05-104422 0 _ 41 ., .,
w o
"City of Federal ay Building - Single Family Permit #: 05 - 104422 - 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: CRON
Project Address: 29921 MILITARY RD S Parcel Number:726320 0015
Project Description: ADD-Construct 1,140 square foot detached shop/garage buildi . • •es some plumbing&
mechanical work
Owner Applicant Con tor III Lender
JAMES C CRON JAMES C CRON JAMES C CRO • INGTON MUTUAL
912 S 296TH PL 912 S 296TH PL 400 PACIFIC HWY S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 912 S 296TH PL FEDERAL WAY WA 98003
FE i ' •L WAY 03
Includes: NOWII
•
Census category: 438-Reside #1 #2 #4
Occupancy Group:
Construction Type: Type V
Occupancy Load:,. a
I Floor Area(Sq Ft.): . IIIIIL
Census Category ......._ 438-Resider garage c Fire Sprinklers � No
Garage Proposed Sq.Feet ....................... Hei ti 15.2 F
Mechanical ......,.. ....... .......... -s up ass U
Plumbing To p Sq.Feet.. ,„, .. ,.° x.,1140
Zoning Designation RS
•Iumbing s
Descri' •n Quan '� Description _ Quantity Description Quantity]
' Lavatories 1 .inks 1 Water Closets 1
Water Heaters 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity;
Fans 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 1)and must comply with FWCC,Chapter 22,
Article XIV "Critical Areas” and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES April 1,2006.
Permit issued on October 3,2005
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 - - '-- laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: /_ Date �
• THIS CARD IS TMAIN ON-SITE • .
O -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104422-00-SF
Owner: JAMES C CRON
Address: 29921 MILITARY RD S
FEDERAL WAY, WA 98003-4267
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 Date/4••�y�-e J By Ge� Dated Z_.,5�a By :foundation
/2./ r. --
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) �❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By e,vi Dates..Zg .pg By �x."..) Date/21,s.o By c Date/2•/s-
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) '133 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install sidin
\\'
By Date By Date `B Date A bD
Roof Sheathing(4220) 0 Rough Plumbing(4230) .❑ Mechanical Rough-in 165)
Approved to install roofing Approved Approved
ate-
By. Date `� G� , By Date ` By Date
Gas Fire/Draft Stops(4095)
CIGaPiping g4125( ) ❑ S
P • NOTE: Prior to scheduling a Framing(4120) 1
1
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical ilii
Rough-in and Fire/Draft Stop inspections must be
By Date By Date t signed off and approved. IBC 109.3.4/UBC 108.5.4 i
Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
B t .) Date , By Date 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)
`
� Appproved Approved
By v Date /2 //0 By Date
IRfCEIV 11,61
Federal Way 5- --G 0_1 Y4 . ol-
PERMITAUG '3 (1 2005
COMMUNITY DEVELOPMENT SERVICES S.A
10 F FCO ME EL P3L DE EN FP
33325E 8T"AVENUE SOUTH•63 BOX 9718 A P P L I C A
FEDERAL WAY,FAX
98063-9718 �y-{ ^4 }�E�AL WAY
253-835-2607•PAX 2waq co-2609 LL ILlf I / 1 /�
�,w�h.ciluoljeaeralway.mm BUILDING DEPT. //
The following is required information-an incomplete ap.lication will not be acce•ted. Please •rint legibly(in ink)or type.
