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03-104281-SF, 05-104594-SFy • City orP(deral way Community Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Project Name: HUGAERT 0 1 Building - Single Family r Permit #: 03-104281 - 00 - SF Inspection request line: 253.835.3050 Project Address: 2207 SW 328TH ST Parcel Number: 894510 0280 Project Description: REM - Remodel of existing home; to include changing existing garage into bedroom; using existing plumbing fixtures and new mechanical fixtures 11 Owner Applicant Contractor Lender BRETT & TERRI 14UGAERT BRETT & TERRI HUGAERT BRETT & TERRI HUGAERT NONE 2207 SW 328TH ST 2207 SW 328TH ST FEDERAL WAY WA FEDERAL WAY WA 2207 SW 328TH ST FEDERAL WAY WA NONE Includes: Census category: 434 - Reside #1 #2 #3 #4 2 cupancy Group: R-3 I Construction T)Vc: TIpe V -N r"' up:nryLoad:— Flooi Area (Sq. Ft): Census Category ................................................. 434 - Residential alt/add - no - Mechanical................................................. Yes Occupancy Group#1................. .I ................... ..... R-3 Plumbing ................................................. No Mechanical Fixtures Deacrlption _ _ Quantity DescriQtiorl Quantity; _Description iQuantl 1 —� r Ducts- 2 i Fans 2 Hoods 1 CONDITIONS: This decision shall not waive compliance with future City of Federal 'ay odes, policies, or standards relating to the subject proposal. 1; ? 1(iV PERMIT EXPYRIS Aarch 31, 2004. Permit issued on October 3, 2003 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and tho use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agen Date: 1 '—� _O 3 S . INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION -Fra Ar%ov 4-7)& A�r a goo o" JA-tL 13 k-D12-06A,( 0 etafh-r V" 4f6l Ll 1 C /n! 7All. pp r q (g l �i0j/L �MA X A pl ill 71 %tisr�l�i� r�� •�.� �7 6s.�'s frod fromi-Y)"') py--y S POST THIS CARD ON THE FRONT OF BIJILDING ( ) ROUGH PLUMBS JG: dr. all Federal Way PERMIT #: 03-104281-00-SF OWNER'S NAME: BRETT & TERRI HUGAERT SITE ADDRESS: 2207 SW 328TH ( ) FOOTINGSISETBACKS. ( ) DRAINAGE; Line BUILDING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 ( ) FOUNDATION WALL. DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) Connection DO NOT POUR SLAB4JNTII, THE ABOVE IS APPROVED UNDERN LOOR FRAMING DWV'r% J �✓� "'! Water piping �' 7likr ?r5z ( ) ROUGH MECHANICAL ( ) SHEATHING Roo Gas piping () ;HEAR WALLS _ 7 r S G V- — O t O E, .--ECTRICAL ROUGH -TN bQ� 6mk Ditch Cover ( ) Fi:Z /LRAFTSTOPS Floor ALL THE ABOVF MUS BE APPI;r `%ED PRTTTO FRAMII,4TC ,NSPE---TIOi " () FPAVIING/FIRESTOPPING THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Ilk Walls_ _ . _ . -- Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK O WALLBOARD NAILING � Aj 6- f 9 - � ( ) SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE O ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FIN () FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-7000 Fax: (253) 835-2609 Project Name: HUGAERT Building - Single Family Permit #: 05 - 104594 - 00 - SF Inspection request line: (253) 835-3050 Project Address: 2207 SW 328TH ST Parcel Number: 894510 0280 Project Description: ADD - Construct a 24' by 30' detached garage. No mech or plumb. Owner Applicant Contractor Lender Bret Hugaert & Terri Hugaert Bret Hugaert Bret Hugaert NONE 2207 SW 328TH ST 2207 SW 328TH ST FEDERAL WAY WA FEDERAL WAY WA 2207 SW 328TH ST 98023-2561 98023-2561 FEDERAL WAY WA NONE Includes: Census category: 438 - Reside #1 Occupancy Group: [! Construction Type: Type V Occupancy Load: Floor Area (Sq. Ft.): _ -MrnNl Census Category ................................................. 438 - Residential garage and c Fire Sprinklers Required ............ :......................... No Garage Proposed Sq. Feet....................................720 Height of Structure .............................................. 10 Mechanical ................................................. No Occupancy# 1 - Class .......................................... U Plumbing ................................................. No Total Building Sq. Feet ........................................ 720 Total Proposed Sq. Feet ....................................... 720 Zoning Designation ............................................. RS 7.2 CONDITIONS: (1) New driveway width shall not be greater than 20 feet. (PWDS 3.2.13.11.1) Use Development Standard Detail 3-5. (2) Existing driveway must be removed/scarified prior to receiving Final Permit Approval/Occupancy. (3) The new driveway shall be paved per FWCC, Sec. 22-1453. The driveway shall be paved from the existing roadway pavement edge, or curb, to the garage or carport. 