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07-101552Vity of Federal Way Community DqyelopmexlServices P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: O'ELAMIN (GRANDE VISTA LOT 9) Project Address: 33337 42ND AVE SW Building - Single FwAm.' Permit #: 07 -101552=00 -SF Inspection Request Line: (253) 835-3050 Parcel Number: 286730 0090 Project Description: NEW - Construct 4,257 sf single family residence with 904 sf of decks and 461 sf attached garage. Includes plumbing & mechanical. **4 bedrooms, estimated selling price Owner MOHAMED O'ELAMIN 901 142ND AVE SE BELLEVUE WA 98007 Applicant URBAN DESIGNS 12856 INTERURBAN AVE S TUKWILA WA 98188 Contractor 901 142ND AVE SE BELLEVUE WA 98007 Census Category: 101 - New Single Family House Lender MOHAMED O'ELAMIN 901 142ND AVE SE BELLEVUE WA 98007 Includes: # 1 #2 43 #4 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Oecu anc Load: New / Additional Sq. Feet - Garage .......................461 Floor Areas . ft. 5,161 461 0 0 New/ Additional Sq. Feet -1 st Floor ....' ..............1695 New / Additional Sq. Feet - 3rd Floor ....................0 Occupancy #2 - Area (Sq. Feet).............................461 BasicPlan?........................................................... No Occupancy #2 - Construction Type ........................Type V - B New / Additional Sq. Feet - Garage .......................461 I-Class .............................................R-3 Feet - Other ..........................0 New/ Additional Sq. Feet - 'i offal ....... . ......... 5622 Occupancy #2 - Use ............................................... Private Garage Occupancy # 1 - Area (Sq. Feet).............................5161 New / Additional Sq. Feet - Basement...................933 Occupancy #I - Construction Type ........................Type V - B New / Additional Sq. Feet - Deck .......................... 904 Mechanical to be Included?....................................Yes Occupancy #2 - Class.............................................0 Plumbing to be Included? ............................ Occupancy # 1 - Use .................. Residence (1 or 2 family) Zoning DesiPn ' .:r......................................RS 7.2 I INFans................................................ 7 Fireplace Inserts. 2 Furnaces...... ................................... 1 ". 3 Lavatories ....................................... 6 Water C'.#--ets................................. 4 Dishwashers ................................... 1 Showers.......................................... 1 HoseBibbs..................................... 2 CONDITIONS: Laundry Washer Outlets ....... ....... 1 Sinks............................................... 2 1. Provide inspection and Temporary Erosion Control (TESC) me .sures per KCSWDM on all lots. All silt fencing must be installed to ensure no sediment -laden w-4- enters any adjacent lot, road, or any storm drainage system. See "Erosion Control for Sings- .';V.,ly Construction" brochure attached to plan for standards. 2. The TYPE (Tree and Vegetatir_. ---.ovation Easement) shall be flagged or marked PRIOR to any clearing, grading, construc,;un or development activity. 3. All trees, vegetation, significant natural features, and natural topography shall not be removed or modified without written approval by the City of Federal Way, per plat requirements. 4. Height survey i4quired for building. Height survey shall be done by regis ered,surveyor an6 lie submitted to the city prior to roof truss installation. Maximum building height is limited to 30 feet above average building elevation. 4.--.1 _ ..4 5. Roof drains shall -be 'light -lined directly to the storm drain stub provided on the lot, without the 10 -foot perforated pipe section. 