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03-101476 • • • • City of Federal Way Community Development Services Building - Sip'le Family Permit#:03 - 101476 - 00 7 SF 33530 1st Way S Federal Way,WA 98003-6210 - PR 2S3:661.40W fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: HANCOCK Project Address: 2220 S 284TH ST Parcel Number: 422220 0360 Project Description: ADD-903 square foot,second-story bedroom,bathroom and family room,w/plumbing and mechanical w/attached garage.w/out deck. Owner Applicant Contractor Lender Timothy Robert Hancock Timothy Robert Hancock Timothy Robert Hancock NONE 2220 S 284TH ST 2220 S 284TH ST FEDERAL WAY WA FEDERAL WAY WA 2220 S 284TH ST 98003-3261 98003-3261 FEDERAL WAY WA NONE Includes: Census category: 434-Reside #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Type V-N Occupancy Load: Floor Area(Sq.Ft.): 2nd Floor Proposed Sq Feet 903 Census Category 434 Residential alt/add-no Height of Structure 21 Mechanical Yes Occupancy Group#1 R-3 Plumbing Yes Total.Building Sq.Feet. 2696 Total Proposed Sq.Feet. 903 Zoning Designation RS 7.2 Plumbing Fixtures r Description (Quantity Description (Quantity Description (Quantity' Bathtubs 1 Lavatories 1 Water Closets Sinks 1 Mechanical Fixtures (� Description (Quantity Description (Quantity Description (Quantity Ducts 1 CONDITIONS: 1)All appropriate Erosion Control shall be in place before grading and site development construction begins. Building inspector shall verify this. 2)No building shall encroach onto any building setback line or easement shown or not shown. 3)Per FWCC,Sec.22-1133(4),eaves,chimneys or awnings,&similar elements of a structure that customarily extend beyond the exterior walls of a structure may extend up to 18 inches MAXIMUM into the required yard setback. Additionally,the total horizontal dimensions of the elements that extend into a required yard,excluding eaves,may not exceed 25%of the structure's facade length from which the elements extend. 4)This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. • ' • . �- « PERMIT EXPIRES February 25,200 Permit issued on August 8,2003 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. Owner or agent: Date: • , • w ' , a, City of Federal Way Community Development Services Building - Single Family Permit#:03 - 101476 I - SF 33530 1st Way S Federal Way,WA 98003-6210 Ph:2516614000 Fau:253.661.4129 Inspection request 1' -: 253.835.3050 Project Name: HANCOCK Project Address: 2220 S 284TH ST Parcel . i er: 422220 0360 Project Description: ADD-903 square foot,second-story bedroom,bathroom and family in,w/plumbing and mechanical.w/attached garage.w/out deck. Owner Applicant Contractor Lender Timothy Robert Hancock ALL PO CONSTRUCTION ALL POIN 'CONS r CTION NONE 2220 S 284TH ST PO BOX 8221 LPOC'986 a /14/04) FEDERAL WAY WA PORT ORCHA A 98366 :0 .221 98003-3261 `j OR ' I WA 98366 NONE Includes: Census category: 434-Reside #1 #2 #3 #4 Occupancy Group: I Construction Type: Ty Occupancy Load: ` Floor Area(Sq.Ft.): 2nd Floor Proposed Sq.Feet 903 Census Category 434 Residential alt/add-no c Height of Structure......... .. ......,................,......21 Mechanical Yes Occupancy Grcup#1 -3 Plumbing..., Yes Total Building Sq.Feet 69 Total Proposed Sq.Feet. 903 Zoning Designation .2 Plumbing Fixtures f �i.�� iooii • � • .�.,;�..,,i% i moo. /l!.' Bathtubs Lavatories I Water Closets Sinks r 1 I Mechanical Fixtures % / /a /� j�/'. ; @ /" ° s, sal / i%/✓. a Ducts 1 -, CONDITIONS: 1)All appropria rosion Control shall be in place before grading and site development construction begins. Building inspector shall .rify this. 2)No buildi I shall encroach onto any building setback line or easement shown or not shown. ' 3)Per FW• ,Sec.22-1133(4),eaves,chimneys or awnings,&similar elements of a structure that customarily extend beyond t, exterior walls of a structure may extend up to 18 inches MAXIMUM into the required yard setback. Additi - the total horizontal dimensions of the elements that extend into a required yard,excluding eaves,may not exceed 25%of the structure's facade length from which the elements extend. 