15-103941a
CITY OF
Federal Way
� auc o� zoi5 PERM I'1fkPPLICATION
CITY OV FEDERAL- WA°f
�
. CDS
PERMIT NUMBER 1 I j / ,ry _ 1 � � V1 _ ,SF
TARGET DATE & ' /`
SITE ADDRESS
SUITE/UNIT #
31520 11 th PI. SW Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 345,176.07
RS
5 5 5 7 0 0 - 0 1 9 0
TYPE OF PERMIT
DI BUILDING DO PLUMBING M MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Enclave at Mirror Lake lot 19
PROJECT DESCRIPTION
Detailed description of work to
New single family home mechanical, plumbing and electrical included
g Y � p g
Plan 34-30.02 H4 / 2L
be included on this permit only
PROPERTY OWNER
NAME
Henley USA, LLC
PRIMARY PHONE
425-646-4022
MAILING ADDRESS
E-MAIL
1 1 10 Main St. #100
Seattlepermits(§mainvuehomes.com
CITY
Bellevue
STATE
WA
ZIP
98004
FAX
425-646-4024
NAME
Same as owner
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
HENLEUL898DB
03 /10 /2017
NAME
Jagira Hone
PRIMARY PHONE
Same as owner
APPLICANT
MAILING ADDRESS
Same as owner
E-MAIL
jagira.hane@mainvuehomes.com
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
Jagira Hone
PRIMARY PHONE
MAILING ADDRESS
Same as owner
E-MAIL
jagira.hane@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 19.27.095)
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 the cit part of this application.
SIGNATURE: DATE -44
PRINT NAME: Jaglra ane
Bulletin #100 —January 1, 2013 Page l of 3 k:\Handouts\Permit Application
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.
AIR HANDLING UNITS 7 FANS 8 GAS PIPE OUTLETS OTHER (Describe)
1 AIR CONDITIONER 2 FIREPLACE INSERTS HOODS (Commercial)
BOILERS 1 FURNACES ) HOT WATER TANKS (Gas
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
Lakehaven Utility District
Lakehaven Utility District
$
5,600
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
2 BATHTUBS (or Tub/Shower Combo(
5_ LAVS (Hand Sinks(
3 TOILETS
WATER PIPING
1 DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
deferred submittal
DRINKING FOUNTAINS
) SINKS (Kitchen /Utility)
WATER HEATERS, -(,ieGASeede)-
2 HOSE BIBBS
SUMPS
) WASHING MACHINES
17 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 lin Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
N/A
10,032 SF
❑ Yes X No
X Yes n No
deferred submittal
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
City of federal Way
` Conutnunity & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 fax: (253) 835-2609
Project Name: MIRROR ESTATES LOT 19
Project Address: 31520 11TH PL SW
Building - Single' Family
'I'LE Permit #: 15 -103941 -0d -SV
Inspection Request Line: (253) 835-3050
Parcel Number: 555700 0190
Project Description: NEW - Construction of a 2860 square foot 2 -story single family residence with a 63 square
foot covered entry, a 260 square foot deck and a 379 square foot attached garage. Includes
plumbing & mechanical.
**5 bedrooms; $529,850 estimated selling price**
Owner
Applicant
Contractor
Lender
HENLEY USA INC
JAGIRA HANE
HENLEY USA INC
OWNER IS LENDER
11100 MAIN ST SUITE 100
HENLEY USA INC
HENLEUL898DB (3/10/17)
No
BELLEVUE WA 98004
11100 MAIN ST SUITE 100
11100 MAIN ST SUITE 100
260
New / Additional Sq. Feet - Garage .......................
BELLEVUE WA 98004
BELLEVUE WA 98004
Yes
Census Category: 101 - New Single Family House
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
2860
Floor Areas . ft.
2,860 1 0 J 0 0
Additional Permit Information
New / Additional Sq. Feet - I st Floor....................1213
New / Additional Sq. Feet - 2nd Floor ...................
1647
New / Additional Sq. Feet - 3rd Floor....................0
Occupancy # 1 - Area (Sq. Feet) .............................
2860
New/ Additional Sq. Feet - Basement...................0
Basic Plan? .............................................................
No
Occupancy # I - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Deck ..........................
260
New / Additional Sq. Feet - Garage .......................
379
Mechanical to be Included? ........ ...........................
Yes
Plumbing Work Valuation?....................................5600
Occupancy # 1 - Class.............................................R-3
New / Additional Sq. Feet - Other ..........................
63
Plumbing to be Included? ...................................... Yes
New / Additiot l Sq. Feet - Total ..........................
3562
Occupancy # 1 - Use ...............................................
Residence (1 or 2
family)
Zoning Designation................................................RS
7.2
Mechanical Fixtures
Air Conditioners - Stand Alone Un 1 Ducting ........................................... 1 Fans................................................ 7
Fireplace Inserts ............................. 2 Furnaces......................................... 1 Gas Piping ...................................... 1
Gas Pipe Outlets ............................. 8 Hot Water Tanks............................ 1
Plumbing Fixtures'
Bathtubs ......................................... 2 Dishwashers................................... 1 Laundry Washer Outlets............... 1
Lavatories ....................................... 5 Showers.......................................... 1 Sinks............................................... 1
Water Closets ................................. 3 Water Heaters................................. 1 Hose Bibbs..................................... 2
CONDITIONS:
1) add cleanout at connection to storm stub
PERMIT EXPIRES Monday, July 18, 2016
Permit Issued"on Wednesday, January 20, 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
ajpd the City of Federal Way. /
Owner oragent: Date: �% (ami�mq
l
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: MIRROR ESTATES LOT 19 Permit #: 15 -103941 -00 -SF
Address: 31520 11TH PL SW
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Area (sq. ft.)
2,860 0 0 0
Owner Name: HENLEY USA INC
Owner Address: 11100 MAIN ST SUITE 100
BELLEVUE WA 98004
I1a
'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.
� s
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE, -
Construction Inspection Record
INSPECTION REQU TS: (253) 835-3050
15 -103941 -00 -SF Address: 31520 11 TH PL SW
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.
0 SWM Precon Site Mtg (4400)
❑ Initial Erosion Control (4365)
Footings/Setback (4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By Date
By Date
Bim-- - Date ;?-
E]
E]
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Plumbing Groundwork (4190)
Approved to place concrete
Approved to backfill
Approved
Approved to cover
By Date 2 ��
Approved
By At3 Date 2l1
By
Date
By
Date
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
0
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
Byers Date �� ¢ /�
Bis Date !.� _ t _ ( co
❑
Shear Walls (4245)
Roof Sheathing (4220)
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Approved
Bye— Date A- _ `
Date -3�_ k _
By
k* Date
Mechanical Rough -in (4165)
0 Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
w6P> Date 41-1
l ILO
By 1MV+j Date A' ['1 (�
S Date
®
Interim Erosion Control (4370)
Approv.
prior to scheduling a Framing inspection;
Framing (4120)
Approved to insulate
Electrical, Plumbing & Mechanical Rough -in and
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 1093.4
By
Date
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Approved to install wallboard
Approved to install mud & tape
Approved
By
jk#b Date S4Ig-I (s,
By Date �✓ �a 3 ��
By
Date
rl
Final - Mechanical (4065)
❑ Final -Plumbing( 075)
E]
Final - Building (4050)
Approved
Approved Q
Approved
Date 2�
Bys' Date - ((0
By
Date IV 0/4
El
Rough Electrical
Approved
Final Electrical
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
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