02-101896City of Federal Way
Conwmnity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Project Name:
Project Address
Building - Single Family Permit #:02-101896 - 00 - SF
BLANKENSHIP
34015 22ND PL SW
Inspection request line: 253.835.3050
Parcel Number: 330630 0210
Project Description: RES ADDN - Construct detached shop building addition accessory to single family residence. No
plumbing or mechanical.
Owner
Applicant
Contractor
Lender
Thomas E & Daphney E Blankenship
HEARTLAND INDUSTRIES INC
HEARTLAND INDUSTRIES INC
KEYBANK
34015 22ND PL SW
1623 62ND AVE E
HEARTIII0IKJ 2/26/03
FEDERAL WAY WA
FIFE WA 98424
1623 62ND AVE E
98023-7703
FIFE WA 98424
In cludes:
Census category: 434 - Reside #1 #2 #3 #4
Occupancy Group: U-1
Construction Type: Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Basic Plan ................................................. No Census Category................................................. 434 - Residential alt/add - no
Height of Structure .............................................. 12 Mechanical .... ...................... --- ...... ...... ... No
Occupancy Group#1...........................................U-1 Other Proposed Sq. Fee!..—..... ........... ............... .400
Plumbing ................................................. No Total Proposed Sq. Feet .............. ......................... 400
Zoning Designation ............................................ RS 7.2
CONDITIONS:
No building shall encroach onto any building setback line or easement shown or not shown.
Maximum building height is 30 feet above average building elevation, per Federal Way City Ordinance #90-51.
Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
Per FWCC, Sec. 22-1133(4), eaves, chimneys or awnings, & similar elements of a structure that customarily
extend beyond the exterior walls of a structure may extend up to 18 inches MAXIMUM into the required yard
setback. Additionally, the total horizontal dimensions of the elements that extend into a required yard, excluding
eaves, may not exceed 25% of the structure's facade length from which the elements extend.
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to
the subject proposal.
PERMIT EXPIRES December 8, 2002, IF NO WORK IS STARTED.
Permit issued on June 11, 2002
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: �4/� _ Date: 10(0 —1 O a >
POS'- " HIS CARD ON THE FRONT OF BUILDI"
BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02-101896-00-SF
OWNER'S NAME: Thomas E & Daphney E Blankenship
SITE ADDRESS: 34015 22ND SW
O FOOTINGS/SETBACKS x/ 0 '?/ - ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED 'tea
() DRAINAGE: Line () Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING dv—
O ROUGH PLUMBING: DWV_ Water piping
O ROUGH MECHANICAL _ Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
Ditch Cover
O FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING��p�
,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 PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
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RF `EIVED
WC"Orf'-- CONSTRUCTION PERMIT APPLICATION
IM-0Erz MAY 0 7 2002 APPLICATION NUMBER: O - 8 (o - 00 C
-
CITY OF FEDERAL WAY PPLIC -110N NUMBER:- - - -
BUILDING DEPT- APPLICATION NUMBER:
**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. 10
SITE ADDRESS: 34D1 S — ZZ. t�La L SW ASSESSOR'S TAX/PARCEL #: 3 3 D 6 3 O- O Z _� a
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRI�'PyyTION IF +LENGTrH�Y): %oi 13
FF
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
Xz - exj 14,(p
PEOPLE•
•
PROPERTYOWNER:
NAME:
DAYTIMEPHONE:
, "
^h I
MAILING ADDRESS ( EET AD RESS; QTY, STATE, ZIP)
0
S,6YLAI WA
WA
9 ,!roa3
CONTRACTOR:
NAME'
��l {izy
DAYTIME PHONE:
( tm ) 7[
- / a-7
MAILING ADDRESS (STREET AODRESS; CITY, STATE, ZIP):
(Pa3 Coah�- 9
EVE ING PHONE:
AVL
WA
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
C00lTRAUORS REGISTRATION NUMBER:
— —
—
—
EXPIRATION DATE:
^
(copy of card req*ed H rL
13 i I =
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K :r
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/ 03
APPLICANT:
NAME:
azR cai I
DAYTIME PHONE:
qlr
( )
-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
I(-, a3 (.0a-e F
'F
EVENING PI10NE:
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i1
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- Q,2-�
RELATIONSHIP TO PR03ECT:
❑ ARCHITECT ❑ TENANT El OTHER(
DESCRIBE):
FAX NUMBER:
(A53 ) b+a(b
_ q Lf3d
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
❑ APPLICANT
❑ CONTRACTOR
E-MAIL ADDRESS:
EXISTING USE: SF i?i EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: Tr I PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES VNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES O
WATER SERVICE PROVIDER: x(LAKEHAVEN ElHIGHLINE MA TE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLIN PRIVATE (SEPTIC
**NEW RESIDENTIAL
NUMBER OF BEDROOMS:
LY**
ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR EXISTING SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: 1 466 A
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
PROPOSED. FT. TOTAL
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) .
FAN (S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE UT ET(S)
OPLUMBING
BATHTUB(S) LAVATORY(S)
DISHWASHERS) RAIN WATER SYS.
DRINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTOR(S) SUMP(S)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
7TSCl! ATMERISIGNATUR£ BLC
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, including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: Liz DATE:
❑ PROPERTY O NER ❑ APPLICANT Li CONTRACTOR
.A ,j+L
FOR OFFICE USE ONLY:
,❑ :NEW r OADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING 1ESIGNATION : _ -.���
BUILDING SHELL ONLY? ❑ YES NO
COMP;PAN DESIGNATION:F
BASIC PLAN? ❑ YES - .Q NO
SECTION Mg.2 TOWNSHIP Z,, RANGE 03
NEW ADDRESS REQUIRED? ❑ YES-.,O
PLATTED LOT? YES ❑ NO
CHANGE OF USE? ❑ YES P 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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