07-100511a
— City of Federal Way
community Development Services Building - Single Family Permit #• 07-100511=00-S F
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: LAKOTA CREST LOT 21
Project Address: 31024 IST AVE SW parmber: 416680 0210
Project Description: NEW - Construct a new 2 -story, 2,534 sqft residence t sqentry and 582
sqft attached garage, includes plumbin echani * * est sales price
$400,000*** Basic Plan 0133�1 , '
Owner
Con rac r
Lender
LAKOTA CREST LLC
LYINC
YLE H E INC
H E STREET BANK
325 118TH AVE SE SUITE 300
tAcan
160111UITE
EHI*954MM 7/1
601 UNION ST
BELLEVUE WA 98005
BELL4
1 1 114TH AVE SUIT 00
SEATTLE WA 98101
Zoning Designation ...............................................
RS 5.0
VUE WA 980
0
Census Category: loglrFamily House
Includes:
# 1 % 1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Yes
Floor Areas . ft.
3,218 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor....................1298
New / Additional Sq. Feet - 2nd Floor ...................
1236
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................
3116
Occupancy # 1 - Use...............................................Residence
(1 or 2
family)
Zoning Designation ...............................................
RS 5.0
New / Additional Sq. Feet - 3rd Floor ...................
0
Occupancy # 1 - Area (Sq. Feet).............................3218
New / Additional Sq. Feet - Basement ...................
0
Basic Plan?...........................................................
No
Occupancy # 1 - Construction Type ........................
Type V - B
New / Additional Sq. Feet - Deck..........................0
New / Additional Sq. Feet - Garage .......................
582
Mechanical to be Included?...................................Yes
Occupancy # 1 - Class .............................................
R-3
Mechanical Fixtures
Fans................................................ 4 Furnaces......................................... 1 Gas Logs........................................ 1
Ranges............................................ 1 Hot Water Tank............................. 1
Plumbing Fixtures
Bathtubs ......................................... 2 Dishwashers................................... 1 Laundry Washer Outlets................ 1
Lavatories.........................WMEPSOu'nday.,
4 Sh... ................ 1 Sinks.............................................. 1
Water Closets ........... ......b.. ...... ............. 2
February 8, 2009
Permit Issued on Thursday, February 8, 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 accords .ce with the laws, rules and regulations of the State of Washington
th 'ty of Federal Way.
Owner or agent: C --.t -AL Date:
i
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: LAKOTA CREST LOT 21
Address: 31024 IST AVE SW
Permit #: 07 -100511 -00 -SF
Includes:
#1 #2 43 94
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.) 1
3,218 0 0 0
Owner Name: LAKOTA CREST LLC
Owner Address: 325 118TH AVE SE SUITE 300
BELLEVUE WA 98005
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 guaraptees 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
THIS CARD IS TO REMAIN ON-SITE
CITY CF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -100511 -00 -SF
Owner: LAKOTA CREST LLC
Address: 31024 1 STAVE 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.
Date
❑ Temp. Erosion Control (4365)
❑
Footings/Setback (4110)
Approved to install roofing
❑ Foundation Wall (4115)
To be done prior to breaking ground
By
Approved to�jI ce concrete
Approved to place concrete
By Date
By
Date _. t _ Cs, --I
By Date _ CS
❑ Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to backfill
Approved to cover
Approved to place concrete
By Date 3_ �Z ..o`�
%By
Date
By Date
❑
Underfloor Framing (4285)
Approved to sheath floor
By
Date
❑
Roof Sheathing (4220)
❑
Approved to install roofing
By
117;f_ Date
] Floor Sheathing (4105) ❑ Shear Walls (4245)
Approved to install flooring Approved to install siding
By /51 Date.*/3��/7 By Date Date 413
❑ Rough Plumbing (4230) 110
Approved
By i .,j Date
By
Mechanical Rough -in (4165)
Approved
❑ Piping ( ) ❑ P ( ) NOTE: P — d ---
Gas Pl In 4125 Fire/Draft Stops 4095 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 Dat 7 p-7 ByDate Zp �Q signed -off and approved. IBC 109.3.4/UBC 108.5.4'
❑ Framing (4120)
Approved to insulate
By C Date 07
❑ Final - SWM (4375)
Approved
By Date
❑
Insulation (4150)
Approved to install wallboard
By
Date!Z/
❑
Final - Mechanical (4065)
Approved
By
Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved Approved
By Date By Date
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By p,/G �// Date
❑ Final - Plumbing (4075)
Approved
By o1i Date6 — Z I - a
` 0 -1 I
CITY OF 'A
Federal way t-ECEC� PERMIT
COMMUNITY DEVELOPMENT SERVICES // �y
SOUTH - PO BOX
33325253-83S AVENUE607FAX 253-8 . 7609 718h - �y hh APPLICATION n P T T C A T I O N
FEDERAL WAY, WA 98063-9718 . `'� p r �/ 1
wuotoxitim/fiederalujaw.com
com
rFMFCOMEELPLDEEN
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS C� a Ll 1'S]: r^Ar,—, icy() Fep�t. W } y�A SUITE/UNIT #
ASSESSOR'S TAX/PARCEL. �' �/ LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) On c;�J- c r- L AkoM C,r$•r•
(Attach separate page for lengthy legal description)
PROJECT• 1
TYPE OF PERMIT
BUILDING LUMBING CI'MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on this permit onlUl
PROJECT NAME (Name of Business or Owner Last Name) •-A P31 4 L•µ'sr �`� �:
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
COPY of card -
quid
rlth aao h application
APPLICANT
PROJECT
CONTACT
LENDER
NAME
C.�41�.c' GRIST L -(.-L
PRIMARY PHONE
(4ts) (o% -(Al
MAILING ADDRESS CITY, STATE, ZIP
'57-5 -- 11$4 AVC Stet. 3o P,a"Wir w4. 00S
E-MAIL ADDRESS
COMPANY NAME
L. Ljr
APPLICANT NAME
E:f4 L CVJ .
