02-102636 , ! . � . ..
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City of Fedexal Way guilding - Single Family Permit #:02 - 102636 - 00 - SF
Commm»ry Development Scrvices _
33530 Ist Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 II1SpCCt1OI1 1 CC�UeSt�llle: 253.835.3050
Project Name: ROBERTSON
Pr�ject Address: 31019 48TH AVE SW Parcel Number: 184080 0110
Project Description: RES ADDN-400 sqft addition for dining room and sewing room. Includes ducting. No plumbing on
this permit. � �
Owner Applicant Contractor Lender
MICHAEL ROBERTSON MICHAEL ROBERTSON ASSISTED CUSTOM CONSTRUCTI MICHAEL ROBERTSON
31019 48TH AVE SW 31019 48TH AVE SW ASSISCCOS:B6 1/04 31019 48'1'H AVE SW
FEDERAL WAY WA 9R023 FEDERAL WAY WA 98023 ASSISTED CUSTOM CONST[tUCTI FEDERAL WAY WA 98023
26918 204TH AVE SE
Includes:
Census category: 434-Reside #] #2 #3 ' '� #4 �
Occupancy Group: R-3 m�-�
Construction T}�pe: Type V-One-HR � ���
Occupancy Load: j
Flocr Area(Sq.Ft.): �
— J
1 st Floor Pruposed Sq.Feet.................................400 Census Category.................................................434-Residential aldadd-no�
Ileight of S;ructure............................................. 12.6 Mechanical................................................. Yes
Occupancy Group#1...........................................R-3 Plumbing................................................. No
Total Buildiug Sq.Feet........................................i)00 Total Proposed Sq.F:et......................................400
Ze�,ing Designation.............................................RS 7.2
Mechanical Fixtures
'[7�;s�Ki kion "�„¢� Quanti ' Descri tion : ��e ' ` `:
[���_�_ p ;',� � t�Y � P �a .►�Y k�._�.. Descripfion �1Quaniify
Ducts �
CONDITIO S:
1.Retain&protect identified significant trees per FWCC,Se�:. 2-1565 through 1569. �ght prote�tive fencing is
required at the dripline of retained trees.
2.Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
3.Per FWCC,Sec.22-1133(4),eaves,chimneys or awnings,&si 'lar eleme of a structure that customarily
extend beyond the exterior walls of a structure may extend up to 1 inc AXIMUM into the required yard
setback.Additionally,the total horizontal dimensions of the eleme at extend into a required yard,excluding
eaves,may not exceed 25% of the structure's facade length f►•om w 'ch the elements extend.
4.This decision shall not waive compliance with future City of Fede 1 Way codes,policies,or standards relating
to the subject proposal.
PERMIT EXPIRES February 16,2003 IF NO WORK IS STARTED.
Permit issued on August 0,2002
I hereby certify that the above information is correct and that the construction the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulat ns of the State of Washington and
the City of Federal Way.
Owner or agent: ' a�r� •�-�-�z`a� Date: ��1 b — � Z
; ,
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� � ° PO` 'HIS CARD ON THE FRONT OF BUILD �� " • � �� ,
� _ BUILDING DIVISION
— INSPECTION RECORD
I1�tSPECTION REQUEST PHONE#: 253-835-3050
, —�-
PERMIT#: 02-102636-00-SF
OWNER'S NAME: MICHAEL ROBERTSON
SITE ADDRESS: 31019 48TH SW
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL ���L��sS
'' ' ��.���-_-__�_���_--� DQ NOT PDUR�CCIN�RE E�l�`IL THE ABO S�P�'ROVED ���� r ���� �y�
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( ) DRAINAGE: Line �S ��� ( ) Connection�j� Q l2`"�L /
" �'; �; '`,,��� 3�,��DO NU�'�pOU�i� ����.T�L���E ABO��`��$�1'�'��20VED ��� � ���� �
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u. ___,. ��,.�.�..� �,�,.��.,_:_ „� .��. _...... _ � �__.._._._�.. �..�s
( ) UNDERFLOOR FRAMING � ���� /�� ��"
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS -
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C � ���+ �,''�"��E��T'�T� : PR()���.��' ' ��.�,��:�����,,.�G .�x�pEGTION `�=���,��� �;�,�
�.
, .: M�,_.�. .���.,����,.,�.��,__ . .�.��.� .,�-�.�. w� �..�_�__ �z..::........ :
( ) FRAMING/FIRESTOPPING
�.,
i: � ,��'HE,A$OVE�VlUS'�,,SE.�P�PaR�'�0����D�,'�,PRIORT()IlYSUL�`3N�UR.SHEETROCKTI�G� �;��r a�-�� Ra
( ) INSULATION: Floors Walls f��2���' �/'/Q Attic /��2C�'�0 Z -�v�
�, .;. .
