04-104887 s s. _-
1111 II
City of Federal Way
Community Development Services Building - Single Family Permit #: 04 - 104887 - 00 - SF
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 9
Project Address: 34217 13TH PL SW Parcel Number:640370 0090
Project Description: NEW-2,598 sqft single family residence with attached 641 sqft garage and 80 sqft deck,including
plumbing&mechanical work as well as all options. **5 Bedrooms;Est.selling price$290,000**
USING BASIC#04-102600
Owner Applicant Contractor Lender
HARBOUR HOMES,INC. HARBOUR HOMES INC*FRANK C HARBOUR HOMES INC*FRANK C BANK OF AMERICA
1300 DEXTER AVE N 33400 9TH AVE S SUITE 120 HARBOHI985R4 3/8/05 BANK OF AMERICA
SEATTLE WA 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 #3 #4 1
Occupancy Group: R-3 U-1
Construction Type. _ _ Type V-N Type V-N ff--- _t
Occupancy Load:
Floor Area(Sq.Ft):
1st Floor Proposed Sq.Feet......., ..1345 2nd Floor Proposed Sq.Feet........ =1253
Basic Plan...... .... Yes Census Category..._. .... 101 -New single family housc
Constructs r Type#2 Type V-N Deck Proposed Sq.Feet 80
Garage Proposed Sq.Feet 641 Height of Structure 24
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Building Sq.Feet 1986 Total Proposed Sq.Feet 2598
Zoning Designation RS 7.2
Plumbing Fixtures
j Description j�Quantity Description Quantity Description Quantity
Bathtubs LL 3 Dishwashers 1 Gas Pipe Outlets 1 1
Laundry Washer Outlets 1 Lavatories 4 Other Plumbing Fixtures 2
Showers -1 3 IL Sinks 2 Water Closets 1r 3
Water Heaters 1
Mechanical Fixtures
r Description Quantity r Description Quantity Description Quantity)
Ducts —'( 1 Fans 5 Fireplace Inserts 1
[-Furnaces 1 Ranges 1 1
PERMIT EXPIRES June 26,2005.
Permit issued on December 28,2004
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 Way. //
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Owner or agent: , if2/
D e:
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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 9 Permit number: 04- 104887-00
Address: 34217 13TH SW
#1 #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: Type V-N Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): J
ff----H
Owner HARBOUR HOMES,INC.
Name: 1300 DEXTER AVE N
Address: SEATTLE WA
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.
A
- 4111 'z '. . Y THIS CARD IS TOMAIN ON-SITE ir
CITY OF fit ommunity p Inspection m nt Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104887-00-SF
Owner: HARBOUR HOMES, INC.
Address: 34217 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) ❑ Footings/Setback(4110) 0 Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved
Approved to place concrete
By ��
Date VZ/Z4/0 V By ( pC Date // By Date 1//a/gc
❑ Drainage/Downspout(4040) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
B iG S Date/_ //i...-0 5"----- By Date By Date
❑ Underfloor Framing(4285) :1 Floor Sheathing(4105) a Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By C . Date 2 Os- By C..,\a...31/43 Date 2.3.--S—c y
`
Roof Sheathing(4220) Rough Plumbing(4230) �, Mechanical Rough-in (4165)
� 1
Approved to install roofing Approved Approved
By Cs., ) Date /1—p S By�� Date 1-1_01 ,a S By Niik.-' Date4 /off—
,
IIIJ Gas Piping(4125) Stops(4095) , NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical g
Rough-in and Fire/Draft Stop inspections must be
yl� signed-off and approved. IBC 109.3.4/UBC 108.5.4
B Date �. 05 , By 10.,E Date 2-2 --O$- .A .
CLW Framing(4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By L' si..,j Date ,.,4-_4 c , By t. -7 Date ', ,_f 5 Date .... '..,r"_"
�❑ Final- SWM(4375) ❑ Final-Mechanical(4065) �❑ Final-Plumbing(4075)
Approved Approved Approved
` By C/143 Date 1.411,(Or , By Date `By Date
.[ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
0,
By M't Date VJ By Date
`
‘5316
CITY OF` •
�� (.--{ _ 1 C,�
Federal Way e( ��� 0 LI 5 -F�7
COMMUNITY DEVELOPMENT SERVIC PERMIT . SF F CO ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9 7 7 8 ®Ec ® 2 /° P P LI C A T I O N / z /by
253-835-2607•FAX 253-835-2609
www atuo((ederalwatl.com
�-i- e FEDERAL WAY
The following is r�gfttX;? ,,,,`,t cpl rim an incomplete ap•Iication will not be acce.ted. Please .rint legibly(in ink)or type.
