08-103383City of Federal Way Buildio -
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CANNON
Project Address: 29437 10TH AVE SW
Single Family Permit 0 08 -103383 -00 -SF
Inspection Request Line: (253) 835-3010
Parcel Number: 119600 2265
Project Description: ADD - Construct 124 sqft alcove/room addition on 1st floor (main floor) of existing single
family residence; No plumbing or mechanical on this permit.
Owner
Applicant
Contractor
Lender
MARTIN & KATHERINE CANNON
MARTIN & KATHERINE CANNON
6203 HAWTHORNE TERRACE NE
MARTIN & KATHERINE CANNON
6203 HAWTHORNE TERRACE NE
6203 HAWTHORNE TERRACE NE
TACOMA WA 98499
6203 HAWTHORNE TERRACE NE
TACOMA WA 98499
TACOMA WA 98499
98422
TACOMA WA 98499
98422
98422
98422
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Col ction Type:
Type V - B
c Load:
ft.
124, 0 0
n
'10
New / Additional �Pt3t Floor...... I Addition
a&�l
, l et » 2nd Floot 124 Nev
New / Additional Sq. Feet - 3rd Floor..... 0 Occupancy #1 - Area (Sq. Feet)
.......................................124
New / Additional Sq. Feet - Basement...................0 Occupancy #1 - Construction Type ........................ Type V - B
New / Additional Sq. Feet - Deck..........................0 New / Additional Sq. Feet - Garage ....................... 0
Mechanical to be Included?...................................No Occupancy #1 - Class ............................................. R-3
New / Additional Sq. Feet - Other.........................0 Plumbing to be Included? ...................................... No
New / Additional Sq. Feet - Total .......................... 124 Occupancy #1 -Use ............................................... Residence (1 or 2
family)
Zoning Designation................................................RS 15.0
No Fixtures Associated With This Permit if
PERMIT EXPIRES Wednesday, January 14, 2009
Permit Issued on Friday, July 18, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a e will be ' ccordan th the laws, rules and regulations of the State of Washington
e of Federal Way.
Owner or ent: Date:
City of Federal Way Buildi* -
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CANNON
Project Address: 29437 10TH AVE SW
Single Family Permit 0 08 -103383 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 2265
Project Description: ADD - Construct 124 sqft alcove/room addition on 1st floor (main floor) of existing single
family residence; No plumbing or mechanical on this permit.
Owner
Applicant
Contractor
Lender
MARTIN & KATHERINE CANNON
MARTIN & KATHERINE CANNON
6203 HAWTHORNE TERRACE NE
MARTIN & KATHERINE CANNON
6203 HAWTHORNE TERRACE NE
6203 HAWTHORNE TERRACE NE
TACOMA WA 98499
6203 HAWTHORNE TERRACE NE
TACOMA WA 98499
TACOMA WA 98499
98422
TACOMA WA 98499
98422
98422
98422
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
CQ11 itt`►1ction Type:
Type'V - B
p Load:
Pl€t . ft.
124 0 0
x {I
RON
New / Additional Set,,li Int Floor..
New / Additional Sq. Feet - 3rd Floor.
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck..........................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Other.........................0
New / Additional Sq. Feet - Total .......................... 124
Zoning Designation ............................................... RS 15.0
Occupancy #1 -Construction Type ........................Type V - B
New / Additional Sq. Feet - Garage.......................0
Occupancy #1 - Class.............................................R-3
Plumbing to be Included?......................................No
Occupancy # I - Use...............................................Residence (1 or 2
family)
No Fbituir Asspc`tatertt With, This Permit, it
PERMIT EXPIRES Wednesday, January 14, 2009
Permit Issued on Friday, July 18, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a e will be ' ccordan th the laws, rules and regulations of the State of Washington
e of Federal Way.
Owner •r dent: �.� _ _ _ _ _ tate:
���?'�
0 4�
41C A
10 * N
THIS CARD IS TO EMATN ON-SITE
CITY OF `�► Wommunity"
Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835®3050
PERMIT #: 08 -103383 -00 -SF
Owner: MARTIN & KATHERINE CANNON
Address: 29437 10TH AVE SW
FEDERAL WAY, WA
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.