4)This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. • • • • • PERMIT EXPIRES February 4,200, Permit issued on August 8,2003 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. Owner or agent: Date: • r. * A t I • • -or 1, - PelittAIA' 4 0;10141(V '.°0 q— a-a3 rity ioi6N DATE 1 0 JLcit Ike CouCAL • SEP 0 9 2003 (d)tvt. re4 411Po, vtiJ a 14 Otis 1,,1ot fi cteAy Nrew-4—(1 . . P4„„ v4-5 ik J Caved c,- Lk) 4etv\,. i J j )fI -11' aln.C.e-c, J t c w T3 • POST"'HIS CARD ON THE FRONT OF BUILDI-"= ' BUIL,.,ING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-101476-00-SF OWNER'S NAME: Timothy Robert Hancock SITE ADDRESS: 2220 () FOOTINGS/SETBACKS ' ''0 () FOUNDATION WALL � . ( ), DRAINAGE: Line ( ) Connection --."�lijr✓ /fi r ✓ ' n✓ - .gyp r ; „-u ri/✓ � 1 r� e e p/Eri %a�✓ „4,,�:.. � • ,: � %� ... y✓F .,, a i Ord ( ) UNDERFLOOR FRAMING (a,)-COUGH PLUMBING: DWV CA-- Water piping I-)•►I '�, (Iv\ () ROUGH MECHANICAL i0, //,, as piping ( ) SHEATHING /0/✓/aJ /1 Roof /O /P Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ;41,11.u., ��,.,,� ,.. ,�� ✓i.PYM rA0(4) r �, : ti�fib,'��;:� � ‘ • � IKA MING/FIRESTOPPING t��-\ - c 0 g ,ea Ciy.A.. nb 'h. ,? .. :C 1- ,s RA /�ai,m%' �., g 1p 9 g�.,641.-4 1 9 �i r�ix 'br rfYr / */� (4.)41CISULATION: Floors I I• 1-a''3 CAL Walls ) )A l y^b.'�C Attic 1 l-.aa-t-3 ° i" .,"* 4 C" r ' Y '� ✓f'7//i ,-. () WALLBOARD NAILING ,/ () SUSPENDED CEILING fir () ELECTRICAL FINAL /2 ti O O ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL , , d., ,r.„. 0, , 4 P :; mow e��r,� ( ) BUILDING FINAL /Z- ® _ ' v��y✓ yvir :i i% y $ i � i r /ice':ini :. ,...�,• a ' e s �/v. �„ r e r RETURN ADDRESS: City of Federal Way CONFORMED COPY Attn: Kim Scattarella, P.E. 33530 First Way South PO Box 9718 Federal Way, WA 98063-9718 Fireci009.0/20130,0009711000012 7 22.00 COY KN TYWA CITY OF FEDERAL WAY LOCAL IMPROVEMENT DISTRICT WAIVER OF PROTEST COVENANT Grantor(s): Timothy Hancock and Kelli Hancock, a married couple Grantee(s): CITY OF FEDERAL WAY, a Washington municipal corporation Assessor's Tax Parcel ID#(s): 422220-0360 S-T-R: 33-22-04E Permit No: 03-101476-000-00-SF THIS COVENANT is made by Timothy Hancock and Kelli Hancock, a married couple("Property Owners") in favor of the City of Federal Way, a Washington municipal corporation("City"). A. The Property Owner owns certain real property commonly known as 2220 S 284th Street, Federal Way, WA 98003-3261 and legally described as follows: LOT 36 LAURELWOOD NORTH #3 ("Property") B. The Property Owner has submitted a request for a building permit under Permit No.03- 101476-00-SF to add a second-story bedroom, bathroom and family room, w/plumbing and mechanical features on the Property which abuts a substandard City right-of-way -1- A . . known as S 284th Street, which project will impact and derive special benefits from the public right of way. C. The City may, in the future, construct, reconstruct or improve S 284thStreet to City standards including, but not limited to, curbs, gutters, sidewalks, driveways across sidewalks,storm drains,retaining walls,street illumination,landscaping,slope protection, underground power,and necessary appurtenances consistent with good street construction ("Improvements"), so as to benefit the Property, through the formation of a Local Improvement District. NOW, THEREFORE, the Property Owner agrees as follows: 1. Permit. The Property Owner may obtain a building permit for 2220 S 284th Street without the installation of the Improvements so long as all other conditions of the permit, if any, are complied with to the City's satisfaction. 2. No Protest. Pursuant to RCW 35.43.182 and in consideration of the City approving said permit,the Property Owner agrees to participate in and not protest the formation of a Local Improvement District pursuant to RCW 35.43.180. 3. Term. This Covenant shall be for a term often(10)years commencing on the date of execution hereof and terminating ten(10) years thereafter. 