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00-105648• City of Federal Way Community Development Services 3$530 1st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address SIVERLY Building - Single Family 29920 2ND PL SW 0 JV Permit #: 00 - 105648 - 00 - SF Inspection request line: 253.661.4140 (3:30pm cut -off for next day inspections) Parcel Number: 720530 0070 Project Description: FIRE DAMAGE REPAIR - Non - structural fire repair to SFR, gut upper floor of split level house to framing, smoke seal, new insulation & GWB, new finishes complete. Owner Applicant Contractor Lender Matthew L & Lisa M Siverly MCBRIDE CONST RESOURCES INi MCBRIDE CONST RESOURCES INi NONE 29920 2ND PL SW 224 NICKERSON ST MCBRICRO99JZ 3/25/01 Type V - N FEDERAI. WAY WA SEATTLE WA 98109 224 NICKERSON ST Occupancy Load: 98023 -3571 SEATTLE WA 98109 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.): Census Category .................. ............................... 434 - Residential alt/add - no - Mechanical.................. ............................... No Occupancy Group # 1 ............... ............................R -3 Pl umbing.................. ............................... No Zoning Designation .............. ............................... RS 9.6 �z -s -�- A,4 e4 0Ae-ck - Cad V 0) rIT kav .0, CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES May 15, 2001, IF NO WORK IS STARTED. Permit issued on November 16, 2000 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Wa Owner or agent' Date: 00 GYM 6 .1.2 7 • 6 c4e wti POWIS CARD ON THE FRONT OF BUILDI9 VE[]EIZFiL BUILDING DIVISION wFry INSPECTION RECORD INSPECTION REQUEST PHONE #: 253- 661 -4140 Request must be received by 3:30 PM for next day inspection PERMIT #: 00- 105648 -00 -SF OWNER'S NAME: Matthew L & Lisa M Siverly SITE ADDRESS: 29920 2ND SW O FOOTINGS /SETBACKS ( ) FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED O DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED () UNDERFLOOR FRAMING_ O ROUGH PLUMBING: DWV O ROUGH MECHANICAL_ () SHEATHING O SHEAR WALLS O ELECTRICAL ROUGH -IN_ () FIRE /DRAFTSTOPS Water pipi Gas piping Roof Ditch Cover ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING 6�t /< L j Z -7 - I sZ ,BGIPilk�11� THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHE ROCKING ✓ Z A�� P, /<- O INSULATION: Floors Walls l Z ! r� THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK �P O WALLBOARD NAILING �� � � Z / SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE OELECTRICAL FINAL 3 % () PLANNING FINAL O PUBLIC WORKS FINAL O FIRE FINAL THE ABOVE MUST BE O BUILDING FINAL XPR VED PRIOR TO BUILI ARTMENT FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED crry oF FEM uv � L� TO CONSTRUCTION PERMIT APPLICATION PPLICATION NUMBER: - L SG �a - APPLICATION NUMBER: _ _ - APPLICATION NUMBER: - - I *r following is required information —Please print (in ink) or type ** Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: QJ0 PL- cSIN ASSESSOR'S TAX /PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Wcj% � FINE F-E,6 -12 1-0 2 E K GAT UQ �1� fLCOR OF _5A-41 LTVEL, T2 FMApt1MCo c5MoKE e C� rJEtx: 11J�1)L 'il C zk 6yl/13 N ei FtNtSµ F.S QAj0Lrz --rL �P4iNr LDuo E2 L-EyeL PROJECT NAME: PROPERTY OWNER: CONTRACTOR: I APPLICAI NAME: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): RELATION HIP TO PROJECT: ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):_ eONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT NAME: DAYTIME PHONE: MAE'E k (Z53) 8k�� - 1.5,37 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): Z,lgz© Z,vO pz W NAME: DAYTIME PHONE: M e_ Go 'a r - 7/z MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: 2 24- fGKF oti � (ZpCo)Z�3 - ?lZ� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S NUMBER: EXPIRATION DATE: 1REEGISTRATIONN EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $ ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO DAYTIME PHONE: EVENING PHONE: FAX FAX NUMBER: CONTRACTOR E -MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ PROPOSED VALUATION FOR IMPROVEMENTS: $ ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO * *NEW RESIDENTIAL CONSTRU NLY ** a NUMBER OF BEDROOMS: ESTIb.ATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE FIRST PLATTED LOT? ❑ YES ❑ NO CHANGE OF LSE? ❑ YES ❑ NO SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAINS) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture LLX4L'I';l►1111—Y L EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) WATER HEATER(S) ❑ ELECTRIC ❑ GAS MISC. ( ) 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 vyhere such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information su lied o the city part of this apph NAME /TITLE / DATE: ❑ PROPERTY OWNER ❑ APPLICA CONTRACTOR TOR OFFICE USE ONLY: �IVEW 3 .. ' '❑ ADDITION ❑ALTERATION '' ❑REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? '❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF LSE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 980639718 • 253 -661 -4000 • FAX: 253 -661 -4129 Constion Permit Fee Calculation SW-t * * * * ** *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) $23.50 (2) $501.00 to $2,000.00 (2) $23.50 for the first $500.00 plus $3.05foreadr addtiona/f100.00or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $69.25 for the first $2,000.00 plus $1400 for each additional $1 000 QO or fraction thereof, to and induding $25,000.00 (4) $25,001.00 to $50,000.00 (4) $391.25 for the first $25,000.00 plus $1010 for eadr add /tdona $1 0170 00or fraction thereof, to and including $50,000.00. (5) $50,001.00 to $100,000.00 (5) $643.75 for the first $50,000.00 plus $7.00 for each addition 151,000.00or fraction thereof, to and induding $100,000.00. (6) $100,001.00 to $500,000.00 (6) $993.75 for the first $100,000.00 plus $5.60 f r each addi rW $1,00r1.00 or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,233.75 for the fist $500,000.00 plus $4.75fcreay� additional$1.000.00or fraction thereof, to and including $1,000,000.00. (8) $1,000,001.00 and up (8) $5,608.75 for the first $1,000,000.00 plus $3.65 for each addition!51.000.A7or fraction diereof. Bold number is the base fee for the specified increment Itarcized underfined number Is the fee Per additional saeafied Increment 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:4"-�6 1'00 a C-C • 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) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: ( Estimated Plan Review Fee: (a) Base Fee: (b) Additional Increment Fee: - ■ FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (a) Base Fee: (b) Additional Increment Fee: 0 PLUMBING Base Fee Number of Fixtures $21.00 + { X $7.00 /fixture} _ (8) Estimated Permit Fee Estimated Permit Fee .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