❑ SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ❑ Footings/Setback (4110)
Approved To be done prior to breaking ground Approved to place concrete
By G„ Date .?,,tl .. eg %By ,G, Date X-2-1 , p By Date $. CA • v
—
❑
Foundation Wall (4115)
Approved to place concrete
❑
Drainage/Downspout (4040)
❑
Shear Walls (4245)
Approved to place concrete
Approved to install siding
By
Approved to backfill
Approved
By
Date
ByDate
By
Date
❑ Underfloor Framing (4285)
Approved to sheath floor
By Date
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
❑
Slab/Concrete Floor (4255)
Fire/Draft Stops (4095)
Approved to place concrete
By
Date
❑
Shear Walls (4245)
Approved to install siding
By
1 Date ., a
❑ Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
❑
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By Date
ByDate
d, Q .. p49
By Date jQ • fA ?Og
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
❑
Insulation (4150)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By G
Date fp , O . 0,S
J
By
Date 6• ZZ• G�
Gypsum Wallboard Nailing (4130)
❑ Final Erosion Control (4375)
❑
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
B DateBy
G
Date
By
C DatetZ,-
For insp ctor reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CIA
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
BUILDING, MECHANICAL & FIRE PREVENTION PERMIT FEES
-> Building, mechanical, and fire prevention system fees are calculated based on the following schedule.
-� Project valuation for new construction or additions is based on a set cost per square foot as determined by the
Building Official.
- i Valuation for remodels, tenant improvements, alterations, etc. shall be provided by the applicant based on a
legitimate bid or cost estimate which reflects the fair market value of all elements of the project.
TOTAL PROJECT VALUATION
INCREMENTAL FEE FACTOR
OFFICE PHONE
(1) $1.00 to $500.00
(1) $34.00
CELL PHONE
(2) $501.00 to $2,000.00
(2) $34.00 for the first $500.00 plus $4.50 for each additional $100.00 or fraction thereof, to and
FAX NUMBER
including $2,000.00
EXPIRATION DAT&
(3) $2,001.00 to $25,000.00
(3) $101.50 for the first $1,000.00 plus $20.50 for each additional $1.000.00
or fraction thereof, to
and including $25,000.00
(4) $25,001.00 to $50,000.00
(4) $573.00 for the first $25,000.00 plus $14.50 for each additional $1.000.00
or fraction thereof, to
and including $50,000.00
(5) $50,001.00 to $100,000.00
(5) $935.50 for the first $50,000.00 plus $10.00 for each additional $1.000.00
or fraction thereof, to
and including $100,000.00
(6) $100,001.00 to $500,000.00
(6) $1,435.50 for the first $100,000.00 plus $8.00 for each additional
$1.000.00 or fraction thereof,
to and including $500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $4,635.50 for the fist $500,000.00 plus $7.00 for each additional $1.000.00
or fraction thereof, to
and including $1,000,000.00
(8) $1,000,001.00 and up
(8) $8,135.50 for the first $1,000,000.00 plus $5.50 for each additional $1.000.00 or fraction thereof.
if aoie A
PLAN REVIEW FEES
-+ Plan review fees are collected in addition to permit fees, based on a percentage of the associated permit fee
• Building Permit
• Mechanical Permit
• Plumbing Permit
• Fire Prevention Permit
• Fire review fees
• Additional Building Division Review
65% of Building Permit Fees
25% of Mechanical Permit Fees
65% of Plumbing Permit Fees
65% of Fire Permit Fees
15% of building permit fees
(Commercial building permits only)
$70.00/hour
PLUMBING PERMIT FEES
• $29.50 Permit Fee plus, $10.00 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBCC) Surcharge .......................$4.50/issued permit
• Public Works review fees............................................................... $130.00 for new single family
................$782.00 for new commercial
• Zoning review fees .........................
• School District impact fees (new residential only) ..
....................$52.00 (residential only)
....................$4,077.00/single-family residence
................$1.820.50/multi-family unit
• Automation fee on all permits ........................................................$5.50
If you need assistance completing the permit application form, or have
questions concerning the application process, please contact.
Community Development Customer Service Counter at (253) 835-2607
Bulletin #100 — January 1, 2008 Page 4 of 4 k\Handouts\Permit Application
•.'"'
�ERMIT
C0MMU tfYDRV8L0PAWrSRRWC8S SF F CO ME EL PL DE EN FP
93325BTU RUWA,WA9•POBOX 9718 II 1 ��ppLICATION
53-83 -2 WAY, X 98063.9718 �+ 1
253-83SZ607• FAX 253-835-2609
ollowi u ®a i fpTWyo - a WAY
The
j ng q 13j on an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS °2 r � 9,7 40 "/ ne 41 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL % - - a8 LOT SIZE (sf) G�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
f4awh -p—te aawjbr Uaew M•d daswWwj
PROJECT•• •
TYPE OF PERMIT Y_BUILDERG ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this vermit onl
�C�/PrGf0/." i52 ' x
PROJECT NAME (Name ofi3riaitt+ese,or Owner Last Name)
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAME L
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'B RE018TRATI011 NUM13ZR
EXPIRATION DAT&
E-MAIL ADDRESS
COMPANY NAME J t
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
/PHONE
t ) -
-
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( )
NAME
�T/ - n PRIMARY PHON EMAIL ADDRESS
NAME Per RCW 10.27.0.95.
