16-104676 Building - Multi Family
or -
Cite<ofFederalWay Permit #:16-104676-00-MF
t<ommunity Development Dept.
z { 33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3%
Ph:(253)835-2607 Fax:(253)835-2609 !
Project Name: MIRROR LAKE VILLAGE SENIOR HOUSING DUPLEX(R-2)
Project Address: 31015-31017 9TH PL SW Parcel Number: 072104 9087
Project Description: NEW-Construction of a new 2,346 square foot duplex building with a 72 square foot covered
entry,a 144 square foot deck and a 503 square foot attached garage. Includes plumbing;
mechanical by separate permit.
Owner Applicant Contractor Lender
MIRROR LAKE VILLAGE LLC BRUCE DUNN PETRA INC/PETRA INC OF OWNER IS LENDER
PO BOX 6961 15049 NE BEL-RED RD IDAHO
BELLEVUE WA 98008 BELLEVUE WA 98007 8106 BRACKEN PL SE
SNOQUALMIE WA 98065
Census Category: 103-New Two-Family Building
Includes: I #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 2,346.00 0.00 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 1109 New/Additional Sq.Feet-2nd Floor 1237
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 2346
New/Additional Sq.Feet-Basement 0 Basic Plan? No
Occupancy#1 -Construction Type Type V-B New/Additional Sq.Feet-Deck 144
New/Additional Sq.Feet-Garage 503 Mechanical to be Included? No
Plumbing Work Valuation? 0 Mechanical Work Valuation? 0
Number of Stories 2 New/Additional Sq.Feet-Other 72
Is this an Online or O.T.C.application No Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 3065
Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation RS 7.2
Residential
Total Valuation:291,393.79
Dishwashers 2 Laundry Washer Outlets 2 Lavatories 2
Showers 2 Sinks 2 Water Closets 2
Hose Bibbs 3
PERMIT EXPIRES Sunday,27 August,2017
Permit Issued on Tuesday,February 28,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy - d the use will be in accordance with the laws, rules and regulations of the State of
Wash
hiin
gton and the City of Federal Way.
71/0 i
Owner or agent /FA /�..--37 Date: �� / W
• city Federal Way
♦Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: MIRROR LAKE VILLAGE SENIOR HOUSING E Permit# 16-104676-00-MF
Address: 31015-31017 9TH PL SW
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load: 0.00 0.00 0.00 0.00
Floor Area(sq.ft.) 2,346.00 0.00 0.00 0.00
Owner Name: MIRROR LAKE VILLAGE LLC
Owner Address: PO BOX 6961
BELLEVUE WA 98008
9/0/ 02r)
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
tv which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE _
crrr
A.
e
F ar ra• Construction Inspection Record
INSPECTION REQ TS:(253)835-3050
PERMIT#: 16 104676 00 Address: 31015-31017 9TH PL SW
Project: MIRROR LAKE VILLAGE LLC FEDERAL WAY WA 98023
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 Footings/Setback(4110) 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By �. Date ` ^a ^ I X By 4 AI Date t l L � ..BY(1 Date,3,. D
® Re-steel(4215) ® Plumbing Groundwork(4190) El Slab/Concrete Floor(425
Approved to place concrete or grout Approved to cover ^) Approved to place concrete ///5�
By Date By t)t.) Date 11 7 By Datt.