4. Improvements. Nothing in this Covenant shall in any way absolve the Property Owner of any underlying obligation to make any public improvements as a condition of permit approval under any application other than Permit No. 03- 101476-00-SF prior to the expiration date of this Covenant or upon eighty(80) days written notice from the City if such public improvements are required pursuant to the Federal Way City Code, any other permit application, or other applicable laws, rules, or regulations, as now existing or hereafter adopted or amended. The Improvements may be necessary to mitigate the effects of the development of the Property. This Covenant shall be construed only as providing an alternative means for payment for necessary public improvements through the formation of a Local Improvement District. 5. Binding Effect. This Covenant shall be construed to touch and concern the land, shall run with the land and bind the Property Owner, it's successors in interest, heirs and assigns. 6. Filin . This Covenant shall be recorded by the Property Owner with the King County Office of Records and the Property Owner shall pay all recording fees. -2- • 7. Limitation. Nothing in this Covenant shall be construed to waive the Property Owner's right to object to the Property Owner's individual assessment(including the determination of special benefits allocable to the Property),or to appeal to the Superior Court the decision of the Federal Way City Council affirming the final assessment roll. DATED this day of 301t:L) , 2003. TIMOTHY HANCOCK AND KELLI HANCOCK Timothy Hancock i0J2/2--eavati,&Cic- Kelli Hancock 2220 S 284th Street Federal Way, WA 98003 STATE OF WASHINGTON ) ) ss. COUNTY OF KING ) On this day of .L , 2003, before me, the undersigned, a Notary Public in and for the State of Washington, ly commissioned and sworn, personally appeared Timothy Hancock and Kelli Hancock,husband and wife,to me known to be the individual(s)who executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said individual(s), for the uses and purposes therein mentioned,and on oath stated that they were authorized to execute the said instrument. my hand and official seal hereto affixed the day and year first above written. ,',, ,vim 1 �v� ts et _ SI rki2 _ 4-41,trt 42_ Soru A pow " (typed or printed name of notary) ,,�►�,• .614); Notary Public in and for the State of Washington • ..... �►v My commission expires CD - 09— 0vir �o 11lAS ''�•:n i 7�rtIN�N�. I:\csdc\docs\save\18263604090.doc G:\FORMS\LIDNOPRO.EMP Rev.09/04/01 -3- ` CITY OF CITY HALL Federal Way Feder 1st Way South•PO Box 9718 Federal Way,WA 98063 9718 (253)661-4000 www.cityoffederalway.com June 26,2003 Mr.Timothy Hancock 2220 S 284`h Street Federal Way,WA 98003-3261 RE: Permit#03-102458-000-00-SM;Hancock;2220 S 284t Street Dear Mr.Hancock: The Public Works Department has received your request to waive the required Right-of-Way Improvements along S 284th Street. Staff has evaluated the existing conditions along S 284th Street, Federal Way City Code (FWCC) Sections 22-1496, 22-1477, and considered past direction provided by the City Council. The Public Works Director is allowed to modify, defer, or waive required street improvements only after consideration of four specific reasons under FWCC Section 22-1477 "Modification of Improvements Along Property Frontage". The reason most applicable to your request is FWCC 22-1477(1) which states: "Improvements as required would not be harmonious with existing street improvements, would not function properly or safely or would not be advantageous to the neighborhood or city as a whole." The development proposal is a single-family home with 39 feet of frontage on the bulb of the cul-de-sac on S 284th Street. Existing frontage improvements from the centerline consist of a cul-de-sac bulb approximately 80 feet in diameter all within a 100-foot diameter Right-of-Way. A planned roadway section for the S 284th Street cul-de-sac is a Type Z street consisting of a 90-foot-diameter of pavement, with an optional center island of a 26-foot diameter, a 5-foot wide sidewalk, and a 3-foot utility strip all within a 106-foot in diameter Right-of-Way. Curb and gutter, with no sidewalk abut this property. Streetlights are provided on overhead power poles located along the Right-of-Way. The required improvements