6. A separate right of way permit may be required for work being performed in the right of way. Contact Kathy Messinger at 253-835-2725 for permitting requirements. PERMIT EXPIRES Wednesday, January 7, 2009 ` Permit Issued on Wednesday, July 18, 2007 0 1 hereby certify that the aboe 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: f 0 City of Federal Way Certificate of Occupancy Date: 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: O'ELAMIN (GRANDE VISTA LOT 9) Permit #: 07 -101552 -00 -SF Address: 33337 42ND AVE SW Includes: # 1 #2 #3 #4 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: Floor Area (sq. ft.) 5,161 461 0 0 Owner Name: MOHAMED O'ELAMIN MOHAMED O'ELAMIN Owne, Nar-,z- Owner Address: yU ;42ND AVE SE BELLEc�13007 Bilding"iffsl _ ,Date The priority focus in the review and inspeftn made by the City prior to issuance of this Certificate was on those mars which experience has she most severly affect the health and safe0y of the general public. Although the City has made asceamplete a review and inspection as is reasonably possible (wdhin 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 ever, 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 re:Wonsibility of the owner and / or occupant of the premises. DATEINSPECTOR AREA AND TYPE OF INSPECTION :7M I. r THIS CARD IS TO REMAIN ON-SITE CITY OFA . Community Development Inspection .kecor' & Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -101552 -00 -SF Owner: MIKHAIL & TATIANA KOLOSHA Address: 33337 42ND AVE 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. ❑ SWM Preconstruction Site Mtg ❑ Initial Erosion Control (4365) ❑ Footings/Setback (4110) Ap (kO) To be done prior to breaking ground Approved to place concrete By Date By Date By % Date /14 ❑ ❑ Drainage/Downspout (4040) Plumbing Groundwork (4190) - ❑ Foundation Wall (4115) Approved to place concrete Approved to backfill Approved to cover By %% Date 9 By Z Date L By "` Date ❑, Slab/Concrete Floor (4255) ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date�15 B L�, Date u �� �!3 By ate ❑ Shear Walls (4245) ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) Approved to install siding Approved to install roofing Approved By `� Date By �J/ Date Zb7 By j bate ❑ Gas Piping (4125) ❑ Fire/Draft $ops (4095) ❑ Mechanical Rough -in (4165) Approved Approved to release test Approved . BZ6 lj Date i B �7 " Date /0 $ _- By (, Date ❑ ❑ ior to scheduling a Framing (4120) Insulation (4150) Framing (4120) Electrical, Plumbing & Mechanical FRouh-in Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be approved. IBC 109.3.4/UBC 108.5.4 By `• Z/Date, By Date ❑ ❑ Final - Mechanical (4065) ❑ Gypsum Wallboard Nailing (4130) Final Erosion Control (4375) ` Approved to install mud & tape Approved Approved i By Date S V Cvl �� By Date By Date i. ❑ Fi 1- Plumbing (4075) ❑ Final - Building (4050) ❑ i Interim Erosion Control (4370) Approved Approved Approved By Date By Date By Date For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date 1 • , f r City of red'erar'1Nay Building - Si G°�«nuniN QcuetepmenlServices P.O. Box 9710 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Family Permit #: 07-101.552=00-i SIP Inspection Request Liner (253) 835-3050 Project Name: KOLOSHA, MIKHAIL (GRANDE VISTA LOT 9) Project Address: 33337 42ND AVE SW Parcel Number: 286730 0090 Project Description: NEW - Construct 4,257 sf single family residence with 904 sf of decks and 461 sf attached garage. Includes plumbing & mechanical. **4 bedrooms, estimated selling price $750,000** Owner Applicant Contractor Lender MIKHAIL & TATIANA KOLOSHA ALEXEY ANCHEYEV 29621 45TH PL S WEST SOUND BANK 29621 45TH PL S URBAN DESIGNS AUBURN WA 98001 5775 SOUNDVIEW DR SUITE 201C AUBURN WA 98001 12856 INTERURBAN AVE S GIG HARBOR WA 98335 5622 TUKWILA WA 98188 family) Zoning Designation ............................................... Census Category: 101- New Single Family House Includes: #1 #2 #3 #4 Occupancy Class: R-3 