05-100213 P ' ' • • . . ' .. , .
City of Federal ay Building - Single Family Permit #: 05 - 100213 - 00 - SF
CommunityDevelopment Seryices
P.O.Box 9718 -0411
Federal Way,WA 98063-9718 At
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ORCHID LANE LOtT 21 .
Project Address: 34106 13TH PL SW Parcel Nun 640370 0210
Project Description: NEW-Construct a new,3,117 sqft single-family residence with attached 618 sqft garage and 80 sqft
deck,including plumbing&mechanical work as well as all options. ***4 Bedrooms; Estimated selling
price$304,950***
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
LOccupancy Group: R-3 U-1
I Construction Type: Tyle V N Type V-N
Occupancy Load: L
Floor Area(Sri.Ft): F <.
i7
1st Floor Proposed Sq.Feet,......... 13 5 2nd Floor Proposed Sq.Feet.,......, ,.,....;1742
Basic Plan...... Yes Census Category...„.,. 01- Ingle Tamil hou r
Construction Type#2..' 'Type V-N peek Proposed Sq.Feet.,: .........` ...80
Garage Proposed Sq.Feet 618 Height of Structure 23
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Proposed Sq.Feet 3117 Zoning Designation RS 7.2
Plumbing Fixtures
L L Description Quantity Description Quantity Descri tp ion Quantity
Bathtubs 2 Dishwashers 1 Laundry Washer Outlets 1
I
Lavatories 4 Other Plumbing Fixtures 2 ' Showers 3
Sinks 2 Water Closets 3 Water Heaters 1
1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
j Ducts 1 Fans 1 5 Fireplace Inserts 1
Furnaces 1 Ranges J 1
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
6' °
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PERMIT EXPIRES August 29,2005. i , t
Permit issued on March 2,2005
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 agent: Date: /Z,
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 21 Permit number: 05- 100213 -00
Address: 34106 13TH SW
#1 #2 1 #3 #4
Occupancy Group: R-3H U-1
Construction Type: Type V-N Type V-N
•
L__
Occupancy Load:
Floor Area(Sq.Ft.): f
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 TO'MAIN C11`11-SITE
CITY OF ommuniity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100213-00-SF
Owner: FRANK CLARY
Address: 34106 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 to place concrete
By C4 < Date 3 (//C B� e'5 Date r— � By ,/ ,.„1- Date 3--/i,, C j-
[I Drainage/Downspout(4040) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
Byq . Date -3 ,-'a_pc By Date By Date
•
V Underfloor Framing(4285) 0 Floor Sheathing(4105) .❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By C, -•-i
LDate 3,\'1_d 3 By Date •By 114C Date y/r/(l,,/ -,
❑ Roof Sheathing(4220) Ell Rough Plumbing(4230) r2 Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By f1-1:-. Date y/c/04-1 Byert\,_,.._ Date 1.1_.7,..2, ts5 By i4.`1 Date ' 1.. D...2. —
❑( Gas Piping(4125) ❑ 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
By � ,1 Date Ai„a�vS By L r Date u...a, signed-off and approved. IBC 109.3.4/UBC 108.5.4
[l Framing(4120) Et Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By VilAZ Date 4`,att_a S Bye ,,, Date ti-a,i.—®x. By Date
❑ Final-SWM(4375) 0 Final-Mechanical(4065) ❑ Final-Plumbing(4075)
Approved Approved Approved
By.4Date By Date By Date
Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
4 Approved ., Approved
By 'IP�4 Dates 1t O, By Date
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Federal Way T C I / 0 5 LOO. 2
PERMIT
COMMUNITY DEVELOPMENT SERVICES �F CO ME EL PL DE EN FP
33325 8T"FEDERAL AVENUEWAYSOUTN•PO98063 BOX1 9718 ANJ 1 A.P P L I C AT I O N
FAX
-260 TD / /
253-835-2607•FAX 253-835-2609 �
www u w.a t qo ffede rat wa q.corn
CITY OF FEDERAL WAY
The following is requtatiljj i , ••• an incomplete•iZ.� ap.licatiort will not be acce.ted. Please •Tint legibly(in ink)or type. t •
• IN PROPERTY INFORMATION
SITE ADDRESS '3441.0t, ‘71;"‘r SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# L.L. "b 2j 2- .0 Z-A C) LOT SIZE(sf) 45_3,_ '�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Pi ) L.Prr..(t 2.:‘
(Attach separate page for lengthy legal descvplion)
- ■ PROJECT INFORMATION
TYPE OF PERMIT ('BUILDING R] PLUMBING FT MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
�� Oil- /Q2 9
SA T 4't / Lc
PROJECT NAME(Name of Business or Owner Last Name) C9 e--M 1 Al t4 C
I■ PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER IA�t SKZ. -T U la!M S N G ( u7,) S%S- S;o4---
MAILING ADDRESS CITY,STATE,ZIP —
$&%0o eta•ehrc.A-43r12-0 .moi.!►w W c.. `' a3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
S AAASMy._ (2,c3)$38- -kil
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE (!FAX NUMB
-��7
BER -
a5 -4o - 57:43_ c2 - B L V2 / / (ZS3) 8a.t, - 9
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
4A. Pr .-f715 tt 1 Ss E--y 3 / t , / e,s
APPLICANT COMPANY NAME APPLICANT NAME
�+ OFFICE PHONE
MAILING ADDRESS
--›A AA CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) 2s4)• AA e..a1-.„ ( ) _
CONTACT NAME \ .--• 4 PRIMARY PHONE E-MAIL ADDRESS
''� w1 / ( Z- Z IA - Z2--cam ..--
LENDER €,Per RCW 119 l�7 095 Lender Information is" NAME
F r uired if project value exceeds$5,000 V g t_ ( Qa.g..
r
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE yitir—N-Wr PROPOSED USE SPE—
,
al
EXISTING ASSESSED/APPRAISEDeta VALUE $ VALUE OF PROPOSED WORK $ 1 17 c �"—
SPRINKLERED BUILDING? ❑YES ti NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES veN0
i WATER SERVICE PROVIDER 1 LAKEHAVEN a RIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 1 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
: . • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PRO •SED SQ.FT. TOTAL
BASEMENT 'll .-
FIRST 1";/ S1'-
SECOND 2- YZ 4"}Z-
THIRD
FOURTH 1St- e31,
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) Q00 SO
10-‘'
GARAGE/CARPORT j Leto
7O ,. LNG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? L
"NEW HOMES ONLY** NUMBER OF BEDROOMS 5
ESTIMATED SELLING PRICE $ 3C•4•1 1°I.
-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.
• MECIiANICAL /� ���-
Value of Mechanical Work $ 4000
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS 5 HOODS(commercial) WOODSTOVES
BOIL FANS RANGES MISC(Describe)
BOILERS � FIREPLACE INSERTS
COMPRESSORS 1 FURNACES 1 GAS WATER HEATERS
7y DUCTS y. GAS PIPE OUTLETS
PLUMBING 3 WATER CLOSETS tio�eq MISC(Describe)
t. BATHTUBS or Tub/shower Combo) SHOWERS
\ DISHWASHERS t SINKS DRINKING FOUNTAINS
l- GAS PIPE OUTLETS SUMPS RAINWATER SYST
I WASHING MACHINES URINALS Z. HOSE BIBBS
y LAVS(Bathroom Sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
? DISCLAE IER/SIGNATUREBLOCK
_-:.--
/.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. /
. /,A f.�/ DATE .1/17/25-t? dS-
NAME/TITLE �_ (Title)
(Signana ture)
RELATIONSHIP TO •ROJECT a Owner ❑ A -nt ❑ Contractor a Architect e Other ?-.700- hiS• -
F
FOR OFFICE USE ONLY
a NEW ❑ADDITION a ALTERATION a REPAIR 6TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO
BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU?, a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑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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