Z h. ; ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP)
16 5 3o4- L ,,,\ \(P,L\ Wn q i)n3
•
CONTRACTOR: NAME:] DA ME PHONE:
f-IZPe ' 1 . /.1 4) ((06 ) `7qH - ga,%(p
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE
1301 'I VAti 14 IAk1 Ai Sk (01 ( )
I CITY OF FEDERAL WAY BUSINESS LICENSE UMBER: I FAX NUMBER:
.- 6
(a ) t7(p -I AP()
' CONTRACTORS REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) 14� i- AIL -C l -LC LIS ; 03 / 0S / 0
APPLICANT: ( NAMEI DAYTIME PHONE
t 5. iaM\Av4 Thi ( 0-3 )'79c( -(gall
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE'
13 \iNi \JAkike, tIc.l`1 PI A1/414 W ; ( )
RELATIONSHIP TO PROJECT' n j FAX NUMBER:
o ARCHITECT O TENANT 0 OTHER(DESCRIBE):`,Q4i-11\C-0Y ? ( ) - 1
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT CONTRACTOR
'-■ DETAILED BUILDING INFORMATION -
i
EXISTING USE: (' EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 51- t PROPOSED VALUATION FOR IMPROVEMENTS: $ t{'
J
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: vc LAKEHAVEN O HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: pLAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION CS**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD —
FOURTH - --_— —
OTHER FLOORS(DESCRIBE)
DECK
GARAGE a/o P1
HOW MANY FLOORS? (J V '�{
TOTAL:
= ■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
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 1
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,induding its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application. 1 F,
NAME/TITLE: / DATE: j( O J —V
❑ PROPERTY OWNER ❑ APPLICANT \I CONTRACTOR
FOR OFFICE;USE ONLY:
.1)--NEW.,_, ❑ADDITION , ❑ALTERATION .ij REPAIR * O.TENANT IMPROVEMENT
CENSUS'CODE. . s,_ LOT SIZE:'-: , W , Y
"ZONING DESIGNATION;:: " BUILDING SHELL.ONLY? ❑YES'- ❑ NO
COMP PLAN DESIGNATION - =_- BASIC PLAN? =_='o YES ❑ NO
SECTION;; TOWNSHIP RANGE '= NEW—ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? ❑ YES;'` : NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
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