06-101333 ,
y
City of Federal Way ; • f - in le Family Perm#: 06-101333-00-SF
Community Development Services • g g
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KORSMO
Project Address: 30504 16TH AVE SW Parcel Number: 514930 0450
Project Description: ADD- Install of inground swimming pool
Owner Applicant Contractor Lender
R A KORSMO KEN'S POOL AND PATIO\ KEN'S POOL AND PATIO R A KORSMO
D A KORSMO PO BOX 1011 KENSPSI044QD 12/18/07 30504 16TH AVE SW
30504 16TH AVE SW LYNNWOOD WA 98046 PO BOX 1011 FEDERAL WAY WA
FEDERAL WAY WA J/ LYNNWOOD WA 98046 98023-3429
98023-3429 --- ____.
Census Category: 434-Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
truction Type: Type V Ba
Al:-' c .. cy Load:
�Y�➢ lea(sq.ft.) F 0 0 0 0 �
ir , huh'
`,� al � atip
New/Additional° q. et-'1st Floor.... 0 -id Occupancy#1,4:-.class....n ..,....R-3
New/Additional Sq.Feet-Other 0 Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Zoning Designation RS 7.2
New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0
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? Yes
Plumbing Fixtures
Water Heaters 1.00
CONDITIONS:
1)Per FWCC 21-37 and 21-38,the pool drain must NOT be connected to a city stormwater system unless the
water is dechlorinated.
PERMIT EXPIRES Monday, May 26, 2008
Permit Issued on Friday, May 26, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy a71 the use 'II be inyor anc with the laws, rules and regulations of the State of Washington
nd t City of Federal Way.
Owner or agent: - Date: aq 0(0
.„„,,U 0q -1c*.-- ka I— ,._
•
1)ATE INSPECTOR AREA AND TYPE OF INSPECTION
6/6/CM6, /49`'01-7 ,--/A/c- 11 ..S ri. L f - 4)
5774xt" ,41
THIS CARD IS TO MAIN ON-SITE 'r , y Ai
CITY ommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050'
PERMIT#: 06-101333-00-SF t .
Owner: R A KORSMO
Address: 30504 16TH AVE SW
FEDERAL WAY, WA 98023-3429
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 Date By iti Date 6/�/C/�i By Date•
•
❑ Drainage/Downspout(4040) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to backfill Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release test Approved
By 4A.j Dates_y .s r) By �p„j Date %,–a_t..�� By Date
I •
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 Date By Date
❑Gypsum Wallboard Nailing(4130) ❑ Final- SWM(4375) .1-1 Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
By Date By Date , By �C1� Date g— N
❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
By Date.R_v_.„a h By Date
RECEIVED I g3a›7
„. �.A MAR 2 Q 2006 -
?� �3
Fe feral Way r .�-�
y COMA/MITYDEVELOPMENT'SERVICES PERMIT,. OF FEDERAL .,;" I CO ME EL DE EN FP
• 333258TM AVENUE SOIJIH•PO,TOX9718 APPLICATION" DEP - 9 53-83-2 WAY,FAX 98063-97M-260 / ��
FEDERAL WA•FAX253-&35 2609 `
www.cituollederalwau.com
Theo is ired rotation-an fete ap Motion ill not be ted. Please t or
SITE ADDRESS 30504 l V �. 5%.,-) 80/3 SUITE/UNIT# Q
ASSESSOR'S TAX/PARCEL# 3 0 - d 'l LOT SIZE(si I 8 ?C)
Ass � � n . (
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �iW t M l MS+ )/1,1-4-1S N W –1 7_A y
(Attach separate Page Jar Iergfhy RgaL des.,WWV
U PROJECT INFORMATION
TYPE OF PERMIT 31<BUILDING ❑ PLUMBING )(MECHANICAL
❑ DEMOLITION)ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaledrnscr(ption of work included on this permit only)
.5?(wvor‘013 Voo\
PROJECT NAME(Name of Business or Owner Last Name) F�Gal's Y• r) 0
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PE
OWNER iJO t Kea►-s o. (253)K3 9 -66`78
• MAILING AD RESS CRY.STATE,ZIP
30 SOLI l I . Ave S— i Lal , L)A �rRO 3
CONTRACTOR COMPANY APPLICANT NAME OFFICE PHONE
tS 'S` 0l 4 Pali o Yak- Satz (412517-n, - 3:425
) MAILING AD.'D. Cur,STATE.ZIP CELL PHONE
C " Q (4Zi) t )
�,n, x � ®�� ty n,nl,,,�a� WA 4 �k � 0
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / (42s ) C7o - (352_
B k -
CONTRACI'OR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
. •
AN 5P 5 0y9 Gt QUy8
APPLICANT APPLICANT NAME OFFICE PHONE
( ) ..
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect �❑Tenant ❑Agent ❑Other(Describe) Q y ) - ,L
CONTACT I� N `Z (�) S 4 1 co 1CJ OAS k @ nil t et
LENDER Per RCW 19.27.095: Lender ir}fonnatlon is NAME
required Ifpredeeti value exceeds$5,000 C _.
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE 5i- , p� PROPOSED USE 5t,JI tM iv...,� •#a 1 .
EXISTING ASSESSED/APPRAISED VALUE $ 22 Oy Do 0 VALUE OF PROPOSED WORK $ ,00 0
SPRINKLER=BUILDING? ❑YES ,NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES i(NO
WATER SERVICE PROVIDER LAKEHAVEN o HIGHLINE o TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER VEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
A
• 411
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.F . SV.FT. SQ.FT.
BASEMENT
FIRST
SECOND
-
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS I mama rearosso 1 Tam TOTAL swarm w ` tong maroon)v oro. TOTAL IF
"NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL t
Value of Mechanical Work $ c_OO 0
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerolsn WOODSTOVES
BOILERS FIREPLACE INSERT'S RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS W Y W ���'�`e/s-
- � t ryy/w.�C
PLUMM NG J t
BATHTUBS for Tub/Sbowercombo) _ SHOWERS WATER CLOSETS moue) 11 MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS C‘ •,:.. (
GAS PIPE OUTLETS SUMPS RAINWATER SYSF
• n`
WASHING MACHINES URINALS HOSE BIBBS
IAVS(Bsmmom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cestI/y 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,andfiled against the City of Federal Way,but only where such claim
arises out of the reliance of the find ,., its ,i •- :and employees,upon the accuracy of the In ormation supplied to the city as a part of
this application. ^ I
NAME/TITLE DATE ///J-2 J/ `0
(S turd) (nUe) 1
RELATIONSHIP TO PROJECT ❑Owner ❑ -v_ - )4ontractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW a ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? n YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
IP 111/
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c
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/IItiDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801- 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
Service or Feeder ❑ 601 - 1000 amp 410.00
❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201-600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits.$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Co mmercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
CI Low Voltage Swimming pool/hot tub $107.50
Square Feet to be served by system(s) hides additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s)le,2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 298-46-910(51(bl(t&t0
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Pernlit Application