06-104648City of Federal Way
Community development Services b b Buil Q- Single Family Perm#: 06 -104648 -00 -SF ,
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Rest Line: (253) 835-3050
Project Name: NORTHLAKE RIDGE 3/3
Project Address: 4210 S 331ST ST
Parcel Number: 618142 0030
Project Description: NEW - Construct a new 2650 sqft, 2 -story, single-family residence with 394 sqft attached
garage and 63 sqft covered entry, including plumbing & mechanical. No deck. ***4
bedrooms; $369,358 sale price*** BASIC #05-101710
Owner
Applicant
Contractor
Lender
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
PO BOX 130
PO BOX 130
QUADRC*221OF 9/10/07
PO BOX 130
BELLEVUE WA 98009
BELLEVUE WA 98009
PO BOX 130
BELLEVUE WA 98009
0
Plumbing to be Included?......................................Yes
BELLEVUE WA 98009
New / Additional Sq. Feet - Total..........................
Census Category: 101 - New single family house, detached
Includes:
41
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occu anc Load:
New / Additional Sq. Feet - 2nd Floor ...................
Floor Areas . ft.
3,044
394 0 0
Mechanical Fixtures
Air Handling Units .........................
1
Fans................................................
6
Furnaces......................................... 1
Gas Logs ........................................
4
Additional Permit Information
1
New/ Additional Sq. Feet - Ist Floor....................1158
New / Additional Sq. Feet - 2nd Floor ...................
1492
Occupancy #2 - Class.............................................0
New / Additional Sq. Feet - Other .........................
0
Plumbing to be Included?......................................Yes
1
New / Additional Sq. Feet - Total..........................
3044
Occupancy # 1 - Use...............................................Private
Garage
Occupancy #2 - Use ........................................ .......
Private Garage
Zoning Designation ...............................................
RS 9.6
New / Additional Sq. Feet - 3rd Floor ...................
0
Occupancy # 1 - Area (Sq. Feet).............................3044
Occupancy #2 - Area (Sq. Feet) .............................
394
New / Additional Sq. Feet - Basement...................0
Basic Plan?...........................................................
Yes
Occupancy #2 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage .......................394
Mechanical to be Included? ............... ....................
Yes
Occupancy #I - Class.............................................R-3
Mechanical Fixtures
Air Handling Units .........................
1
Fans................................................
6
Furnaces......................................... 1
Gas Logs ........................................
4
Ranges............................................
1
Hot Water Tank............................. 1
Plumbing Fixtures
Bathtubs .........................................
2
Dishwashers...................................
1
Laundry Washer Outlets................ 2
Lavatories .......................................
4
Sinks..............................................
2
Vacuum Breakers........................... 1
Water Closets .................................
3
Hose Bibbs.....................................
4
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards
relating to the subject proposal.
PE T EXPIRES Friday, September'lidOO8
A Olt Issued on Tuesday, September 19, 6
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 Way.
Owner or agent.-
City
gent:
City of Federal Way
Certificate of Occupancy
Date:
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: NORTHLAKE RIDGE 3/3
Address: 4210 S 331ST ST
Permit #: 06 -104648 -00 -SF
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Floor Area (sq. ft.)
3,044
394 0 0
Owner Name: QUADRANT CORPORATION, THE
Owner Address: PO BOX 130
BELLEVUE WA 98009
,Big1401Ni e'*_IpfzZ
Building Official �y.��F X�3j,T-7
T,`' -7
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 sevedy 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.
MAIN ON-SITE
THIS CARD IS TO
CITY OF .z .. ,tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104648 -00 -SF
Owner: QUADRANT CORPORATION, THE
Address: 4210 S 331 ST ST
FEDERAL WAY, WA 98001
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)
❑ Gypsum Wallboard Nailing (4130)
❑
Foundation Wall (4115)
To be done prior to breaking ground
Approved to install mud & tape
Approved to place concrete
By
Date � a -,
Approved to place concrete
❑
Final - SWM (4375)
❑
Final - Mechanical (4065)
By
GjY! 5 Date j 06,
By 0_
Date - 2-1- o
Approved
By5G5 Date 01
By
�� Date 23 1�
By
❑
Drainage/Downspout (4040)
❑ Plumbing Groundwork (4190)
❑
Slab/Concrete Floor (4255)
Approved to backfill
Final - Building (4050)
Approved to cover
Approved to place concrete
Approved
Approved
By
Date 0 3 ^ Q
By
Date
By
Date
❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By ^ ` � Date -nb By g-7 Date /� /G -O �p By -1�5/ Date
❑ Roof Sheathing (4220)
Approved to install roofing
By / Date l0 e l
❑ Gas Piping (4125)
Approved to release test
B Date,
r
❑ Rough Plumbing (4230)
Approved
By Date G —&-6
❑ Mechanical Rough -in (4165)
Approved
B,, Date 1 1 0� cI -a(�
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120)
Approved inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
B3 Lw Date
❑
Framing (4120)
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By C �� Date \\ _ -kI _
By
Date � a -,
By �^ Date ` z -c r4
❑
Final - SWM (4375)
❑
Final - Mechanical (4065)
❑ Final - Plumbing (4075)
Approved
Approved
Approved
By
�� Date 23 1�
By
�`� Date
By C Date 1 2310- 7
❑
Final - Building (4050)
[]Temp. Erosion Maintenance (4370)
Approved
Approved
By
� Date 112- 3 eJ-7
By
Date
RECEIVE _
Federal Way� l �
PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES,,; ,) "?'XPPLICATION
3332s sr�+AVENUE sourx Po sox s"$ T°FEDERAL WAY, WA 53-8 3-9 8 (1 /FEDE AL WA• FAX 253-83 - �'^hy[/[)Jhkv-TC�jwtaw. cit Uo((ederalwaU•�o r W: �HAL ■ AY
BUILDING DEPT.
