17-102185 Building - Single Family
City.of Federal Way Permit #:17-102185-00-SF
Community Development Dept.
33325 8th Ave S
Fede,al way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fare(253)835-2609
Project Name: DONOVAN
Project Address: 30625 43RD AVE SW Parcel Number: 112103 9088
Project Description: ADD-Retaining wall construction for slope stabilization.
Owner Applicant Contractor Lender
DUMAS POND LLC THOMAS&ANDREA DONOVAN KULCHIN FOUNDATION OWNER IS LENDER
30625 43RD AVE SW 6716 EASTSIDE DR NE SUITE 1 DRILLING CO
FEDERAL WAY WA 98023 TACOMA WA 98422 PO BOX 99667
LAKEWOOD WA 98496
Census Category:565-Fence/retaining wall
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 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 Included9 No Plumbing Work Valuation 0
Mechanical Work Valuation 0 Number of Stories 1
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1-Use Residence(1 or 2 Comprehensive Plan Designation SF-High-Density
family) Residential
Zoning Designation SE
Total Valuation:27,000.00
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CONDITIONS:
SPECIAL INSPECTIONS REQUIRED
PERMIT EXPIRES Saturday,31 March,2018
Permit Issued on Monday,October 2,2017
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: f / 0 / 7
/ A.1
THIS CARD IS TO REMAIN ON-SITE t
Federal Way.14A,
Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102185 00 Address: 30625 43RD AVE SW
Project: DUMAS POND LLC FEDERAL WAY WA 98023-2123
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 Mfg(4400) El Initial Erosion Control(4365) 3❑ Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date By Date ��By Date
•
® Foundation Wall(4115) 0 Drainage/Downspout(4040) ® Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By Date �`By Date By Date
. .I
0 Underfloor Framing(4285) ® Floor Sheathing(4105) , 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date . By Date By Date
,
El t I Roof Sheathing(4220) Fire/Draft Stops(4095) El Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date j�By Date By Date
Prior to scheduling a Framing inspection; 73 Framing(4120) ® Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in
Approved to insulate
and Fire/Draft Stop inspections must be signed-I
PPro Approved to install wallboard
off and approved. IBC 1093.4 By Date By Date
I:1 Gypsum Wallboard Nailing(4130) El Final Erosion Control(4375) El Final-Building(4050)
Approved to install mud&tape Approved Approved
�By Date �By Date By 4) Date C/�//�
El Rough Electrical E Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
RECE'VE® PERMIT APPLICATION
MAY
1 1 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+
CITY tOF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 _ 1' 0 2- 1 q , _ LS rr tJ tor
_ _ TARGET DATE I
SITE ADDRESS SUITE/UNIT#
306 aS -/.�r� /�C�, s L i�=eel i LI Ay w,A
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARC L# D - Y
1 Gi
$ �71 C.�vv
TYPE OF PERMIT )LBuILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT S___/___t___per. 5401: 1 i 2 e I. 0.-.) 0 e p q. ,
PROJECT DESCRIPTION Y i r ; r Pre.`e SA-.'n 06, S `+j i'er pile 1",41 /
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
7)01‘14 Pc„J i-A- i_ i-I. as3. a30. &5C) c
PROPERTY OWNER MAILING ADDRESS E-MAIL
61 1 6 b4cA s;Jt .. r..:v4...4 I) e_ 5,,,i-e„ 1 i1 (? 1'1; /4 w, c. .4-+
CITY''`4 CcsM 4 TTSlLin zIP cel a'�
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Thornes 1)0,10v .- #/.6.5 a3'. 6504
APPLICANT MAILING ADDRESS E-
APPLICANT
6-716 Cc'c-S:J c. `Zy:ve OE S. .4.€-
.J c. I til C r /4 i✓. c,,;✓-+
CITY C ovin S I—A ZIP�1 1 O' FAX
_.._ -----
NAME ... .. PRIMARY PHONE
PROJECT CONTACT -01 �olk›V F.
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
• NAME r ,�/
PROJECT FINANCING C.4 r7 k - S P/t _(-:A C.1(.•-;4 Lel OWNER-FINANCED
When value is$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 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.
SIGNATURE: i DATE 6/07
a41 7
PRINT N E: 1 106 0 -0 3 s1 v✓c'",
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offudure to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(car)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAYS(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
CRITICALAR9S
ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
S LATS �- U $ 0
EXISTING/PREVIOUS USE LOT SIZE^�Da Square Feet) EXISTING FIRE S ER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
itM
1 e 57114 y4 1 IIYes 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
OTHER(describe)
MISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application