04-104517 r • L •
City ofFderl �.ay Building - Singl• ia !1 1, ' ermit #: 04 - 104517 - 00 - SF
CommunityDevelopment Services .
P.O.Box 9718 / /
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 AInspection request line: (253) 835-3050
Project Name: ORCHID LANE LOT 4
Project Address: 34305 13TH PL SW Parcel Number:640370 0040
Project Description: NEW- 2,598 sqft single fa ly residence with attached 641 sqft garage and 80 sqft deck,including
plumbing&mechanical work as well as all options. **3 Bedrooms; Est.selling price$290,000**
Basic Plan 04-102600
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 r #1 1 #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: _ Type V-N Type V-N
Occupancy Load;
Floor Area(Sq.Ft.): ,,,, .1 ' H---HF
.:,..--2'; H
1st Floor Proposed Sq.Feet .,...x .1345 2nd Floor Proposed Sq.Feet.,...... ..1253
Basic Plan. < Yes , Census Category ,,,101-New since family houst
Construction Type#2 Type V-N Deck Proposed Sq.Peet.r ......... ....80
Garage Proposed Sq.Feet 641 Height of Structure 24.6
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Proposed Sq.Feet 2598 Zoning Designation RS 7.2
Plumbing Fixtures
Description Quantity I Description Quantity Description Quantity
Bathtubs 1 3 Dishwashers 1 I Laundry Washer Outlets 1
Lavatories 4 I POther Plumbing Fixtures 2 Showers 3
II
Sinks 2 Water Closets 3 Water Heaters 1
Mechanical Fixtures
F�L DescripItion Quantity Description Quantity Description Quantity
L Ducts 1 ' Fans 5 Fireplace Inserts 1
l
[Furnaces 1 1 Ranges 1
PERMIT EXPIRES June 4,2005.
Permit issued on December 6,2004
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. /Z-/Owner or age •C ji,,/ Date: G r
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 4 Permit number: 04- 104517-00
Address: 34305 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.):
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.
THIS CARD IS TiirEMAIN ON-SITE
41k
CITY OF ' Community Develop. ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104517-00-SF
Owner: FRANK CLARY
Address: 34305 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.
.0 ,
❑ Temp.Erosion Control(4365) Footings/Setback(4110) 0 Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
kl By Date :v.'k� ) Date\t\\--\VA4— By G5 Date /Z,./451---0
d
❑ Drainage/Downspout(4040) •❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By L 5 Date/2.17.of, .By Date By Date
❑ Underfloor Framing(4285) E3 Floor Sheathing(4105) .LI Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By �'...,41 Date/2,,,zd ,Of By C. C.A. Date/R. 7-dS" By �C.,_) Date/., '? � ---#
❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) �❑ Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
I
By t� e Date/ .. 7 "44)5' By l� Date(' ( ...03.- By `/' Date ( .-at�,..0\�'�'"'
,❑ Gas Piping(4125) �❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Apoved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
/- pi
signed-off and approved. IBC 109.3.4/CIBC 108.5.4
By•
(� Date ''- `� � By Date t_ t-�,s-
❑ Framing(4123) aInsulation (4150) Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date 1 ....,...4....,: s.- By C ,,, Date c-a g.-(s B > Date z....,Z-"05---:
❑ Final- SWM(4375) 0 Final-Mechanical(4065) ❑ Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
By . Date 340/ By Date
Federal 0EIV-4_ - i a A_ _,c-- 7
RECEIVE PERMIT (SF),MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258r"AVENUE •POBOX 9718 PLICATION
FEDERAL WAY,,WAWA 9
98063-9778 NOVTD
253-835-2607•FAX 253-835-2609 NOV O ANfi
/ / /CD
w ,dtgolrederahuaq.com ��7� ( ( (/''
tau,
The following is requui'Q•. 4t',..,, •,,, oniplete ap•Iication will not be acce•ted. Please •rint legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS ;af?,Oc 1.10-16.' V L ,Sc.. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# to 4 0 2. .9- 0 - CI O ® LOT SIZE(sf) V-1 (o Ci
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) b1ZC.4...0. t,prtke %--.. 1" 4'
(Attach separate page for lengthy legal description)
■-PROJECT INFORMATION
TYPE OF PERMIT I/BUILDING ef PLUMBING /MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq)
1r51%_. 44- co-t- io?_l.-n0 - 0o ownO t -t.te t .oi ii-
.
PROJECT NAME(Name of Business or Owner Last Name) 01ZC.. 411 (.pe-Ka
• . . , • PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER k•-kA-Q43,0....14--- ,.a•..e-c, 1..) (..- (-MI)) V.' b - SI:uS
MAILING ADDRESS CITY,STATE,ZIP
SIMCWO Ckij..off..-S.-41--t2A }'t►cb-at Q.," 0 k-- 9%003 -
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
S Ptr,n"'c- ( )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1- - -3 Co_ c_5 9_. B L 12t / b`{' ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
NJ. vR_.. & o K 5. b . 4 03/ oe- / os-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
litar.S%E ,,x- _ (vT )X1.15 - c3-1.9
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
(7A-77) zLdk - 2.2.43
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent r Other(Describe) }'tap. 1'.A . (2.2, ) cr -S--/-6 a
CONTACT NAME,.......--- PRIMARY PHONE E-MAIL ADDRESS 1
t K- Com"! (?J'sI)Zlsi - w.
LENDER Per RCW 49.27.095: Lender information is , NAME
required ofproject value exceeds$5'000 3,y.�� Aµ .c.a
MAILING ADDRESS ��
CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION •
EXISTING USE Y/rC-i4144C PROPOSED USE S I MG •-- J -• Z
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I D e0•00 '?
SPRINKLERED BUILDING? 0 YES If NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
' WATER SERVICE PROVIDER Q LAKEHAVEN 0 BIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER A LAKEHAVEN a RIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION i EXISTING SQ.FT. PRO -SED SQ.FT. TOTAL
BASEMENT M
FIRST 1� �- l3__
SECOND k7.- -5 17...S I
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
^DECK(COVERED?) 1 `Ve 1-1.%
GARAGE/CARPORT 1.0'11 Lot-i-,
TOT/$ G TOTAL.PROPOSED TOTAL EXISTING AND PROPOSED
—HOW MANY FLOORS? WW 2-
"NEW HOMES ONLY** NUMBER OF BEDROOMS S ESTIMATED SELLING PRICE $ ZW j 000
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 C y_
Value of Mechanical Work $ 3 V'0
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBS em
FANS HOODS(Comet-mai) WOODSTOVES
BOILERS I FIREPLACE INSERTS 1 RANGES MISC(Describe)
COMPRESSORS I FURNACES I GAS WATER HEATERS
1- DUCTS \ GAS PIPE OUTLETS
PLUMBING (Describe)BATHTUBS(or Tub/Showercombo) 4, SHOWERS $ WATER CLOSETS(roue) MISC( )
I DISHWASHERS I SINKS DRINKING FOUNTAINS
1. GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS Z HOSE BIBBS
5 LAVS(Bathroomsu,Lc:) VACUUM BREAKERS ELECTRIC WATER HEATERS
' - =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.
it
NAME/TITLE _�,�.L�/l'_/ --4./ DATE it/4/41)./
Nil (Signature) (Title)
RELATIONSHIP TO PROJECT o Owner 0 •gent ❑ Contractor o Architect yr Other'R-0C)• ��,��`5( •
( ,FOR OFFICE USE ONLY
o NEW ❑ADDITION a ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
t ' I
i
' Bulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Permit Application