01-101735 �;ty ff Federai Way Building - Single Family Permit #:01 - 101735 - 00 - SF
Community Development Services
33530]st Way S
Federai Way,WA 95003-6210
Ph:253.661.4000 Fax:Zss.66�.a�z9 Inspection request line: 253.835.3050
Project Name: VELLING
Project Address: 30625 43RD AVE SW Parcel Number: 112103 9088
Project Description: FINAL-Complete and final 67 sqft room addition(approved per permit#BLD98-0155),raising roof
of living room,adding sun room to kitchen,kitchen remodel,extend family room.
Owner Applicant Contractor Lender
Michael C Velling MIKE VELLING QUALITY NORTHWEST CONSTRU NONE
30625 43RD AVE SW 30625 43RD SW
FEDERAL WAY WA FEDERAL WAY WA 98023 32702 STH AVE SW
98023-2123 FEDERAL WAY WA 98023 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: ,,Typg.y:-,�Y._
Occupancy Load:
Floor Area(Sq.Ft.):
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Census Cate o -` =�= ��"'... 4�4-;Residential alt/add-.no:�.: Mechanical................................................. No
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Occupancy Group#1...........................................3t=3 s:>:=:<:�::�>:�::��::::::<:=:;��::;=>s:=:=:�:�z=:»::�:>::>:::i�:<�: Plumbing................................................. No
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I hereby certify that:tfle:_:�B��i'�e"i�Qrriiati�i:i3::�orrect an�-fhat the construction on the above described property and
the occupancy and�:E�ie�i���1�::��d��o�e�ce:t*�it�_��_:���;rules��regulations of the State of Washington and
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Owner or agent:� Date: �/ji/('� /
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!. �',i� �.�L�,
�l�//1�- � e � G
PO HIS CARD ON THE FRONT OF BUIL�
� ���� BUILliING DIVISION , ,
uv AY INSPECTION RECORD
INSPECTION REQLTEST PHONE#: 253-835-3050
PERMIT #: O1-101735-00-SF
OWNER'S NAME: Michael C Velling
SITE ADDRESS: 30625 43RD SW
( ) FOOTINGS/SETBACKS ( ) FOiJNDATION WALL
DO NOT POUR CO1�FeRETE i�NTIL THE ABOVE IS APPROVED �.� , ,� '
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ' ' m°'� '
( ) UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
` ALL THE ABQVE MUST BE APPROVED PRIUR TQ FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
'THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MU�T BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
���F �— � � °°`a�"��� CONSTRUC N PERMIT APPLICATION
• — ;
�V ��' PPLICATION NUMBER: �' l - �% II �__•� --•�-��
,��,�;�,�` � %�!I � PPLICATION NUMBER: - -
PPLICATION NUMBER: - -
.�i r v� t=�D��,e�L Wfa't
- - - - - - - - - -
**The followinc�i ������rmation—Please pri�t(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• . . • •
SITE ADDRESS: �Q��� `7"� Yd• S (�{�j ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ —
LEGAL�ESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• • • • •
TYPE OF PROJECT(This application): fgl BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PRO7ECT DESCRIPTION(Provide detailed description):�(`(G � ,rf�����7 C�{7
( PROJECT NAME:
� • • , • • •
PROPERTY OWNER: N^ME: onrnME aHONE: i
� tl� _ �
K c � �
f MAILING AD SS(STREET ADORE55;CITY, ATE,ZIP): 1
.�v z .� y �. .w. 23 �
� CONTRACTOR: N DAYTIME PHONE:
(.0 4 l� � � � /!J � �ZS'3 ) tf/�99P' j
� MAILING ADDRESS( EET ADDRE55;CITY,STATE,ZIP): EVENING PHONE: I,
' �OS" SU• a r�� � `�� ��� l,v� j= w �'� ( ) S u� � �
� CITY OF fEDERAL WAY BUSINE55 LICENSE NUMBER: FAX NUMBER:
; i g - � .� t� � � 2 � d�.6L ( ) .Su� c
� CONTRACTOR'S REGIS�"RATION NUMBER: EXPIRATION DATE: i
(copy of card required) Q (L � � � � L � L � l q l O � !
. APPLICANT: NAME: DAYTIME PHONE: �
c�i � �/z c k� � Y�t� -P�9Q� ;
MAILING ADDRESS(STREEf ADDRE55' ITY,STATE,ZIP): EVENING PHONE: �
o s - - � ��1l wo �:� Q Du 3 c ) ,S'a � � �
RELATIONSHIP TO PROJE : FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): � � ,S<P-� � �
E-MAIL ADDRE55: - i
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,� CONTRACTOR I
• . . . • .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUIIDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKENAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
'*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF F3EDROOMS: ESTIMATED SELLING PRICE: $_
• . . . •
FLOOR EXISTING S . FT. PROPOSED 5 . FT. TOTAL
BASEMENT
FIRST
SECON D
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) �
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
1
Indicate number of each type of fixture i
MECHANICAL I
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) ;
ggQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) �,
COMPRESSOR(S) FURNACE(S) {
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
► •
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 o�cers and employees, upon the accuracy
of the information upplied to the city a part of this application.
NAME/TITLE: �- f � � DATE: �/>'/� �
❑ PROPERTY OWNER ❑ APPLICANT �CONTRACTOR
� FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANTIMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMl1NiTY DEVELOPMENT SERVICES•33530 FIRST WAY SOUT}i•P.O.BOX 9718•FEDERAI WAY,WA 98063-9718•253-661-9000•FAX: 253-661-4129