EXISTING USE J'L G7/iF)f/1%t�t�
EXISTING�ESSED RAISED VALUE $
SPRINKLERED BUILDING? ❑ YES XNO
WATER SERVIC)C PROVIDER XLAKEHAVEN
SEWER SERVICE PROVIDER )dLAKEHAVEN
USE
WORK it
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Lender ir{/ormatlon is required tfprnjeet value exceeds $5,000
MAILIO ADDRESS
CITY, STATE, ZIP
/PHONE
t ) -
EXISTING USE J'L G7/iF)f/1%t�t�
EXISTING�ESSED RAISED VALUE $
SPRINKLERED BUILDING? ❑ YES XNO
WATER SERVIC)C PROVIDER XLAKEHAVEN
SEWER SERVICE PROVIDER )dLAKEHAVEN
USE
WORK it
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
+r-
EXISTING
SQ. FT.
PROPOSED
SO. FT.
TOTAL
SQ. FT.
3EME r
`>r71
o YE34No
OSE S
SUMPS
FIRST "'Z-9
i2 I S l
1a
1Z_ 21Z
SECOND
o YES NO
UP/SEPA/SII? o YES
VNO
THIRD
YES o NO
DEMO PERMIT REQUIRED? a YES
NO
ADDITIONAL FLOORS (DESCRIBE)
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
GARAGE ❑ CARPORT ❑
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
NUMBER OF FLOORS
"useuo
reorosso
TOTAL.
TOULAxIff Osr
TOTAL reepOSIDsr
r
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A C Y OF BID OR ESTIMATE =BEUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORA E COOLERS UTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSE HOODS (commed,y
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG S REFRIG. SYSTEMS
BATHTUBS (or Tub/shower combo) 3 (Bathroom s�
DISHWASHERS
NWATER SY3T
DRINKING
NEW COMMERCIAL/INDUSTRIAL SERVICE
BUILDING SB'ELL ONLY?
o YE34No
OSE S
SUMPS
FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
H BIBB
URINALS MI3C (Describe)
CUUM BREAKERS
WA CLOSETS (roaed
I cerft under penalty of perjury that I am the property owner or authorised agent of the properly owner. I eertVy that to the best of my
knowledge, the trVormation submitted in support qj this permit application is true and correct I cert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 less the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and ense of ch clainQ, which may be made by any person, including the undersigned, and filed against the city, but only
when such c arises ou of the reliance of tl eiftding its officers and employees, upon the accuracy of the information supplied to
the city as a p of this tin. v n
Authorized
o NEW DITION
o ALTERATION
o REPAIR o. TENANT IMPROVEMENT
NEW COMMERCIAL/INDUSTRIAL SERVICE
BUILDING SB'ELL ONLY?
o YE34No
1 BASIC PLAN? o YES
O
ZONING DESIGNATION
r a , (
� M,�7 CHANGE OF USE? o YES
O
NEW ADDRESS REQUIRED?
o YES NO
UP/SEPA/SII? o YES
VNO
PLATTED LOT?
YES o NO
DEMO PERMIT REQUIRED? a YES
NO
Bulletin #100 - January 1, 2008 Page 2 of 4 MandoutsTermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 R2- $115.50; Each addh 500 ft2 - $37.00)
❑ 0 to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48.50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
13 801 - 1000 amp 536.50 224.50
NEW MULTI -FAMILY (three units or more)
❑. Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76.50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
13 601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 291.00
Service or Feeder
13601 - 1000 amp 439.00
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ over'600 amp 234.00
❑ # of circuits to be added/altered
(1-5 circuits - $98.00; Addh circuits, $7.50/ea)
❑ # of circuits to be added/altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1-4 circuits -$76.50; Add'n circuits $7.50/ea)
$98.00 plus 35% of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $57.50
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
ResidentiaVHuit(-Farm $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each addh -$50.00)
Contmereiat9ndustrial Service or Feeder Arnpacity
❑ 0 -100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401- 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # Of Signs
(First -$57.50; add h-$17.50/ea)
(First sign -$57.50; addh sign $27.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76.50
❑ Secur`tyAtann System
❑ Voice Cabling
❑ Additional Plan Review $115.00/hour
13 Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
1't 2500 ir-$67.50;
Each addh 2500 ft2 - $17.50) ' Per WAC 296.46910(5)(b)fi ds ti)
Bulletin #100 -January 1, 2008
Page 3 of
k\Handouts\Permit Application
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