04-104092 J
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City of Federal ay Building - Single Family Permit #: 04 - 104092 - 00 - SF
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ORCHID LANE LOT 2
Project Address: 34313 13TH PL SW Parcel Number:640370 0020
Project Description: NEW-Plans for 2,472 square foot single family residence with attached 458 square foot garage and
100 square foot deck. Includes plumbing and mechanical work as well as all options.
**4 Bedrooms; Estimated selling price$279,950** BASIC PLAN 03-1033
Owner Applicant Contractor Lender
HARBOUR HOMES INC*FRANK C HARBOUR HOMES INC*FRANK C HARBOUR HOMES INC*FRANK C BANK OF AMERICA
33400 9TH AVE S SUITE 120 33400 9TH AVE S SUITE 120 HARBOHI985R4 3/8/05 BANK OF AMERICA
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 33400 9TH AVE S SUITE 120 10623 NE 68TH ST
FEDERAL WAY WA 98003 KIRKLAND WA 98033
Includes:
Census category: 101 -New si #1 #2 1 #3 #4
1 Occupancy Group: l R-3 U-1
Construction Type: Type V-N Type V-N H
1 Occupancy Load:
Floor Area(Sq Ft,): _ _ I--- I —
1st Floor Proposed Sq.Feet....,... 1171 2nd Floor Proposed Sq.Feet ,.,1 ...... 1301
Basic Plan ..,,, ....... ..Yes Census Category........„ ... 101-New single family houSt
Construction Type#?_ Type V-N Deck Proposed Sq.Feet,;, , .100
Garage Proposed Sq.Feet 458 Height of Structure 24
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Building Sq.Feet 2472 Total Proposed Sq.Feet 2472
Zoning Designation RS 7.2
Plumbing Fixtures
_ Description _;Quantity Description Quantity r
_ Description Quantity
j Bathtubs j 1 —Ij Dishwashers 1 1 Laundry Washer Outlets 1 1
_J I
Lavatories 1 4 1 Other Plumbing Fixtures 2 1 Showers 2
I,Sinks J 2 Water Closets 3 'I Water Heaters 1
Mechanical Fixtures
Description- Quantity Description; Quantity, Description Quantity
Ducts 1 1 1 Fans 5 1 rFireplace Inserts 1
Furnaces -I 1 1 Ranges 1
11
PERMIT EXPIRES May 14,2005.
Permit issued on November 15,2004 .
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 W.,
r/Owner or agent; ./ Date: /r/py
R a — t y— 6 c- Q v�
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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: ORCHID LANE LOT 2 Permit number: 04- 104092-00
Address: 34313 13TH SW
#1 -I #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: F Type V-N Type V-N H -----1
Occupancy Load: i L
Floor Area(Sq.Ft.): I IF ___
Owner HARBOUR HOMES INC*FRANK CLARY*
Name: 33400 9TH AVE S SUITE 120
Address: FEDERAL WAY WA 98003
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.
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DATE INSPECTOR` AREA AND TYPE C NSPECThN
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THIS CARD IS TO MAIN 2N'SITE , -
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CITY OF kommunity Developnrnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104092-00-SF
Owner: FRANK CLARY
Address: 34313 13TH PL SW
FEDERAL WAY, WA 98023
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.
O Temp.Erosion Control(4365) 0 Footings/Setback(4110) 0 Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By niiP Date III ililb By ij j Date I//t���V By / -vr Date ///4/P6
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
ByG„(,j Dater, 6.. Of' 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 tJ
By Date B jf Date z.,-- Z,61 , By l�"j/ Date ///O/jr
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❑ Roof Sheathing(4220) Rough Plumbing(4230) ❑ Mechanical Rough-in(4165)
Approved to install roofing / Approved Approved
By %�f' Date //O By Date I . 2' -v - By I..- C. Date 1-2.7—ck—
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® Gas Piping(4125) 15 Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
l signed-off and approved. IBC 109.3.4/UBC 108.5.4
ByL L Date L--- e�--���By V Date
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1a• ' Framing(4120) /CEP
Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
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By ;`� Date OZl� ®5' •B7( Date ! ,I —05) By r e/ Date Z'/l'ey�
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ElFinal-SWM(4375) 51 Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By 0._ N Date 3-‘1_ By Date
Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
By vt,1,, Date 3-I 5....o By Date
cm Of 4-11.1101114 et
Federal Way � 2
►vE PERMIT SF F CO ME EL PL DE EN FP
COMMUNTIY DEVELOPMENT SERVICES
33325 AVENUE •PD BOX 9778
FEDERAL WAY,WA 98063-9718 APPLICATION
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253-835-2607•FAX 253-835-2609 OCTT 0
/
wwwatgofederalwaq.corn
The following is req .1.12.1. z;J f„.t;-- -Lalpi\(>7 Vomplete ap.iication will not be accepted. Please •rint legibly(in ink)or type.
