16-104477City or Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Single Family
ulj_ Permit #:16 -104477 -00 -SF
Inspection Request Line: (253) 835-3050
Project Name: MIRROR ESTATES LOT 16 -
Project Address: 31530 11TH PL SW Parcel Number: 555700 0160
Project Description: NEW - Construction of a 3908 square foot 2 -story single family residence with a 94 square foot
covered entry, a 195 square foot deck and a 638 square foot attached garage. Includes
plumbing & mechanical.
**4 bedrooms; $520,000 estimated selling price**
Owner
Applicant
Contractor
Lender
HENLEY USA INC
HENLEY USA INC
HENLEY USA INC
OWNER IS LENDER
11100 MAIN ST SUITE 100
11100 MAIN ST SUITE 100
11100 MAIN ST SUITE 100
BELLEVUE WA 98004
BELLEVUE WA 98004
BELLEVUE WA 98004
Census Category: 101- New Single Family House
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3 0
Construction Type:
Type V - B
Occupancy Load:
Floor Area sq. .) 1
3,908
Additional Permit Information
New / Additional Sq. Feet - 1st Floor ..................... 1363
New / Additional Sq. Feet - 2nd Floor....................
1723
New / Additional Sq. Feet - 3rd Floor ..................... 0
Occupancy #1- Area (Sq. Feet)..............................
3908
New / Additional Sq. Feet - Basement .................... 0
Basic Plan? .......................
No
Occupancy # 1 -Construction Type ......................... Type V - B
New / Additional Sq. Feet - Deck...........................
156
New / Additional Sq. Feet - Garage ........................
438
Mechanical to be Included?.....................................
Yes
Plumbing Work Valuation? .....................................
5600
Mechanical Work Valuation?................ ..................
7248
Number of Stories ............................... I...................
2
Occupancy #2 - Class..............................................
0
New / Additional Sq. Feet - Other ........................... 95
Is this an Online or O.T.C. application?..................
No
Plumbing to be Included? ........................................ Yes
New / Additional Sq. Feet - Total...........................
3775
Will Certificate of Occupancy be Issued? ...............
Yes
Occupancy #1 - Use..._............................................
Residence (i or 2
family)
Comprehensive Plan Designation ........................... SF - High -Density
Zoning Designation ..................................................
RS 7.2
Residential
Total Valuation: 372,067.79
Air Conditioners - Stand Alonl
1 Ducting
1 Fans
7
Fireplace Inserts
2 Furnaces
I Gas Piping
I
Gas Pipe Outlets
8 Hot Water Tanks
I
Bathtubs
2 Dishwashers
1 Laundry Washer Outlets
1
Lavatories
5 Qther Plumbing Fixtures
1 Showers
2
Sinks
2 Water Closets
3 Hose Bibbs
2
PERMIT EXPIRES Saturday, l April, 2017
Permit Issued on Monday, October 3, 2016
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. I
Owner or agent: Date: Iy'31l6'2
City of Federal Way
-Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: MIRROR ESTATES LOT 16
Address: 31530 11TH PL SW
Permit # 16 -104477 -00 -SF
Includes: #1 #2 #3 #4
Occupancy Class: R-3 0
Construction Type: Type V - B
Occupancy Load: 0
Floor Area (sq. ft.) 3,908
Owner Name: HENLEY USA INC
Owner Address: 11100 MAIN ST SUITE 100
BELLEVUE WA 98004
Building Official
3�1a�7
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 severly 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
My of
Federal Way
PERMIT #: 16 104477 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 31530 11TH PL SW
Project: HENLEY USA INC FEDERAL WAY WA 98023
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.
Q SWM Precon Site Mtg (4400)
Q Initial Erosion Control (4365)
FAI Footings/Setback (4110)
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Footings/Setback (4110)
By Date
By Date
By JlIJ Date 11 3 /(.