. ' •
MI PROPERTY INFORMATION
SITE ADDRESS 2 772 // I/iS� c , X:,q p S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 2 2, O - O Q i LOT SIZE(sf 3 0 c?i 6
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) RC Lamf ,�fe 4lac(�t /Y4°'
(Attach separate page jar lengthy legal deunption)
:' ■ PROJECT INFORMATION
TYPE OF PERMIT ft BUILDING 0 PLUMBING 0 MECHANICAL
t 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJZCT DESCRIPTION(Provide detailed description of y»yk`included on this permit`only) �, _
—
0
q,g4 co:6,(4cl
c)4,7
PROJECT NAME(Name of Business or Owner Last Name) C ro /
I
- /// II PEOPLE INFORMATION
PROPERTY NAME C, C!� t,kl PRIMARY PHONE
OWNER Q keCof (z")) 714-/ -2?f'
ir
MAILING ADDRESS CITY,STATE,ZIP
(i72 S, 29'6 •P4� e-1 (0 (el 7:S1>C:2:13
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
femme ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- _ -B L / / ( ) _
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME /..., APPLICANT NAME OFFICE PHONE
a - e ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME - PRIMARY PHONE E-MAIL ADDRESS
--1007'G ( ) -
LENDERer GW 9071� 5�Zertformationist NAME �j(
.�' �cared r ect value exceeds l f/ ft t,y ��#7 (
� -�;� �r.an'��..: �w .rz� 55,000; 3 (� ✓ U
MAILING ADD CITY,STATE,ZIP
3 Z 1 /)«i $ P, / L/ ����t 7gea
- /� ■ DETAILED BUILDING INFORMATION
EXISTING USE �7CCc evIC:r7 1 1 4 0 6 6 PROPOSED USE �a=0107 c3
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $42// AOC
SPRINKLERED BUILDING? ❑YES 02NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES fNO
' WATER SERVICE PROVIDER iLAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE to PRIVATE(SEPTIC)
PROJECT FLOOR AREaS
AREA DESCRIPTION EXISTING SQ.FT. PR• e :SED SQ.FT. TOTAL
BASEMENT
FIRST ( (Ct
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL l b 0
Value ofMechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS i FANS HOODS(Comm<rd1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS I
PLUMBING {
BATHTUBS SHOWS S I WATER CLOSETS iroa<q MISC(Describe)
(or Tub/Shower Combo( \
DISHWASHERS I SINKS (UPI J DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bxo,roomSi,trsl VACUUM BREAKERS I 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 claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be mad any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of t 'ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
7 , of
NAME/TITLE �' DATE �r � -r
(Signature ' (Citic)
/
1 RELATIONSHIP TO PROJECT X Owner ❑Agent ❑ Contractor 0 Architect 0 Other
ti
1 . ,-- Y ' e4. 4,,v f .ak .
( OR OFFICE USE ONLY Y >
o NEW. o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
t BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? a YES ❑NO
1 ZONING DESIGNATION CHANGE OF USE? ❑YES oNO
i NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
t PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
f
S •
(
{
i
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Permit Application
• •
IN
Project Name Applicant
Project Location Tracking No.
IV. FURTHER INFORMATION
Provide the approximate quantity of fill and source of fill to be imported to the site.
Approximate Quantity of Imported Fill Source of Fill
1\1
Check box#1 if you do not plan to store,han le,treat,use,produce,recycle,or dispose of any of the
types and quantities of hazardous material or deleterious substance listed in Section III.Check box(s)#2
through#5 (and fill in appropriate blanks)of the below table if they apply to your facility or activity.
#1 The proposed development will not store,handle,treat,use,produce,recycle,or dispose of any of
the types and quantities of hazardous materials or deleterious substances listed above.
#2[ ] Above ground storage tanks,having a capacity of gallons will be installed.
#3 [ ] Construction vehicles will be refueled on site.
Storage within wholesale and retail facilities of hazardous materials,or other deleterious
#4[ ] substances,will be for sale in original containers with a capacity of_gallons liquid or
pounds solid.
The presence of chemical substances on this parcel is/will be for"temporary"non-routine
#5 [ ] maintenance or repair of the facility(such as paints and paint thinners)and are in individual
containers with a capacity of_gallons liquid or pounds solid.
Check any of the following items that currently exist or are proposed in connection with the
development of the site.