PROPERTY INFORMATION
SITE ADDRESS 344 . ' L. S 415,1)&1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4 -b) 7_ o- -12�c LOT SIZE(sf) Skil 7—
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 017-<AM,D i,.IlTl W Laa — 2_
(Attach separate page for lengthy legal desorption)
', . - a. ■-PROJECT INFORMATION
TYPE OF PERMIT 1 BUILDING yr PLUMBING 1 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
51 pa co-e- ,0%4w1 Wv4JeC9.
b cS"V_C - Oiff — iV33'12.
PROJECT NAME(Name of Business or Owner Last Name) U 2....4....+4,k) L A+1 ra Lz T Z
PEOPLE INFORMATION
PROPERTY NAME ' PRIMARY PHONE
OWNER R/k?.w.(2�F'Li 0 n ts--S 'N C.1 ( ZAS'3YVV/111 -C4-SG‘
MAILING ADDRESS - CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
q S-- v0 -3 (4 ( - ' °Q- B L 12./ %X / CY* ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
4- 5 LA. LC1 S b`; / 02) / 05
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
S e' x.P. ( vim,) $'&t -s~t SI
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(2.-,C )?AAA. -Z-2-LA.3
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect 0 Tenant 0 Agent /Other(Describe) 1-"0-el› •/V\402,-. (2 �) SMS - Sitocj
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
y—C -y (1.5-2,)z w - zZ' -
LENDERPer RCW 19.27.095: Lender in ormatron is: NAME
requiredifproject value exceeds15
$5,000 ��t.-- ea-A MQ' C�r
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION :
EXISTING USE YPc-t t..—m- - PROPOSED USE SI-Ws CM•45- -P&W-1 - )i > 4 -•
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ [07 Oba
SPRINKLERED BUILDING? 0 YES A NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 'NO
WATER SERVICE PROVIDER f/LAKEHAVEN 0 HZGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 5/LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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- PROJECT FLOOR AREAS
AREA DESCRIPTION _ EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL p
BASEMENT
FIRST \1,1 '1 v- i 1
SECOND 17Zjq�O 1 1?ja X
THIRD
FOURTHISZZI
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
n 1,027
GARAGE/CARPORT I-1521. t...1 SID
HOW MANY FLOORS? TOTAL G TOTAL PROPOSED TOTAL EX:STtNG AND PROPOSED
Z 2.--
*NEW HOMES ONLY`* NUMBER OF BEDROOMS r ESTIMATED SELLING PRICE $ Gl `al Se,
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 ��°ae'
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 4- FANS HOODS(commerciai) WOODSTOVES
BOILERS ` FIREPLACE INSERTS L RANGES MISC(Describe)
COMPRESSORS \ FURNACES GAS WATER HEATERS
°J4 DUCTS + GAS PIPE OUTLETS
PLUMBING
L. BATHTUBS(or Tub/Shower Combo) SHOWERS 6 WATER CLOSETS(roam) MISC(Describe)
i DISHWASHERS X SINKS DRINKING FOUNTAINS
i GAS PIPE OUTLETS SUMPS RAINWATER SYST
I WASHING MACHINES URINALS Z HOSE BIBBS
li LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
.. , > __ _ -1". _. ;DISCLAIMER/SIGNATUREBLOCK
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 the city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE
DATE 1LAI At
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent ❑ Contractor 0 Architect *Other Pr`. !VI 9 r-
FOR OFFICE USE ONLY
a NEW ❑ADDITION o ALTERATION a REPAIR 6 TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
{ ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Page 2 of 4 k\Handouts—Revised\Permit Application
Bulletin#100—March 30,2004
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