15-105629 1,0 Building - Single.Pauly
City of Federal Way ;u
Community 8 Econ.Dev.Services Permit #: 15-105629 00 SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: ELLINGSON
Project Address: 31006 39TH AVE SW Parcel Number: 758200 0080
Project Description: ADD-Construct a 103 square foot shed and add impervious surface to a maximum of 300
sq.ft.on the top of a bulkhead within a geologically hazardous area/shoreline setback.
Owner Applicant Contractor Lender
DAVID L ELLINGSON MASTER BUILDERS MASTER BUILDERS
KATHARINE J ELLINGSON CONSTRUCTION NW LLC CONSTRUCTION NW LLC
31006 39TH AVE SW 112 SILVERNAIL ST NE MASTEBC903JE(6/8/18)
FEDERAL WAY WA 98023 ORTING WA 98360 112 SILVERNAIL ST NE
ORTING WA 98360
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load _
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1-Construction Type. Type V-B New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No
Occupancy#1-Class R-3 New/Additional Sq.Feet-Other 100
Plumbing to be Included? No New/Additional Sq.Feet-Total 100
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
CONDITIONS:
1.No creosote treated wood permitted on structure.
2.Footprint within the 50 ft.required shoreline setback limited to 150 sf per structure,300 sf per lot.
PERMIT EXPIRES Wednesday, January 4, 2017
Permit Issued on Friday, July 8, 2016
I hereby certify that the above infor ation is correct and that the construction on the above described property and
the occupancy and the use w'll in accordance with the laws, rules and regulations of the State of ashington
and the City of Federal Way.
Owner or agent Date: 7 _67/`&;
I 3
THIS CARD IS TO REMAIN ON-SITE
CITY Of Construction Inspection Record r '
Federal Way INSPECTION REQUTS: (253)835-3050
PERMIT#: 15-105629-00-SF Address: 31006 39TH AVE SW
Project: DAVID L ELLINGSON FEDERAL WAY, WA 98023-2179
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.
SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By 0_34,...),.../. Date l..`4.,,) 6
O Foundation Wall(4115) 0 Drainage/Downspout(4040) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
B Cj Date 7_7:7_ ( (/J By Date By Date
O Underfloor Framing(4285) ElFloor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By A..N Date
Roof Sheathing(4220) El Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By A. Date ,el_1 By Date By Date
El
Framing(4120) ElInsulation(4150)
Prior to scheduling a Framing inspection; i Approved to insulate Approved to install wallboard
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By t Na.. Date -15-14... 'By Date
o Gypsum Wallboard Nailing(4130) ip Final Erosion Control(4375) ElFinal-Building(4050)
Approved to install mud&tape Approved Approved
By Date By Date By Date
t✓�..*4S-2,S*1
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
CITY OF x PE �� �"� PPLICA'TION
,. Federal Way
4
NOV 05 2015
IS_• 1 0 5 4,z9 — SgoFDE
L'11FEDERALWAX
- CDS TAXGL�^DATE
SITE ADDRESS SUITE/UNIT#
S._ ( Au 6-t)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ �%- 76 i Z O O- O6 U
TYPE OF PERMIT 0 BUILLDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT // ��, c��
PROJECT DESCRIPTION /
,,,,,, )< i 51/ 61/ ore a5vite -i-- '7/4-
Detailed description of work to `14...[.(k Oe>a cL i
be included on this permit only
NAME Kett
PRIMARY PHONE
PROPERTY OWNER .7d4A6 SZ-_ L��fj f#6�NS a. SS f � E-MAIL
G/l F kis-
CI 4Q STA�'F� ZIP
yNAME
M,lS&r �1� d f- //C �. /Lc fJt1' PHG^ -36.3r�.J
MAILING ADDRESS 1 E-MAIL /,,
CONTRACTOR (17 Jt lL�t2cP ii 1 .7'1. d�j / bt a4&04 s ' r..441'Ve
CI� I�',`(�/_��,' SjA /� (!/e FAX e'�i
141
WA STAT CON RACTOR'S LICENSE# IRATION DATE�i- FEDERAL WAY BUSINESS LICENSE#
NAME f PRI Y PHONE
, ,_ :...?..(4)c-
C�rm� - s-36 �3di
APPLICANT MAILING ADDRESS E-MAIL
t( Y K if
CITY Fj. STATE ZIP FAX
1t
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence
concerning this application) CITY STATE zip FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the eliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o his application.
SIGNATURE: / -j DATE UC % 4�'l
PRINT NAME: !l( ,020/7 PI l_" �---
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
M i
VALUE OF MECHANICAL WORK 4
MECHANICAL PERMIT
Indic how m of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
f CFICIrAlt FIREPLACE INSERTS NS PI �TS �r HER(Describe)
I 0
IL1 13S FURNACES HOT W ER TANKS(Gas)
COMPR1sSSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRIT CAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
,-e tA(A_ ____ i _-UD �v� $ -
TING/PREVIOUS USE i LOT SIZE(In Square Feet) EXISTING FIRE SPRIN ER SYSTEM? PROPOSED 1 IRE SUPPRES N SYSTEM?
re
s) Or �I 1 2:15 ❑Yes No ❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
T OTHER(describe) C� ?5. fOC 100
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application