04-104514 •
City of Federal ay Building - Single Family Permit #: 04 - 104514 - 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 7
Project Address: 34223 13TH PL SW Parcel Number:640370 0070
Project Description: NEW-Plans for 2039 square foot single family residence with attached 455 square foot garage and 80
square foot deck. Includes plumbing and mechanical work as well as all options.
**4 Bedrooms; Estimated selling price$240,000.00*** Basic 04-102603
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 #3 #4
L Occupancy Group: R-3 U-2
Construction'Type: Type V-N _ Type V-N
Occupancy L4 *
Floor Area(Sq F- t _ G:, .
41 H
;gyp e i "eg: '
1st Floor Proposed Sq.Feet t,....., „„1046 ,2nd Floor Proposed Sq.Feet.,...., ,....993 ,
Basic Plan Census Category............. t,
xFr ..............101-Nesingtafamilhouse
Construction Type#2.: ...................:Type V-N . . Deek Proposed Sq.Feet„ ......... ,..80
Garage Proposed Sq.Feet 455 Height of Structure 23
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-2 Plumbing Yes
Total Building Sq.Feet 2039 Total Proposed Sq.Feet 2039
Zoning Designation RS 7.2
Plumbing Fixtures
Description Quantity r Description Quantity Description Quantity
Bathtubs 2 j Dishwashers 1 Laundry Washer Outlets 1
Lavatories 4 [Other Plumbing Fixtures 2 Showers 2
Sinks 2 iWater Closets 3 Water Heaters I
L—
L.
Mechanical Fixtures
Description Quantity Description Quantity Description -1Quantity
Ducts 1 1 Fans 5 Fireplace Inserts 1
CFumaces 1 I I Ranges 1
II
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.
//Owner or age Date: V/y
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 7 Permit number: 04- 104514-00
Address: 34223 13TH SW
#1 #2 #3 I #4
Occupancy Group: I R-3 U-2
Construction Type: N Type V-N � Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 1
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.
0 ' THIS CARD IS T( EMAIN ON-SITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104514-00-SF
Owner: FRANK CLARY
Address: 34223 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.
•❑ Temp.Erosion Control(4365) ..0Footings/Setback(4110) al
Foundation Wall(4115) ,
To be done prior to breaking ground , Approved to place concrete ` Approved to place concrete
1
By / Date rl2' �J%/ B s Date�—/S �1� By ,C;�fDate k-A 4,�
❑ Drainage/Downspout(4040) �❑ Plumbing Groundwork(4(90) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By -11-11----".
`''f. Date /& f/ By 0.__NDate ,Q—k —.63-- By Date
•
•❑ Underfloor Framing(4285) . .F.„
Floor Sheathing(4105) �❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring _Approved) to install siding
! v
By l Date itch y By L) Date.27.4 By C C...f Date/.. E '7• Q
•
❑ Roof Sheathing(4220) • Rough Plumbing(4230) •
Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By C. W )ate 1, z.7-e24----By E` Date 2—i k .-6..r Bye ALJ Date .0_1 11-01
Gas Piping(4125) lg Fire/Draft Stops(4095) NOTE Prior to scheduling a Framing(4120)
Approved to release test Approved a inspection;Electrical,Plumbing&Mechanical
4 Rough-in and Fire/Draft Stop inspections must be
By Date B, �I Date 14 (2 b signed-off and approved. IBC 109.3.4/UBC 108.5.4
,i Framing(4120) '& Insulation (4150 •
Q Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By .4.,,t� Date a By(\ ,I),..),s Date 1q )S • By0_, Date ''��...
MIN
O Final-SWM(4 75) ❑ Final-Mechanical(4065) ❑ Final-Plumbing(4075)
Approved / Approved ",r Approved
By Cs., Date 3 q O,1 By ftf Date ,3/,30/v�1 By Date 3 ?6 IOr
❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved / Approved
By / /f Date . /3o/a� By Date
o I ,s 3x3
Ill
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES RECEIVED. S F CO ME EL PL DE EN FP
N.Po BOX 9718
333258*"AVENUE SOUTAPPLICATION / ^u/
FEDERAL WAY,WA 98063-9718 / " . /
io'
253-835-2607•FAX 253-835-2609
www.di>!ofederalwatl.com NOV 0 4 2004
The following is req . :S '_ ormation-an incomplete ap•lication will not be accepted. Please .rint legibly(in ink)or type.
