04-103130 w ... . , . � ' ,
r' e ' r , �
CityofFederal Wa,� Building - Single Family Permit #: 04 - 103130 - oo - SF
Communiry Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(2531$35-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: LO,E.
Project Address: 28619 9TH AVE S Parcel Number:515295 0180
Project Description: ADD-Construct a 1222 sqft main floor,450 sqft basement and 443 sqft deck addition to ezisting single
family residence,including plumbing and mechanical.
Owner Applicant Contractor Lender
P LoEddie &Natalie T LoEddie QUALITY NORTHWEST CONSTRU QUALITY NORTHWEST CONSTRU P LoEddie
28619 9TH AVE S 805 S MARINE HILLS WAY QUALINC141DR 4/10/OS 28619 9TH AVE S
FEDERAL WAY WA FEDERAL WAY WA 98003 805 S MARINE HILLS WAY FEDERAL WAY WA
98003-3127 FEDERAL WAY WA 98003 98003-3127
Includes:
Census category: 434-Reside L #1 #2 #3 � �4 �
Occupancy Group: � R-3 U-1
Construction Type: �� Type V-N Type V-N
Occupancy I..oad: _� � —�
Floor Area(Sq.Ft);—- �� � �_-- -- �1
lst Floor Froposec!�q.F�C.i............................:338 2nd Flo9r Ptaposed Sq.Feet ......�......................884 =
Basement Prop�d Sq.Feet................................450 -�'' Census�at�ry ........... ..........................434-Resic�ntial alVadd-rro
Construction Typ�#2..... ` ............................::.Type V-N ' Deck Piopased Sq.Feet..... .............................373
Height of Structure.......:. ..............................��4.5 Mecttamcal........................ . ................. Yes i
Occupancy Group#1...........................................R-3 Occupancy Group#2....................... ..............U-1
Plumbing................................................. Yes Total Building Sq.Feet........................................4093
Total Proposed Sq.Feet.......................................1572 Zoning Designation.............................................RS 9.6
Plumbing Fixtures
[ Descriptian �Qi uantiry L Description 1Quantity Description �Quantiry
�athtubs —�'i, 1� Dishwasirers �,� Lavatories - I��
� �—I
� Ot Plumbing Fixtures � 1 � Showers 1 Sinks 1, 2
J�___,C __ �0 -�1-G
� Water Closets �� �
�_ �
Mechanical Fixtures
Description ,Quanti j� Description ' Quanti Description Quantit
� _ 1
---
�Air Handling Units �1 I I Ducts 1 Fans � 1
�=Ranges --�.—_1�------ ��� ��
i ��
CONDITIONS:
1.Prior to any clearing or grading on a lot,the owner/builder shall install temporary erosion/sedimentation control
facilities approved by the City.These facilities must ensure that dirt or sediment laden water does not enter the public
drainage system,adjacent lots or public streets.The owner/builder bears the responsibility to maintain the facilities in
proper working order,replacing as necessary.The facilities may be removed only after such time as construction is
complete&landscaping is installed.See attached for standards and site plan for loc ion of silt fencing.
2.This decision shall not waive compliance with future City of Federal Way cod ,pol� 'es,or standards relating to the
subject proposal.
—✓� '�
F�NALED � � � �
� �
ll'
� ., ! � ` ^ I►
. .., � , + -c
PERNIIT EXPIRES Apri119,2005.
Pernut issued on October 21,2004
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 accordanc with the laws,rules and regulations of the State of Washington and
the City of Federal W .
� ` /� /'
Owner or agent: � 4 Date: /C�/ 2�/ � �f
' ' , THIS CARD IS TO �AIi`� ON-SITE � � '' -
. � •
ClTYOF �ommunit Develo mrnt Ins ection Record
Y P P
Fed�ral Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-10�130-00-SF
Owner: P LOEDDIE
Address: 28619 9TH AVE S
FEDERAL WAY, WA 98003-3127
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 arder 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) � Foundation`Vall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
j> �iLc�1 4 -�.fs-rsS-
By Date // l� " By Date f/ 3 � By � _� Date��-�j G
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to hackfill Approved to cover Approved to place concrete
By j� Data l �Q/b� By Date By Date
❑ Underfloor Framing(4285j ❑ Floor Sheathing(4105) ❑ Shear`Valls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date JZ'7� By �� Date �1�� By /�-� Date 3/1�/��
❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ Mechanical Rough-i;t(4165)
Approved to install roofing Approved Approved
�
By • ��-' Date ��� By Date��1��j-r BY (i/= Date 3�'�_v�—
-T-�,
❑ Gas Piping(4125) � F1PCInT'aft StOpS�4O9S� NOTE: Priur to s��heduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in an�1 Firc/Draft Stop inspcctions must be
� signed-off and apFroved. IBC 109.3.4/UBC 1085.�
By Date By �� Date � � Q�
❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum VVallboard N:iiling(4130)
ApproveJ to insulate Approved to install wallboard Approved to install nn�i 3c tape
By �/`�C Dats � /i � By �� Date � �71�'� By llate 3 3����
❑ Final- SWM(4375) ❑ Final-Mechanical (�t065) ❑ Final-Plumbing(4075)
Approved Approved Approved
By ' Date B Date �( � By Date �� �'
❑ Final-Building(4050) [j'remp.Erosion Maintenance(4370)
Appro��ed � Approved
By ` Date �i���6 By Date
�
� � �
� � �
� \
� � �
Z !