would not be harmonious with existing street improvements and topographic or physical conditions preclude construction of the required street improvements. Therefore the request for waiver of frontage improvements is granted. The developer will be required to sign a Local Improvement District Waiver of Protest Covenant. Please fill out the enclosed form and return to Kim Scattarella at the post office box address listed above. If you have any questions or need clarification of the above street improvement requirements, please contact Kim Scattarella, Senior Engineering Plans Reviewer,at(253)661-4132. Sincerely, 14aa, Nicsko_r_ Ken Miller,P.E. Deputy Director Public Works KM:KS/ss Enclosures cc: Jim Femling,Development Services Manager t.arry Wisniewski,All Points Construction,P.O.Box 8221,Port Orchard,WA 98366 ✓Project file/KS Day file I:\csdc\dots\save\17584496083.doc r' RETURN ADDRESS: City of Federal Way Attn: Kim Scattarella, P.E. 33530 First Way South PO Box 9718 Federal Way, WA 98063-9718 CITY OF FEDERAL WAY LOCAL IMPROVEMENT DISTRICT WAIVER OF PROTEST COVENANT Grantor(s): Timothy Hancock and Kelli Hancock, a married couple Grantee(s): CITY OF FEDERAL WAY, a Washington municipal corporation Assessor's Tax Parcel ID#(s): 422220-0360 S-T-R: 33-22-04E Permit No: 03-101476-000-00-SF THIS COVENANT is made by Timothy Hancock and Kelli Hancock, a married couple("Property Owners") in favor of the City of Federal Way, a Washington municipal corporation("City"). A. The Property Owner owns certain real property commonly known as 2220 S 284th Street, Federal Way, WA 98003-3261 and legally described as follows: LOT 36 LAURELWOOD NORTH#3 ("Property") B. The Property Owner has submitted a request for a building permit under Permit No.03- 101476-00-SF to add a second-story bedroom, bathroom and family room, w/plumbing and mechanical features on the Property which abuts a substandard City right-of-way -1- known as S 284th Street, which project will impact and derive special benefits from the public right of way. C. The City may, in the future, construct, reconstruct or improve S 284`h Street to City standards including, but not limited to, curbs, gutters, sidewalks, driveways across sidewalks,storm drains,retaining walls,street illumination,landscaping,slope protection, underground power,and necessary appurtenances consistent with good street construction ("Improvements"), so as to benefit the Property, through the formation of a Local Improvement District. NOW, THEREFORE,the Property Owner agrees as follows: 1. Permit; The Property Owner may obtain a building permit for 2220 S 284th Street without the installation of the Improvements so long as all other conditions of the permit, if any, are complied with to the City's satisfaction. 2. No Protest. Pursuant to RCW 35.43.182 and in consideration of the City approving said permit,the Property Owner agrees to participate in and not protest the formation of a Local Improvement District pursuant to RCW 35.43.180. 3. Term. This Covenant shall be for a term often(10)years commencing on the date of execution hereof and terminating ten(10) years thereafter. 4. Improvements. Nothing in this Covenant shall in any way absolve the Property Owner of any underlying obligation to make any public improvements as a condition of permit approval under any application other than Permit No. 03- 101476-00-SF prior to the expiration date of this Covenant or upon eighty(80) days written notice from the City if such public improvements are required pursuant to the Federal Way City Code, any other permit application, or other applicable laws, rules, or regulations, as now existing or hereafter adopted or amended. The Improvements may be necessary to mitigate the effects of the development of the Property. This Covenant shall be construed only as providing an alternative means for payment for necessary public improvements through the formation of a Local Improvement District. 5. Binding Effect. This Covenant shall be construed to touch and concern the land, shall run with the land and bind the Property Owner, it's successors in interest, heirs and assigns. 