®
Foundation Wall (4115)
FAI
Drainage/Downspout (4040)
®
Plumbing Groundwork (4190)
By Date
Foundation Wall (4115)
B Date t, , Z ('0
Drainage/Downspout (4040)
Plumbing Groundwork (4190)
By
Date �� 4
By
Date
By
Date 40
El Slab/Concrete Floor (4255)
® Underfloor Framing (4285)
® Floor Sheathing (4105)
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
By Date
B��S Date _ c - (
B Date t, , Z ('0
tp Shear Walls (4245)
tt Roof Sheathing (4220)
12 Rough Plumbing (4230)
Shear Walls (4245)
Roof Sheathing (4220)
Rough Plumbing (4230)
�L�. "-
By rf Date 1-1,1141 L,
Date L,,
By A r_� Date � 2 l 4I I (,t
Es Mechanical Rough -in (4165)
® Gas Piping (4125)15 (JSr-
Es Fire/Draft Stops (4095)
Mechanical Rough -in (4165)
Gas Piping (4125)
Fire/Draft Stops (4095)
By Date %1 1 L{ -I
By PDatei Z Z O �L
By C Date
s nterim Erosion Control (4370 Prior to scheduling a Framing inspection;
Interim Erosion Control (4370) Electrical, Plumbing & Mechanical Rongb-ia
and Fire/Draft Stop inspections must be signed -
By Date off and approved. IBC 109.3.4
L71
Framing (4120)
®
Framing (4120)
By n 1�...h
Date2—
is
Insulation (4150)
®
/psum Wallboard Nailing (412
®
Final Erosion Control (4375)
By / rN Date c3 �%
Insulation (4150)
By Date 311,1411-y
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
By
Date N _ S —1
By
VV4 Date ( 1191 1.1
By
Date
® Final - Mechanical (4065)
® Final - Plumbing (4075)
® Final - Building (4050)
Final - Mechanical (4065)
Final - Plumbing (4075)
Final - Building (4050)
By / rN Date c3 �%
By /Yri Date '3/) q Z
By Date 311,1411-y
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF
FederalTWay
PERMIT NUMBER
RWI-IVED
SEP 0 9 2016
PERM IT4kPPLICATION
C_TTY ^°tom.t-EzD „ f V,, , Y
a _�_r..rY —Z __q �5 F TARGET DATE
SITE ADDRESS
SUITE/UNIT #
31530-11 th PL SW. Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL # 555700-0160
389,428.56
RS
_
TYPE OF PERMIT
N BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Enclave at Mirror Lake lot 16
PROJECT DESCRIPTION
Detailed description of work to
New single family home mechanical, plumbing and electrical included
g y � p g
Plan 24-40.02 T
be included on this permit only
PROPERTY OWNER
NAME
MAINVUE WA LLC
PRIMARY PHONE
425-646-4022
MAILING ADDRESS
E-MAIL
1 1 10 - 112TH AVE NE, SUITE 202
stephannie.karlsson@mainvuehomes.com
CITY
Bellevue
STATE
Wq
ZIP
98004
FAX
425-646-4024
NAME
Some as owner
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MAINVWL854NL
08/ 13 /2017
NAME
Same as owner
PRIMARY PHONE
Same as owner
APPLICANT
MAILING ADDRESS
E-MAIL
stephannie.kadsson@moinvuehomes.com
CITY STATE
ZIP
FAX
PROJECT CONTACT
NAME
stephannie Karlsson
PRIMARY PHONE
425-709-7571
MAILING ADDRESS
Same as owner
E-MAIL
stephannie.karlsson@mainvuehomes.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
® OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 t/ a cit as apart of this application.
SIGNATURE:DATE 9-7-2016
PRINT NAME: S ephannle Karlsson
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
�I VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 7,248
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
i AIR HANDLING UNITS 7 FANS $ GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER 2 FIREPLACE INSERTS HOODS (Commercial(
BOILERS ) FURNACES ) HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
$
5,600
Indicate how many of each type offtxture
to be installed or relocated as part of this projecL Do not include existing fixtures to remain.