..• PROPERTY INFORMATION
SITE ADDRESS 7j11211" 1.2 'P L. St, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# V 44 0 3 1 d - D 0 r3( 0 LOT SIZE(sf) Ste$Z 4
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) pe-4-4 4 th-Kb ta'1-- c'%
(Amen separate page for lengthy legal descnplon)
■ PROJECT INFORMATION
TYPE OF PERMIT 1(BUILDING 0 PLUMBING J/MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONProvide detailed description of work included on this permit only)
t 1C-.1 t4Prrl 44 04-tO244o-o0—SF tImesthellikom,kw c ,
PROJECT NAME(Name of Business or Owner Last Name) 2 4 -t,p t* P4
MI PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER �,p�oiiA41-144M ,i1`s C.• (1)CS Y�3$ ZS3.-aDt-
MAILING ADDRESS CITY,STATE,ZIP
110400 CriA• ..ut.t..S_ /441.0 t.L —t W el d 8003
CONTRACTOR COMPANY NAME APPLICANT NAME
/OFFICE PHONE
S.lenn (
E ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I c- t o -_ c ct S O 0-B L rz_ / 3t /Qs} ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
t ' WtEc Z °� `bS L�1 o'3 /os / oS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
AMt� ,���'�''q'.�`' R.r� '���•� -S}TA
MAILING ADDRESS - CITY,STATE,ZIP CELL P) ;�
(t )7A1-i -Z2.(.!
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect 0 Tenant 0 Agent e0ther(Describe) VO.yp- Ms . (u; )$t$ - l
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
:17:LeM _ (ZS",) ZIP 1 - ZZa.3 —.. ,
LENDER
PerRCW 19*7 095 Lender,:information is _- NAME
,; required If project value exceeds$5,000-, a ,c-- oF, A M cA
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE NtirtJt,•A.1 PROPOSED USE S1NL+l.tr .AA . e- j
-.
EXISTING ASSESSED/APPRAISED VALUE $ ' VALUE OF PROPOSED WORK $ 102-. 000 .2,.
SPRINKLERED BUILDING? a YES 0'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES VINO
WATER SERVICE PROVIDER 9f LAKEHAVEN ❑HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER A LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PR. SED SQ.FT. TOTAL
•
BASEMENT '
FIRST — l `1-5 \'�5
SECOND 12-51 I ZS?,
THIRD 11.%
FOURTH t*
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) • 0° 3I
GARAGE/CARPORT Lo'-it lo'4'
HOW MANY FLOORS? TV EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
Z 7--
"NEW
"•NEW HOMES ONLY NUMBER OF BEDROOMS S ESTIMATED SELLING PRICE $ 7.... J "
- -_-FIXTURES _-
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
• MECHANICAL
Value of Mechanical Work $ '?'b00
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS S FANS HOODS(Commercial) WOODSTOVES
BOILERS i FIREPLACE INSERTS ' RANGES MISC(Describe)
COMPRESSORS i FURNACES 1 GAS WATER HEATERS
)c DUCTS % GAS PIPE OUTLETS
PLUMBING 1 MISC Describe
5, BATHTUBS(or Tub/Show�erCombo) 3 SHOWERS N' WATER CLOSETS Toa<q (Describe)
1 DISHWASHERS % SINKS DRINKING FOUNTAINS
X. GAS PIPE OUTLETS SUMPS RAINWATER SYST
1 WASHING MACHINES URINALS Z HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
,DISCLAIDlER/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.
It/
NAME/TITL DATE / 1 J`/
i
(Signature) (Title)
S RELATIONSHIP TO PROJECT 0 OWne 0 Agent ❑ Contractor 0 Architect q/Other Q.sl(J. rs r
I.
I
( FOR OFFICE USE ONLY
a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
i BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? ❑YES a NO
i ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
I NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
,a"
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Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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