7 PROPERTY INFORMATION
SITE ADDRESS 3M2Z'3 1V'`' �L S%.....-) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ` 4, b 3 0 - '0 0 Z 0 LOT SIZE(sj) 6 2'-0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) oZ.c-#% 'w tC L. -
(Attach separate page for lengthy legal description)
■-PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING V PLUMBING cif MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
[?1441.11_ #- a -k- 10?_L.O'1 0— Si: s DA(.....74.43 i t W 124c7S AKsew Ck?
Lo11
PROJECT NAME(Name of Business or Owner Last Name) O R-4.-4,1,
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER D-%3-.N -K.w.,t 11a t... ('Z,c )%m - 53 3ai
MAILING ADDRESS CITY,STATE,ZIP
3 3`10 0 ctrkk_w•c.S. 4 %2.o Y=-c c.r..11 t,.) —/ t.JJc 4 8 003 _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
SA_nn,tC ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
S -1 O - Ce 4 5 O Q- B L •1'L / V 1 / CO-V ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
rA- 2. g0 b. �S $ Z--4 03 / c,8 /05
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAMIN.E.-- .5)11*iK—1 -i (ZS3)41.1b - S'-1•31
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(?.4-3 ) 2cat -'Lz-(.3
RELATIONSHIP TO PROJECT •
+ FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0Other(Describe)�co 4• t•.
d ( ts'3) 838 -S1-46
CONTACT NAME__,...-.. PRIMARY PHONE E-MAIL ADDRESS
t12.1'�`U1�.- � ')/ (1.4-2 )21.0 t -22A0 3
LENDER PerCW 19 2Z 095 :Lender information is` ' NAME •
required ifproject value exceeds$5,000, " 16kKX.- a XM A*
MAILING ADDRESS CITY,STATE,ZIP
' ■ DETAILED BUILDING INFORMATION •
EXISTING USE Yh c.-A M PROPOSED USE C"'A C•Ade ;y .4.°f i?..aJ1t?K C C
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1 Z,C7 0
SPRINKLERED BUILDING? 0 YES yf NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES / NO
. WATER SERVICE PROVIDER ‘LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER /"LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION - EXISTING SQ.FT. .
•
PR► SED SQ.FT. TOTAL
BASEMENT
FIRST lc7 I-11/4.o 104`t'V
SECOND C 3
THIRD
FOURTH _
ADDITIONAL FLOORS(DESCRIBE) I
DECK(COVERED?) I1Z. LVZ.....
GARAGE/CARPORT Lig—S— S ,
TOTG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? 2
.sem
"NEW HOMES ONLY"" NUMBER OF BEDROOMS _ _Z:VA SELLING PRICE $ _ VA qS0
=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 '�
Value of Mechanical Work $ 3
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS y FANS HOODS(commercial) WOODSTOVES
BOILERS t FIREPLACE INSERTS l .RANGES MISC(Describe)
COMPRESSORS % FURNACES 1 GAS WATER HEATERS
DUCTS t GAS PIPE OUTLETS
PLUMBING (Describe)BATHTUBS or Tub/Shower Combo) Z MISC SHOWERS S WATER CLOSETS(r0au) ( )
t DISHWASHERS t SINKS DRINKING FOUNTAINS
1 GAS PIPE OUTLETS SUMPS RAINWATER SYST
% WASHING MACHINES URINALS Z HOSE BIBBS
'} LAVS(Bathroom Sinks) 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. ///
NAME/TITLE
DATE ,1/I ./
< Si nature (Thiel 1
V
RELATIONSHIP TO PROJECT ❑ Owner
( g 1 Agent ❑ Contractor ❑ Architect )0 Other �4a - M6r.
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
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Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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