U Construction 1 e: Type V- B Type V- B Occupancv Load 1 HQQILI New / Additional Sq. Feet - 1st Floor.... ..... .........1695 New / Additional Sq. Feet - 3rd Floor...................0 Occupancy #2 - Area (Sq. Feet).............................461 Basic Plan?........................................................... No Occupancy #2 - Construction Type ........................Type V - B -New / Additional Sq. Feet - Garage .......................461 Occupancy # 1 - Class.............................................R-3 New / Additional Sq. Feet - Other.........................0 New / Additional Sq. Feet - Total .......................... 5622 Occupancy #2 - Use...............................................Private Garage 0 t 0 New / Additional Sq. Feet - 2nd Floor....... .........1629 Occupancy # I - Area (Sq. Feet).............................5161 New / Additional Sq. Feet - Basement...................933 Occupancy #I - Construction Type ........................Type V - B New / Additional Sq. Feet - Deck ..........................904 Mechanical to be Included?...................................Yes Occupancy #2 - Class.............................................0 Plumbing to be Included?......................................Yes Occupancy # 1 -Use ...............................................Residence (1 or 2 family) Zoning Designation ............................................... RS 7.2 Mechanical Fixtures Fans ................................................ 7 Fireplace Inserts............................. 2 Hot Water Tank ............................. 1 Plumbing Fixtures Bathtubs ......................................... 3 Dishwashers................................... 1 Lavatories ...................................... 6 Showers.......................................... 1 Water Closets ................................. 4 Hose Bibbs..................................... 2 Furnaces ......................................... 1 Laundry Washer Outlets ................ 1 Sinks.............................................. 2 CONDITIONS: 1. Provide inspection and Temporary Erosion Control (TESC) measures per KCSWDM on all lots. All silt fencing must be installed to ensure no sediment -laden water enters any adjacent lot, road, or any storm drainage system. See "Erosion Control for Single Family Construction" brochure attached to plan for standards. 2. The TVPE (Tree and Vegetation Preservation Easement) shall be flagged or marked PRIOR to any clearing, grading, construction or development activity. ar All trees, vegetation, significant natural features, and natural topography shall not be removed or,,'mudified wi out written,apprOval• by the City of Federal Way, per plat requirements. r' 4-> Height survey jrequired for building. Height survey shall be done by registered surveyor and shall,be su6mitte&to the city prior to roof truss installation. Maximum building height is limited to 30 feet above average building elevation. 5. Roof drains shall be tight -lined directly to the storm drain stub provided on the lot, without the 10 -foot perforated pipe section. 6. A separate right of way permit may be required for work being performed in the right of way. Contact Kathy Messinger at 253-835-2725 for permitting requirements. PERMIT EXPIRES Saturday, July 18, 2009 Permit Issued on Wednesday, July 18, 2007 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: % �� � .