#1 [ ] Stonnwater infiltration system(e.g.,french drain,dry well,stormwater swale,etc.)
#2 [ ] Hydraulic lifts or elevator,chemical systems,or other machinery that uses hazardous materials
#3 [ ] Cathodic protection wells
#4 [ ] Water wells,monitoring wells,resource protection wells,piezometers
#5 [ ] Leak detection devices,training for employees for use of hazardous materials,self-contained
mach' ,etc.
SIGNATURE,
4 . 7 ;0 4,d3
Si ature
�° Date /
a9 07 e
- Cro
Print Name S
If you have any questions about filling out this application form,please call the Department of Community
Development Services at 253-835-2607.Please be advised that an application for a development permit
lacking the required information will not be accepted
Bulletin#056—November 24,2004 Page 3 of 3 k:\I-Iandouts\Hazardous Materials Inventory Statement
,v
• •
Project Name Cry- S Applicant Ji 101+1 Cr6 ,-._
Project Location 291 Z1 'V'i it+Z V j koC S Tracking No. 0-5 I O' 'j a 7--
III. TYPES AND QUANTITIES OF HAZARDOUS MATERIALS
Please provide the approximate quantity of the types of hazardous materials or deleterious substances
that will be stored,handled,treated,used,produced,recycled,or disposed of in connection with the
proposed activity.If no hazardous materials will be involved,please proceed to Section IV.
MATERIAL LIQUID(gallons) SOLID(pounds)
(1)Acid or basic solutions or solids
(2)Antifreeze or coolants
(3)Bleaches,peroxides,detergents,surfactants,
disinfectants,bactericides,algaecides
(4)Brake,transmission,hydraulic fluids
(5)Brine solutions
(6)Corrosion or rust prevention solutions
(7)Cutting fluids
(8)Deicing materials
(9)Dry cleaning or cleaning solvents
(10)Electroplating or metal finishing solutions
(11)Engraving or etching solutions </
(12)Explosives
(13)Fertilizers ;
(14)Food or animal processing wastes
(15)Formaldehyde
(16)Fuels,additives,oils,greases
(17)Glues,adhesives,or resins /5
(18)Inks,printing,or photocopying chemicals
(19)Laboratory chemicals,reagents or standards
(20)Medical,hospital,pharmaceutical,dental,
veterinary fluids or wastes
(21)Metals(hazardous e.g.arsenic,cop•- ,
chromium,lead,mercury,silver,etc.)
(22)Paints,pigments,dyes,stains,v .ish,sealers.
(23)Pesticides,herbicides or poi •ns
(24)Plastic resins,plasticizers, or catalysts
(25)Photo development ch,- 'cals
(26)Radioactive source
(27)Refrigerants,co• mg water(contact)
(28)Sludges,still .ottoms
(29)Solvents, tuners,paint removers or strippers
(30)Tann' (leather)chemicals
(31)Tr former,capacitor oils/fluids,PCB's
(32)Waste oil
(33)Wood preservatives
(34)List OTHER hazardous materials or deleterious
substances on a separate sheet.
Bulletin#056—November 24,2004 Page 2 of 3 k:\Handouts\Hazardous Materials Inventory Statement
•Pubilc Health--Seine & King Cou Health Department Use Only
Application for Health Department Approval of Building Permit Record ID.Number
For houses or structures served by an on-site sewage(septic)system(OSS) Q
Eastgate Public stealth Center-14350 SE Eastgate Way,Bellevue WA 98007 ON �D U 7
(206)296-4932 Fax: (206)296-4919 Application Fee: .$285.00
RECEIVED -
• . Please submit application and all support documents in tripliutc Health Dept. USe Only
•The minimum support documents include: AUG 3 0 2005 T-Guide Page/Loc.
