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05-102337 Fi e lir --. Y - - - . . • .,• 1R City eDevelopment Services Building - Single Family Permit #: 05 10.337 - 00 SF P.O.Box 9718 Federal Way,Ph:(253 835-`7 009 Fax:(253)835-2609 Inspection request line: (253) tai 35-3050 Project Name: KLEVEN Project Address: 30201 17TH AVE SW Parcel Number:005070 0070 Project Description: NEW-New 5165sqft home with plumbing/mech. ****4 bedroom/$850,000**** Owner Applicant Contractor Lender DAVID KLEVEN CORNERSTONE HOMES INC*STA CORNERSTONE HOMES INC*STA NONE PO BOX 24028 16645 SE 264TH ST CORNEH1023JC 03/15/07 FEDERAL WAY WA 98093 COVINGTON WA 98042 16645 SE 264TH ST • COVINGTON WA 98042 NONE Includes: Census category: 101 -New si #1 I_ #2 #3 - #4 ■Occupancy Group: R 3 I U �I Construction Type: Type V B Type V-B r 1 -- Occupancy Load; x it Floor Area S y . �� _ ' _______1.______--Hp___L 1 1st Flog roposeda '1 t r 2651 2nd Floor Proposed Sq.F ,.. .1� 1- Basic Plan..1 ... i��i„ , o Census Category.. .... .101-Newsingle family houst= Occupancy#2-COnStruction .a. Type V..B Fire Sprinklers Required. Garage Proposed Sq.F et.. ., ,,.,:1071 Height of Structure........, fi... .... .........24 „ Mechanical Yes Occupancy#1 -Class R-3 Occupancy#2-Class U Plumbing Yes Total Building Sq.Feet 5165 Total Proposed Sq.Feet 5165 Zoning Designation RS 15.0 Plumbing Fixtures [ Description __ Quantity Description -Quantity Description Quantity! y: Bathtubs 3 [Dishwashers 1 1 as Pipe Outlets 6 I Laundry Washer Outlets J 1 Lavatories -11---- IL 5 Other Plumbing Fixtures 3 1 Showers 1 Sinks 2 Water Closets l_ 3 Water Heaters 2 Mechanical Fixtures Description jQuantity [ Description 1Quantity Description iQuaritity1 Air Handling Units 1 1 rBBQs 1 1 Ducts lf 1 Fans 4 Fireplace Inserts 1 2 Furnaces I 1 i Gas Logs 2 CONDITIONS: Per.King County Recording#940207-1486 Volume 167 Page 69-71,before beginning and during the course of any grading, building construction,or other development activity on a lot subject to the Native Growth Protection Easement(NGPE), the common boundary between the easement and the area of development activity must be fenced or otherwise marked to the satisfaction of the City of Federal Way.Please contact David Lee at(253)835-2622 to schedule an NGPE setback inspection prior to development activity. *A Right of Way Permit will be required for connection to storm system.Contact Kathleen Messinger @ 253-835-2725. l . re / , lir . 1 e ,, • PERMIT EXPIRES January 9,2006. . r + w Permit issued on July 13,2005 ' . , I hereby certify that th abo e information is correct and that the construction on the above described property and the occupancy and t use 1'11 be in accordan a ith the laws,rules and regulations of the State of Washington and the City of Federa t` s Owner or ag t: /` Date: 7/ o 5 City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform Building Code certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: KLEVEN Permit number: 05- 102337-00 Address: 30201 17TH SW #1 #2 #3 1 #4 Occupancy Group: R-3 U Construction Type: Type V-B Type V-B _±i Occupancy Load: Ir 1 Floor Area(Sq.Ft.): i1 Owner DAVID KLEVEN Name: PO BOX 24028 Address: FEDERAL WAY WA 98093 !Fl."."::K. )344.-0- C 60 4,.# rc L Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. i 1 _ • DATA; INSPECTOR AREA ANI) TYPE OF INSPEC TION 7/Z-7/42-C /r42/ E'T r���_5 yz Jive /I,-, 5i7cii✓G1i�z' f 5'7.--. 1 S. - z.3 • os— o• bars s 7 461(434a. cs-j\ ( , g - 2s= ash r••, rfecx_4lb ( l'cest4ip/, (5/2‘,,/o' Az_3 .qr- . .xr /A do -�c. /z/rs� Pe7/f eG. /T e• -/ - O/e 7 2) THIS CARD IS TO 'MAIN ON-SITE° x it ommunl ty Development Inspection Record d CITY OF Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102337-00-SF Owner: DAVID KLEVEN Address: 30201 17TH 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. ❑ 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 C i/X Date 7/22/Or By FtiC Date 7/2 7/6r- By 4..,_, Date(j • 3-el 5"'• • • ❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to backfill Approved to cover Approved to place concrete By G W Date 0- �, • p ly Date By Date •❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding II �� By 1 v/ Date 6017 r , By Date By ` Date y wf- ❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ Mechanical Rough-in(4165) Approved to install roofing Approved Approved By ,z,1" Date Z,72e ar By 6 . Date (2,-1-(gyp Y By J Date(_ G - o jo ❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) Approved to release test i'6 pj I Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off n ry By ill Date By G Date /. G - O S and approved.ed IBC 109.3.4/UBC 10$5.4 ❑ Framing(4120) ,❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By cj Date /..G •p a - By .. J Date/* // d By c � Date/_2,0 c T•,� ... .0 ❑ Final-SWM(4375) Final-Mechanical(4065) Final-Plumbing(4075) 1 Approved Approved Approved ,.. By Date By 14'4' Date � !2 By 4,, / Date 4 ` Z 1 1 Final-Building(4050) ,❑Temp.Erosion Maintenance(4370) Approved Approved `By i , Date4 By Date vi x (525 .7 CITY OF Federal Way REcElvEIMPERMIT MF CO ME EL PL DE EN FP ' COM:NUNTIYDEVELOPMENTSERVICES 3332 6*"AVENUE SOUTH•PO BOX 971 E EDERAL WAY, 98063-9718 M•AY 4■�51D p L I C AT I O N 253 835-2607.FAX 253-835-260 9 / 1 0 / 0 ���ik mw.cihwffederalway.corn OF FEDERAL an iThe ollowin. is re.ui L .. ncom.lete a..lication will not be acce. ted. Please .rint Ie.ibi (in in or .e. . - • vii • PROPERTY INFORMATION SITE ADDRESS 1• l 7--` 9 '� Q u_ SUITE/UNIT# ASSESSOR'S TAX/9& EL# 0 0 � 0 '7 0 - 0 0 I� LOT SIZE(sf) 1 //40 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) j...,_04- ' , Acocl't/ L ` ws- ECJ7ia Attach separate page for lengthy legal descrlynon) ._ •■ PROJECT INFORMATION TYPE OF PERMIT $UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) flew ' - 1e -r l r Jk1ne_, Ij PROJECT NAME(Name of Business or Owner Last Name) It 16 vex_ gisiclipc.L, . - .-. • II PEOPLE INFORMATION - . PROPERTY PRIMARY PHONE OWNER NAM Yid- ,ACL I- k y -, (lDJ) Z r1430 Pô I e 244 ----g CITY,STATE,ZIP •V-'�Q-��� /l S COMPANY NAME APPLI-• 'T NAME /Al'1 V OFFICE PHONE CONTRACTOR 263 ��� //j/�/// CffiYiw5u Mizi /i . y Y~//�/r1(�/�� �jy - +(JJ`7/J/y MAILING SS�e 21 —/ �' J ATE, ,�'k_ ls�-// ` C t€Z c EL[J..Cl/lN-1-, - lY /j I CITY•F FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - - B L / ? ) (E �IC�9b CONTI ACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE c-o iz V) e, 14 1 0 23Q G , 1 1 .- / o1 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS /J) - SO CITY,STATE,ZIP CELL PRONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑Agent ❑ Other (Describe) ( I CONTACT NAM ffi2 "v PRIMARY P iN 4 blici 2 , q E-MAIL ADDRESS ClaLrz`fd 1 ocIC � � �� rn^ 0` E LENDER Per RCW-19 7.095: Lender information is NAME,��`•Jl J (.FJ"V require if project value exceeds$5,000 ll fl [J l MAILING ADDRESS CI STATE,ZIP 1114-c- X-ago� -�l7 Th�np 1is MO 66A-601• �•j ) Cl/ DETAILED BUILDING INFORMATION •, y� — EXISTING USE YO-Crts teJ (L_ PROPOSED USE 6r- • .//"�� CJ EXISTING ASSESSED/APPRAISED VALUE $ - l w� VALUE OF PROPOSED WORK $ ' wO©o SPRINKLERED BUILDING? ❑ YES XI Igo FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES /60 41 WATER SERVICE PROVIDER AKEHAVE---N ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER HAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) i A - PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST / l 7 q'l ` SECOND 4 3 ill-43— /� THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) Co wed-- Po l_, )/ „mil I / „O GARAGE ARPO`RTT U i(J� 1C �s�/ /0[11/ 1/ rl j EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS G�� `� �'/ ., **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 5t`� _ . "" - 1 l 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 S�o0 Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS _ FANS HOODS(coamm,cm) WOODSTOVES BOILERS FIREPLACE INSERTS __ � _ RANGES / R SC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS _Allr GAS PIPE OUTLETS PLTING / BATHTUBS(or Tuh/st,ay.<rCombo) / SHOWERS WATER CLOSETS(Todeq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS - HOSE BIBBS LAVS(Balhroomsmks) _ VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK , 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), whic ma be made by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim arises out oft relianc, of the city,• cl d' g its officers and employees, upon the accuracy of the information supplied to the city as a part of this applicati n. NAME/TI L / N _ DATE 57/o/a5 (Signatur °�,Q y N 4, ' LLV e. (Title) RELATIONSHIP TO PROJECT : Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other FOROFFICE USE ONLY a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO lir- . i Bulletin 4100-January 7,2005 Page 2 of 4 k\Ilandouts\Pcrmit Application 1 • ' lib • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE j NEW COMMERCIAL/INDUSTRIAL SERVICE Single Family Square Feet 3934 Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage ❑ 101 -200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201 -400 amp 264.50 104.00 Li Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50 ❑ 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder ❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 -600 amp 193.00 96.00 CI 601 800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL Li Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ O to 200 amp $87.00 ❑ 201 -600 amp 141.00 ❑ # of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $61.00 ❑ # of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps _ $69.50 ❑ 101-200 amps 89.00 ❑ 201 -400 amps 104.50 ❑ 401 -600 amps 141.00 • ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ I #of Thermostats ❑ # of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 S are Feet to be served by system(s) l (Includes additional circuit,if required) ire Alarm System ❑ Yard Pole meter loops $104.50 ecurity Alarm System ❑ Additional Plan Review $104.50/hour Voice Cabling (for modified submittals) Data Cabling ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 1a,2500 ft2-$61.00; Each add'n 2500 ft2-16.00) 'Per WAG 296-46-910(5)00&ii/ / Bulletin#100-January 7,2005 Page 3 of 4 k\llandouts\Permit Application ( I