06-105938 1 � � .� �
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� �;ornmuniryDeveirpmentServices Bui�uing - Single Family Permrt #: OV-105938�V�"���
� P�.43cx 9718
Federal�P/ay,WA 98063-9718
Fh:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Pro�ect Name: HYDE �' �
':. �, ,$. �,,,
Pro�ect Address: 30415 lOTH AVE S �': � Parcel Number: 091900 0080
Project Description: ADD- Construct 2-story addition including plumbing& mechanical.
Owner Applicant Contractor Lender
JACK&J.a CK?E HYDE DAVID THORSTAD 30415 I OTH AVE S JACK&JACKIE HYDE
30415 IOTH AVE S 406 S 289TH ST FEDERAL WAY WA 98003 30415 10'TH AVE S
F�DERAI..WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 434 -Residential alt/add - no change in number of units
Includes: #1 #� #3 #4
Occupancy Class: R-3 U
Construction T e: Type V-B Type V-B �
Occu anc Load:
F14or Area s . ft.) 4,895 578 0 0
� Ad�litio�al R�rm�t Inform�tion , �
;�Ie�v/Additional Sq.Feet- lst Floor .....'........�...676 Occupancy#1 -Glass....�.. ....:.... .........:........R 3
Occupancy#1-Class......... ...................... .........0 New/A.dditienal Sq.Feet-Other.. ..................0
Plumbing to be Included?......................................Yes New/Additional Sq.Feet-Total.. ......... ......... 1244
Occupancy#1 -Use...............................................Residence(1 or 2 Occup�:ncy#2-Use..............................................E�rivate Garage
family)
Zoning Designation...............................................RS 7.2 New/Additional Sq.Feet-2nd Floor...................932
New/Additional Sq.Feet-3rd Floor...................0 Occupancy#1 -Area(Sq.Feet)..,..........................4695
Occupancy#2-Area(S�.Feet).............................578 New/l�dditional Sq.Feet-Basement...................0
Occupaecy#1 -Construction Type........................Type V-B Occupancy#2-Construction Type........................Type�/-B
New/Additional Sq.Feet-Deck..........................-364 New/Additional Sq.Feet-�iarage.....................0
Mechanical to be Included?...................................Yes
Mechanical F�xtures
�Jucts.............................................. 1 Fans................................................ 1 Furnaces......................................... 1
Plumbing Fixtures
C,avatories...................................... 1 Sho�vers.......................................... 1 Water Closets................................. 1
�.ONB��FBN�:
This parcel is located within a Wellhead Protection Area (Capture Zone 10)and must comply with FWCC,
Chapter 2�,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,i;'
applicable.
.
.� �� � PER EXPIRES Friday, December 19 ""08 *� =� - '�� , � '
� � � Per..,�t Issued on Tuesday, December 19, , �
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: U,� 1 , �
. ,� `/ 'L G C
_�
• , .
s ' THI5 CARD IS TO AIN ON-SIT� �.;. , �� -
, . , � . . ,
���Q� �.ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHOIYE # (253) 835-3050
PERMIT#: 06-105938-00-SF
Owner: JACK & JACKIE HYDE �
Address: 30415 10TH AVE S
FEDERAL WAY, WA 98003-4118
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.Erosian Control(4365) Footings/Setback(4110) � Foundation Wall (4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
BY �j/y! Date 2 2'f e By� Date ' By ;�1�-' Date i4 �,'' /
.S 1 � Z � o � � 1Z �.; ,
� Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By Date `�j � (�� By Date By Date
Q Underfioor Framing(4285) ❑ Floor Sheathing(4105) � Shear Walls(424�)
Approved to sheath floor Approved to install flooring Approved to install siding
By � D�te� ����„_� By Date By � Date
,
� Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ iVIechanical Rough-in (4165)
Approved to install roofing Approved Appro��ed
By Date Z 2 By ��� Date Z.�,7. d� By G � Date �_ Z7�p
[] 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 E'ire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By G-t.J Date Z .
�
� Framing(4120) � Insulation(4150) �Gypsum Wallboard Nailing(4130)
Approved to insulate Approved lo install wallboard Approved to install mud&tape
By ��, Date Z. � By G(� Date 3 S D'� By � Date ,� � p�
❑ Final- SWM(4375) � Final-Mechanical(4065) � Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
� Final-Building(4050) �Temp.Erosion Maintenance(4370)
Approved Approved
By �Date � �jo By Date
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933T58�AVSNU8SOU17f.��,��a ��►�P LI CAT I O N -
FBDERAL WAY,WA 98
251-895-4607•FAX 453-63 ��A D e�, / /
unum.dtuo e�y.mm �W Gr�
The oTlowi {s ired in ormallon-an inco lete a ticatlon w{il rtot be acce ted. Please rint Ie ibi n or
.� . � . �
' SITE ADDRFSS /��� ,���'Y�J �, SUITE/UPIIT#� I�.� I� I
�
ASSESSOR' T / ,Q C,7 - �j J��,,���J O O
L���(,����1 ��� — � � � � �Z. — � .�' LOT SIZE(s� �"'$`�=
AI.DESC e. .�A�t�Estates,Lot 1 J
µaad� �a4ata �d�ora�M
f •• � - •
TYPE OF PERMIT i BUILDING ■ PLUMBING,; ■ MEC��CAL
,.�.a�., Y{,r'.t�.;i'
❑ DEMOLITION ECTRIC ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
�_�� ��
PROJECT DESCRIPTION(Prouide detailed description of work inctuded on t ' ermit onl
. �: '"�i .