OFFICE PHONE
ft4r )&4to
-(At-4-
MAILING ADDRESS
37- • i
CITY, STATE, ZIP
B MLC W-4. 0009-
CELL PHONE
)W1
-Zig a
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
FAX NUMBER
(tib' 44(,
ZoOG IC3051
l Z- S1 -04o
(4 7.51 tdye
- G313
CONTRACTOR'S REGISTRATION NUMBER
LY LE' N -z IR 5y
EXPIRATION A
-
COMPANY NAME
yLjr
APPLICANT NAME
OFFICE PHONE
M 7ILI�N+.O. ADDRESS
>7 _
C! c 1� �
Ver c 4+4
CITY, STATE, ZIP �A,/�
� L� 4. qgopc
C.E�LLL PHONE
U* z& 1
- tog0
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent Other �dIRT Q_W—
FAX NUMBER
(tib' 44(,
NAME PRIMARY PHONE TG �f"Il IMAILADDRESS
ZOG V -'P
NAME Per RCW 19.27.095:
RamcKLenderinformation is required ifproject value exceeds $5,000
MAILING ADDRESSCITY, STATE, ZIP PHONE
Z1000 -rwo a A• O1 ( ) 5N5" Z {
EXISTING USE PROPOSEDUSE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $_ W! 05CI
SPRINKLERED BUILDING? ❑ YES K NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES NO
WATER SERVICE PROVIDER tj LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER VFALAKEHAVEN 0 HIGHLINE 0 PRIVATE ISEPTICI
•
PROJECT ••-
AREA DESCRIPTION
AREAS
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
FIRST
BASIC PLAN?
`
o NO
SECOND
/ Z
o YES
THIRD
NEW ADDRESS REQUIRED?.
o YES a NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT?
DECK ((COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
/ 0'Z_
a NO
GARAGE A CARPORT ❑ `.
NUMBER OF FLOORS exwaTixa PROros6O TOTAL TOTAL X=r1NQ sru ossn sr TOTAL Sr
l'�
••NEW HOMES ONLY" NUMBER OF BEDROOMS & ESTIMATED SELLING PRICE $ �(CO . � D
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 --f
Value of Mechanics( Work $ ` (ACOP 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 FIREPLACE INSERTS HOODS (Commerci�q
COMPRESSORS FURNACES _L RANGES
DUCTS �_ GAS LOG SETS REFRIG. SYSTEMS
PL 21NG
BATHTUBS (orTub/shower combo) i LAVS IeaOvoom sWcy URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS jloileq.
ELECTRIC WATER HEATERS I SINKS'_ WASHING MACHINES
2+ HOSE BIBBS SUMPS
I cert{ fy under penalty of perjury that the i>;/ormation 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 elaim,(including costs, expenses, and attorneys' fees Incurred in the investigation and defense of
such cluing, which may be made by,any person, Including the undsrsigned, and filed against the City of Faderdl Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the ia'{formation supplied to the city as a part of
this application. 'Q
NAME/TITLE. "00�' DATE �I
(Signature) [ritk)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor 17 Architect Other �.Qinn r_ mat -44M.,
Bulletin # 100 —January 1, 2006
Page 2 of 4.
k\Handouts\Permit Application
a NEW o ADDITION.
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?.
o YES a NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a I=
a NO
Bulletin # 100 —January 1, 2006
Page 2 of 4.
k\Handouts\Permit Application
PERMIT: 07-100511 -00 SF
- - ADDRESS: 31024 1ST AVE SW
PROJECT: NEW SINGLE FAMILY
OWNER: LAKOTA CREST LOT 21
DATE: 1/30/07
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