04-104091 Aft
6
City of Federal Way Building - Single Family Permit #: 04 - 104091 - 00 - SF
y
Communi Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ORCHID LANE LOT 1
Project Address: 34317 13TH PL SW Parcel Number:640370 0010
Project Description: NEW-Plans for 3,117 square foot single family residence with attached 618 square foot garage and 80
square foot deck. Includes plumbing and mechanical work as well as all options.
**4 Bedrooms;Estimated selling price$304,950.00** BASIC PLAN 04-10
Owner Applicant Contractor Lender
HARBOUR HOMES INC*FRANK C HARBOUR HOMES INC*FRANK C HARBOUR HOMES INC*FRANK C BANK OF AMERICA
33400 9TH AVE S SUITE 120 33400 9TH AVE S SUITE 120 HARBOHI985R4 3/8/05 BANK OF AMERICA
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 33400 9TH AVE S SUITE 120 10623 NE 68TH ST
FEDERAL WAY WA 98003 KIRKLAND WA 98033
Includes:
Census category: 101 -New si #1 #2 #3 #4
Occupancy Group: R-3U-1F —
Constructior3
Type V-N Type V-N _1.
Occupancy Load: ——
J
= F------ i- J
Floor Area(Sq.Ft.): j �-
1st Floor Proposed Sq.met,,,a..d, .1375 2nd Floor Proposed Sq.Feet ....,.. 1742
Basic Plan..... . .Yes Census Category 101-New single family houst
Construction Type#2'' Type V-N Deck Proposed Sq.Feet.. ........, ; ;.80
Garage Proposed Sq.Feet 618 Height of Structure 23
Mechanical -. Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Proposed Sq.Feet 3117 Zoning Designation RS 7.2
i'
Plumbing Fixtures
j Description Quantity Description Quantity Description jOuantity�
Bathtubs I 2 Dishwashers 1 Laundry Washer Outlets IL 1
[-lavatories 4 Other Plumbing Fixtures 2 Showers Ij 3 1
R
IL-- -
Sinks 2 Water Closets 3 Water Heaters F 1 J
Mechanical Fixtures
F ` Description Quantity r Description Quantity Description 11uantityj
Ducts 1 Fans 5 Fireplace Inserts 1 I -'i
Furnaces - 1 J Ranges 1
1____-
PERMIT EXPIRES May 14,2005.
Permit issued on November 15,2004
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 Wa .
/
Owner or age ___ / / Date: /S v�
4 ,474
City of Federal Way
Y
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: ORCHID LANE LOT 1 Permit number: 04- 104091 -00
Address: 34317 13TH SW
#1 L #2 #3 #4
Occupancy Group: R-3 LU-1
Construction Type: Type V-N Type V-N
LOccupancy Load: J� J
Floor Area(Sq.Ft.): ll�
Owner HARBOUR HOMES INC*FRANK CLARY*
Name: 33400 9TH AVE S SUITE 120
Address: FEDERAL WAY WA 98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
; � THIS CARD IS TO .MAIN ON-SITE r
CITY OF °- tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104091-00-SF
Owner: FRANK CLARY
Address: 34317 13TH PL SW
FEDERAL WAY, WA 98023
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) ElFootings/Setback(4110) �❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By hite Date // /d/d • By 1,6 ..--7 Date /I/7i 0 Y By Date /j /fly
• �
❑ Drainage/Downspout(4040) ❑ • �
Plumbing Groundwork(4190) 0 Slab/Concrete Floor (4255)
Approved to backfill Approved to cover Approved to place concrete
`By G Date/Z. ia.041 By Date By Date
•❑ Underfloor Framing(4285) it:
Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to Sheath floor Approved to install flooring Approved to install siding
f
° i
By -217" 11-- Date f{ f �By Date ByC Date( z�7I, "(3)
.❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) 0 Mechanical Rough-in (4165)
Approved to install roofing Approved ` Approved
By _ Date By�,,, Date l " i" ("3 By ._ Date I `?i "
•
Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
s By C Date 1�.xd_d I By C . Date-- 4,f-.�<
•
0 Framing (4120) Insulation(4150) Gypsum Wallboard Nailing(4130)
A7proved to insulate Approved to install wallboard Approved to install mud&tape
By Date/ -24 .. 11--5 By0_,N4.43 Date \ -AS 45 5 By Q x..,...1 Date (.,3).,,O3_,
❑ Final-SWM (4375) 12‹ Final-Mechanical(4065) [ij Final-Plumbing(4075)
Appi oved Approved Approved