I
PROJECT NAME(Name of Business or Owner Last Name)
• � • • �
PROPERTY NAME� PRIMARY PHONE
OWNER , , � _
; MAIL[N6 ADDRFS3 ,STATB,ZlP
! CONTRACTOR COMPANY NAME UCANT NAME
OFFI E pHONB
, � � � '
� MAILIN(i R � CiTY,STATE,ZIP CELL PHONE
Cl'IY OF FEDBRAI,WAY BU31N&SS WCENSE NUMBER BXPIRATION DATE . FI17t►�1U1�(gp,R
_ _ _ _B L- � � ( 1 -
� CONTRACfORS REQISTRATION NUMBER�eop�o[eard raqnired wtt4 eteh appLLaakloa) EXP[RATION DATE
� �
APpLICANT COMPANY NAME APPLICANT NAME
�� OFFICE PHONE
�
WNO ADDRFSS � CiTY, ATE,Z[P " CELL PHON
� � � -
IATION3HIP TO PROJECT FAX NUMBER
a Arctutect ❑Tenant ❑Agent ❑ Other(Describe) � � _
CONTACT N E PRIMARY PHONE &MAIL ADDRE33
LENDER tv�tE
( l/V �l..ti/�
I MAIL[NO ADDRESS CfCY,3TA1'E,Z!P
I
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`
� ERISTING USE � '�'.,., PROPOSED USE ����...
EXISTING ASSESSED/APPRAISED VALIIE i� � . C�Q� VALUE OF PROPOSED WORK $ �L�� �
SPRINKLERED BUII.DING? p YES •NO FIRE SL7PPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ■ HO
WATER SERVICE PROVIDER �LAF�HAVEN U HIGHLINE O TACOMA p PRIVATE(WELL)
SEQ/,ER SERVICE PROVIDER ■ LAKEHAVEN O ffiGHI,INE O PRIVATE SEPTIC)
•• •• -
AREA DESCRIPTION EXISTING" PROPOSED TOTAL
s .�r. s .�r. s .�r.
BASEMENT ' . ..
���',
FIRST � lP � Z
sEcorm � �,�,
� �7Z, Z.f�7�o
THIRD �,,,_ `� l�� �
FOURTH • �
_, '�_ �_
ADDITIONAL FIAORS(DESCRIBE)
. r-^
DECK(COVERED?) _��� �
GARAGE ■ CARPORT■ � � � � ,
'o ea�so ��u, ..................„._..
NUMBER OF FLOORS ��O �' _ "''"�'
F�+ �y i
•"NEW HOMES ONLY•• NUMBER OF BEDROOMS ESTIMATED S LI RICE $ � � S t
► -
Irtdicafe number of each type of fudure to be insta(Ied or relocated as part of fftis project. Do n.ot include ezisting fue[ures to rema.in.
ME(,FiAlVICAL
Value of Mechanical Work $ ����
A[R HANDLIN(3 UNITS EVAPORATIVE COOLERS GAS LOG3 REFRIQr.SYSTEMS
BBQS � FANS HOODS�c,mme„�t.q WOODSTOVES
BOILER3 FIREPLACE IN3ERT'S RANQES M[$C(Describe)
`��- , ,:.,
` �:COMPT2�S30R5 � FURNACES QAS WATET2 HEATERS
� DUCCS GAS PIPE OUTLETS
PLiIMBIN(i
BATHTUBS er7Lb shmuercom SHOWERS I
( / �1 .�— �_ WATER CIASE7'S Rotkq MISC(Describe) (
DISHWASHERS SINKS DRINKINQ FOUNTAINS
GA3 PIPE OUTLETS SUMPS RAINWATER SYST �
WASHINQ�MACHINES URINALS H03E BIBBS �
LAVS�9.throema�oky VACWM BREAKERS ELECTRIC WATER HEATERS 1
1
� �
�I cert�y weder panaLty oj per,/ury that the ig(ormallon furnished by me ts true and correc!W the best of my krtowledge,and furthsr,that I �
a++� authorized by the owner of the above premtses to perjorm the work for urhtch !he permi!appiicatton ts made. I further agree to hoid
ha�rmlass the GYty of FederaI Way as to any clalm(tnciuding costs, expenaes, and attorneys'fees lncurred in the inveatlgatton and dejense of
such clatmJ,which may be made 6y any person,including the underrigned,and itled agalnst the Cily ojFedera�Way,but only where such c(a{m
atises out of the re[fance of the city,{nciuding i!s officers and employees,e�pon the accuracy ojthe lr4jormaHon sapplied to the ctty as a part oj
this application.
'
NAME/'tITLE DATE �
(3i turc) (7'iue)
RELATIONSHIP TO PROJ ❑ wner o gent ❑ Contractor ■Architect ❑ Other �
�
. �
tsuueun#100—January 7,2005 . Page 2 of 4 k�Handouts�Perinit Application
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