��� r Date: Z —49 — 62 7 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: KOLOSHA, MIKHAIL (GRANDE VISTA LOT 9) Permit #: 07 -101552 -00 -SF Address: 33337 42ND AVE SW Includes: # 1 #2 #3 #4 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load Floor Area (sq. ft.) 5,161 461 0 0 Owner Name: MIKHAIL & TATIANA KOLOSHA MIKHAIL & TATIANA KOLOSHA Owner Name: Owner Address: 29621 45TH PL S AUBURN WA 98001 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 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. r' x i CONSUL TING ENG/VEERS PACIFIC NORTHWEST ENGINEERING INC. October 17, 2008 #07-081 GW Home Products, Inc. Attn: George Williams 1542-1/2 Palm Ave SW Seattle, WA 98116 Re: Revised Pin Pile Location and Grade Beam Footing Plan Number: Kolosha Mikhail Residence Site: 33337 42nd Ave SW Federal Way, WA Mr. Williams, Pacific Northwest Engineering Inc. (PNE) has reviewed the as -built conditions of the foundation and pin pile positions at the rear bump out. Due to the footing interferences the pin piling where located outside of the planned grade beam. PNE has determined that the revised footing, pile locations and reinforcing steel arrangement as constructed is acceptable. If there are any more questions or concerns, please contact our office. Sincerely, Z,L S. ��w°Ewe Russell S. Bodge, P.E. Pacific Northwest Engineering, Inc. *P„ x.39315 1 EXPIRES. 05 108 / 09 Pacific Northwest Engineering Inc. 4924 109th St. SW, Suite C Lakewood, WA 98499-3773 07/r412908 16:15 253-682-2851 PNE INC PAG 02!02 coNsuL ri io ENGINEERS PACIFIC NORTHWEST ENGINEERING INC. {'xgfJlF-�L; 1*Al"]earxnwq'Fsr.. E N G f N E9 Pi N July 14, 2008 #07-081 GW Home Products, Inc. Attn: George Williams 1542-1/2 Palm Ave SW Seattle, WA 98116 Re: Exterior Shear — Structural Observation Plan Number: Kolosha Mikhail Residence Site: 33337 42nd Ave SW Federal. Way, WA Mr. Williams, Pacific Northwest Engincering Inc, (PNE) as requested has reviewed the as -built conditions of the residence at the site noted above. PNE has provided structural observation for the exterior shear walls and holdowns. As a result of this observation, corrections were made in the field during the observation and PNE has determined that the exterior shear walls gd helldow -acrei an ccordance with our engineering requirements. It is our opinio ;pending any addition�jurisdiction�,,al�� requirements, that the exterior of the building is rea . y ox If there are any more questions or concerns, please contact our office. Sincerely, Luke W. Moerke, P.E. Pacific Northwest Engineering, Inc. T Pacific Northwest Engineering Inc. 4924 109`" St_ SW, Suite C Lakewood, WA 98499-3773 Phone (253) 682-2850 Fax (253) 682-2851 n.ni i��rrc inr •�nntiU iC'C�AI R�CIr:NCMlenaltknlnaha\Mikhail FYf Rhvar I tr 7-U-08_doo JUL 14 200=3 CITY OF FEDERAL WAY CDS CONSULT/NG ENGINEERS PAC+I � r FIACli' iC N0R - HWFt5-::" E N G I N E E R I N G October 24, 2008 #07-081 GW Home Products, Inc. Attn: George Williams 1542-1/2 Palm Ave SW Seattle, WA 98116 NORTHWEST ENGINEERING INC. Provide a copy of the concrete delivery ticket to City Of Federal Way. Building Department to show 3000 Psi concrete was installed fon Bring footings as noted one g submtitted 11/4/08 Re: Revised Foundation Plan for Hot Tub Addition Plan Number: Kolosha Mikhail Residence Site 33337 42nd Ave SW Federal Way, WA Mr. Williams, L Pacific Northwest Engineering Inc. (PNE) has reviewed the as -built conditions of the foundation and is providing a foundation revision to provide for the installation of a hot tub room in the crawl space area behind the garage retaining wall on the original plans. Attached, please find the revised foundation layout and detail. If there are any more questions or concerns, please contact our office. Sincerely, Russell S. Bodge, P.E. Pacific Northwest Engineering, Inc. Pacific Northwest Engineering Inc. 4924 1090 St. SW, Suite C Lakewood, WA 98499-3773 RESUBMITTED NOV 4 4 2008 CITY OF FOf m EDERAI- WAY 1 US POST I PC OR EPC P.T. 2x9 DELI O 24 O.C. (1 LEDGER ATTAI THIS SHEET. RESUBM11TED NOV 0 4 2@08 CITY OF FED AL WAY RI III DINd DIEPT. DATE: PLAN NUMBER: PACIFIC NORTHWEST ENGINEERING INC. 10-24-2008 MIKHAILISHA4-4-1,.1.8W,5W..11.lakwee0.w -4- I7acaRlcNURINVN Sr Rwna(2e3)ee24BSO EN0l NE E RING V . I( ,—EXISTING RETAINING WALL