2 BATHTUBS (or Tub/shower combo(
_5 LAVS (Hand sinks)
3 TOILETS
WATER PIPING
) DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
2 SHOWERS
VACUUM BREAKERS
8218 SF
DRINKING FOUNTAINS
2 SINKS (Kitchen/utility(
WATER HEATERS (,GAS
eerier
2 HOSE BIBBS
SUMPS
WASHING MACHINES
) 7 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
Lakehaven Utility District
Lakehaven Utility District
N/A
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
N/A
8218 SF
❑ Yes x No
❑ Yes X No
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
101 J FIUTY
EA5EMENT
20'FRONT
5E F13ACK
SILT FENCE AT PERIMETER
TO REMAIN THROU614OUT
coNaTRUGnoN
156 5F WOOD DECK ./ &AS
FIREPLACE, (5EF 5HT 03.1
FOR FIREPLACE LOCATION)
CONNE 6T ROOF - -'
PRAIN5 TO 5TOW
STUB KITH 6" PERF.
PIPE IN 2A'TREIRGH
SITE PLAN
MIRROR ESTATES
LOT 16
ADDRESS: 31530 11TH PL 5N
STUD
15, 50E
LOT 16 (5,215 '5F
FLAN 24-40.021- L
IMPERVIOUS CALCULATION5
2,383 5F
KALK, MVE = 4515F
TOTAL M1FEPV = 2D40 5F 04
MAX IMPERV = 4,000 5F ommo
CORNER ELEVATION5
A = 293.0' CA
E3 = 293.0'
C = 2q5.o:
P 2q5.0
NnTF'
AREA OF DISTURBANCE INCLUDES ENTIRE LOT EXCEPT 12' MIN
PROPERTY LINE 5ET13A6K FOR 6RADIN6.
ALL PONN51POUT5, FOOTING , i YARD DRAIN TO Tf6HTLINE TO
5TOPM DRAIN.
ALL EXCAVATION TO BE FOR FOUNDATION ONLY,
GON5TRJI ENTRANCE TO BE O'Ab'MIN, OF 1-1/2" - 2-1/2'
BROKEN ROCK
5KALB SIDE YARD A5 (ONDITIONS, ALLONPEWRE
IF P0551BLE, SLOPE DRIVEWAY TOWARD 2'x2- &PAVEL TRENCH
21' 5q' -I"
45'-3/4'
� 5,V4
WATER METER
---
n, m
20
40
Ebb,
5 8q'03'28" E 1.2612'
5C ALE: 1"=20'-O'*
ID
5 30
D = 1-02-46"
CONO
DRIVE
-
- - - - - - - -
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01ylEX157INr PEDESTRIAN PATH
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CONNE 6T ROOF - -'
PRAIN5 TO 5TOW
STUB KITH 6" PERF.
PIPE IN 2A'TREIRGH
SITE PLAN
MIRROR ESTATES
LOT 16
ADDRESS: 31530 11TH PL 5N
STUD
15, 50E
LOT 16 (5,215 '5F
FLAN 24-40.021- L
IMPERVIOUS CALCULATION5
2,383 5F
KALK, MVE = 4515F
TOTAL M1FEPV = 2D40 5F 04
MAX IMPERV = 4,000 5F ommo
CORNER ELEVATION5
A = 293.0' CA
E3 = 293.0'
C = 2q5.o:
P 2q5.0
NnTF'
AREA OF DISTURBANCE INCLUDES ENTIRE LOT EXCEPT 12' MIN
PROPERTY LINE 5ET13A6K FOR 6RADIN6.
ALL PONN51POUT5, FOOTING , i YARD DRAIN TO Tf6HTLINE TO
5TOPM DRAIN.
ALL EXCAVATION TO BE FOR FOUNDATION ONLY,
GON5TRJI ENTRANCE TO BE O'Ab'MIN, OF 1-1/2" - 2-1/2'
BROKEN ROCK
5KALB SIDE YARD A5 (ONDITIONS, ALLONPEWRE
IF P0551BLE, SLOPE DRIVEWAY TOWARD 2'x2- &PAVEL TRENCH
n, m
20
40
C)
5C ALE: 1"=20'-O'*
ID
PARC,EL, 555100-0160
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Fax: �425) 616- -1024
USA, LLC
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