4) the front yard setback shall be from 22 nd ave sw for front yad set backs to structures, the garage shall be set back a min of 20' from the property line. PERMIT EXPIRES March 28, 2006. Permit issued on September 29, 2005 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 Fede ay. c Owner or agent: \ Date �� - -, i � r�. THIS CARD IS TO -" V MAIN ON -SITE CITY OF 1A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-104594-00-SF Owner: BRET HUGAERT Address: 2207 SW 328TH ST FEDERAL WAY, WA 98023-2561 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 4� Date/ , - By Date e Datea fY, ❑ 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 Cam. i Date /_Ve, ❑ Roof Sheathing (4220) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Approved to install roofing Approved inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be $y Date , By Date signed -off and 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 By Date By Date ❑ Final - SWM (4375) ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved Approved By Date By Date By Date TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _ Service or feeder only ._..-.,......_.._ ... $57,00 _ 9 of Thermostats (First-$43.00- add'n-$13.00ca) _ (First 1300 ft'-S85.50: Each add'n 500 ft -$27 50) — Service and feeder ............................... $93.00 _ # of Low voltage fire or burglar alarms iquarc Fect: _ First 2500 ft'-$50.00: Each add'n 2500 ft'-$13,00 Each outbuilding or garage......... $35.50 MOBILE HOME/RV PARK Square Fect: ~ (Inspected with service) _ 9 of service or feeders ' Per WAC 296-46-910(5)(b)(i & ii) Each outbuilding or garage.._ ....................... $57.00 (First service/feeder-$57.00; Add'n service/ _ # of Signs (First sign-S43.00; add'n sign _ (Inspected separately) feeder-$37 each) $20.00 each) r _ Swimming pool, hot tub, spa...............S85-50 I ! I — Yard Pole meter loops ...... ... $5 7 00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL = (Includes three units or more) Altered Service or Feeders i i Service Feeder Amps Service or Add'n —0 to 200............................................1 93,00 lip to 200 am $ 93.00................ $ 27.50 Feeder _ 201 - 600........................ ............... ......216.50 201 - 400 amp .............. 1 15.50.................... 57.00 _ 0 to 100.........................1 93.00....... $ 57.00 _ 601 - 1000.,.......................................326.50 _ 401 -600 amp .... _.......... 158.50.................... 78.50 _ 101-200........................ 115.50........... 72.50 —over 1000......................... ........ ............ 363-00 f 601 - 800 amp ................ 202.50.................. 108.50 _ 201 - 400.._......._............. 216.50........... 85.50 — N of circuits Over 800 amp . .............. 289.50.................. 216.50 _ 401 -600 ....................... 252.50......... 101.00 (1-5 circuits-$72,50: Add'n circuits, S6 ear _ 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-Faniiiy/Conimerciai/Industrial 0 to 200 amp ............................................... $ 71.50 —Over 600 volts surcharge ...................... 72.50 100................................................ $ 57.00 _ 201 - 600 amp ... ............. :...... ..... :....... :...... 115.50 _ Mast or meter repair............:................. 78.50 —0- ` 101 -200 ........ _** ............ 72.50 _ over 600 amp..... ............._........_............_.... 174.00 _ 201 - .....................85.5fi _ — Mast or meter repair .: .................. ................. 43.00 — 401 - 600.............................................. i I s.50 # of circuits _ nver 600-..-. .................-,,,,,..... 125+00 t1-4 circuits-$57.00; Add'n circuits $6 ca) I1 a new or atterce commercial service is luu amps or greater, or a new or aiterco restacatlal servmcc is greater man 4vu amps, a pian review IS required, ree Is _3�, % al pennit fee +$72.50. Add'I plan review for other submissions is $85.50/hr. FIXTURE DESCRIPTION A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D ! TOTAL COLUMN D : l Estimated Permit Fee: ( Total Column (D) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50 + ( X .35) = (13) Estimated Permit Fee: (14 Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount. (17) Mitigation Fee: (18) _ SBCC Surcharge: (19) - - ■ MER FEES -= (20) (21) (22) (23) Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24 CONS RUCT.(uN PERMIT APPLICATION CITY OF (• ., ,, E P Q q � n r PPLICATION NUMBER: _ _ - L - �Q —(:!!0Federal Way APPLICATION NUMBER: - CITY OF FEDERAL WAY APPLICATION NUMBER: _ - BUILDING DEPT. — — — — — '-The following is required information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: C�� _? J11 _11 C"21j. ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): � ILDING o PLUMBING ❑ MECHANICAL ❑ DEMOLITION LECiRICAL o ENGINEERING ❑ FIRE PRREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): /� � G ZCil PROPERTY OWNER: NAME:. MAILING ADDRESS (s o'?ao') CONTRACTOR: kkQ Ct 0 Y ADDRESS; CITY, STATE, }: SILO- 3� - S�, PeAg L UAr I1Mt PHUNt: OT3 ) �,(,5-Y67 t NAME: ` e I �� vC��T j .off 2� O n DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CM. STATE, ZIP): EVENING PHONE: I ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: r FAX NUMBER: I CONTRACTOR'S REGISTRATION NUMBER: (copy-ef-card required) EXPIRATION DATE: / APPLICANT: NAME: r, DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: I � I RELATIONSHIP TO PROJECT: FAX NUMBER: k ❑ ARCHITECT ❑ TENANT O OTHER ( DESCRIBE): 1 ) - E-MAIL ADDRESS: ,r 1 CONTACT PERSON FOR THIS PROJECT: R9 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: - `�1�`�t( M= I EXISTING BUILDING ASSESSED/APPRAISED VALUATION i �� PROPOSED USE: C7 R �� l3Li PROPOSED VALUATION FOR IMPROVEMENTS: $ ! V SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES O NO WATER SERVICE PROVIDER: �iLAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL) SEWER SERVICE PROVIDER:LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Bulletin # 100 - December 23, 2002 **NEW RESIDENTIAL CONSTRUCTION Of «* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: FLOORPROJECT FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) C— 7OW DECK rARAGE \ MANY FLOORS? 1 TOTAL: ry AIR HANDLING UNIT(S) BBQ(S) BOILER(S) COMPRESSOR(S) DUCT(S) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) FAN(S) FIREPLACEINSERT(S) FURNACE(S) GAS PIPE OUTLET(S) PLUMBING Value of Mechanical Work: $ GAS LOG(S) REFRIG. SYSTEM(S) HOOD(S) WOODSTOVE(S) RANGE(S) MISC. ( ] HEAT SOURCE: ❑ ELECTRIC ❑ GAS BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. [_ ] INTERCEPTOR(S) SUMP(S) DISCLATMER/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 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 agains_tAhe City of Federal Way, but only where such claim arises titit of the reliance of the city, including its officers and employees, upon Lie accuracy of the Informa ' applied tot the city as a part of this application. NAME TITLE: `� p �i � �'LDATE: %ho/L.—S PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY _6ADDITION ADDITIpN CENSUS CODE .20NING DESIGNATION;::'-._:- COMP'PLAN DESIGNATION I I ALI ERATION SECTION 'r• TOWNSHIP 'RANGE ❑ YES []'NO - ERANT IMPROVEMENT'` LOT SIZE. -,'- BUILDING SHELL ONLY?. 16'YES •` ,-o NO 6ASIC PLANT=` :' o -YES `g NONEW ADDRESS REgUIRED7 ❑ YES -- o NO CHANGE OF USE? b YES. `ci NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 FAX: 253-661-4129 hrww. offede2lway.com Consi lion Permit Fee Calculation S `et *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT 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 (1) $30.00 (2) $501.00 to $2,000.00 (2) $30.00 for the first $500.00 plus f9,71lr1SdChad9i6hnaIpA7or 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 SI8Q2fOr e-T a addrfd MI S=V..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 tf 60 for eaCft addi tQaL1 SSdg22A7 or fraction thereof, to and Including $50,000.00 (5) $50,001.00 to $100,000.00 (S) $829.00 for the first $50,00o.00 plus 0001br each ardC Y_�qQ Sr.IXl7.r,Yl 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 or fraction thereof, to and including $S00,000.00 (7) $500,001.00 to $1,000,000.00 (7) $4,079.00 for the fist $500,000.00 plus 1 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 Sj .. 1 or fraction thereof. Bold number Is the base fee for the specified Increment IraWr6SL IS.Ift fee ver additfonafnedfied Ino'ernjtnf 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, commercial only. Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above. ** Electrical, plumbing, and mechanical fees are calculated separately ** PROPOSED VALUATION: 1 f U C7(_) FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) MECHANICAL PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (4) (a) Base Fee: (b) Additional Increment Fee: Estimated Plan Review Fee: (5) FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (a) Base Fee: (b) Additional Increment Fee: Estimated Plan Review Fee: (7) 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) DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES CITY OF `� ' - 33325 8+h Avenue South PO Box 9718 Federal Way Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 www.cityoffederalway.com Affidavit in Lieu of. General Contractor Registration State of Washington County of King I =��Q U , state as follows: (Print name as signed) I have made application for a building permit from the City of Federal Way, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the reverse side of this affidavit. 3. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Federal Way must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Federal Way of my compliance with this requirement, I hereby attest that after reading ihe. exemptions from the registration requirement of 18.27.090, I consider the work authorized under this building permit to be exempt under No. IRAW , and will therefore, not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. APPLICANT'S SIGNATURE I and sworn to before me this Day of T 20a. Name fPri. Notary's Signature NOTARY PUBLIC in and for the State of Washington, residing at 6,, County My Commission expires: U71 1 la—, Bulletin # 116 — October 1, 2004 Page 1 of 2 k:\Handouts\Contractor's Affidavit Revised Code of Washington 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1) An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2) Officers of a court when they are acting within the scope of their office; 3) Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4) Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5) The sale or installation of any finished products, materials, or articles of merchandise that are not actually fabricated into and do not become a permanent fixed part of a structure; 6) Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7) Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8) Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9) Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10) Any construction 'or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11) An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors; 12) Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his or her own property with the intention and for the purpose of selling the improved property; 13) Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14) A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws ofthe state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his or her license; 15) Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16) Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17) A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; 18) An entity who holds a valid electrical contractor's license under chapter llpf�&;RCW that employs a certified joumeyrarbI9atr' iasf'cera##ied residential specialty electric + e. LA 1 dmeeting the requirements l$ ; perform plumbing wo!<Tc that„r�lilicle}t�, drretly, and immediately appropoatc to th4Iike-inzicind r4acement of a househo d pliancq% or other s�l household utilization equfvk 1a4 `' Mimi e�tric power and limited w�ste� i[ .od i water' Actions. An electrical traineea certified electrician while per -firming pjpTbixkg work. Bulletin # 116 — October 1, 2004 Page 2 of 2 k:\Handouts\Contractor's Affidavit 4k ■ STRUCTION PERMIT APPLICATION ClSV OF 5EP 0 9 ZeL; APPLICATION NMBER: _ _ U- 1 -� Federal Way APPLICATION NUMBER: _ - - _ _ - CITY OF FEDERAL WAY VNPPLICATION NUMBER: BUILDING DEPT. -"The following is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ..�� . ■ . u SITE ADDRESS: {7dQ� ASSESSOR'S TAX/PARCEL it LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): - -- Lo( Z?' UP I Q_;j/ TYPE OF PROJECT (This application): ' ILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION LECTRICAL O,ENGINEERI%N'GG o FIRE PRREVENTTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Z-4 �L J _ �► 4�i PROJECT NAME: PROPERTY OWNER: NAME% `` _ i `iz°...`� MAILING ADDRESS (STREET ADDRESS; CrTY, STATE, Z ): CONTRACTOR: DAYTIME PHONE: l ed vo vG L NAME: • r �O-Q n �� DAYTIME PHONE: i l aob)"Sq[-iol-13o MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): VLNING PHONE? CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (a)pY-efcard required) -APPLICANT: NAME: p _ n _ ��;•l � 7 DAYTIME PHONE: { ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( ) - i EMAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR DOMLED BUILDING INFORMATI, EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSEDUSE: �7e, PROPOSED VALUATION FOR IMPROVEMENTS: i" ;± SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: xLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ). LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) VILLAGE PARK DIVISION 8 SECTION I3,TWR21N,,R3E,WA KING COUNTY, WASHINGTON "r ef Tj SCALE-- 1% 100' La- iEST-Rl.0Tl.0NS. DESCRIPTION LAND SURVEYORS CERTIFICATE. ....,"DEDICATION FF4 TREASUREiml CERTJrICATE 2 Z' AdF m; *g SEAL ACKNOWLEDGMENT DEAL —A— —I SEAL �6432876 RECORDING CERTIFICATE — — '1--, rlp r —, z I w --- t w 4 } k r� • �� r r J s -ft " w i ON �-`++■+rarer r --nu�•�a� • r.r�r�.��,..►a,�, � } ao cft� \It . �. t Map Output Page 1 of 1 (9 Ding County WAP - Property Information Plannin A iL r 1' 1 F JW F r 1 Y C12'MKing Caunty Legend 3el�eted Parcels r4:' r..}.:� 5lrrje4s Par•_eJs 71rcYrwy J 2002 Ca`ar A-i3rial Pnolo' 1.VA3,;l KC onty) Soar; The information included on this map has been compiled by King County staff from a variety of sources and is subject to change without notice. King County makes no representations or warranties, express or implied, as to accuracy, completeness, timeliness, or rights to the use of such information. King County shall not be liable for any general, special, indirect, incidental, or consequential damages including, but not limited to, lost revenues or lost profits resulting from the use or misuse of the information contained on this map. Any sale of this map or information on (his ma 'is prohibited except by written permiWon of VJnP County. King County I GIS Center I News I Services j Comments I Search By visiting this and other King County web pages, you expressly agree to be bound by terms and conditions of the site. The details. http://www5.metroke.gov/servleticom. esri.esrimap.Esrimap?ServiceName=overview&Clie... 9/15/2005 King County: Assessor Propertv`Characteristics Report King County By law this information may not be used for commercial purposes. Assessor Real Property Records_ : Parcel Number Taxpayer HUGAERT BRET Tax Year 2004 Tax Status TAXABLE Levy Code 8945100280 