05-101159 City of Federal Develo ment Services deral way
Communis Building Single Family Permit #: 05 - 101159 - 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 18
Project Address: 34105 13TH PL SW Parcel Number:640370 0180
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 HARBOUR HOMES INC HARBOUR HOMES INC NONE
33400 9TH AVE S SUITE 120 33400 9TH AVE S SUITE 120
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 33400 9TH AVE S SUITE 120
FEDERAL WAY WA 98003 NONE
Includes:
Census category: 101 -New si
#1 #2 #3 #4
roccupancy Group: ! R-3 F U-1
Construction Type: _ Type V-N Type V-N J
I Occupancy Load:
F ----7
1 Floor Area(Sq.Ft.): i
1st Floor Proposed Sq.Week,._..- 1046 2nd Floor Proposed Sq.Feet. ..993
Basic Plan...... ............. No Census Category .101-New single family houst
Occupancy#2-Construction Type Type V-N Deck Proposed Sq.Feet .80
Garage Proposed Sq.Feet 455 Height of Structure 21.5
Mechanical Yes Occupancy#1-Class R-3
Occupancy#2-Class U-1 Plumbing Yes
Total Building Sq.Feet 2039 Total Proposed Sq.Feet 2039
PERMIT EXPIRES October 15,2005.
Permit issued on April 18,2005
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 Wa
Owner or age Date: Ct3
4111 111 .
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 18 Permit number: 05- 101159-00
Address: 34105 13TH SW
#1 #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: Type V-N Type V-N
ccupancy Load:
Floor Area(Sq.Ft.):
Owner HARBOUR HOMES INC
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 VIIMAIN ON-SITE
CITY OF ' r tommunity p Inspection m it Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101159-00-SF 1s
Owner: HARBOUR HOMES INC
Address: 34105 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) •csr Footings/Setback(4110) 0 Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By CO Date L/ 8.1B 141 Date By Date .
• •
❑ Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
Date
_<S S"—((.�S By Date By Date
(❑ Underfloor Framing(4285) s [ Floor Sheathing(4105) i[ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By DateOi/c4'` By 0. Date 5 ---6‘...65 By C_,\t---., Date s'.-3 1 ...(1
rRoof Sheathing(4220) 0 Rough Plumbing(4230) SID Mechanical Rough-in (4165) `
'pproved to install roofing Approved Approved
.Nilt`
By fly Date t By 4.-AC, Date 6/1941 By Irv— Date(olq os
Gas Piping(4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical p
' i r Rough-in and Fire/Draft Stop inspections must be
By 1/41 Date �� By 412-C Date ///9/o signed-off and approved. IBC 109.3.4/UBC 108.5.
#❑ Framing(4120) ❑ Insulation (4150) [ Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By 4(1'C Date 6/f /o5 By - Date �'-" By ' , Date
❑ Final-SWM(4pit-
�❑ Final-Mechanical( 065) �❑ Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
kiCi Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
By '`4 -/ Date Ut
� t5 `By Date
S gilt')
CITY OF EELVE. - ( --( L
6.. ---Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVIMAR j SF MF CO ME EL PL DE EN FP
33325 8 n AVENUE SOUTH•PO BOX 9718 I'
FEDERAL WAY,WA 98 718
APPLICATION 1 4 2°Cr / /sn
253-835-2607.FAX 2534 f fV"/
wwwcittpflederalwa rnm ��.s -iw WAg
E 1(:p r f. CITY OF FEDERAL Aye \
The oIlowi • is re.wired in ormation-an Inco •fete a••lication MAD D1:..;;,I -d. Please .rint le•ibt (in in or .
N PROPERTY INFORMATION
2�
SITE ADDRESS r iocj f1 ? S i SUITE/UNIT#
6
ASSESSOR'S TAX/PARCEL# `4 0 3 1---o - Q _)_ $ d LOT SIZE(sfl (73(0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C)?--e 4) k.Ort•r,1C L o"r )
cis
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT cd BUILDING or PLUMBING in MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
S I t*C RA-AA-kW a ZeNt-ie
r-
l'- ASI,L._ 41-- '-k - 1 vZlro?i -o 0
PROJECT NAME(Name of Business or Owner Last Name) N2.-..LA-4,A b Ok-$►.�
Ili PEOPLE INFORMATION
PROPERTY NAME , PRIMARY PHONE
OWNER t 8.4. ?----A44`#t*'&
, t4`'n'►.K I N(-'• (Ws)gek l f$ - .tlto 5---4
MAILING ADDRESS CITY,STATE,ZIP -
331 o t7 q 1". df.t_ S V1) — W 46-y wig- .telo-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
L,��,.�
MAILING ADDRESS - - CITY,STATE,ZIP CELL PHONE
(2 3 ) .1 - 22
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER G
B L / / (2 ) �3 toJc?-G
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
h. A- 2.- 4. o i4- i s. a C 4 ,,3 i s /04._
_
APPLICANT
' -
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
9 (V?,) 2-Li-\ - 2-2--4.4-
LENDER erJWW 27091 Anderinfoa� onis� NAME
fP „�� ds$5 000 J�
l •"� Y 'ro §value ezcee �
MAILING ADDRESS CITY,STATE,ZIP
*L-t0.4.h-4k h WA-..
■fDETAI�LED BUILDING INFORMATION
EXISTING USE { i, b _ x_ PROPOSED USEs t -- G
EXISTING ASSESSED/APPRAISED VALUE $ ,` VALUE OF PROPOSED WORK $ 12-,o ate e"'—
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES jt NO
WATER SERVICE PROVIDER $LAKEHAVEN a HIGRLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 4 LAKEHAVEN a HIGHLINE ❑PRIVATE(SEPTIC)
4-.
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
r l 104°
SECOND 5' 2 9413
THIRD
FOURTH •'
ADDITIONAL FLOORS(DESCRIBE) stp
DECK(COVERED?) So 200
GARAGE AL. CARPORT 0
NUMBER OF FLOORS wC\MG PROPOSEDTOTAL Tor1u a sr"," ' ,TOTA,PROPOSED SP h ql ty ror SF
...NEW HOMES ONLY** NUMBER OF BEDROOMS aft ESTIMATED SELLING PRICE $ Z Gn. Sb 1.
FIXTURES
Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ 7�0 0 g-- See- G•‘4 S4NeET
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS S FANS HOODS(com<n»tl WOODSTOVES
BOILERS I FIREPLACE INSERTS ) RANGES MISC(Describe)
COMPRESSORS FURNACES l GAS WATER HEATERS
'y( DUCTS S GAS PIPE OUTLETS
PLUMBING
Z BATHTUBS(or Tub/Show<rCombo) 2' SHOWERS 3 WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS 1 SINKS DRINKING FOUNTAINS
7C GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS 2- HOSE BIBBS
*{- LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 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/TITLEDATE �/10 d�
(Signature) (Title)
RELATIONSHIP TO PROJECT o Ownert.64Agent 0 Contractor ❑ Architect , Other C,.R..
! •• DITION�b ALTERATION a-REPAIR -6,- 41
�TE*0-iT IIKPROVEMENT;
UILD HELLdbNLY? " BASICPI.AN? o YES O
' • SESIGNATION CHANGE OFgII ? o YES 4*
eS REQUIRED? ' t3YES NO UP/SEPA/SII? ❑YES 2I0
D.kZES ,.
®. ANO =DEMO 'ERMIT ' U,IRED?
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application