03-102280 •
• S
ty of Federal W
Community Developmen Services Building - Single Family Permit #:03 - 102280 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: FALK
Project Address: 35642 12TH AVE SW Parcel Number: 440560 0025
Project Description: ADD-New 576 square foot detatched garage.
Owner Applicant Contractor Lender
Larry G Falk &Virginia M Falk Virginia M Falk DICK FLANDERS CONSTRUCTION Larry G Falk
23903 92ND PL S 23903 92ND PL S DICKFCI11 OBB 1/2/04 23903 92ND PL S
KENT WA KENT WA 19040 SE 408TH ST KENT WA
98031-3103 98031-3103 ENUMCLAW WA 98022 98031-3103
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: U-1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft):
Census Category........: 434-Residential alt/add-no Garage Proposed Sq.Feet 576
Height of Structure. ....,............... .........12 Mechanical.... No
Occupancy Group#1 .... .... U-1 Plumbing........ No
Total Proposed Sq.Feet 576 Zoning Designation....... ..... ... RS 7,2
CONDITIONS:
1.No building shall encroach onto any building setback line or easement shown or not shown.
2.Maximum building height is 30 feet above average building elevation(Ordinance#90-51).
3.Retain&protect identified significant trees per FWCC,Sec.22-1565 through 1569.Bright protective fencing is required
at the dripline of retained trees.
4.The driveway shall be paved per FWCC,Sec.22-1453.The driveway shall be paved from the existing roadway pavement
edge,or curb,to the garage or carport.
5.Maximum driveway width is 20 feet.
6.Building setbacks are:20 feet front; 5 feet side; 5 feet rear.
7.Prior to any clearing or grading on a lot,the owner/builder shall install temporary erosion/sedimentation control facilities
approved by the City.These facilities must ensure that dirt or sediment laden water does not enter the public drainage
system,adjacent lots or public streets.The owner/builder bears the responsibility to maintain the facilities in proper
working order,replacing as necessary.The facilities may be removed only after such time as construction is complete&
landscaping is installed.See attached for standards and site plan for location of silt fencing.
8.Per FWCC,Sec.22-1133(4),eaves,chimneys or awnings,&similar elements of a structure that customarily extend
beyond the exterior walls of a structure may extend up to 18 inches MAXIMUM into the required yard setback.
Additionally,the total horizontal dimensions of the elements that extend into a required yard,excluding eaves,may not
exceed 25%of the structure's facade length from which the elements extend.
9.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
t �
PERMIT EXPIRES December 14,200
Permit issued on June 17,2003
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 ith the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent- ,
g /I< Date: 6 117/0 3
11...
PO.HIS CARD ON THE FRONT OF BUILD,, t
CITY CTI BUILDING DIVISION r '
FederallUay
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 03-102280-00-SF
OWNER'S NAME: Larry G Falk & Virginia M Falk
SITE ADDRESS: 35642 12TH SW
( ) FOOTINGS/SETBACKS L>- 3 D — CD 3 ( ) FOUNDATION WALL
VikagreiiWgffr,,, DAN iTIPO CONCR B„UN" LTU' 0 S4A 10O ED:..•011r?. „II
O DRAINAGE: Line () Connection
i V S1 DU NO' 'OVR' 14 C1NT T'i '_: V1x0A 'g04.0V.,,... „ .,,. ./E i
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL �f Gas piping
�FIEATF�ING 7/9' 0 9�f e� Roof ,/ 9 �-3 O " oon
( ) SI-EAR WALLS
O ?.T.,ECTRICAL ROUGH-IN Ditch Cover
( ) L /"SRA TSTOPS
1. i r LL TH AI3(. 'V$0:E 'PWOV r 10:0:0 7R SPE ION•fa: w l ` ,
( ) FPS'4IING/FIRESTOPPING_
yU . -'°., .AJ vE Mi3ST BE E 'R.O p' PlWat Tc i T UTA ' C1 10 01K— I IUN, _.._ Z
( ) INSULATION: Floors Walls Attic_
O WALLBOARD NAILING () SUSPENDED CEILING
COVE MAST$W.AkPR j i PR c4U f, `Gf'3 2.kI TB' AL11N IIL V'G TIL' altSIBM
( ) ELECTRICAL FINAL / 2 3- 0 r 74c.6,24c.�. /a'—`--
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
�: 1, c,,, , "'r#0104 3 U T E U ;0,„ IR I / ..,. ►Il 0 B PA MBN' **4 ,F,'S ...,,u_ CIEJ
( ) BUILDING FINAL / _ Z (:, _ 6 ci C.
�D�O NO C �` � BCLDYI �UN'1L y$ _ DINGFINL AP14OD,
�� E ED CONSTRUCTI�! PERMIT APPLICATION
CITY OF �...� APPLICATION NUMBER: Q.3 - 1 .02-Z 80- C90
Federal Way APPLICATION NUMBER: -JUN 0 4 200
��++1
APPLICATION NUMBER: - -
"The fg. •a. j 4-Y-nation—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. I I
■ PROPERTY INFORMATION
SITE ADDRESS: '1 (2 i AUe (5 )) ASSESSOR'S TAX/PARCEL It: Y Q 5.e 0 - O O 2 r.