e , -1
0 Underfloor Framing(4285) ! ® Floor Sheathing9
(4105) ! Shear Walls(4245)
Approved to sheath floor Approved to install •• ' _ Approved to install siding
By Date By At . Date 6- )y f , By Date
El Roof Sheathing(4220) 1 I Rough Plumbing(4230) j 0 Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By AO Date 2/2. Ja By A74 Bate 3fy1T By / Date v 6
Prior to scheduling a Framing inspection; 13 Framing(4120) ® Insulation(4150)
I
Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections tions®ant be signed-
off Approved to maul:, 'L Approved to install wallboard
and approved. me 1093.4 45
By Date By 4 Date 9 Z$
Q Gypsum Wallboard Nailing(4130) ID Suspended Ceiling Grid(4265) t2 Final-SKF&R(4060)
Approved to install mud& Approved to drop tile Approved
By i a Date 5 N By liti Date 5// ti By Date
® Final-Planning El Final-Public Works(4080) MI Final-Plumbing(4075)
Approved Approved Approved
By Date By Date {' By Date
ID Final-Building(4050) Q e 6 r'dc4fli`
Approved I
By M) Date 9//6/2,426 ,_ C B I- ai -1Y
❑ Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
2,,,
M a•
{
740111.46._ •ECEIVEDPERMITPPLICATION
Federal Way SEP 1 6 .2016
PERMIT NUMBER no _ 0 //I '7 TARGET DATE
SITE ADDRESS �.Y SUITE/UNIT#
S3 L. & ),)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ --e-CD �-.Z 0 (
TYPE OF PERMIT BUILDING CIPLUMBING %MECHANICAL ❑ DEMOLITION ❑ ENGINEERING*FIRE PREVENTION
NAME OF PROJECT W1 t e12o� /
PROJECT DESCRIPTION fl. i4 C-6 11 0 2 65T0� T ('P
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNERW1 G i212� l.b K� t (°`� LL-C._ 'k'Z5`5O Z-1o13C�
'C)MAILING oin Cdr•b l 0 ADDRESS ektA y. C
CITY STATE ZIP
PHONE
NAME
MAILING ADDRESS ` MAIL I'
CONTRACTOR cot o (c, 8r cc k 'v PL J� lomock eaf a i vic,v1
CITY STATE ZIP
FAX
YY
I � W4 12:106 -
WA STA rw I NTRACTOR'S LICENSE B EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS
in 04Ct 1�� 1^fid I
'E
M h v c -Inc,C.
CITY8 ATE ZIP FAX
1t-evv-2 ea3CCD
-- NAME tPRIMARY PHONE
PROJECT CONTACT )'rl.)C_'-P IX)Y1 \ 479-- tZ
(The individual to receive and tM^�LING s `� , �� E I
respond to all correspondence V J\ aL IAC. '
concerning this application) c , .eu e s E1 zt>y FAX
.t-t CJ�
NAME
PROJECT FINANCING C(10-14./Q- ' E--OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 29.27.095)
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•he city as a •• - of this application.
SIGNATURE: DATE CI 6 L, ih,
PRINT NAME: ;a 116-.:♦ A A.
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
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• • ` 4t .
VALUE OF MECHANICAL WA,
MECHANICAL PERMIT $ i & o 4-
Indicate how many of each type of fixture to be installed or relocated asart of this project.Do not include existing factures to remain.
"?i AIR HANDLING UNITS e— FANS )([ v GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES — HOT WATER TANKS(Gas) __
2/ COMPRESSORS GAS LOG SETS REFRIGERATION SYST
10, DUCTING fag, GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ ,r� • - '(o 073-
f
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) LAVS(Hand Sinks) TOILETS YQWATER PIPING
2/ DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS Z SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS '2-- SINKS(Kitchen/Utility) 42— HEATERS(Electric)
HOSE BIBBS SUMPS ' WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
iti C _ •Ate v�vv L.14.14--Pt hcw v\ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes No LYes ❑ No
1z�s ;
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) 11 061 1 1 oct
SECOND FLOOR 1 2 1 Z 3,7_T ...-- ._......
COVERED ENTRY q-2
DECK t44. i44
._...._.._..----
GARAGE PJ CARPORT ❑ 3-03 903
OTHER(describe)
Area Totals EXISTING PROPOSED TOT
/Ole S
**HEW HOMES ONLY**
ESTIMATED SELLING PRICE$S?)(-)1 0 4O CI #OF BEDROOMS
lvtt-Z t n c., rl1.ec-1-, 1 PCu,,Il b,
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) 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—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application
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ID)N 1j DOOM TV1 19
PERMIT I 04676-00,tvAF
ADDRESS: 836 SW 312th Sfireet
PROJECT: New Duplex
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