04-104543 r ^ �. , � • + .t, � .
City of Federal Way Building - Single Family Permit #: 04 - 104543 - oo ' SF
Community Development Services
P.O.Box 9718
Federal Way,WA 95063-9718
Ph:(253)835-7000 FaX:�zss�g3s-z6o� Inspection request line: (253) 835-3050
Project Name: MALTHESON
Project Address: 32012 40TH PL SW Parcel Number:873190 2640
Project Description: ADD-Construct 120 sf addition for storage of golf cart and accessories. No plumbing or mechanical.
Owner Applicant Contractor Lender
Elmer R Malthesen &Cazolyn S Malt EUGENE SMITH ARCHITECT'EU( IN'fERMOLJNTAIN CONSTRUCTOF Elmer R Malthesen
32012 40TH PL SW P.O.BOX 24294 INTERC*088LS 8/16/OS 32012 40TH PL SW
FEDERAL WAY WA FEDERAL WAY WA 98093 P.O.BOX 23422 FEDERAL WAY WA
98023-2447 FEDERAL WAY WA 98093 98023-2447
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: U
Construction Type: Type V-B
Occupancy Load;
Floor Area(Sq.F�}:;
Basic Plan........ ................................... No Census Category............... ...........................434-Residential aldadd-no�
Ge Pro sed S .Feet 120 Mechamcal......... ........: ......:........... % No
� Po 4 ...............................
Occupancy i"iroup#I...... .......<.......................U Plumbing ,..,..... ......... ......:......... No
Total Proposed Sq.Feei. ........'.' .. ..............120
CONDITIONS:
This decision shall not waive compltance with future City of Federal Way codes,policies,or standards relating to the
' subject proposal.
PERNIIT EXPIRES May 22,2005.
Permit issued on November 23,2004
I hereby certify that the above information is correct and that the construcrion on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulatians of the State of Washington and
the City of Federal Wa
Owner gen• Date: �/ /3-3 �(} .�
�-�._� � � �,�
,
' , THIS CARD IS TO MAIN ON=SITE ,, �
�,�,oF �ommunit Develo m ,nt Ins ection Record
Y P P
Federai 1t1�ay IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104543-00-SF
Owner: ELMER R MALTHESEN
Address: 32012 40TH PL SW
FEDERAL WAY, WA 98023-2447
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.
❑ Temp.Erosion Control(4365) ❑ Footings/Setback(4110) ❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By C � Dat �� � By e�,� Date��l,s''�—p,s
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) ❑ 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) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Rooi'Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbine&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off anJ 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 _a b..�5 By Date By Date
❑ Final-SWM(4375) Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved Approved
By Date By �„ Date _ �, By Date
I � AO+C'`�.�"� .j,�:Mc�� �'^+�'✓r .`��".�'����: �p "" � .w,�4" ° .�:�*.. a-�t :.7'a `I..:��.���������s�h�:'��i�,.�'��e�E:,
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Federal Way � ��o� PERMIT � � � �
COMMUMTYDEVF.WPMENfSERV/ces�� p � SF MF CO ME EL PL DE E1V FP
33J25 8�AVEMJE SOUTIf•PO BOX 9718
FEDERAG WAY,WA�980G3-9� �,�L I C AT I O N
ss3-ass-sco�•F,sxsss-sss- TY OF FEDER f� / / D �
uaow.dtvo/federalu�au.00m sUILDING DEPT, �
The following is required information-art i ' iefe ap iication wlii rtoE be acce ted. Please rtnt iegibly(in�nkJ or type.
'• • � . -�� • .
SITE ADDRESS_�_� I Z �D � '� '�_ � SUITE/UNIT#
2 �_
ASSESSOR'S TAX/PARCEL# � � J� � d- � � � o LOT SIZE(s,� �_
LEGAL DESCRIPTION(e.g.Acme FstaYes,Loi 1J _�w�f� � Ll,i(.X_S �� (,�� 2 0 �
L 'T l{ µ�,�«�fa��a�«��
-. � . - „ � .
TYPE OF PERMIT �BUII.DING O PLUMBING O MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide defailed description of work included�n this permit onlul
,
r'� . u�ork c:o��":Sf c� � '�O �" � ci�t o/ �t_'�r1= �,-..g �" �a'd��t�ioh. Zi"��
'�`' •r s`4' �' c� G l t d� d c:.3rt e;re (v�- ' '
s�4�� u�a�
:�S'�trv�r�fc�re? u/i�/ti. /vr✓c:fc. t�Gv>>�'�r' '���Kf c��td�c/r��sl��"'�p�y� L'�'G--F�+G�r�t�'"reo' rrG5.�scS
o?n d Lu�sc�d� �'/��K� r�ca� � '� v ---�
PROJECT NAME(Name ofBusiness orOwnerLast amej ����'�'���� �-fa�!"��C �.�i�.'�/�v�, {c��' �o'Z���1E'r��'/�.