° H���BO'l�E 1VIUST BE� ROVED pRi�R�T(� �YTN��SHEETROCK: �
�. � ����,.�� „�.� n.�..,o�u�, . ..,_�..s��,������.a.,� .�„�,,<.,,. ., �.,.,�,r.� ..s._��. _ �....... .�, _ . _.
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
.��.,�. .- ����
`- Q �;" �T,�E,�1' U„�.'4,�.ED OR�TO�.,AP�IN' QR�7�.STAI�L�TG GEILING TILE�,;. w��
O ELECTRICAL FINAL � � Z• �� O � T~S
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
` ��ABOY�y �_ST�E���OVE�D P;R�ORTb � +���`P�A�RTMENT FINAL�,�� �.� �-��.�..�
_. ___ _ ._� .� . .. �,.: ..., ��
( ) BUILDING FINAL � "" �— O•3 ��-
�,; O��()CGUPY�THIS�BUILDING �(TNTIL B �� �� �
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„ VILDIN�FINAL IS APPRO�ED =:
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�.� ►1�cE���� _
, ��L CONSTRUCTION PERMIT APPLICATION
�V Ry �UN 2 � ZOO2 PPLICATION NUMBER: � - � �� ' -
PPLICATION NUMBER:
- - - - - - - - - -
G!N�F FEDERALWA • — —
DEPT• RRLICA�TION NUMBER:
�1}ILD►NG - - - - - - - - - - - -
**The ollowing is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
. � . � . �
SITE ADDRESS: �OI� �.��-� :��?�` �, (rL�_ ASSESSOR'S TAX/PARCEL#:
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LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• • • • •
TYPE OF PROJECT(This application): 11�BUILDING ❑ PLUMBING �,MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �� 1 ��`, =�; ',=�, ,�����•����
PRO]ECT NAME: ��;bi�-'��r� ����-}�c�,�
• • • • •
PROPERTY OWNER: NAME: �"'� ��� OAYTIME PHONE:
� �� � t � �C%1.�'t,�SG"►� ) � - �C�( �
MAILI G ADDRESS(STREEi ApDRE55;QIY,STATE,IIP):
l� �� ,�-UiY , �<E� --���o`�c_-l� 1�.1-G� l � A - �� U� ��
CONTRACTOR: NAME:
DAYTIME PHONE:
�..� ��� � � -
MAILING ADD (SiRE DDRESS;QTY,$TATE,ZIP): EVENING PHONE:
: QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: �AX NUMBER:
� - _ ( � _
— — — — — — — — �
COMRACTOR'S REGISTRATION NUMBER: IXPIRATION DATE:
��PY of prd required) � �
f APPLICANT: N�E: DAYTIME PHONE:
` �Cry�e ct � ct�o v�= • ( ) -
` MAILING A�DRESS(STREET ADDRESS;CITY,$TATE,ZIP): EVENING PHONE:
f RELATIONSHIP TO PROJECT: � �
FAX NUMBER:
,� ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): � � -
E-MAII AODRESS:
CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR
i . . : . • • .
EXISTING USE: �'+[��.4� f� y'��� �ai EXISTING RUILDING ASSESSED/APPRAISED VALUATION �v� �
PROPOSED USE: ✓LNv►'`'�' PROPOSED VALUATION FOR IMPROVEMENTS: � ��.;J,C��
SPRINKLERED BUILDING? ❑ YES l� NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES l�NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE �TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGNUNE L`�PRNATE(SEPTIC)
*#PIEW RESIDENTIALCON57RUCTION ** �`
NUMBER OF BEDROOMS: .� ESTIMATED SELLING PRICE: � ��� �����
• • • • -
FLOOR EXISTING S .F-T. PROPOSED S .FT. TOTAL
BASEMENT _
FIRST `
/�C� j� ���� �
SECOND
I
I
THIRD '
�
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
f
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATNE 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)
� OUGT(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
DRINIQNG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSEf(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. •
I certify u�de�penalty of perjury that the information fumished by me is true and correct to the best of my knowledge,and
furtl�e�,tfiat I am authorized by the owner of the above premises to perform tfie work for which the permit application is made. I
fwtfier agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information sup �e to th a a art of this application.
� �� �/
` NAME/TITLE: `�i �' "' DATE: U�i� :�N L1 i—
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� l'7 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
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_ �FOR OFFICE USE:UNLY =:
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��EliV��.�,�❑�ADDITION3_�, ;�C�;ALTERATION�:���:aREPAIR.-�-��•�#°.'TFNANT�IMPROYEMENTs��'�..,:
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COMMUNITY DEVELOPMENT SERVICES•33530 fIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063A718•253661�000•FAX:253�61-4129
- www_citvoffederalway.00m
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