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09-101720CK. �d 'eral y PERMIT — COAw XI YDRVELOPAffi SF MF CO ME EL L DE EN FP ff 3332JvWW&NAY,WAf1•&3 a:� APPLICATION FBDSRAL,WAY, WA 98063 -9718 253.835 -2607• PAX 253-835.2609 W,,.C*„ ..gCF FEDERAL WAY The foUou*W is nequirte eNgr on - an incomplete application wiU nor be accept8& Please print hwbhi f n inld or tiwo• SITE ADDRESS, ASSESSOR'S TAX /PARCEL # `=' C 5 SUM /uxrr # LOT SIZE (sp LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) PROJECT INFORAIATION TYPE OF PERMIT . • BUILDING ❑ PLUAGUNG ❑ MECHANICAL • DBMOLITION )(ELECTRICAL ❑ ExGIIYEE =G ❑ FIRE PREVEIITION SYSTEM rovide detailed desorption of work u*4ded on this "A 2W AiAJ � () iP r >ZA fV-- l? o % # Coec(1 TS PROJECT NAME (Name of BucgigM or Owner Last Namd ��'� SC) PEOPLE INFORATATION CONTRACTOR APPLICANT PROJECT CONTACT LENDER NAME rDAJI o J e (+W sd.J (±63)335 - g703 MAILING ADDRESS 2gel 14 Z, A PC S l Sw CITY. STATE, ZIP FjFo w' r,J4 el? 6023 E-MAIL ADDRESS COMPANY NAME iFIC 5J'j S ICE APPLICANT NAME lt�iU-i mn i t�OatAs OFFICE PHONE (253)1053 - �C� MAILING ADDRESS 440 5.. -� CITY. STATE, ZIP (��i %� / CELL PHONE 2,53 ( - 9G-3f CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other ,z.Udo ( ©y 7 ,5r5 iz 3 Z��d (753) - 73 S`7 COIPTRACTOWS RIKiffiTRATION Z=RATION DATE E- MAIS.�DpRE,gg ppaC;Eic5u.J SLVJ�c�+s FSS el 4�AC i2 )2- 2-DI C' ueoe'Fd, Hef COMPANY NAME APPLICANT NAME OFFICE PHONE CITY, STATE, ZIP PHONE MAILING ADDRESS CITY, STATE, ZIP CEII. PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other NAME PRIMARY PHONE E-MAIL ADDRESS r✓ i ce S Cv l.J�i.t i,�pv� IF 0mA 2S3 l0`�3 - �'/'�� P >11eas .ne NAME Per RCW 19.27 09S. Lender information is required f f project =hm mcoods ,it000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTII70 USE PROPOSED USE F.RISTIIIG ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ t 3PRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQIIIIZED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ T.sKEELAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEEEAVEN ❑ HIGHLINZ ❑ PRIVATE (SEPTIC) THIS CARD IS TV MAIN ON -SITE CITY OF *Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 09- 101720 -00 -EL Owner: DEE ANN KOEHNKE Address: 29914 2ND. PL SW FEDERAL WAY, WA 98023 -3571 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. ❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab /Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date — ❑ Pool Bonding (4195) ❑ Temporary Power (4275) ❑ Service (4235) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical (4225) ❑ Feeders /Sub - panels (4045) ❑ Ceiling Cover (4020) Approved Approved Approved By Date By Date j— 13— By Date ❑ Final - Electrical (4055) Approved B Date �/ I _ For inspector reference only O Rough Electrical O FINAL - Electrical Approved Approved By Date By Date Wd ;ral ay PERMIT — — — — — — COMIMUM Y AEYELOPMEW r SF MF CO ME EL L DE EN FP 33325snAV VAY, A77i.PO 0 w SAPPLICATION P1Sm AV WAY, WA 98063A718 253.835.2607• FAX 253.8352609 .� .gCF FEDERAL WAY The followim is requirtE B09•matton - an inwmptete appiicaetion wilt not be accepted PImse print lsgiblij ftn inlet or Ampe. SITE ADDRESS Zf A 1OC. ��SW/� SUITZ /UNIT # ASSESSOR'S TAXJPARCEL #Z Z //V - lJ —OR— LOT SIZE (sf7 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) PROJECT INFORIWATION TYPE OF PERMIT . ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this pennit onl L � �YLf C s1 Z i'di9-val C P C-, � A7v0 14t� O&OCJ/ TS PROJECT NAME (Name of Bugj = or Owner Last PEOPLE INFORMATION PROPERTY PRIMARY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER NAME ��1� � J � t-hv sd.J OFFICE PHONE (2s3)Co53 (j 335 - �f 7G►.3 MAILING ADDRESS 2 CrC� l y Zn P� S l SIB✓ CITY, STATE, ZIP I F� . w' L.cJ4 6 o.3 E MAII. ADDRESS COMPANY NAME -iric Sj'j scizolez, APPLICANT NAME 0iul An ►+�ootAs OFFICE PHONE (2s3)Co53 - g��$ MAILING ADDRESS 4-40 0 S . A�� fir. C1TY, STATE, Z[P Z Wit %8c&/ CELL PHONE Z53 rG!U CITY, STATE, TIP CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other 'ZoO6 1 Og25r5 iZ Sr 2-00 (753) -7317 CONTRACTOR'S Rzou TRATION NUMBER ZKPIR ION DATR E•MAQ. A�DDg g pG Gi E i C 5 V rJ 5 erai ces FS5 94s;9C- $4, 1e� COMPANY NAME APPLICANT NAME OFFICE PHONE i5AWxF As c1 E PHONE ( " MAILING ADDRESS CITY, STATE, TIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other NAME MMARY PHONE 7 PMuA1I QDRESS 5 r✓ i cIe S LJ 1(.c.1 �►n '" -F0,.a A 25.3 i<i 53 - CA, 3T( �" case . h e NAME Per RCW 19.27 095: Lender information is required Vpr -jest cacti— ezcsads ft OW MAILING ADDRESS arY, STATE, ZIP PHONE ( EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK 1 SPRnuMERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ BIGBLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKERAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION BASEMENT EXISTING . FT. PROPOSED So. FT. TOTAL SQ. FT. FIRST GAS WATER HEATERS MISC (D ) BOILERS FIR& PI.ACS INSERTS SECOND COMPRESSORS FURNACES RANGES THIRD GAS LOG SETS REMO. SYSTEMS d ADDITIONAL FLOORS (DESCRIBE) a YES a NO BATHTUBS Ncnnn/Sb0w CwA4 LAVS (a dM.m N." DECK (O COVERED OR ❑ UNCOVERED ?) DISHWASHERS RAINWATER SYST VACUUM BREAKERS GARAGE ❑ CARPORT ❑ SHOWERS WATER CLOSETS Rbom9 ELSCTBIC WATER HEATERS NUMBER OF FLOORS a0 l WfO°o TWA` mrsnerrarsou zor.�au "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate ravnber of eadt type of fvctune to be installed or relocated as Part of d Proles Do not vu:tude existve9f�►v+es to remain. I value of Mechanical Work $ (A ( 'YOFBM OR ESTIMATE MUST BE INCLUDED WrMAPPLICATIONj AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WoGDSrovss B FANS GAS WATER HEATERS MISC (D ) BOILERS FIR& PI.ACS INSERTS HOODS y COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REMO. SYSTEMS d NEW ADDRESS REQUIRED? a YES a NO BATHTUBS Ncnnn/Sb0w CwA4 LAVS (a dM.m N." URINALS MISC (Desmm DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Rbom9 ELSCTBIC WATER HEATERS SINKS WASHING MACHINES HOSE B1138S SUMPS Z J under PonaSy oJPwjw9 that 1 an the property onmer or audeoriud agent of the knowdedges the b�madon submitted in support of this permit application is true and corrrck�P� o t r, r will com that to tee bed of b y that n r avid his permit City of Bsd«+st Wag r+egutations pertabefeeg to the work aQetlwrtmed by ties isatemecs of a permit: r understand that the does not ramose the ownses r� eponsiblitty for compliance with kooat, states or federal k urs regulating construction or aeeimnn mica la Z further agree tip hold harmless the CUM of Peder+al Way as to any claim (beshedbeg costs, e>SPerhses, and aidorneys' flea incurred in the whom such and deijenas of such ck dn4 which may bs made by � Pte, beob+dbeg tee understgneat, and /tLd against the eattg, but only when such claim arises out of the roUanee of the cit% imck"Ung its 00"m anal emeployees, upon des accuracy of the bUkrmadon anpplied to tee eft as a part of this application. SIGNATURE: el %. DATE s I li P nnarty Muner wnel /nr a„r►.. ie A An * a AM a ADDITION o ALTERATION a REPAIR a TENANT INMROVEMIM BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a. NO ZONUFG, DESIGNATION CHANGE OF USE7 o YES a NO NEW ADDRESS REQUIRED? a YES a NO UP /SSPA/SU? a YES o NO PLATTED LOT? a YES a NO DEMO PT�QT REQUIRED? a YES a NO Bulletin #100 — January 1, 2009 Page 2 of 4 Mandouts\Permit Application an automation fee of $6.00 will be charged for aU permits. RESIDENTIAL NEW RESIDENTIAL 30MCE ❑ Single Family Square Feet (l8nst 1300 m- $121.00. Sect add'h s00 0 ?- 939.00 ❑ Detached outbuilding or gage (./service) ......................... $51.00 ❑ Detached outbuilding or garage (inspected separateW ........ $80.00 ❑ Swimming Pow wse ioo ........................ ......................... ❑ Swimming $80.00 pool (inspected aeparatdA ............................... $120.50 ❑ Hot tub /spa /sauna (w /service) ................. ......................... $51.00 ❑ Hot tub /spa /sauna (inspected separately ) .......................... $80.00 (3 septic pumping system (w /setvic.) ............ ......................... $51.00 Cl septic Pumping yb. onsPected t*) ..................... $80.00 NEW MULTI - FAMILY (three units or more) ❑ Up to 200 amp Service Feeder $131.50 $ 39.00 ❑ 201 - 400 amp 163.00 80.00 ❑ 401 - 600 amp 223.00 111.00 ❑ 601 - 800 amp 285.50 152.50 ❑ Over 800 amp 408.50 305.50 ALTERED SIIfGLE /MULTI FAMILY 613.00 Service or Feeder Qg 0 to 200 amp $100.50 ❑ 201 - 600 amp 163.00 ❑ over 600 amp 245.50 51 ___L_# of circuits to be added /altered (1-4 circuits- $80.00; Add'n circuits $8.00 /ea) ❑ Mast or meter repair $60.50 MANUFACTURED HOMES ❑ Service or feeder only $80.00 ❑ Service and feeder $131.50 MOBILE HOME /RV PARK ❑ # of service or feeders Wu`8t 3ervice/ feeder - $80.00; each add h - $52.50) COMMERCIAL ❑ 0 to 100 amp ❑ 101 - 200 amp ❑ 201 - 400 amp ❑ 401- 600 amp ❑ 601 - 800 amp ❑ 801 - 1000 amp ❑ Over 1000 amp Service or Feeder Each Add'n $131.50 $ 80.00 163.00 103.00 305.50 120.50 356.00 142.50 460.50 195.00 562.50 235.50 613.00 327.00 ❑ over 600 volts surcharge $103.00 ❑ Mast or meter repair $111.00 ALTERED CQIGIKERCIALJINDIISTRIAL $ 71.00 (Does not include circuits.) ❑ 61 -100 amp Service or Feeders ❑ 0 to 200 amp $131.50 ❑ 201 - 600 amp 305.50 ❑ 601 - 1000 amp 460.50 ❑ over 1000 amp 513.00 ❑ # of circuits to be added /altered (1-5 circuits - $103.00; Addh circuits, $8.00 /ea) COMMERCIAL /INDUSTRIAL PLAN REVIEW $103.00 phis 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical /Educational /Institutional Facility ❑ Additional plan review for modified submittals $115.00 /per hour TEMPORARY SERVICE or Feeder Each Add'n ❑ 0 to 60 amp $ 71.00 $32.00 ❑ 61 -100 amp 80.00 39.00 101 - 200 amp 103.50 51.00 ❑ 201 - 400 amp 120.00 60.50 ❑ 401- 600 amp 163.50 80.00 ❑ Over 600 amp 183.00 92.00 MISCELLANEOUS SERVICE /EQUIPMENT # of Thermostats (First -$60.50; addh- $18.50/ea) ❑ Low Voltage Square Feet to be served by system(s) ❑ Fire Alarm system ❑ security Alarm system, ❑ Voice cabling ❑ Data Cabling 1st 2500 RA- V1.0o; Each addh 2500 R2- $18.50) ❑ # of Signs (First sign- $60.50; add'n sign $28.50/ea) ❑ Yard Pole /meter loops /pedestal ................... $80.00 ❑ Portable Generator (transfer equipment) ...... $100.50 ❑ Ditch cover /inspection only ....................... $120.50 For fees not listed, contact the Permit Center at 253435-2607 Bulletin #100 -January 1, 2009 Page 3 of 4 WiandoutsTennit Application