•a• • � • -u • •
PROPERTY �ME / ,/,� j PRIMARY PHQONE
OWNER �l/?%��'r /►"lo`�'I�/�C'c,�iE'/�-- �"'.��� /`� ' T[.c��
MA[L[NG ADDRESS CITY.STATE.ZIP
�Zc7�� •- �t?��'f� �J� �edt r�l� �t�c� (i(�r`{ `j'c��Z�
CONTRACTOR �MPANY NAME APPI1CANf NAME . OFFICE PHONE
�nf��m�u�f�in, �s�tr.���a �;;r►: fr%,�So.�. (2�531 ,`��� -�Jfv.�
MAIUNG ADDRESS CITY,STATE,Z1P CELL PHONE
?�'�3 �ox Z�y��2. �e�sa��ils- K/A �co93 (���o) �+��.,- �.���'
F WAY BUSINESS LICENSE NUMSER RA'f10N DATE FAX NUMBER ' ' • -
- - � � (zs�) ��z - ����
CTORS REG[STRATION NUMB e of aired with euh applicatioa� EXP[RATION DATE '
- f � T � k' G � a _ S = _ � , , ��' � /l� �D}�
APPLICANT COMPANY NAME � APPI.IGNf NAME OFFICE PHONE
' �u �e f�. .'�in;f� f�Pr.,l���`��-� � ���e. I�i�. �rr�,�G� (��v 3) Z�z -9'��`�`
MAILI G ADDRESS G7Y. .Z(P CELL PHONE
�'�. �'3�x ,Z'f'��� ���%r��i �� �fi0✓� (��3 ) �<a -����
RELAT[ONSHIP TO PRW ECT - FAX NUMBER
`jl('Architect o Tenant ❑Agent ❑ Other(Descn7�e)
(��,�) 8���-�74`��
CONTACT NAME� �,( 1 PR[MARY PHONE E-MAIL ADDRESS ,,t� /
-fi P/d�"% // - ��•'Z�v t`33 t'.��- �?�� �'� rE��.3!lLd�, N��
LENDER er C 5: rid jorncatiori�is� ~ NAME r�% �t.:�m.�
��-tue��as,000""�.; ��i��;� �c�%�'�,,�'�Es� llcvne�
t �����.,�� .��,.�#: �
, MAIL[NG ADDRESS GTY,STATE.Z1P
',, � 3�v/�-- �,�h, /��, .�1� �d��^�'i �.Ja �c���
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! . • � . :� � . � � . - .
E%ISTING USE ��'S�tJ�F/'�i�J PROPOSED IISE l���,�GYP.�?[:i r3/
� �asrnv sEss nppxn�sEn var.vE �(0 7 v o�3 I
�� � � V A L II E O F P R O P O S E D W O R K � b, G 6 D
: SPRINHI.ERED BiJILDIKG? ❑YES �il NO FIRE SIIPPRESSIOA SYSTEM PROPOSED/RF.QUIRED? p YES �NLO
I� . WATER SERVICE PROVIDER J�LAKEHAVEN O HIGHLINE O TAOOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER i.ARRHA�N p gtGgi„INE O PRIVATE(SEPTIC)
(. :;fJi �:;:i!D.J.S)� - � � . • . _
� • ••
pREA DESCRIPTION EXISTING S .FT. PR SED S .FT. TOTAL
. �- .
• BASEMENT �-�— �
FIRST G tr7JD � ����C:
sEcorcD j�a� — l c���
THIRD
FOURTH
ADDIT[ONAL FIAORS(DGSCRiBE)
DECK(COVERED?)
GARAGE/CARPORT L��� !�[7 ���
T���y-{p(G .TOTAI.PROPOSCD T07ALLA3TOfGAIlDPAOPOSCO
HOW MANY FIAORS? � � ?
`•NEWHOMESONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PFZICE $
►• � -
Indicate number of each type of furhtre to be instal(ed or re(ocated as part of this project. Do not indude exisiing fixtures to remain.
• MECFIAHICAL s�' �:1 C�
. Va(ue ojMechanica(Work $ ��j
AIR HANDUNG UNlTS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
• BBQS F�S HOODS�co�<r�1 WOODSTOVES
' BO[[.ERS FIREP[ACE INSERTS RANGES MISC(Describej
COMPRFSSORS FURNACES GAS WATER HEATERS
• DUCTS GAS PIPE OUTLETS .
�LUMBING WATER CIASETS�raa<q MISC(Describe�
BA'['HTUBS(orTub/SMv.<rCambo� SHOWERS '
DISHWASHERS S[NKS DRINKING FOUNTAINS
GAS P[PE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS ��ms� VACUUM BREAI:ERS ELEC'CRIC WATER HEATERS
- � • a� � ' �
. r«rt{fy under penaLty oj perju+y that the injormation jurnished by me is true and eorreet to the best oJ my knowledge,and further,that I
cun eattfaortzed by the owner oj the abone premises to perfornc the work Jor whteh the per++dt appiicatiori is tnade. I further agree to hoid
Iaarmlus the G�ty oj Federai Way as to a+iy clatrn rneluding costs,cxpcnses, and attorneys'jeas lrtcurred tn the fnvestigation and dejense oj
srceh e1a�mJ,whteh rttay be made by any penon,tncluding the ersigned,and filed against the Ctty of Federaf Way,but oniy where suth efaim
arises orct ojthe reiiance o dty,ineiu ' its ojficers pIo ees,uport Lhe aecuracy oJ the inJormation supplied to the dty as a part oj
ti�ts applicaLiort. � ,
/ � � �������
� -- NAME/TITLE ` I"rJ/n%f�'C�'f'" DATE
_ _ . . , . . . _ __ _ .. (Signa[u - � . . (fitic)
REI.ATIONISEiIP TO PROJECT O Owner o Agent O Contractoc �Architect ❑ Other
j � . ,
` . � ... ` _
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( FOROFFICE IISEaONL ��; ,
' o DiEW. , n.ADDITION o ALTERATION ❑REPAIR a�ENAPIT I.MPROVEMENT
� BUII.DING SLiELLdNLY? o YES o PIO BASIC:PLAIS? . a YES ❑NO
! � CHANGE OF USE? a.YES a.IdO
ZOIQII�IG DESIGNATION;
' Z IQEW ADDRESS RF�QUIRED?: o YES a N0 UP/SEPA/SU?: a YES o NO
1
. PLATTED IAT? a YE.S o NO DEMO PERMIT REQUIRED? o YES o NO
� •
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i - Pa c 2 of 4 k\Handouts-Revised�I'ecmit Application
Quttain f!t00—Much 30,2004 s -