EXISTING FOOTING EPDXY DOWEL #4's @ 16' O.C. • ' , a 2' FACE • .: '' ,• e . ' ' ' 17 CORE DRILL MINIMUM 3.0 HOLES I TO ALLOW RESTEEL TO EXTEND INTO 16' O.C. E.W. I FOOTING AND CONCRETE TO BE FILLED INTO NEW WALL EXISTING FOOTING 24' BEND, TYP. � 114's E 16' O.C. E.W. 6, M4's 2 16' O.C. E.W. i� IIIA IIh 3' CLEARANCEUSE TE REBAR _ — IIS CONCRETEPSI W/ ACK MIN. _iT' IIi,,111;�iI_Iii�� iii IIii�I! �i_•� 11=I��__ 6 MIL. BLACK VAPOR BARRIER, LAP 12' a SEAMS 4' GRANULAR FILL SECTION A RESUMED NOV 0 4 0 8 CITY OF FEDE L WAY BUILDING DEPT. DATE:PLAN NUMBER: PACIFIC NORTHWEST ENGINEERING INC. 10-24-2008 MIKHAILISHA49241091h51.SW.SWaClaMeweod.wA9B499 E N`G LGN E ETR N O Phms (253)6822850 Frn:MyFax - Easy Access Tolger (12538350W9 ) 21:14 05AHMWMT-07 Pg 01-02 CONSUL r1AFG PACIFIC NORTHWEST ENGINEERINO INC. April 24, 2009 4`09-171 Moharned 0 Elarnin 901 142"' Av!cSE Bellevue. WA 98007 Re: Framing Corrections Permit -* 07-1015-52 Plan Number: Kolosha Mikhail SFR Site: 337 42 nd Ave SW S 1 33-1��, - Federal Wly, WA Mr- Elamin, Pacific Northwest Engineering Inc. (PNE) has reviewed the correction notice dated 4/21112009, The following items have been noted: 1. The"Knee wall" at the main floor framing is acceptable "as is" and has been strapped using CS 16 coil strapping at 24" OC per our direction. 2. The revised shear wall also extends to the northern end (if the building on the bottom floor at the bathroom location. PNE has observed the as built condition and all required nailing and hold downs have been provided to our satisfaction. Ifthere are any more question,, or concerns, please contact our office. sineereiv. Russell S. Bodge, P.E. Pacific Northwest Enc0yincerin- Inc, r", 4PR 2 4 2009 Pacific Northwest Engineefing Inc. 4924 109"' St. SW, Suite C Lak&wooir WA 98499-3773 Phone (253) 6V-P85O 1:;ax (253) 4582-2851 D(5nnett I°So E Hmc- SURVEYORS AND ENGINEERS P.O. BOX 1031 - PUYALLUP, WA 98371-0255 PUY: (253) 845-8833 SUM: (253) 826-2288 FAX: (253) 826-8884 March 27, 2009 Attn: Building Department City of Federal Way P.O. Box 9718 Federal Way, WA 98063-9718 Re: 33337 42nd Avenue Southwest Permit: 07-103982 Dear Sir or Madam, 09-5079 The home being constructed at 33337 42"d Avenue Southwest under permit #07- 103982 was elevated on March 27, 2009. The elevations were taken to certify the height measurement requirement of the City of Federal Way Building Department. A Temporary Benchmark was set on the Watermeter on the Southeast corner of Lot 8, directly North of this property at the elevation of 100.00 feet. The highest ground elevation is 100.94 feet; the lowest ground elevation is 91.39 feet, which makes a ABE is 4.755 feet and an elevation of 96.17 feet. The highest point on the ridge is 131.37 feet. The eave elevation is 120.17 feet, the average elevation is 125.74 feet. When the ABE is subtracted from mid- point, the height of the roof is 29.57 feet. If you have any questions, please do not hesitate to contact me. Sincerely, Robert A. Bennett, PLS Cc: Mohamed O'Elamin 90"O�' r.�_ o 12870 31STET��'O IL LAt3'�g� CRY OF. Federal Way RECE 0 PERMIT � EPL E " COMMUNITY DEVELOPMENT SERVICES SF F CO EN FP 333258TH AVENUE SOUTH • PO BOX 9718 FEDERAL WAY, WA 98063-9718 MAR 2 g 2P P L I C AT I O N TD .253-835-2607• FAX 253-835.2609 / 1WL, (:1�}D ederniurnG. com` uVF DEq%,H Thefollowing is reqan incomplete application will not be accepted. Please print legibly in ink or type. SITE ADDRESS�� / SUITE/UNIT # ASSESSOR'S TAX/PARCEL # L - L% LOT SIZE (sn;L'_�L3 LEGAL DE SCRIYfI�N (e.�. Acme Estates, Lot IJ !