05-101725City of Federal Way
w Conmnity Development Services Building - Single Family Permit #: 05-101725 - 00 - SF
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: DAVIS
Project Address: 32842 23RD AVE SW
Parcel Number: 894510 0340
Project Description: ADD - Construction of a 192 sgft addtion to an existing residence. No plumbing or mechanical.
Owner
Applicant
Contractor
Lender
L W Davis
L W Davis
LAKELAND BUILDERS *JO
BECU
32842 23RD AVE SW
32842 23RD AVE SW
LAKEL13I081.19 04/16/06
BECU
FEDERAL WAY WA
FEDERAL WAY WA
PO BOX 1528
PO BOX 97050
98023-2806
98023-2806
MILTON WA 98354
SEATTLE WA 98124
Includes
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Uroup:
R-3
Construction Tyke:
Occupancy Load:
Floor Area (Sq. Ft):
Type V - B
.�
t_
I st Floor Proposed Sq. Feet.................................192 Census Category ................................................. 434 - Residential alt/add - no
Mechanical ..............................:.................. No Occupancy # 1 - Class......................................... R-3
Plumbing ...................... :.......................... No Total Proposed Sq, Feet .......... ................... ..........192
Zoning Designation .............. ........................... — RS 7.2
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPIRES November 7, 2005.
Permit issued on May 11, 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 with the laws, rules and regulations of the State of Washington and
the City of Federal Wa .
Owner or agent: Date: ''Q
THIS CARD IS TO PIr,MAIN ON -SITE
CITY(' %-;ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101725-00-SF
Owner: L W DAVIS
Address: 32842 23RD AVE SW
FEDERAL WAY, WA 98023-2806
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)
To be done prior to breaking ground
By Date
❑ Footings/Setback (4110)
Approved to place concrete
I"
By Date 21
❑ Foundation Wall (4115)
A roved to place concrete
w
By ts!i DateJ - Z 7- o
❑
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to backfill
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
Underfloor Framing (4285)
Approved to sheath floor
Approved to install flooring
Approved to install siding
I
By
Date
By
G Date (, — & -
By Date
❑
Fire/Draft Stops (4095)
F
NOTE: Prior to scheduling a Framing (4120)
❑
Roof Sheathing (4220)
Ali rov<<1 to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date &- 2.2 -
signed-orr and approved. IBC 109.3.4/UBC 108.5.4
By
[� Date —Q
G-J a
❑ Framing (4120)
A proved to insulate
By C, Date 6. Z er•
❑ Final - SWM (4375)
Approved
By Date
❑
Insulation (4150)
Approved to install wallboard
By
Date
❑ Final - Building (4050)
Approved
LBy U1
Date s - 2,3. OS
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Lf Date �v
[]Temp. Erosion Maintenance (4370)
Approved
By Date
3 �+�
CITY OF AS� ECF-I N EI —
Federal VIIay�PERMIT (tSF F CO ME EL PL DE EN FP
OOMMUNTIY DEVFIAPMEN7 SERVICES
33325 8r" AVENUE S UrH • PO 8(S]f ly f 1 o O
FEDERAL WAY, FAX
53-835- 6 r �iPPLICATION
253-835-2607• FAX 253�35-2609 -
r�nuw. ' !