894510028000 1205 Taxable Value Reason NONE OR UNKNOWN Appraised Land Value $50,000 Taxable Land Value $50,000 Appraised Improvement Value $81,000 Taxable Improvement Value $81,000 Taxpayer HUGAERT BRET Tax Year 2005 Tax Status TAXABLE Parcel Number 8945100280 Account Number 894510028000 Levy Code 1205 Taxable Value Reason NONE OR UNKNOWN Appraised Land Value 1$52,000 Taxable Land Value $52,000 Appraised Improvement Value $101,000 Taxable Improvement Value $101,000 Assessor Property Sales Records: Tip: Use the Recorders Office: Excise Tax Affidavits Report to see more sales records details Sale Date 6/12/2003 Sale Price $144,950 Seller Name KERNS ROSS ALLEN Buyer Name HUGAERT BRET+TERRI Sale Date 3/11/1996 1 Sale Price $0 Seller Name KERNS LOIS MARIE Buyer Name KERNS ROSS ALLEN Sale Date 6/15/1993 Sale Price 1$80,000 Seller Name MARTIN LAWRENCE T+DARLEEN M Buyer Name KERNS ROSS ALLEN+LOIS MARIE Assessor Parcel Records: District Name FEDERAL WAY Property Name PropertyRESIDENTIAL pe Plat Name VILLAGE PARK DIV B I Single Family I Present (Res Pagel of 3 http://www5.metrokc. gov/reports/property report. asp?PIN=8945100280 9/15/2005 King County: Assessor Property Characteristics Report Page 2 of 3 Use Use/Zone) Plat Block Water WATER System DISTRICT Plat Lot 28 Sewer PUBLIC System Lot Area 8,826 SgFt (0.2 acres) Access PUBLIC Section/Township/Range NE 13 21 3 Street Surface PAVED Assessor Legal Description Records: Account Number 894510028000 Record Number 01 Legal Description 28 VILLAGE PARK DIV B LESS C & M RGTS Assessor Residential Building Records: Address 2207 SW 328TH ST 98023 Building Grade Average Building number 1 Condition Average Bedrooms 3 Year Built 1962 Baths 1 Year Renovated 0 1/2 Baths 0 Total Living SgFt 990 3/4 Baths 0 1stFloor SgFt 990 Stories 1 Half Floor SgFt 0 Single Story Fireplace 1 2nd Floor SgFt 0 Multi Story Fireplace_ 0 Upper Floor SgFt 0 Free Standing Fireplace 0 Total Basement SgFt 0 Basement Garage SgFt 0 Total Finished Basement SgFt 0 Attached Garage SgFt 290 Finished Basement Grade NONE OR UNKNOWN Open Porch SgFt 110 Daylight Basement N Enclosed Porch SgFt 0 Heat System Forced Air Deck SgFt 0 Heat Source Gas Percent Brick Stone 0 This report was generated: 9/15/2005 9:33:41 AM Related on-line reports: King County GIS: Property information FAQ King County Assessor: Submit a request to correct this information DDES: Permit Applications Report !King County: Districts and Development Conditions Report King County Assessor: eReal Property Report (PDF format requires Acrobat) http://www5.metrokc.gov/reports/property_report.asp?PIN=8945100280 9/15/2005 King County: Assessor PropeM Characteristics Report Page 3 of 3 King County Assessor: Quarter Section Map Report (PDF format requires King County Treasury Operations: Property Tax Information Recorders Office: Excise Tax Affidavits Report Recorders Office: Scanned images of plats, surveys, and other map documents Enter a 10 digit Parcel Number: or Enter an address: Search - - ---- -- - -- King County I GIS Center I News I Services I Comments I Search By visiting this and other King County web pages, you expressly agree to be bound by terms and conditions of the site. The details. http://www5.metrokc.gov/reports/property_report.asp?PIN=8945100280 9/15/2005 �' ,y5.0 w9 � 4 �105• ''� ��.: o �. Y-oU- A iW. �37 "'_ In "� �1c `'o ;�.? �S.W. 325 TH PL. N qDD so so D 20.79 pqo A). ��?•�2 "''� r�.61-37-oS �' N. a'�o9-al `� ;y'k `' z9 32 ' 33�„ 9 0 �: 30 o a 31 o a o D =1c 6 �, 38 39 �� x o3co Z a3/0 03�� 033! r. r a 0 o �� 03g P1 t 03Q So N.H9- 7-2GW, 80 90 Jos o,p7 25 2,06 125 115 0 \ 9¢.69 u.89'S1-39W. 84-z� s0 G a 8� 9B 4 4 a 7 0 '� hQ 04 3°��9 v \�'��h t39ti h o�q�� ` v Oota tb�,p \ �30 ooyo S6�' 7 �� 1 rr D 0 s3� RI � I 2 3 ¢ �0g qr 469. 99 45 i �S 70 �Rs2o7o. 896580 0 o ° SW. 326TH. ST. -- W p7- o7E. ^� 01 Q z3 9 9 /3 V 0 L /s i 3401 j1340� /1,30fl Q 7s 76. r.3 30 — _ T 70 7S /9 90 -30 ° aA& o o o 6 VII g O N \ h Doi D pow I i •� 60 p 30\ 130 ., 7v s6 SW. 328TH. ST. Q r�a.S3 17 � 0(7� rrs; ss ,y •s�•24sa Ot� n �Bn� m TABLE B EW RESIDENTIAL SERVICES MOBILE HOMES Service or feeder only ......................... $57 00 MISC EQUIPMENT/TEMP SERVICES H of Thermostats (First-$43.00, add'n-$13.00ca) Single Family _ T (First 1300 ft2-S.85.5i0,. faelt add'n 500 ft'-$27.50) — Service and feeder.... ... ......... _.. S93-00 N of Low voltage fire or burglar alarms iquare Feet. First 2500 ft'-$50.00: Each add'n 2500 fl'-$13,06- Each outbuilding or garage .......................... $35.50 MOBILE HOME/RV PARK Square t=cc[: _ (Inspected with service) — d of service or feeders ' Per WAC 296-46-910(5)(b)(i R ii) Each outbuilding or garagc........................... $57.00 (First service/feeder-$57.00, Add'n service/ _ 9of Signs (First sign-$43.00-, add'n sign _ (Inspected separately) feeder-$37 each) $20.00 each) Swimming pool, hot tub, spa...............S85-50 — Yard Pole meter loops ............ ........... ..$5'7,00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAI I COMMERCIAL/INDUSTRIAL 1 (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n — 0 to 200....... .. .. 