By Date By J Date "3,--i s,-c) ,S Bye ) Date .3....k,s4.3 s
Eli Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
By ,.‘ Date ,,..1 s -0 t By Date
4.A RECEIV. 0q-', tCP4Oci I-—3f*
Federal Way PERMITigr F CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENTSERVICES T Q pA
33325 AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 P LI CATION
-TD / /
253w3w2607•FAX 253-ucom .11TY OF FEDERAL WAY4) J
wtuw.dtuo0'ederdwau.mm iirJ I
BUILDING DEPT 15��
The following is required information-do incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
- • PROPERTY INFORMATION
SITE ADDRESS 34 D ` I .' 1a �^7 SUITE/UNIT#
1
ASSESSOR'S TAX/PARCEL# IP 7 ! E- 0 0 % 0 LOT SIZE(s) 1I BS
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) t Ztdeti D td•Art t L.oT 1
(Attach separate page for lengthy legal description)
, `• ■ PROJECT INFORMATION
TYPE OF PERMIT r BUILDING K PLUMBING C/MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
S►+vG u� AM1ids/ tje
(, i 1— I07, 'tel
PROJECT NAME(Name of Business or Owner Last Name) 0?–e.t.a i 1) i..,"--t4 i Lb r
• PEOPLE INFORMATION -
PROPERTY NAME PRIMARY PHONE
OWNER 1A, a�v��:1J.M'a—S ),..11-. ( •ZS?j)`€3'b8 -46'&0`7
MAILING ADDRESS CITY,STATE,ZIP
VA00 CD- 5 - \7..o fist4/0VI r 6003
CONTRACTOR COMPANY NAME APPLICANT NAMEOFFICEOFFICE PHONE
Sir �D / t
( )�3$ t57.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
---)., C3 -.1 (4)
coo - BL 12- / b1, / Olt ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHON
E
�� CAaICHpV - 3q
MAILING ADDRESS ATE,ZIP CELL PHONE
(7..);-"& Z - ZZ(,3
RELATIONSHIP TO PROJECT FAX.NUMBER
o Architect 0 Tenant 0 Agent )4 Other(Describe)rr 0cl,- M 5r`• ( jz) 'L)!> ) -S3-1-0
CONTACT NAIg.� PRIMARY PHONE E-MAIL ADDRESS
t"2-#04' '--0_ ?-y' (2..s2) Zi-A - 22(.4 3
LENDER Per RCW 19.27.095: Lender information is •
NAME
required if project value exceeds$5,000 t,4 firtA t:_ Oi- A MG''QAt:It,
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BMLDING OFORMATION
EXISTING USE 'V AcG.11/414 PROPOSED USE 'u.) nL j tcf'% '-.*/ Z.ESt OAtc-Z'
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I 1 Z, OJ o_--
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES /NO
WATER SERVICE PROVIDER L' LAKEHAVEN ❑HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER >f LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST V;1 5 I.J
SECOND 11�4` _ \--1-44 Z
n
THIRD C I
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) FJ 0 So
GARAGE/CARPORT ` . f a
-HOW MANY FLOORS? To7A{LXIprD10 TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
''''''NEW HOMES ONLY * NUMBER OF BEDROOMS 5 ESTIMATED SELLING PRICE $ WZA S5'O
_ . __FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
1SIECHANICAL q,g•
Value of Mechanical Work $ 44000
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 5 FANS HOODS(commere.at) WOODSTOVES
BOILERS % FIREPLACE INSERTS % .RANGES MISC(Describe)
COMPRESSORS l FURNACES i GAS WATER HEATERS
'14 DUCTS V GAS PIPE OUTLETS
PLUMBING
+L BATHTUBS(or Tub/ShowerCombo) S SHOWERS WATER CLOSETS(rode) MISC(Describe)
I DISHWASHERS I SINKS DRINKING FOUNTAINS
t GAS PIPE OUTLETS SUMPS RAINWATER SYST
i WASHING MACHINES URINALS Z HOSE BIBBS
LI LAVS(Bathroom sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
. t:DISCLAII4TER/SIGNATUREBLOCH
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.
t 5
NAME/TITLE7 DATE 24 j14
•
(Signature) (Title) !�
I RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor 0 Architect Other tr'Q..'.p.lAt(".
E
E FOR OFFICE USE ONLY
a NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
� BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
1 ZONING DESIGNATION CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU?. o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
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Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application