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03-101948
�. 41 City Federal e�Services Building - Single Family Permit #:03 - 101948 - 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: NIELSEN Project Address: 406 SW 350TH PL Parcel Number: 132174 0100 Project Description: SF ADD-Addition of a 468 square foot covered patio Owner Applicant Contractor Lender Clark D Nielsen &R Kristine Nielsen MALONE'S LANDSCAPE CONTRA( MALONE'S LANDSCAPE CONTRA( NONE 406 SW 350TH PL MALONE'S LANDSCAPE CONTRA( AMLONLC051BU FEDERAL WAY WA 29105 148TH AVE SE MALONE'S LANDSCAPE CONTRA( 98023-8101 KENT WA 98042 29105 148TH AVE SE 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 Deck Proposed Sq.Feet 468 Mechanical...... No Occupancy Group#L.....:.., R-3 Plumbing........:... .. No Total Proposed Sq.Feet 468 CONDITIONS: No building shall encroach onto any building setback line or easement shown or not shown. PERMIT EXPIRES November 10,2003. Permit issued on May 14,2003 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 p Y S'u g the City of Federa ,' e'/ Owner or agent: ' ,..�j�► Date: / / 6.3 Cildr‘)‘411 941/D le) cr nrM POS IS CARD ON THE FRONT OF BUILDIl - etal W i, BUILDING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-101948-00-SF OWNER'S NAME: Clark D Nielsen & R Kristine Nielsen SITE ADDRESS: 406 SW 350TH () FOOTINGS/SETBACKS () FOUNDATION WALL I ,. r. O, ..:,,� � yam.,:, t A5` fAOr* , ( ) DRAINAGE: Line ( Connectizn ,G: n D PO:00I.A01 ,,A 7„ ' l *0;V- ( ) UNDERF.LOC 2 FIAMT Jr; ( ) ROUCH FLUME.NG: L."'Pi Wat°:piping ( ) ROUCL_t ..7-1,'"..7:-T1 , 3.. 7w ( ) SHEATH.iC Roc` //VI- cor ( ) SHEA: C j Li.,5 ( ) ELECT .::_T i 71Cr..-_i Ditrii -2^ver ( ) FIRE/CR.' T T;:ti ` �O ' O w,M( ) FRAMING;/::RE :O J Ivota J!'Bp:` 'NVW 3' Hr _.°R 1 .0Wro.,_. _#X0M0: E ,O nn „ ( ) INSULATION: F:oors Walls Attic h, ':r..,4 l . ► 4 . , „ IU$*:* 'PRO ;1 p N G*11: J QC„VA167310111 O WALLBOARD NAILING () SUSPENDED CEILING r ',. w,w. ft:: :oV.i:,,sw$;o,^ 5 a D I' IOR tO'uo. , - :. .- A. 1. `o,� L JCL+'', L, () ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL 0 BUILDING FINAL . I& t 4 1 ..,,•..-'' 'N ‘ ' C q- ,., - 1 t Is' 4. r '',■N it eitv ate t ( , , • 1 /fek//lietilie , . 4 / 1 /en/ .=.- /02 $ /2 • 4\ / VA itr.re '''.' \ IlleN i 1 t 4 i , , _ _ti,-10.r..,- , , , 0 t• ,.._ - _ . 4• 46*" J . ?' ' i,v I ., ,rt,P ..:4•'•-. , •., 1 7 ,r ' ': mii-, 7'0474. 7o 7 /, 51reeri4 P. t (Wir 11o4 4 , .... A.,--, ,- . ..........,... - , ....., r 7 ./ ' / t • 2 0_ Gt.. , el tv jz cS211 r \ , - . . , \if "4 t -ilk, i _ . i). LA0.4)4 ,7„.„,..„) ita \ s i 1 <.„ ,, \ \ \ ■..... 4.,, 1 ....•-• 1 lit -.) ..- , (19 lift"; - \ \ ‘,. \ i . -,.._ .1 ,,,...., i- -... _ i. .4., --, ,.., _. . 77..,„,..A ...._ \ N.... \ . , , 4 veteete , -.„.. \-,,-- i , ... ,-_ --1_ . ,, lvt11,--,1/ .....„ -4-• _ 1 ( . ■ 0 /i It SVIII soeN ,-,..... , k 4 1 \I \:■, 1 ._ k..) MO 44P3 -461945 -6°-.› - , I - „ 410(, 514) . 6.-bvii pt..- ,seede ----- c'•--- vil o ft°G9kPlii° lq C sou'O‘ 1)1661:210 I/Cenrcrel Z-1,"etc_ "Plet5c11:- 2 fief-e 4,./Ahlo oilizeltli. cl, lt',Ver At///4,41 ? / ; ; /rrell,s' 11 lei56K> irEIVED SP ar.� G CONSTRUCTION PERMIT APPLICATION • 4 2003 APPLICATION NUMBER: tro uV � >L_ MAY Q3- � � � �- APPLICATION NUMBER: - - CITY OF FEDERAL WAY APPLICATION NUMBER: BUILDING DEPT. _ _ - _ _ _ _ - **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. \2 /' • PROPERTY INFORMATION SITE ADDRESS: '70(p S.I4 C) Pte- ASSESSOR'S TAX/PARCEL#: L 7 u - d LEGAL DESCRIPTION OF SUBJECT PROPERTY ACH SEPARATE DESCRIPTION IF LENGTHY): ;:• PROJECT INFORMATION TYPE OF PROJECT(This application): 1A,BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): C.