6. Filing. This Covenant shall be recorded by the Property Owner with the King County Office of Records and the Property Owner shall pay all recording fees. -2- 7. Limitation. Nothing in this Covenant shall be construed to waive the Property Owner's right to object to the Property Owner's individual assessment(including the determination of special benefits allocable to the Property),or to appeal to the Superior Court the decision of the Federal Way City Council affirming the final assessment roll. DATED this_day of , 2003. TIMOTHY HANCOCK AND KELLI HANCOCK Timothy Hancock Kelli Hancock 2220 S 284th Street Federal Way, WA 98003 STATE OF WASHINGTON ) )ss. COUNTY OF KING ) On this day of , 2003, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared Timothy Hancock and Kelli Hancock,husband and wife,to me known to be the individual(s)who executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said individual(s),for the uses and purposes therein mentioned,and on oath stated that they were authorized to execute the said instrument. Witness my hand and official seal hereto affixed the day and year first above written. (typed or printed name of notary) Notary Public in and for the State of Washington My commission expires I:\csdc\docs\save\18263604090.doc G:\FORMS\ IDNOPRO.IMP Rev.09/04/01 -3- 6►.11' 5 RECEIVED June 11,2003 JUN 1 3 2003 FEDERAL WAY PUBLIC WORKS ADMINISTRATION DIVISION Tim and Kelli Hancock 2220 South 284th Street Federal Way,WA 98003 253-529-1391 Mr.Ken Miller Director of Public Works City of Federal Way 33530 First Way South P.O. Box 9718 Federal Way,WA 98063-9718 Dear Mr.Miller: We are writing to you in regards to Permit#03-101476-000-00-SF. We are requesting a Right-of-Way Code Variance to waive the requirements of FWCC Chapter 22,Article XVI for the following reasons: 1)The improvements as required would not be harmonious with the existing street improvements,would not function properly or safely and would not be advantageous to the neighborhood as a whole. 2)Unusual topographic or physical conditions preclude the construction of improvements as required. We are adding a second story addition to our home. We are not doing any excavating of land or making any changes to the existing groundwork around our home. There are currently no sidewalks in our cul-de- sac or our part of the neighborhood, nor would there be room for them in front of our home. We have enclosed pictures of our existing property for your reference. We have enclosed our check for$71.50 to apply for this waiver. We would appreciate your attention to this matter. We could like to get our home remodel started soon in order to take advantage of the summer months and would appreciate you expediting this waiver. Please feel free to contact us with any questions. Thank you for your time. Sincerely, JJ4xThhLCL Tim and Kelli Hancock Cc: Kim Scattarella,P.E.,City of Federal Way Larry Wisniewski,Project Mg,All Points Construction im001055(592x400x24bjpeg) r t vn. ..... __.., - '4�— j _, r s orb,"^"" - - - �.. _ , im001051(592x400x24bjpeg) r. N. r. A v. . ....„,. . "4 x..- i ---,4:,,,,.--- *,'.- Iik. , i P li_71r''' - c „ . —-———--—- ii... __ itn001049(592x400x24b jpeg) . - • AK 4 -- • ... ,- . - ... ..., . . .. Prowt:.• ) ' .... r . '--^ .I. - f alibleft•,{. ' Nuengw-------.....04/1/HOMS. '.'S" . "!..74,1", ' • :::..... . . ... . ...=...... ... • .--: r,..t: . ... II' . • .4 . ,... .. : .„ _..... , 0 sit, ..- • \)v Fril5 CITY HALL 33530 1st Way South (253) 661-4000 PO Box 9718 Federal Way, WA 98063-9718 June 3, 2003 Tim&Kelli Hancock 2220 S. 284th Street Federal Way, WA 98003 RE: Permit#03-101476-000-00-SF; Hancock; 2220 S 284th Street Dear Mr. & Mrs. Hancock: The Public Works Department is unable to complete the plan review of the above-referenced project until additional information regarding, but not limited to, the following items are received: 1. S 284`h Street along the property frontage does not meet current City street standards. In accordance with Federal Way City Code (FWCC) Article XVI Improvements, Section 22-1473 and 22-1474, street improvements must be installed as a condition of this building permit, as the assessed valuation of your improvements exceeds 25 percent of the existing property value. Required improvements for this lot would include curb and gutter, a six-foot wide planter strip with street trees and eight-foot wide sidewalk. FWCC Section 22-1477 allows the Public Works to modify, defer, or waive the requirements of this article only after consideration of a written request from the owner for the reasons stated in the enclosed handout Right of Way (ROi9 Improvement Modification Request. 