�'�-(.i � '� (����,�1�� � (<3 lAttach separutepa9e for 1e 0Ay 1e9a1 de rip6on) PROJECT• • TYPE OF PERMIT ❑'BUILDING ❑•PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Pro e detailed description of work included on this permit only) PROJECT NAME (Name of Business or Owner Last Name) I ,� N.PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 1`� i "4PL �–v� . t,(Jbct�tf� ( 1; ALL MAILING ADDRESS CITY, STATE, ZIP E-MAIL ADDRESS CONTRACTOR COPY of card required with each PP11—ti.. APPLICANT PROJECT CONTACT LENDER CpMPANY NAME ALPMACANT NAME lir OFFICE PHONE (' `- ') �} $ -.sem Z SL MAILING ADDRESS 'T18 C 1pQt,"sT� U_' 2� CITY STATE, (Lt✓L�i C w' �l cy CELL PHONE L 5'3 910 - C* 0'i— RELATIONSHIP TO PROJECT -_jFAX NUMBER ❑ Architect o Tenant ❑ Agent ❑ Other NAMEPRIMARY PHONE —EMAIL ADDRESS NAME it C4/ Per RCW 19,27.095: " C Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE l �! - S©vndview i A h l�_ V 9'3 —s (Z 3 ) 6,5 EXISTING USE V Cry{'4 PROPOSED USE 77:)� EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ Oct SPRINKLERED BUILDING? O S �q NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES O WATER SERVICE PROVIDER ❑ AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER EHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) AREA DESCRIPT ON EXISTING SQ. FT. PROPOSED TOTAL SQ. FT. SQ. FT. BASEMENT R33 X33 - FIRST )q-wO ZONING DESIGNATION 5 '� .`j/ SECOND >00 NEW ADDRESS REQUIRED? o YES o NO THIRD NO PLATTED LOT? o YES o NO ADDITIONAL FLOORS (DESCRIBE) Xto DECK (❑ COVERED OR ❑ UNCOVERED?)�2,l �S - GARAGE ❑ CARPORT ❑ l lC� ( NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED ST TOTAL SP ""NEW HOMES ONLYNUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ '17t�"veo '" Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ / 2S© (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS /' FANS GAS WATER HEATERS MISC (Describe) BOILERS Z FIREPLACE INSERTS HOODS (commercial) COMPRESSORS i, FURNACES RANGES DUCTS. GAS LOG SETS REFRIG. SYSTEMS PLUMBING r BAT14TUBS LAVS Bathroom Sinks (or Tub/Shourer Combo) I ) DISHWASHERS RAINWATER SYST DRINKING FOUNTAINS SHOWERS ELECTRIC WATER HEATERS SINKS HOSE BIBBS SUMPS URINALS MISC (Describe) VACUUM BREAKERS WATER CLOSETS (roij�q 1 WASHING MACHINES 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 aim (includlit�e'aosts, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any per on, including the dersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of th ty, inc ding its !T d employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE (Tit)e' RELATIONSHIP TO PROJECT o Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other P01 o NEW ❑ ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES KNO BASIC PLAN? ❑ YES )q-wO ZONING DESIGNATION 5 '� .`j/ CHANGE OF USE? ❑ YES >00 NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES Xto Bulletin #100—January 1; 2007 Page 2 of k\Handouts\Permit Application i• z ffi < < D C -b z - L < LU 0 Lli 3: ry I > < 59 z Lij < < < ry Z z F15:�j z CZ) pof LLJ m r) M <%, �> z C,), 0 < r-) C) :� Lu 2 1. -, u 0 < LA I-- = 0 < Lu Lu ui 0 0 U I-- z 0 m < y r) — C\j n C) I E < U) U) _j LLJ < z L.0 cr 0 0 0 :0 05 -4 CSO < < n 0- n < Lu 11 <� LL 77 z 0 ui di (D o 0� 0 u > Lij 0 0 F -- z 0 Q!� < 0 0 uj w 0 0 < < U) LIJ z 0 ll� C) O C� u 3: Q) C/) C\j < � 2: CL EL EL ry n n i-- u U) (/) C/) LLJ C) a � < < >: L L -0 W Z n W LL_ Z- W. < croa - 0 uj < C) m U- Lijozz, Z< C/) > LL V) ch . <,� FZ- < Z z 0 C/) z ZO oz:), 11 LD _j 0 ry 7' (.D 2 ()\ LL Lj- LL L'i 0 < z 0- 3: w < U) C/) U) o" a u tz -u = CO U) cl) r- 0- �Wow<�� . � i m K) \0 .... ..... . - N r- r, c\j c� W 0 < 7u� rl- r- 0 0 0=,� 0 F- z 0 0 z C) -i (D ry u (D r, --i co c\j to \0 K) --T w 0 z W 0 < z z C) < (M M.,S9,6-'7.79S-) =,OOc6Sll < O Na <.< >.< LLJ U u 00,091 7T— 7�7- 77\7 7 A x < x x C) < 7 X x\ LU LU R, N" 'N" Z, C) c) C:) — 0' ul� 0 ow 3. G, 00 Lo N\ C> W w I i i I \.\ �\ p �\ U� C7) (8) 8 Lo 0 zi W\\\. LO C) U 0 C> 0 C)0 O, (Z> �\M`ffl IL X� C) ❑ LO LU D M\ m \\ N z N �J�IVF -�T H�MDI tt u LL"I N\\\ alalae� < I NA C> c� 7 z (D xk XT18 -Q- Lo L9 X,ow i x x LU 00.191 Lo A w D zz� z L��V) �K�99,�6+7o+79S 9�191 I- F.-- -0 < 03 ------------ ;'Ill IT'7-129 Z\l