-..C24' '% -p7A-T7 cc 44(12i ii PROJECT NAME: 14 I > i • PEOPLE INFORMATION . T PROPERTY OWNER: NAME: DAYTIME PHONE: /4 I (Z- teCe I -7 o i MAILING ADDRESS(STREET ADDRESS;CITY,STATE,jIP): '4CXe Est' Ft, CONTRACTOR: NAME: DAYTIME PHONE: l� 7..)fz S � I Cr-k� Co- JT -c-17 (7 (Z )(03S --206 O MAILING ADDRESS(STREET ADDRESS;CITY STATE,ZIP): EVENING PHONE: c /(7 /`71- ` �4-.® , ,.,� qz. (26'5 ) 3`72 -o/`f CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: (7/S-3) CONTRACTOR'S REGISTRATION,NUMBER: /� t--0 -+ / ��j EXPIRATION DATE:> (copy of card required) f 4 Pc /`E /--C- 0 % 6 0 OS /©(, / APPLICANT: NAME: DAYTIME PHONE: - MAN UNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ty4ONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: TA-77c3 57'Ace.. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 14-1) thic Sex PROPOSED USE:C E a+9 P1 17o PROPOSED VALUATION FOR IMPROVEMENTS: $ (45( OgO l (oid . SPRINKLERED BUILDING? ❑ YES V410 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES CAW WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTIO Y** NUMBER.OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROTECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK (o GARAGE HOW MANY FLOORS? TOTAL: yam. .... .. . •�. 'rwc2a-+ti+ro+r ale*+scr!-asv.01MFM'Ai1111FIA�VRES•Haru+i+!v t�sr.:.:n:w:. i•a.:.�ss�r3ri•»,5r-ae+si•*+Ltwai4r-�rt+u`✓. sN+vv.wrkri.r i.. Indicate number of each type of fi e MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S RANGE(S) MISC.( ) COMPRESSOR(S) URNACE(S) DUCT(S) G • PIPE OUTL S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVA •RY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RA ' WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) 'OWER(S) ASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WA -: CLOSETS) MISC.( ) INTERCEPTOR(S) SUMP(S) • 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such da . ,rises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplie to the ci. . a part of this application. NAME/TITLE: j A :y/ ��"' DATE: "/ > —C23 ❑ PROPERTY OWNER ❑ APPLICANT Li.CONTRACTOR FOR;OFFICE:USE ONLY NEW�.. 0<ADD TION 4D ALTERATION . >REPAIR�=, .. I ..iTENANTIMP,ROVEMENTm? I _ =s • • �CEf!fSUS,COUE r:.=a a-= .��i-�r �- ...LOT�SIZE � :'�-� � : ;v�i �_. . LO!I['NGj GNAflO 1f N H L ONLY? `DrYES D NCO" o Mp i..ESIG,A O , : : %M LA ® 1ES ® O 3 v � TOWNSHIP � RANGE' = TA"eg,AUDRESSR UIRED?MT O'YES ®'NO s'a�'°•°•=*�s.9�-3 �.:c� a v � � ,TAG R x ,�5�xc� w :��w �,�'x v • ATTED LOT? D es-1...t NO ,� _CHANGEOFUSE?,� , ._ COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063.9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalwav_com Col ruction Permit Fee Calculatior( eet *******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)$26.00 (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1,000.00 or fraction thereof,to and induding$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus$8.00 for each additional$1,000.00 or fraction thereof,to and including$100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,110.00 for the first$100,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1,000.00 or fraction thereof,to and including$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$1.000.00 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,commerdal 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** _. , .-::..._�:-�...._�.;::: ■ BUILDING - . ._.... -•- :. _•:.. --� ._ _. __. PROPOSED VALUATION: /0 r 0.?0 FEE FACTOR FROM TABLE A: Number: (a)Base Fee: S. (b)Additional Increment Fee: / —7. e Estimated Permit Fee: (1) 12-!Co • O Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) • • MECHANICAL PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) • • FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) • • • Estimated Plan Review Fee: (7) ■ PLUMBING - .. Base Fee Number of Fixtures $22.50+{ X$8.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65= (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) E __