LEGA DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PLoft 5, ibCk 1 1 C0G e /205- I 'Or io?aAi- lh144ia,- .ADD Lass G
■ PRO]ECT INFORMATION
TYPE OF PROJECT(This application): .BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 09 k 2 y /` t-e r Jetr e a,/ I -/ h-3 'y',/SLJCL1
w:AIJO / i 3' 1-.4 e( 4..,�t O OOt .1 is
o►I' g� ;ti / 7 rNsrr (Q� ra;3 t� �q f.eirot(u
Cko , 20 •y.^ '3 l46 roo-F;
a r (r`- 77
PROJECT NAME: Larry`S Clarke ife —I N ...4-1‘
..C..I. 8�C^ pro a 4eC.
•
. ,I PEOPLE INFORMATION.
PROPERTY OWNER: NAME: , ; DAYTIME PHONE'
c
LaIcry c Ut ,,v,� 41I (253)66( - 86`x?
351ADDRESS
e a �2Drtis2 S4J fQLr I 0 A 9 3 0 a 3
CONTRACTOR: NAME:
DAYTIME�o ck `Fla,vo c i ry ° I :.-Al ($68)PHONE:9 .s�665?
Ca,us � fast/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP):
1 EVENING PHONE:
1,..W.'
l) I q arc LSA' 4/0E3 -741 sr &Ai c„ist c/a evU4 9gozz! ( ) -
/FEDERAL WAY BUSINESS LICENSE NUMBER: p FAX NUMBER:
0 �sCk-F'C1.11033 WA -ST Co, ._4iGe - _ _ ( ) -
CONTRACTOR'S REGISTRATION NUMBER: j EXPIRATION DATE:
((ropy of cardU 3 T ,6 a ( 1 2_ 4:I 5 r` / /
APPLICANT: NAME: `
Lcv-
r 4AJ� U1d8..V lq -a t� ! (zi3) 661 -S6c/9
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
'/_I EVENING PHONE:
3.�6YR /zT /�,e- s w f act( 10‘.y (,IJ k Q z3 ( )
I RELATIONSHIP TO PROJECT: FAX NUMBER:
I ❑ ARCHITECT o TENANTIt-OTHER(DESCRIBE): O(,+)N Rd' i ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: PROPERTY OWNER ❑ APPLICANT 0 CONTRACTOR
■ DETAILED BUILDING INFORMATION
I
EXISTING USE: L EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ .
PROPOSED USE: ar'ct�e PROPOSED VALUATION FOR IMPROVEMENTS: $ 8000 130
SPRINKLERED BUILDING? ❑ YES r 0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ktCO
WATER SERVICE PROVIDER: ,KEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE RIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ON *
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROSECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE �J
HOW MANY FLOORS? L j ( 5763
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
ME ANICAL
AIR HANDLING UNIT(S) EVA.ORATIVE OOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) F (S) HOOD(S) WOODSTOVE(S)
BOILER(S) REPLAC NSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) /W FURNAC S)
DUCT(S) M. GAS PI OUTLET('` HEAT SOURCE: o ELECTRIC ❑GAS
//// PLUMBING
BATHTUB(S) VATORY ) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city`as a part of this application.� /D €i
NAMETITLE: Lailf ctpok V •�2et 1tY\ DATE: 512 /
ROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY: :-
U`;NEW CEADDITION . a,o ALTERATION :.o REPAIR a,TENANTtwik-a.7;41, •
CENSUS`CODE -
-LOT
'BUILDING SHELL BYES''.'.=❑ NO -
COMP PLAN DESIGNATION .x .BASIC PLAN? p YES ❑'NO'
.SECTION>';, ....RTOWNSHIP RANGE --e'"` NEW ADDRESS REQUIRED? - ❑YES ❑ NO
-PLATTED LOT?. ':`❑YES c- NO CHANGE OF USE? ❑YES` =fl NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffederalway.com
41 Con•ctiii p. rmit Fee Calculation et
7
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY S7' PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$1.00 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$1&00 for each additional 51,000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus$1300 for each additional$1.000.00 or fraction thereof,to and
Including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9,00 for each additional 51.000.00 or fraction thereof,to and
including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus 17.00 for each additional 51.00000 or fraction thereof,to and
induding$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional$1,00000 or fraction thereof,to and
Including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Italicized unden'lned number Is the feeper addldonal specified lncz'emen f
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commerdai only. '
Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
f�
■ BUILDING.
PROPOSED VALUATION: 20 00
CO
FEE FACTOR FROM TABLE A: Number:
(a)Base Fee: q0 "— °°(b)Additional Increment Fee: /0 5
-
/
Estimated Permit Fee: (1) /g Ig o
Estimated Plan Review Fee: (2) 5
5-0
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY) • MECHANICAL-
PROPOSED VALUATION: ee
FEE FACTOR FROM TABLE A:Number: Ba
(b) •,:diff. ncrement Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
• FIRE PREVENTION SYSTEM -
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b) i' nal cre nt Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of Fixtures
$26.00+{ X$9.00/fixture)= (8 stimated Permit Fee
Estimated Permit Fee
X .65 = ' % (9 stimated Plan Review Fee
I
Miscellaneous Fixture Charge:(10) I
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)