05-103286I'
F City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609
Project Name: VOGT
r
Building - Single Family Permit #: 05 -103286 - 00 - SF
Inspection request line: (253) 835-3050
Project Address: 4523 SW 317TH PL Parcel Number: 211551 0050
Project Description: ADD - Second story addition to front of home (over existing garage) and 1 story addition to rear of
home. Includes mechanical, no plumbing.
Owner
Applicant
Contractor
Lender
ANGELA & ERIC VOGT
ANGELA & ERIC VOGT
ANGELA & ERIC VOGT
USAA MORTGAGE BANK
4523 SW 317TH PL
4523 SW 317TH PL
Mechanical.................................................
9800 FREDRICKSBURG RD
FEDERAL WAY WA
FEDERAL WAY WA
4523 SW 317TH PL
SAN ANTONIO TX 78288-0001
98023-2180
98023-2180
FEDERAL WAY WA
750
Includes:
Census cater
Occupancy
Constructioi
Occupancy
1 Floor Area(
;ory: 434 - Reside
#1
#2 #3 #4
,roup
R-3
r
Type
oad
Type V - B
Height of Structure ..............................................
'q Ft.): --- —
Mechanical.................................................
— - ---
st Floor Proposed Sq. Feet .................................
270
2nd Floor Proposed Sq. Feet ................................
480
Census Category .................................................
434 - Residential alt/add - no •
Fire Sprinklers Required .................................
..... No
Height of Structure ..............................................
10.5
Mechanical.................................................
Yes
Occupancy # 1 -Class ..........................................
R-3
Plumbing .................................................
No
Total Building Sq. Feet........................................2720
Total Proposed Sq. Feet .......................................
750
Zoning Designation .............................................
RS 7.2
Mechanical Fixtures
Ducts DescriptionQu y Description Quantity; ` Description antity
Qu
PERMIT EXPIRES February 14, 2006.
Permit issued on August 18, 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 Way.
Owner or agent:/ Date:
THIS CARD IS TO,MAIN ON=SITE .
CITY OF IP ommunity Development Inspection Record
!Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -103286 -00 -SF
Owner: ANGELA & ERIC VOGT
Address: 4523 SW 317TH PL
FEDERAL WAY, WA 98023-2180
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. /116"' 6"'/v a/2—
❑ Temp. Erosion Control (4365)
To be done prior to breaking ground
By Date
❑ Drainage/Downspout (4040)
Approved to backfill
By Date
❑ Footings/Setback (4110)
Approved to place concrete
By Date !`Z/ llr
❑ Plumbing Groundwork (4190)
Approved to cover
By Date
Foundation Wall (4115)
Approved to place concrete
By Date 1f21 /OV
Slab/Concrete Floor (4255)
Approved to place concrete
By Date
❑ Underfloor Framing (4285)
❑ Floor Sheathing (4105)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
L �.., Date��Z ��
--(4220)
By DateZ•2.3`v
By
ry j'
L Date / ' J4� _-
E]
Roof Sheathing
❑ Mechanical Rough -in (4165)
❑
Gas Piping (4125)
Approved to install roofing
Approved
Approved to release test
By
r�le
,� Date 3 L L
l
By C Date Z Z.j%G
By
Date
❑
Framing (4120)
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved
nspection; Electrical, Plumbing & Mechanical
[Rough-in
Approved to insulate
and Fire/Draft Stop inspections must be
IBC 109.3.4/UBC 108.5.4
'
��ned-off
ByG Datez-ZS'• toga,
and approved.
By
Y l Date 012
❑ Insulation (4150)
Approved to install wallboard
By e—j Date2.z YLO
❑ Final - Mechanical (4065)
Approved
By Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By e- Date •
❑ Final - Building (4050)
Approved
By
❑ Final - SWM (4375)
Approved
By Date
❑Temp. Erosion Maintenance (4370)
Approved
By Date
A RLC
GirOF
Federal way JUL Q g zoo.5 PERMIT
COMMUMTY DEVBLOPMENr SERVICES
33325 D AVENUE, WA 9 • 63 BOX 971&.. � p p LI CAT I O N
FEDERAL WAY, WA 98063-9718"'`1 OF FEDI
253-835-2607• FAX 253-835-2609 SUILDIN
www.cit o ederalwe .tnm Li= I,
Thefollouring is required information - an incomplete a lication will not be
SF F CO ME EL PL DE EN FP
c6 / 0 S
accepted. Please print legibly (in inkJ or tune.
SITE ADDRESS SUITE/UNIT # �-
Urzc� /
ASSESSOR'S TAX/PARCEL #L _ a LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I ) _ C F r� t is
(Attach separate page for lengthy legal d—ipton)
TYPE OF PERMIT kCBUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (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
r5i
Iff V®
PRIMARY PHONE
(253)�S 69
- 677
MAILING ADDRESS
s P..Qac�
CITY STATE, ZIP
cede ;-zf
COMPANY NAME
APPLICANT NAME //s
OFFICE PHONE
M LING ADDRESS
�
CITY
CITY, ST TE, ZIP
Z3
CELL PHONE
OF FEDERAL WpAY BUS[NE S LICENSE UMBER
K✓ '�
® f• �Y�F% ���
EXP TI DATE .FAX
NUMBER
_
—
CONTRACTOR'S REGISTRATIO PNUMBER (copy of card required with each applications
EXPIRATION DATE
COMPANY NAME APPL[ T NAME
'�&- >�1�
MAILING ADDRESS CI , ST ZI
RELATIONSHIP TO PROJECT
C1 Architect
Architect Tenant ❑Agent ❑Other (Describe)
NAMY PRIMARY PHONE p
f.
tb
(20) 5�;R - 6VI-7
CELL PHONE
FAX NUMBER
EXISTING USE kF0S 1 ✓j C C-- �PROPOSED USE
!Cil
EXISTING ASSESSED/APPRAISED VALUE $ �q / � VALUE OF PROPOSED WORK $ �`
SPRINKLERED BUILDING? ❑YES ¢I,,NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES p(NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE TACOMA C1 PRIVATE (WELL)
SEWER SERVICE PROVIDER A LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTICI
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.J
BASEMENT
FANS
HOODS (commemiai)
WOODSTOVES
FIRST
�
RANGES
MISC (Describe)
SECOND
622-,0
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE 9 CARPORT ❑
NUMBER OF FLOORS
Exzsr'sc
ti!
PROPOSED
rory
.._,
a r
v Eo sr-
wsr :`
**NEW HOMES ONLY** NUMBER OF BEDROOMS 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.
MECHANICAL/
Value of Mechanical Work $ �����, �✓
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commemiai)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS (or Tub/Sbo— Combo)
'-::�SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
VS (Bathroom s nks(
VACUUM BREAKERS
WATER CLOSETS poile4 _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
MISC (Describe)
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 1
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 claiml, 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 �(
(Signai
RELATIONSHIP TO PROJECT
❑ Agent ❑ Contractor ❑ Architect ❑ Other,
,35 Z 5
66 111J5'0./('0 ).7, S
-Vi 7b
f7-
�14ZA
Bulletin i100 — January 7, 2005 Page 2 of 4 a•c, 9 k\Handouts\Permit Application
Zb53 75
ry)
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