04-102855 . {
City of Federal Way uildi -I:k
Community Development Services ng - Single Family Permit #:04 - 102855 - 00 ;SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.8353$50
Project Name: WILHELM "141 I,A
Project Address: 3631 SW 309TH ST\ Parcel Number:058755 0560
Project Description: ADD-512[] Deck addition to rear o ome
Owner Applicant Contractor Lender
EARL WILHELM EARL WILHELM EARL WILHELM NONE
3631 SW 309TH ST 3631 SW 309TH ST
FEDERAL WAY WA FEDERAL WAY WA 3631 SW 309TH ST
FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 j #2 i #3 _L #4
Occupancy Group: R-3 1 —_—___
j Construction Type: Type V-N 1L II
Occupancy Load:
Floor Area(Sq.Ft.): J---1E _
Census Category 434-Residential alt/add-no, Deck Proposed Sq.Feet 512
Mechanical No Occupancy Group#1 R-3
Plumbing No
PERMIT EXPIRES January 16,2005.
Permit issued on July 20,2004
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. Q/�
Owner or agent: ‘520.4" �L-t� Date: A2) (,/4 O Cf
.. ....
THIS CARD IS T MAIN ON-SITE
CITY DFCommunity Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102855-00-SF
Owner: EARL WILHELM
Address: 3631 SW 309TH ST \
FEDERAL WAY, WA
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.
•
0 Temp.Erosion Control(4365) .LI Footings/Setback(4110) �❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date B . Date e-s-- (--- By Date
❑ Drainage/Downspout(4040) ElPlumbing Groundwork(4190)
0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By Date By Date By Date
❑ 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
❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)NOTE. Prior to scheduling a Framing(4120) "
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Final-SWM(4375) ❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved Approved
By Date By Date By Date
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Fewderal WaF ECEIV PERMIT
COMMUNITY DEVELOPMENT SERVICES
PERMIT F CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BO 9 8 40.0
2 WS FAX253 ; � 2 0 2do4 APPLICATION / /
wtnn.dtt oj/ederalwau.com
CITY OF FBE-AL `C
The ollourtn• is_, uti7•Sy non
��� � �t,{yj• -an inco •fete a..lication will not be acce•ted. Please •rint Ieribl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS 36. 31 S �c) 3 6 9 1.4 .o(e yea' Gael, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# C s S 7 5 5 - 0 s 6 O LOT SIZE(sJ) /65 3 5-3-
LEGAL
SLEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) i36zY✓t el-4) C''u h 41,,1 Esicasj 414 SZ
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(b u I (d I d it b& _/ h 4-use
INN 0 a e
111
PROJECT NAME =.,m_ : . t s IA , •A , e) GfJ I ( G
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Ea. r-( # Ch ( v) -CIntl(4 Wt ( lG,W1 (25.3) 87q- I 3 y
MAILING ADDRESS CITY,STATE,ZIP
36 3( 5 t 317 P ti 51- f--e._"- dc✓'a &a_Y iIJ4- ygo23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
.69�.tJGttends ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME 04 APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER Per RCW 19.27.095:Lender information is NAME /�
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ci TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) 6-12
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL DUSTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this pro io c . ng fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOG REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Show+erCombo) SHOWERS WATER CLOSETS rroiiei) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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. 3� �/
NAME/TITLE C �/l 2//�' ""`�"'' DATE at° o T
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? ❑YES ❑ NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑ NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Perrnit Application