/ 1. detailed route map and directions to property
2. plot plan scaled at 1"=20' or 1"30', 11"x 17"max, sizel Y F ERAL WAY •
• •house footprint and any proposed changes to that footprint SEPT. A—_ •
• • location of septic tank and pump tank,drainfield and all tight sewer lines For IDES use Only
• location of reserve drainfield area (repair area) Date Received
• all water lines and well sites, show l 00ft radius around all well sites
Tracking No.
• location of all out buildings • Permit Tech
• location of all driveways and parking areas • •
• • all property boundaries and easements • HD Fee Collected: Yes No
• • all streams and bodies of water
- 3, Floor plans of what is changing in the building 11"x 17"maximum size paper.
y ��"�"
Property Information --� ��"'
•Address of Property ' q. 2/� )'U c 11 ' kO Sey Parcel No(Altp: ®E 3_12_0 d p ( is
-
City 040441 til li`k . fig" Zip code _e/CM03
Applicant's Name 11-..11144 6P-ON • Day Phone J-LS-5) qq� 7- 4-(-2,
Applicant's Mailing Address !Z S P '(pf'y(,- City 0iilk(- Uva}- Zip 91300
Owner's Name ✓Vt .DA/ Day Phone J -Z5-1)._____' I( �� —
Age of House . I i Distance to nearest public sewer •
Existing Square footage of house I Lis-- Fret Number of existing bedrooms -7-- --------
" _-.
1 Square footage to be added & Number of bedrooms being added te
Description of proposed changes *(,t,,)p 6 IA-AA('‘,C._ CD P474.-t(,,.Y.o
• Type of On-Site Sewage System Serving Property: (o g-/.>tay'tl-°•l D t.S4'•
' Additions or repairs to se age system(give dates and describe briefly) i t J 1.to T C_L A.trc t_p
• q- t_' . A -t1 ' , , c4- C�. -- Pile_ q -LSe /1-D08 •to
Describe or attacl any dr.infield easements, covenants or notices on title,which may impact the property
r i x 1 i, w i'%1 KAT (Abk 4/ �/1I eisql- n/
/
Water Supply information k kti-liti*.4
Public water system(water supply with 2 or Water System Name: T .
• more connections) State 1.D.Number:
Private(well,spring, etc.) attach copies of well log, well covenants, chemical/bacteriological sample reports.
'For Health Department Use Only Released Initials Date
XApprovedB 4 ' ' , iiEGEV E❑ Disapprove1/// J)ale• Date :y
❑ Hold _Date By: _ _ MAR 8 2005 }
Comments/Con 'tions: Ar�7 ;� -_.,.�r e ,
,`, .,� I -,- /s/ ----Al . -- " = 'GATE PUBLIC HEALTH j
re L
a - . '",e Are4(1 --
r
r/- .
ay person aggrieved by any decision or final order of the Neahb Officer may file a written application for appeal to the health Officer wit lin 60
calendar days of the decision.(Title 13.K.C.N.O.H.Chanter 13.12-- Sewage Review Committee. REV 11/22/00.9/15/0. 12na/0 11/I SIN
0 — (owest polne
DOWNSPOUTS TO RUN
TO DRY WELLS., SLAB
10 Pq RUNOFF TO FRENCH DRAIN
< ON NORTH SIDE
30-' x 38" z
PROPOSED
BUILDING 00
co
x
CD
--4
1:5
PERMIT #: 05-104422-00-SF
ADDRESS: 29921 Military Road 5
PROJECT: Shop
CRON
DATE: 8/30/05
ot
Cron project
proposed metal building
at 29921 Military Road S.
Federal Way
Jim Cron, owner
date 30-Aug-05
scaIe V
A
NORTH
UNDERGROUND ELECT, SERVICd.- OUTILITY POLE
r -------- I
SHE
SHED FENCED DOG RUN SHED
HOUSE
C 0 V E E'D RECEIVED
PORC
AUG 3 0 2005
CITY OF FEDERAL WA
BUILDING DEPT,
100' GRAVEL DRIVEWAY