_ �
� �� �
_ � � �
� � � �
� � '°
� �
3 �
�
� �
_ � � �
�
� �
� N
� � �
� � �
� ��
�
-
-
. �
_ � � \
� �
� = � �
� �
, �
.
, ��CE �p o`�l- �c�313o — SF
, �
� �� �� �� . � COACMUNIT7'DEVELOPMENT,SERfOC6S 'ny/
�j�(� (� L� ��'(((���(((��� 33530 FlRST WAYSOUTH•Pl')BOX 9718 '✓'�
/ ���������� U u SL T� FEDERAL WAY,Wi] 98063-9718
Y N• 253-661-4115•FAX.•253661-4 129
1J � rau•w.cituoJTederalu�ay.com �
CITY OF FEDERAL �.�-" r,
For Otfioe Use Onty: ���. .: . ..� TD: � .
FW File Number:
The Ilowing!s t�d ormati'on-a�inco lete ltcabion rattl nat be l�d Plerrs,e rint 1 ln or
. � . � . �
srrE ennx�ss: Z�'61°I �'�.��.�ui%i S C��I%�.��,6.-�, ��. ��'.�a sin��a�r$
ASSE880R'S TAX/PARCEL#: � L � 2 � (a - a � � �J SQUARE FOOTAGE OF LOT: �S��iZ 5.�. ���
— (
LEGAL DESCRIPTIOF(e.g.:Acme Estates,Lot IJ NI h�Z�e{�i ��It�lrs � �,� ��
(Attach separate page for lengthy legal descnptionJ
• • • • •
TYPE OF PERMIT(This application�: P BUILDIIi(i ?PLUMBIIifi �MECHANICAL P DEMOLITIOF
P ELECTRICAL P EAGINEERING�FIRE PREVERTIOR 8YSTEM
PROJECT DEBCRIPTION /Provide detailed description of cvork included on this dermit onlut.
Si��-Gi �i� ���YaG�iGFi ��1'��' ' ��n �G� " �� �Sf��GlU��S
��Il,v 1,�vr 1%�cGi�..s� �t�14��1.� �1f�� ��Fi
PROJECT FAME(Name ojBusiness/OcunerLastNam�: l.t�
• • • • •
PROPERTY N�E� �.,f PRIMARY PHONE:
OWAER: �" 1%� �,t�j �� �2" �.�y�-�C �'1� �� � ?j�' 'ZL 7�j
MAIWNG ADDRESS(STREET DRESS;�: CITY,STATE,ZIP
ZS'lGl al `l�b-�C�i�i �. ���� �� �i- y��
CORTRACTOR N'�E COMPANY OFFICE PHONE:
�I -t�r �.�� � ��k-�. (�5�) ��� - ���b'
MAILING ADDRESS(ST ET AD RES ;�: C(TY,STATE,21P � / f/ CELL PHONE:
��� � - C ��L{S �,� �Y�Y•v� frL�i'1 W� �X�3 � � -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION ATE: FAX NUMBER:
- - - _ l l �11,�3 ) I - Y`�9�
CONTRACTOR5 REGISTRATtON NUMBER: EXPIRATION DATE:
(eopy o[caed roqulred witL eaeh appliatlon) Q U � �- I �+' �' I � � � �"" b�'� �G �E�j� .