2. Per FWCC Section 16-48, Undergrounding of the service connection(s) shall be required. These are facilities extending from a distribution system and terminating on private property to serve a customer or subscriber. Service connections shall be underground, unless the distribution system serving the customer or subscriber is aerial, and the building, structure or facility to be served is new construction or an addition, alteration, or repair thereto is under$20,000 in value. 3. Provide the following additional in formation on your plot plan: • Indicate all on-site locations of roof drains from the downspout to the existing or proposed on-site drainage system and other utility lines (water, sewer, gas, electric, phone) on your property. See Appendix C, 1998 King County Surface Water Design Manual for proposed on-site drainage system design guidelines. I:\csdc\dots\save\16303721038.doc • Indicate elevation contours on this site at 2' intervals and existing (dashed) and finished(solid line) elevation contours. Also indicate the finished floor elevation. • Delineate the clearing limits and show the location of silt fence on the plot plan. • Indicate the datum used and the location of the benchmark on the plot plan. • Show the location of the edge of pavement on S 284th Street. • Indicate the construction entrance (driveway entrance). An alternative is a rocked entrance with minimum dimensions of 10 feet wide by 25 feet long times one-foot depth of quarry spalls onto the subject property. I look forward to hearing from you. If you have any questions, please call me at(253) 661-4132. Sincerely, ym:yi Oria "vt Kim Scattarella, P.E. Senior Engineering Plans Reviewer KS/ss Enclosures: ROW Modification request Form Plans Cc: Jim Femling,Development Services Manager All Points Construction,P.O.Box 8221,Port Orchard,WA 98366 Project File/KS Day File I:\csdc\dots\save\16303721038.doc i ®` CONSTRUCTION PERMIT APPLICATION CITY Of �� RECEIVED C� _ Federal Way APPLICATION NUMBER: 03_ i v1 y 7 �_00 A APR 1 8 ZOOS APPLICATION NUMBER: �'�'�` APPLICATION NUMBER: - - **The f s RAtitMaN ation-Please print(in ink)or type** BUILDING DEPT. It'r Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. .12 ■ PROPERTY INFORMATION • SITE ADDRESS: 2 22.0 SeuTM 1 ''(Ttt S r ASSESSOR'S TAX/PARCEL #: y 2- 2 2. 2 O - O 3 (s o LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT(This application): 4UILDING o PLUMBING a MECHANICAL a DEMOLITION o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 12 MGJE. Cl5 tSry X,- 12,00 ' STarti. CJ�►E PL (sAJtta(ra Ah.'Jo AOA Z S'TcM1.' L 1\?tt.JC/ /►et 4 PROJECT NAME: H ANCoCIL. 2.0x) STont AOG tTtOt'J ■ PEOPLE INFORMATION PROPERTY OWNER: I NAME: DAYTIME PHONE: I4ct.4.t ANO TK t-I A•-,CoCV- 1 (253)S2, -/,3' t MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ZZ20 54T:fcrrrt 28''1-r ST FEIkLtAL. uJA-t , t,JA 98003 CONTRACTOR: NAME: DAYTIME PHONE: A L` PO t NTS GONG TfLJCT‘6,0 ; (360 ) i t - 1/ .41 MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE: i ? . o. zaA se'221 Po'vr on-e lrtto t� A Rtl3t:6 (36o)V74/ '/64i3 CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: - - (360) - CONTRACTORS REGLSTRATION NUMBER: EXPIRATION DATE: (copy of card tad) a t. L 4' Q L g 8 f Q 6 I 0 3 / %L 1 / ZobW APPLICANT: I NAME: i DAYTIME PHONE: KCI..c.l Apo Tt K N A.-5GoC.K (253 ) 521 - 134/ MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE: zz zo SOt7g4 ZSg-nt ST Feo-RAt- t>J Lt)R qt&co3 (ZOC ) 32i -3? L/ I RELATIONSHIP TO PROJECT: fAx NUMBER: o ARCHITECT o TENANT BOTHER(DESCRIBE): 04_40E2 ( ) - I E•MAIL ADDRESS: I I I CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR l • - ■ DETAILED BUILDING INFORMATION co EXISTING USE: St..tGt-e. FAxtty EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ � fJ� 00 11 PROPOSED USE: S.ttxt-tom �/FiI."