91U11 fY .......-. $ Ilk Up tc 200 amp.. 93.00................ $ 27.50 Feeder 201 -600 ..................................... ......216.50 ? 601 1000326.50 201 - 400 amp ... .......: 115.50 .................... 57.00 — 0 to 100... __....... .... ... ...1 93.00....... $ 57.00 ._ - .............. ........... .................. _ 601 amp --------------- 158-50................. 401 ( p ... 78.50 101 - 200........................ 115.50----- ...... 72.50 _ over 1000........................_...................A63.00 — 601 - 800 ante ................ 202.50.................. 108.50 201-400........................216.50...........85.50 -R of circuits - Over 800 ante........... _. 289.50.................. 216.50 � 401 - 600,........................ 252.50......... ]OI.OG ( 1-5 circuits-$72.50: Add'n circuits $6 eal _ ALTERED SINGLE/MULTI FAMILY 601-800................:....... 326.50......... 138.00 (When inspected separately front the services.) 801 - 1000...................... 399.00....... _ 166.50 TEMPORARY SERVICE Service or Feeder —Over 1000...................... 434.50......... 232.00 Residential/Multi-Family/Contmerciai/Industrial 0 to 200 amp ................................................ $ 71.50 _ Over 600 volts surcharge ...................... 72.50 __0_ 100............... ........ ..............--......$ 57.00 _ 201 - 600 amp ............................................. 115.50 _ Mast or meter repair.............................. 78.50 — 101 - 200............------------......................72.50 _ over 600 amp ............................................... 174.00 _ 201 - 400.......................-----•........ ................. 85.50 _ Mast or meter repair .....- ............................ 43.00 401 - 600.....___....................I—._.........115.SU p of circuits — over 600..........................................125.00 11-4 circuits-$57.00, Add'n circuits $6 ea) i If anew or altcrCd Comn[crcial SUVteC t5 Luu amps or greater, or a new or airereo resrucnuar sc+vrcC a 8—d— uian wV a 1-11 — 11 „ «%jt- L% - I nemtit fee +$72.50. Add'I plan review for other submissions is $85.50/hr. Total Column (D) Estimated Permit Fee: (1 Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50 + X .35) = (13) CONSTRUL I ION PERMIT APPLICATION CITY OF P"`-V 7 .� � ��(�� PPLICATION NUMBER: Federal Way �krP PPLICATION NUMBER:- f:eDFpAL WAY PPLICATION NUMBER: - - - - —The followincj'is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. 7 o PROPERTY INFORMATION SITE ADDRESS: V / f'�XW I --%> ASSESSOR'S TAX/PARCEL #: 9- 5 lo- -0 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROIECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): (n PROJECT NAME: j'1 ICJ l� PROPERTY OWNER: CONTRACTOR: � • rt APPLICANT: Estimated Permit Fee: (1 Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) I - R OTHER -FEES. Y.,......,.. , Mitigation Fee: (18) SBCC Surcharge: (19) (20)_ (21) (22) (23) Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) ABC_. 1n �Ci 'y In NAME: _ 1 DAYTIME PHONE: LL'' LLA q MAILING ADDRESS (StREET ADDRESS; CITY, STATE, ZIP): Z`Z0i S ,j 3`ZgT k s�. ��A L 9 %0 2.3 NAME: j DAYTIME PHONE: I MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE: (copy of card required) — — — — r / MAILING No RELA73ONSHIP TO PROACT: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT O CONTRACTOR DAYTIME PHONE: 3 EVENING PHONE: FAX NUMMR: E-MAIL ADDRESS: EXISTING USE: Sl rl(� �° 4ayy\ �_ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ `J pp 00� PROPOSED USE: � t ni' � +I?_ t-Q>tY1 �� PROPOSED VALUATION FOR IMPROVEMENTS: $ �' SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES KNO WATER SERVICE PROVIDER: 'XLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: �< LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) Bulletin #100 — December 23, 2002 Co, '.ruction Permit Fee Calculatiot heet **NEW RESIDENTIAL CONSTRUCTION ONLY NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 1. • ' . 1 - .. ■ PROTECT FLOOR AREAS FLOOR BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: EXISTING S . FT. PROPOSED S . FT. TOTAL 1 90 +� 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: ❑ 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) SINKS) 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 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. NAME/TITLE: �-- DATE: KPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR USE ONL ''."e 4DDITION 11 ALTERATION CENSUS'CODE:' -t-t4�rL,�+f_, - ZONING DESIGNATION-: -_-_-- - - COMP PLAN DESIGNATION SECTIO --:=;'•- `:TOWNSHIP 'RANGE'---.: '•'•- PLATTE0 LOT7. ' I YES b'NO =' iJ-RE AIR a.TENANTIMPfZONEMENT, LOT SIZE: - _ .:. . BUILDING SHELL ONLY7 Ci YES 1-1 NO i BASIC PLAN? ' a YES ❑ NO ' NEW ADDRESS REOUIRED? -D YES n NO CHANGE OF USE? ' ❑ YES' ' t i NO *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT 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 (1) $30.00 (2) $501.00 to $2,000.00 (2) $30.00 for the first $500.00 plus S9.A9for CaC WjW iorral SIW.LiO or fract on thereof, to and including $2,�.00 (3) $2,001.00 to $25,000.00 (3) $90.00 for the first $2,000.00 plus SI&Q (Crp j pal SS.lXA9Gl7 or fraction thereof, to and including $25,000.00 (4) $25,001.00 to $50,000.00 (4) $504.00 for the first $25,000.00 plus S�,$Sx11{�r pj_(ional S1.QGtlil7 or fraction thereof, to and Including $50,000.00 (5) $50,001.00 to $100,000.00 (5) $829.00 for the first $SO,000.00 plus ! AOX22 or fraction thereof, to and Including $100,000.00 (6) $100,001.00 to $500,000.00 (6) $1,279.00 forthe first $100,000.00 plus S (; a4Q!i AddkkM $LOGO,00 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 n 1 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 34.SOfOr each ark(!