01-1014760 0
City or Federal Way
Cotmnuray Development Services Building -- Single Family Permit #:01 - 101476 -.00 - SF
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: DAMBORG
Project Address: 31714 11TH PL SW Parcel Number: 555730 0160
Project Description: RES ADD - An addition of 315 square feet to existing house - dining room, closet, and bathroom.
Includes plumbing and mechanical.
Owner
Applicant
Contractor
Lender
Daniel A Damborg
JAMES GUERRERO
NONE
Daniel A Damborg
31714 11TH PL SW
10209 BRIDGEPORT WAY SW SUII
Water Closets
31714 11TH PL SW
FEDERAL WAY WA
LAKEWOOD WA 98499
FEDERAL WAY WA
98023 -4719
98023 -4719
Includes:
Census category: 434 - Reside
Occupancy Group:
Quanti
#1 #2 #3 #4
R -3
Construction Type:
Description
Type V - N
Bathtubs
I
Lavatories
Occupancy Load:
Water Closets
Floor Area (Sq. Ft.):
1 st Floor Proposed Sq. Feet .. ...............................
Height of Structure ............... ...............................
Occupancy Group # 1 ............ ...............................
Total Building Sq. Feet ............. ...........................1965
Zoning Designation .............. ...............................
315
13
R -3
RS 7.2
Census Category.................. ............................... 434 - Residential alt/add - no,
Mechanical.................. ............................... Yes
Plumbing.................. ............................... Yes
Total Proposed Sq. Feet ....................................... 315
Plumbing Fixtures
D;e,'scription
Quanti
: Description
I Quantity
Description
JQuantityj
Bathtubs
I
Lavatories
T71-1
Water Closets
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Fans Furnaces 1
CONDITIONS:
1. No building shall encroach onto any building setback,line or easement shown or not shown.
2. Maximum building height is 30 feet above thverage building elevation as per Federal Way City Ordinance
#90 -51. f
3. Retain and protect identified significant trees peresection 22 -1565 through 1569 of the Federal Way City Code.
Bright protective fencing is required at the dr *linef retained trees.
4. Building setb'ns are: 20 feet front; 5 feet sine; 5 feet rear.
5. Per Federal Way City Co 'on 22- 1133(4), eaves, chimneys or awnings, and 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 length of the facade of the structure from which the
elements extend.
6. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERX* EXPIRES November 21, 2001, IF NO WIft IS STARTED.
Permit issued on May 25, 2001
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 %�� C 7 �—
Owner or agent: �-i` Date: J ^�0
POS HIS CARD ON THE FRONT OF BUILDI G
"�"°� BU ING DIVISION n
DES_ INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 01- 101476 -00 -SF
OWNER'S NAME: Daniel A Damborg
SITE ADDRESS: 31714 11TH SW
/sC-.')kf d _
() FOOTINGS /SETBACKS �7 C> FOUNDATION WALL 7 -
'`i.Y'yS/A�9S 5' u•., .,} 0 o pp"A' ,,*,i,
() DRAINAGE: Line w o.1 C, () Connection
( ) UNDERFLOOR FRAMING_
ROUGH PLUMBING: DWV 1 �L�5, Water piping 1, / Y"V Z
piping /
1 r�
ROUGH MECHANICAL
() SHEATHING `
() SHEAR WALLS
O ELECTRICAL ROUGH -IN
FIRE/DRAFTSTOPS
C,,x-,-J Gas
f ((% A ; Roof W/O
FRAMING/FIRESTOPPING 2 — S
Ditch Cover
( ) INSULATION: Floors
O WALLBOARD NAILING 3` SUSPENDED CEILING
t P �
O ELECTRICAL FINAL 7— Z
( ) PLANNING FINAL.
( ) PUBLIC WORKS
( ) FIRE FINAL
K.Y Or G
• EO u— L-
uV F3Y
0
'• I iI E- D
APP 9 a ?p
qpj
5a-7 --)
CONSTRUAON PERMIT APPLICATION
PPLICATION NUMBER: -
PPLICATION NUMBER: - APPLICATION NUMBER:
* *The fodgTWr(9PwmvW Wformation — Please print (in ink) or type **
BUILDIN FF TT�rvv
Please note: Electrical, Fire Prevention and Engineering permits may require a separate application.-
r PROPERTY • •
SITE ADDRESS: 5� F` f 1_ Ge ASSESSOR'S TAX /PARCEL #:5 5 �� 0-
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): 'hEJ BUILDING VLUMBING "M MECHANICAL ❑ DEMOLITION
1w1GOAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): •Tkt:— �G
PROJECT NAME:
�_,� �r �/ ■ Z.►
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADD ESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
'Usk V
-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
E EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE: i
(copy of card required)
RELATIONSHIP TO PROJECT:
ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ,APPLICANT ❑ CONTRACTOR
DAYTIME PHONE:
(25`3 ) Si
EVENING PHONE:
( )
FAX NUMBER:
TS3 )
E-MAIL ADDRESS
EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ co '=' Can
PROPOSED USE: 1r71e PROPOSED VALUATION FOR IMPROVEMENTS: $ba`T IlJ e_
SPRINKLERED BUILDING? ❑ YES KNO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES NO
WATER SERVICE PROVIDER: )kLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: tq LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
•
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
•
ESTIMATED SELLING PRICE:
■ PROIECT FLOOR AREAS I
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
COMP PLAN DESIGNATION
10
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
FIRST
�
SECOND
�1
L
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
(.sn
��
l
t mot✓ .
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)
BOILERS) FIREPLACE INSERTS) RANGE(S) 2_ MISC. (&u N6t, iZ3
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
1 LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
I WATER CLOSET(S)
]iCCLAIMFR /SIGNATURE BLC
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 harmle the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and fense of h claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but y where h claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informatio s pplied to a city as a part of this application.