•t. PROPOSED VALUATION FOR IMPROVEMENTS: $ ' Z-?, 5 c 0 SPRINKLERED BUILDING? o YES( at O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES efNO WATER SERVICE PROVIDER: eI1 KEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: edAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) **NEV RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: .. ESTIMATED SELLING PRICE: $ . ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT N f c1 N/A Ni A FIRST 12.20 742- zot2 SECOND N /A N/A N/A THIRD 0( A N/A 0/ A FOURTH OTHER FLOORS(DESCRIBE) N1 A C/A. N/A DECK 0/A- N/Ar- r.)1etc GARAGE HOW MANY FLOORS? I 4 Cel 0 6941 H TOTAL: /90 d'/ ?q Z 2.6q6 ■ FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(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:o ELECTRIC I3 GAS PLUMBING i BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) O ELECTRIC ❑GAS DRINKING FOUNTAIN(S) SHOWER(S) ' WASH MACHINE OUTLET GAS PIPE OUTLET(S) ! SINK(S) / WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) ■ 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 daim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: 4.A2lay (.)1.St-h _.ISILt 'AG76Cr ili A/JACHE a DATE: 4006/4)3 1 o PROPERTY OWNER a APPLICANT CONTRACTOR FOR;OFFICE;USE,ONLY:4I "'"_li urn U'ADDITION. ....._.p;ALTERATION. :n:REP/IRfTENANT IMPROVEMENT.`, "CENSUS CO: E��' ��'� `'•:':� � ..� .�. *� "�LOT,SIZE � ..,.� �� . ., ZONING toESIGNATION 4.4 Mr 41 ;BUILD`ING.SHELr ONLY?#moo YES :t:d NO 4-1 COMP PLAN DESIGNATIONx , _ jw „4 . BASIC.PLAN?i,',o`YES :,c o NO.`` R SECT ION4. -TOWNSHIP .r RANGE'�� iti NE1N','ADDRESS REQUIREDf,. .. -:'o YES ' O'NO''• PLATTED'LOT?,i,;:6:YES .r r O NO ,`' #.'""'r ` Mrs -.CHANGE OFUSE? -* --a:YES N =ONO`=` ` COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com • Ccetruction Permit Fee .q-3Icriation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (I)$30.00 (2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$1.AO for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$90.00 for the first$2,000.00 plus 118.00 for each additional IL000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$504.00 for the first$25,000.00 plus$13.00 for each additional S1.000.00 or fraction thereof,to and Including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$829.00 for the first$50,000.00 plus$9.00 for each additional S1.000.00 or fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus;ZOO for each additional$1.000.0Q or fraction thereof,to and Including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional 11000,00 or fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (8)$7,079.00 for the first$1,000,000.00 plus$1.50 for each additional$1.000..0 j'or fraction thereof. Bold number Is the base fee for the spedfled Increment italicized underflnednumlterls the leeveradditional saedlled lnaemenf PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District*39 surcharge,commerdal only. Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** ■ BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FIN Fire Department Surcharge: (3) (OOMMERaAL ONLY) • MECHANICAL PROPOSED VALUATION: • eL5-V s- FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) ■ FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) • PLUMBING • Base Fee Number of Fixtures $26.00+{ X$9.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) _ (11) 1111...M.111111.11.111.11.1.11161111011:3 ' �TTBLE B c .► so NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 _it of Thermostats(First-$43.00;add'n-$13.00ea) (First 1300 ftt-585.50:Each add'n 500 III-S27.50) _Service and feeder $93.00 _k of Low voltage fire or burglar alarms iquare Feet: First 2500 R'-550.00:Each add'n 2500 ft`-$13 06 _Each outbuilding or garage S35.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage S57.00 (First service/feeder-$57.00;Add'n service/ _k of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-$37 each) $20.00 each) _Swimming pool,hot tub,spa $85.50 _Yard Pole meter loops $57.