(rbnal fLJ227 Ud or fraction thereof. Bold number Is the base fee for the spedfled Increment Jratkfred. ended Mard rrumberIS ft 64M Or a snecf'ed fr =ment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical pemilt fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Flre District #39 surcharge, commerdal only. Add $4.SO for WA State Building Code Council, plus $2.00 per unit for duplex & above. ** Electrical, plumbing, and mechanical fees are calculated separately ** PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION. � D 0 1 Dc� _ _D FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee- (4 Estimated Plan Review Fee: PROPOSED VALUATION: w BUILDING (a) Base Fee: (b) Additional Increment Fee: (a) Base Fee: (b) Additional Increment Fee: - ■ FIRE PREVENTION SYSTEM --: -- • - • ... FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (6) Estimated Plan Review Fee: (a) Base Fee: (b) Additional Increment Fee: Base Fee Number of Fbtires - $26.00 + { X $9.00/fixture} _ (8) Estimated Permit Fee Estimated Permit Fee COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129 www. cityoffedera I way. corn X .65 = Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) (9) Estimated Plan Review Fee a CITY OF DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33530 First Way South PO Box 9718 Federal Way Federal Way WA 98063-9718 253-661-4000;Fax 253-661-4129 www citvnffiederalway com Affidavit in Lieu of General Contractor Registration State of Washington County of King � , state as follows: (Print name as signed) I have made application for a building permit from the City of Federal Way, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the reverse side of this affidavit. 3. I understand that prior to issuance of a building permit for work that is to be done by any contractor, the City of Federal Way trust verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Federal Way of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of 4CW 18.27.090, I consider the work authorized under this building permit to be exempt under No. l , and will therefore, not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. 11�Q� \",-- -- -::� APPLICANT'S SIGNATURE Signed and swom to before me this AO Day of, 200. E Notary's Name (Pri Notary's NOTARY PUBLIC in and for the State of Washington, residing at County My Commission expires: Bulletin # 116 — December 23, 2002 Page I of 2 k:\Handouts — Revised\Contractor's Affidavit Revised Code Of Washington 18.27.090 Exemptions. This chapter shall not apply to: 1) An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2) Officers of a court when they are acting within the scope of their office; 3) Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4) Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, ro other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5) The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of a structure; 6) Any construction, alteration, improvement, or repair of personal property, except this chapter, shall apply to all mobile/manufactured housing. A mobile/ manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile/ manufactured home retail dealer or manufactured licensed under chapter 45.70 RCW; 7) Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8) Any person who only furnished materials, supplies, or equipment without fabricating them into or consuming them in the performance of, the work of the contractor; 9) Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials, and all other items, is less than $500, such work or operations being considered as a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than $500 for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business or contractor; 10) Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11) An owner who contracts for a project with a registered contractor; 12) Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not, but this exemption shall not apply to any person otherwise covered by this chapter who constructs an improvement on his own property with the intention and for the purpose of selling the improved property; 13) Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 14) A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 15) Any person who engages.in the activities herein regulated as an ertiployee of a registered contractor with wages as his sole compensation; 16) Contractors on highway projects Who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 4.7.