LEFDER: N�E� DAYTIME PHONE:
(If Propwed Vdas>�6,000) / � _
l
MAILIN D (STREET ADDRESS;): CITY,STATE,ZIP
APPLICAIiTC N�E' f-�, COMPANY I ( OFFICE PHONE:
�T 'il�-1� � f�ub+ �t' F�cu..J'�. � ) -
MAIWNG ADDRESS( REET ADDRESS): CITY,STATE,Z[P EVENING PHONE:
� � -
RELATIONSHIP TO PROJECT: FAX NUMBER:
t�Architect ? Tenant � Other/Descnbef. ( � -
CONTACT PERSOF FOR THIS PROJECT: P Property Owaer COIILi8Ct0! P Applicaat E-MAIL ADDRESS:
� � : � • • •
ERISTIN(3 USE: ��"����� PROPOSED USE: ��"���L
EXISTING ASSE88ED/APPRAISED VALUE � �[� � VALUE OF PROPOSED WORK: � �' �`�
SPRIIiKLERED BUII.DIliG? P YES �� FIRE SUPPRESSIOF$YSTE�[PROPO$ED/REQUIRED?: P YE8 ' NO
WATER SERVICE PROVIDER: P P HIGHLIIiE P TACOMA P PRIVATE(WELL)
BEWER SERVICE PROVIDER: LAKEHAVEF P HIGHLIIiE P PRIVATE(SEPTIC)
�
• • •. -
AREA DESCRIPTIOF ERISTINQr .FT. PROPOSED S .FT. TOTAL
BASEMENT
FIRST ~� �6 ���� �J�
�I � ��� 1 � 33 8
SECOND � �C/ . (/^/ !c%Z �g�
� i�]S 7f
THIRD -�"
FOURTH � 1 �
�
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
3���a �J�� 3 7 3
GARAGE/CARPORT c�� ���� �� � 'Z��
HOW MANY FLOORS? �T��ST�G TOTAL PROPOSED TOTAL FJa3TING AND PROP03ED
� � �
**NEWHOMESONLY•* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fucture that is to be installed or relocated as part oF this project. Do not include existing fixtures to remain.
���X:Bl1Vl!'.!L
I/alue of Mechanic Work $ oZj SD�
�4�L
� AIR HA LING UNITS EVAPORATIVE COOLERS GAS LOGS � REFRIG.SYSTEMS
BBQS I FANS HOODS�commor��eq WOODSTOVES
BOILERS FIREPLACE INSERTS � RANGES MISC(Describe)
COMPRESSORS T— FURNACES (}AS WATER HEATERS
_� DUCTS GAS PIPE OUTLETS
PLUMBIIf Qr
� BATHTUBS�or-n,n/snow��comno� � SHOWERS I WATER CIASETS�Toueq MISC(Describe)
_L DISHWASHERS _ .�i SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS I HOSE BIBBS
_�� LAVS(Bathroom Sink VACUUM BREAKERS ffi.SCTRIC WATER HEATERS
� �
Icert�jy us�derpenalty ojper,j�ury that ths ti;j'orniation jurnlshed�y me�s trus and cornect to the beat ojmy itrnowled9�,
and jurther, that I am authorlsed by the our�er of the alwr�s p�rinls+es to perforni the r�wr1E for which the pernitt appticat�on ts
mad� Ijurther agr�se to hold harmless the LYty ojFedanal Wa�/as M any clalm/Includtirg casts,�s,a�d attorneys'fees
lncumed 6t the litr�esl�gatton and dtfens�e of such clatn;/,whtch ntay Ix�nade LdI�+d/P�� brcluding the unalersig�e�and
,J�leid against the GYty ojFedernt Way,but only whe�r s�ch clatm arlsiss out of ths netlance ojthe ctty,tncludt�rg!ts o,jJ7cers
and amploye�es, the accrrracy ths ts{forinahioR snpptled to the ctty as a part ojthls appllcatton.
NAME/TITLE: 0✓� �V a c.'�'pV DATE: �f�C� `T
( ignature) (Citle)
RELATIOF$ TO PROJECT: ? Property Owner ? Applicant Contractor ? Architect ?
FOR OFFICE U8E O
?lYEW ' ADDITiOlf P ALTERA OA P REPAIR ?TEFA1fT IMPROVEMENT
BUILDIP(i SHELL �YES BA8IC PLAN? p YES
ZOAIAG DE8IG1fATIOF: `CAAAGE OF USEP ?YES
AEW ADDRE88 REQUIRED? ? NO UP/SEPA/SUP p YEg
PLATTED LOT? YES ? DEMO PERMIT REQUIREDP ?YE$ FO� �
` ��
��� ����
Bulletin#100-January 13,2004 Page 2 of 4 k:�iandouts-Revised�Permit Application