The following is required information -an incomplete anplication will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS 4210 S 331ST ST, Federal Way, WA 98001 SUITE/UNIT # N/A
ASSESSOR'S TAX/PARCEL # 6 1 8 1 4 2 - 0 0 3 0 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Northlake Ridge, Division 3, Lot #3
(Attach separate page for lengthy legal des-ph'or)
TYPE OF PERMIT ♦ BUILDING ♦ PLUMBING ♦ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Construction of Single Family Residence, Quadrant Homes Plan Number 2565 A.
Lot 3 of Northlake Ridge, Division 3
City of Federal Way Registered Basic Plan Number 05-101710-00.
PROJECT NAME (Name of Business or Owner Last Name) Northlake Ridge 3/3
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
Quadrant Homes ( 425) 455 - 2900
MAILING ADDRESS CITY, STATE, ZIP
PO Box 130 Bellevue, WA 98009
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Quadrant Homes
Quadrant Homes
Quadrant Homes
( 425) 455 -
2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
( 425) 864 - 0976
PO Box 130
Bellevue, WA 98009
( 425) 864 -
0976
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
1 9-9 0-1 0 1 9 1 4-B
12 / 31 / 2006
( 425) 455 -
2900
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION
DATE
Q - !L A D R C* 2 2 1 0 F
09 / 10
/ 2007
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Quadrant Homes
Quadrant Homes
( 425) 455 - 2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
PO Box 130
Bellevue, WA 98009
( 425) 864 - 0976
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ♦ Agent ❑ Other (Describe)
( 425) 452 - 6535
NAME PRIMARY PHONE E-MAIL ADDRESS
Glen M. Lyons ( 425) 646 - 8360 glen.lyons@quadranthomes.com
Per RCW 19.27.095: Lender information is
NAME
required if project value exceeds $5,000
Quadrant Homes
MAILING ADDRESS
CITY, STATE, ZIP
PO Box 130
Bellevue, WA 98009
PROPOSED USE Single Family Residence
EXISTING ASSESSED/APPRAISED VALUE $ N/A VALUE OF PROPOSED WORK $ 95.719.00
SPRINKLERED BUILDING? ❑ YES ♦ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ♦ NO
WATER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
0
SQ. FT.
SQ. FT.
SQ. FT.
BASEMENT
HOODS (Commercial)
0
WOODSTOVES
BOILERS
0
0
0
FIRST
MISC (Describe)
COMPRESSORS
1 FURNACES
1
0
1,095
1,095
SECOND
9 GAS PIPE OUTLETS
0
1,492
1,492
THIRD
0
0
0
FOURTH
0
0
0
ADDITIONAL FLOORS (DESCRIBE)
0
0
0
DECK(COVERED?)
0
3Cr "�
-36 tj
GARAGE ® CARPORT ❑
0
394
394
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED SF
TOTAL Sr10
NUMBER OF FLOORS
0
2
2
0
-� 3�
"NEW HOMES ONLY" NUMBER OF BEDROOMS 4 ESTIMATED SELLING PRICE $ 369,358.00
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ 4,268.55
AIR HANDLING UNITS
0 EVAPORATIVE COOLERS
4
GAS LOGS
0
REFRIG. SYSTEMS
BBQS
6 FANS
0
HOODS (Commercial)
0
WOODSTOVES
BOILERS
0 FIREPLACE INSERTS
1
RANGES
0
MISC (Describe)
COMPRESSORS
1 FURNACES
1
GAS WATER HEATERS
DUCTS
9 GAS PIPE OUTLETS
BATHTUBS (or Tub/Sbowetcombo)
0
SHOWERS
DISHWASHERS
2
SINKS
GAS PIPE OUTLETS
0
SUMPS
WASHING MACHINES
0
URINALS
LAVS (Bathroom Sinks)
1
VACUUM E
3 WATER CLOSETS (Toilet) 0_ MISC (Describe)
0 DRINKING FOUNTAINS
0 RAINWATER SYST
4 HOSE BIBBS
0 ELECTRIC WATER HEATERS
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), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of he ity, jvpcI d' its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. s/�� , ��
NAME/TITLE
RELATIONSHIP
❑ Owner ♦ Agent ❑ Contractor
FOR OFFICE USE ONLY
❑ YES
❑ NEW ❑ ADDITION
❑ ALTERATION
BUILDING SHELL ONLY? ❑ YES ❑ NO
ZONING DESIGNATION
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
DATE 9/11/2006
(Title)
❑ Architect ❑ Other
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL.
REGIST. # :,:EXP. DATE
CC01 QUADRC*221OF 09/10/2007
EFFECTIVE; DA`TE_. 09/06/19'78
QUADRANT c6RP 7RATIatI: : TFiE`
PO BOX 130
BELLEVUE WA "981609
Signature
Issued by DEPAKTMi NTOF LABOR AND INDUSTRRI%S
IT
❑ YES
❑ NO
❑ YES
❑ NO
-' ❑ YES
❑ NO
❑ YES
❑ NO
Bulletin #100 — August 19, 2004 Page 2 of 4 k\Handouts\Permit Application
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