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work. Bulletin # 116 — December 23, 2002 Page 2 of 2 k:\Handouts — Revised\Contractor's Affidavit 16:35 5EP 02, 2003 TEL N0: 253-529-4081 #25547 PAGE: 1/2 " FILITY DISTR" DATE: 9/2/03 316271st Avenue South * P.O. Box 4249 Federal Way, WA 98063 FAX TRANSMITTAL Terri FROM: Kathy Brown Engineering Technician Phone No.: (253) 945-1580 Fax No.: (253) 529-4081 E-Mail: kbrown@lakehaven.org lakehaven.org FAX NO.: 253-815-9671 TOTAL, PAGES: 2 ( including this cover page) RE: Side sewer drawing for 2207 SW 328th St COMMENTS: Feel free to give me a call if you can't read the numbers (distance measurements) or don't understand. * if you, did not receive all pages or received this fax in error, please call (253) 945-1580 o� A 16:36 SEP 02, 2003 CL LU LU Ln z LLI z LLI 71 OQ TEL r4.0: 253-529-4081 , r - ..t? .,.5547 PAGE: 2/2 I CITY OF Federal Way Over -the -Counter Residential Submittal Requirements 10am & 11 am, Tuesdays & Wednesdays COMPLETE SUBMITTALS MUST CONTAIN THE FOLLOWING NO EXCEPTIONS 1. Completed application 2. Copy of current contractor's card and verification of current Federal Way Business registration OR notarized affidavit from owner 3. Check or cash for total amount due 4. 2 copies of septic approval, if applicable to project 5. 2 copies of the following: (minimum plan size is 11"x17"; maximum plan size is 36"x42") Site plan (see sample on back) showing- rd scaled to V=20' minimum north arrow U show the site, location, setbacks, and use of existing & proposed buildings show the existing & proposed grade elevations, finished floor elevations, and elevation readings at each corner (for exterior alterations only) t911 show width of driveway & describe paving materials or, show lot coverage and impervious surface calculations (structures, concrete, gravel areas, etc.) N'A ❑ location of septic system, if applicable [i / show location of utilities (water, sewer, gas, electricity), for exterior additions only (Call 1-800-424-5555 for utility location) 9"' show all significant trees on property and label which are to be removed, if any A copy of your plot plan may be available at www.metrokc.gov/gis/mapportal/iMAP_main.htm Construction plan showing d scaled to'/4" = I'minimum ❑ • dimensioned cross-section showing footing, foundation, floor, wall and roof construction Q labeled floor plan for each floor — — ❑ floor, wall and roof framing detail ❑ Stairs and handrail detail, if applicable ❑ size and height of bedroom windows, if applicable to project ❑ _ engineering, stamped by a Washington State certified engineer BE ON TIME FOR YOUR APPOINTMENT! 24-hour CANCELLATION NOTICE REQUIRED TO AVOID MONETARY PENALTY. 33530 1st Way S • PO Box 9718 • Federal Way, WA 98063-9718 • P-253-661-4115 • F-253-661-4129 WWW.CLFEDERAL-WAY. WA.US 1 l 1 1 1 vJ b Lwr S A M P L E SITE PLAN SCALD 1" = 20' S W 314 M S T —� _ SM PLAN REQUIREMENTS N 89'20'5K IN79.54' /;=° —=r - x x x ! FENCE -� VD.F. I r-- 10' PRIVATE ROAD & f UTILITIES EASEMENT j M I LOWEST EXISTING x f ELEVATION = +212.3311 10' 15' MADRONA TO BE REMOVED x r-,f rD 35r--�---�C I I 41 HOME (air FINISHLD FLOOR ELEVATION = 214 ft .11 AST R WAY N CARPORT -- -- -2 4 C�� M STAND OF FIR TREES Ifi" 34' &,R0.r_KEIlY MAX OR EEP RATE ' r PERMITS REQ'D S 8$i 0'06' E 1 i 3.72' WATER _ SCALE 1" - 20' NORTH ARROW LOCATION OF SIGNIFICANT TREES (FWCC 22-1568) LOT DIMENSIONS: INCLUDING DRIVEWAYS AND STREET NAMES DIMENSIONS OF EXISTING AND PRO- POSED STRUCURES OR ADDITIONS BUILDING FOOT PRINT. INCLUDING PORCHES. WALKS, DECKS, ROOF, OVERHANGS, FLOOR CW11LEYERS AND ADJACENT HOMES SETBACK MEASUREMENTS: INCLUDING DISTANCES TO PROPERTY LINES AND BETWEEN BUILDINGS SEPTIC SYSTEM APPROVAL REQUIRED THROUGH KING COUNTY HEALTH DEFT. INDICATE LOCATION OF TANK, PUMP AND DRAINFIELD TYP. UTILITY LOCATIONS EASEMENTS: INCLUDING NATURAL BUFFER AREAS, OPEN SPACES AND GREENBELTS SURFACE WATER DRAINAGE: INCLUDING SHORELINES, WERANDS, PONDS, DITCHES AND STREAMS SITE CONTOURS: S' MAXIMUM INTERVALS SHOWING ELEVATION OF THE LAND RETAINING WALLS: INCLUDING ROCKERIES AND BULKHEADS INFILTRATION TRENCHES: CHECK YOUR PLAT FOR SPECIFIC DRYWELL REQUIREMENTS LOT COVERAGE: INCLUDE AREAS OF IMPERVIOUS SURFACE (ROOF O.H. PATIOS, ORIVLVAYS, OUTBUILDINGS) ALL DOWNSPOUTS, ROOF AND FOOTING DRAINS SHALL BE TIGHTENED TO AN APPROVED STORM DRAINAGE SYSTEM UNLESS OTHERWISE APPROVED LOWEST ELEVATION TAKEN AT ANY EXTERIOR WALL OF THE STRUCTURE, EITHER PRIOR TO ANY DEVELOPMENT ACTIVITY OR AT FINISHED GRADE zee T�zv xol .�v PoeZe b IN lea P�1b ��0 .. •• .. .. �.SD XS30 � � $ ',' � p 0 Q Is000 ti ^- • o �i'' 0 �' •'•t --s- � /d_'s�"�T�7►'.t��lJ�' 2.? is //O.ODy� � Ste% D ^ �8.s..i" 7' 1 .,• r ti / e �� 1 '�1 SCALE: i =100 IN S •:it • t •• . ti: }y �.y! r RESTRICTIONS DESCRIPTION � �,y�� a �G- ��-• s� e �� i� o ��a.s�� s�� o� � s�'I�.a �.r��- nor .� �� •' � � _�� /�o- � 1 KK s ------------- v A — u 0 x .s LLI CN LJLJ r s n, a a y a y� i 'T t