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or inure) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 i 9 3.ou _tip to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 )16.50 =201 -400 amp 115.50 57.00 =0 to 100 $ 93.00 $ 57.00 =601 -1000 326.56 401 -600 amp 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00 601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _k of circuits _Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (I-5 circuits-572.50:Add'n circuits,S6 eat ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 (When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00 j _201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 _over 600 amp 174.00 _201 -400 _ 5.50 Mast or meter repair 43.00 _401 -600 115.50 - a of circuits _over 600 125.00 (i-4 circuits-$57.00;Add'n circuits$6 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+572.50.Add'I plan review for other submissions is$85.50/hr. ,I FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) I TOTAL(D) I ! I t I TOTAL COLUMN(D): l Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 - Estimated Plan Review Fee: $72.50+( X.35)=(13) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) ' ■ ENGINEERING • Estimated Permit Fee:(16) Bond Amount: (17) ■ OTHER FEES Mitigation Fee: (18) (20) (22) • SBCC Surcharge: (19) (21) (23) Total (pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin #100-December 23, 2002 RECEIVED CONSTRUCTION PERMIT APPLICATION CITY°F 10311111.4\r" APPLICATION NUMBER: 0 -- Federal Way APR 1 6 L0Ua APPLICATION NUMBER: (APPLICATION NUMBER: CITY OF FEDERAL WAY "The folio 4QI RI SERITInformation-Please print(in ink)or type" Please note: Electrical,Fire Prevention Systems ana Engineering permits may require a separate application. PROPERTY INFORMATION , SITE ADDRESS: 2 Z20 Sow+ l2L(w ST" ASSESSOR'S TAX/PARCEL #: y 2 2 '2. 2 a - 0 3 G o LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • - ;■ PROJECT INFORMATION TYPE OF PROJECT(This application): ad UILDING o PLUMBING a MECHANICAL o DEMOLITION o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 1ZGP4a1/4,E. STezt_Icr st p�Ef2_ G A.t ACri A O A00 2 S ro rt i L I V PROJECT NAME: H At3CoC. 2 S're r AO(tTtCN PEOPLE INFORMATION PROPERTY OWNER: i NAME: DAYTIME PHONE: Ve.L.t. ANo Try t4 (253)5-z4' -1,3' ' MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): Z z z o 5 ocrr r( 2$hi TM S"r Fs can t_ uJ R-t ,UJ A 48Oo.3 CONTRACTOR: I NAME: DAYTIME PHONE: A l..c_. Po1rNTS GoNST2xT‘djJ I (360 ) 1-1 I 44/ MAILING ADDRESS(STREET ADDRESS;CITY.STATE.ZIP): i EVENING PHONE o, 13oA ' 2 Z. Pony CULcu.A1 Rf1346 (360)$'7y -t'44,3 CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: " FAX NUMBER: _ _ I CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATIN DATE: (copy of card required) A L t_ ? Q G T $ !Q p M i o 3 / l y / 205,1 APPLICANT: NAME: i DAYTIME PHONE: KG L_c.1 A N O 1 •-k N fl t•9000K (z 3 ) Sze! - 134 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: zz zo Soul4 z-24f r ST F;ro;n al. 14.3/3/4-1 tJR 48053 (ZOC ) 3 z/ -3R1'a RELATIONSHIP TO PROJECT: ; FAX NUMBER: ❑ ARCHITECT o TENANT OTHER(DESCRIBE): OtjJ,JErL � EMAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT in ONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: St.AG-.E �/J, EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ R 1000 to— 13 O�Ca PROPOSED USE: S t.�ts t� FA*" PROPOSED PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES YNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:�d YES NO WATER SERVICE PROVIDER: e1" KEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: 13'LAKEH N o HIGHLINE 0 PRIVATE(SEPTIC) 01— W J N ' w �z _ a Z W 1 Z J I-OU r u W cn= w - Q m= Q > a _ ,L z Zv Zo O� co ��o --- — • W 0 ce a O W w- Z - - — -- -- - -CO CO I --- z}, _ - -� lnhal : 2u- W~ J QZz N A J • O � —w Z Om XQOO_ �O EE0 W 1- cv ¢QJW Q � U 0 �� ww �(�U WC) Q • Q w� OF= }() IrCCw Q1-- wI-?o R / �l Z Ea gio Q' W Z Z J J= J J O CC 0-- 0 rl CU >� °o Q Qo WZ Q� �� UPON COMPLETION ILI a r- N co) .t W CO 1� OF WORK W rIA a w W 0. 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