CITY OF FLDLRAL WA
The following is redid"Wfd=on -an incomplete application will not be accepted. Please print legibly (in in or
SITE ADDRESS cJ v 4 3 r I A V e, S r W SUITE/UNIT # Ho� 0 S e
ASSESSOR'S TAX/PARCEL # l --;t .50- a 3 4 0 LOT SIZE (sf) `7 S
a
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) V I I{ j Q 'PA T k P( V r �8 Lot
(Attach separate page] 1e glhg legal d—ipti—)
*111W4461015
TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESC�jRIIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
Laurel W, DAVIS 7- 47�1
MAILING ADDRESS CITY STATE, ZIP
3v 2 �3cci, /ivP.S,I,� hlejerct) Wa I )A 4l30�3-.�866
COMPANY NAME
131)1 )ckers
APPLICANT NAME
Zav,j �), Davis
OFFICE PHONE
( ) -
Lakeloti'l
MAILING ADDRESS
PI0,8ox /.8
CITY, STATE, ZIP
1 t6 WA 93 357¢
CELL PHONE
( ) -
iM' 11
CITYOF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
1-0-6
FAX NUMBER
--- — B L
CONT�+cRRACjTjLOOWSiREGISTRATION NUMBER (copy of C"d required with each appllcationj D /!RA'{I�]N DATE
COMPANY NAME
APPLICANT NAME
kavre1 w, pouts
OFFICE PHONE
(Qs3) 75�
MAILING ADDRESS
CITY, STATE, ZIP —
CELL PHONE
(�06)
RELATIONSHIP TO PROJECT
O ►Y f
FAX NUMBER
-
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) W e
( )
IJAME ,�1 PRIMARY PHONE E-MAIL ADDRESS
Latvrl°) W, V4vts 53 0I1%- 7S( dav;slw�QCot lcc
Per RCW 19.27.095. lender Information is NAME I
j� I
r"uired if project vatuc excreds $5,000 U p B b� �►I P'� e .S �dl e ( Uill
e h
MAILING ADDRESS T CITY, STATE, ZIP
EXISTING USE 0 U m e
Rest l'1 C
—PROPOSED USE _ ii O M e- Re_S
I A e vY c e
EXISTING ASSESSED/APPRAISED VALUE $_
1 3 0� fJ ti
_VALUE OF PROPOSED WORK $
r[
SPRINKLERED BUILDING?
❑ YES 21 NO
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?
❑ YES 0 NO
WATER SERVICE PROVIDER
Or LAKEHAVEN
❑ HIGHLINE
In TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER
J9 LAKEHAVEN
❑ HIGHLINE
0 PRIVATE (SEPTIC)
Y
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
sT "low
"1 C
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
n n
n
DECK (COVERED?)
46
O
GARAGE ❑ CARPORT ❑
41D
4 4 D
4` D
NUMBER OF FLOORS
=.Ts6
PROPOSED
TOTAL
wT,.L"wrwosP
T[Yturgowmma►
ia7—wear
"NEW HOMES ONLY"
NUMBER OF BEDROOMS y
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.
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Sho—combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS l9 owl m su,ksj
EVAPORATIVE COOLERS GAS LOGS FRIG. SYSTEMS
FANS HOODS (commercial) WOODSTOVES
FIREPLACE INSERTS RANGES MISC (Describe)
FURNACES GAS WTHEATERS
GAS PIPE OUTLETS
l
SHOWERS _ l WATER CLO oue,I MISC (Describe)
Sl>Q145'
SUMPS
URINALS
VACUUM BREAKERS
DRINKING F UNT NS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cerWy under penalty of perjury that the ir(jormation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the aboue 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 jineluding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim] which may be made by arty 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
- (ngnalurc) (Tftk:)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
0'-�-U3-ar)0S
R�FICE USE ONLY... ,
J
;•;
r�
?N W a.ADDITION
o ALTERATION
u REPAIR Q TENANT IMPROVEMENT
BUILDING SHELL .ONLY?
0 YES o NO
BASIC PLAN?
c YES
❑ NO
S7iiING IiIrSIGNATIt7N
W ADDRESS REQUIRED?
o YES. ❑ NO
CHANGE OF USE?.
UP/SEPA/SU? -
c YES
AYES
❑ NO
a NO
ATTED LOT?.-' -. ❑ YES `,n NO
DEMO PERMIT R.IE�QUIRED?
❑ YES.:
,p NO
Bulletin #100 —January 7, 2005 Page 2 of 4 k\Handouts\Permit Application