NAME /TITLE:
❑ PROPERTY OWNER A
FOR OFFICE USE ONLY:
❑ CONTRACTOR
DATE: �Lq,,�i
❑ NEW ❑ 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 USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 2S3- 661 -4000 - FAX: 253- 661 -4129
Construction Permit Fee Calculation Sheet
* * * * ** *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) $24.25
(2) $501.00 to $2,000.00
(2) $24.25 for the first $500.00 plus S3 27 for each additional $100.00 or fraction thereof, to and including $2,000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $15.00 for each additional51,000.00 or fraction thereof, to and including
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $403.61 for the first $25,000.00 plus 510 82 for each additional $1,000.00 or fraction thereof, to and including
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus $7.50 for each additional $1.000. or fraction thereof, to and including
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,025.55 for the first $100,000.00 plus $600 for each additional $1000, or fraction thereof, to and including
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $500,000.00 plus $5 .09 for each additional $1.000. OO or fraction thereof, to and including
$1,000,000.00.
(8) $1,000,001.00 and up
(8) $5,788.23 for the first $1,000,000.00 plus $3.91 for each additional $1.000. or fraction thereof.
Bold number is the base fee for the specified increment
Italicized underlined number is the fee per additional specified 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:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee: •4 C
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: 2 (a) Base Fee: ZZ�
(b) Additional Increment Fee: T . xiZZl
Estimated Permit Fee: (4) kq y�-Ly�
Estimated Plan Review Fee: (5) ` • LI �)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee:
Base Fee Number of Fixtures
$21.00+( X $7.00 /fixture) _
Estimated Permit Fee
X .65 =
(a) Base Fee:
(b) Additional Increment Fee:
(8) Estimated Permit Fee
(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) Saa . o
■ ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES
FIXTURE FEE FROM TABLE B 67
MOBILE HOMES
TOTAL D
MISC EQUIPMENT/TEMP SERVICES
Sin ^le family
_ Service or feeder only .........................
$44.25
— # of Thermostats (first 433.50; add'n- $10.50ca)
_
(first 1300 ft'467.00; Each add'n 500 ft'-
$21.50)
_ Service and feeder ................ ._........ _..
$72.25
_ # of Low voltage fire or burglar alarms
First 2500 I12- $38.75; Each add'n 2500 ft'- $10.50
Square feet:
Each outbuildin_or garage ..................___...
$28.00
MOBILE NOME /RV PARK
Square Feet:
_
(Inspected with service)
— # of service or feeders
' Per WAC 296-46-91 0(5)(b)(i K ii)
Each outbuildingor garage ...........................
$44.25
(First service /feeder- $44.25; Add'n
service/
_ # of Signs (First sign - $33.50; add'n sign
—
(Inspected separately)
feeder -$28 each)
$16.00 .each)
_ Progress inspection per 1/2 hr ...............$33.50
_ Swimming pool, hot tub. spa .................67.00
Yard Pole meter loops . ..........................44.25
NEW MULTI - FAMILY
COMMERCIAL /INDUSTRIAL
COMMERCIAL /INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
(ceder
Amps Service or
Add'n
— 0 to 200 ................. ..............................$ 72.25
Up to 200 amp ............... $72.25 .................
$ 21.50
Feeder
— 201 -600 .............................................. 169.00
_
201 - 400 amp .................. 89.75....................
44.25
_ 0 to 100..........................$72.25 ........
$ 4425
_ 601 - 1000....... ... ___ . .........................254.50
_
401 - 600 am 123.25 ....................
61.50
— 101 -200 .......................... 89.75...........
56.25
—over 1000 ............................................. 282.75
_
601 - 800 amp ................ 158.00....................
84.25
_ 201 -400 ........................ 169.00...........
67.00
_ # of circuits
_
Over 800 am 225.25 ..................
169.00
_ 401-600 ........................ 197.00...........
78.75
(1 -5 circuits - $56.25; Add'n circuits. $5 ea)
ALTERED SINGLE /MULTI FAMILY
_ 601 -800 ........................ 254.50.........
107.25
(When inspected separately from the services.)
— 801 -1000 ...................... 310.75.........
129.75
Temporary Service
Service or Feeder
—Over 1000 ...................... 339.00.........
181.00
_ 0 to 60......................... .........................$38.75
0 to 200 amp ................. ...............................
$ 61.50
— Over 600 volts surcharge ......................
56.25
— 61 - 100........................ ..........................44.25
_
201 - 600 amp ................. ...............................
89.75
_ Mast or meter repair ..............................
61.50
_ 101 - 200.. .................... ..........................56.25
_
over 600 am
135.25
201 -400 ...................... ..........................67.00
Mast or meter repair ........ ...............................
33.50
_ 401 -600 ................................................ 89.75
_
# of circuits
over 600 ....................... ..........................97.75
(1-4 circuits - $44.25; Add'n circuits $5 ea)
If service is greater than 200 amp, a plan review is req'd. 1-ee is 3:)"/u of permit tee +j.)O.LD. nau i pian rcvlcw luf unml ]UV iU.ssto s 's . 1.winf.
FIXTURE DESCRIPTION (A)__
FIXTURE FEE FROM TABLE B 67
NUMBER OF UNITS C
TOTAL D
2
TOTAL COLUMN (D y.
Z
�
: �� Total Column (D)
Estimated Permit Fee: (12)
Es irpated Permit fee from line 12 3 C,
Estimated Plan Review Fee: $56.25 + Z X .35 = (13)
DEMOLITION
Estimated Permit Fee: (14)
Bond Amount: (15)
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)� (Jte OD
1 Im �7_& IEw :.iz3o.33
Bulletin # 100 — January 3, 2001