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06-102097
City of Federal Way Buillng - Single Family Permt; 06-102097-03-S Community Development services g yPer 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: CANNON Project Address: 30700 19TH AVE S Parcel Number: 092104 9104 Project Description: ADD - remove existing carport and build a 704 sq/ft, 3 -car garage attached to home. Addition to kitchen of 168sq/ft, addition to dining room of 45 sq/ft and resurface the deck including new railings. **Revised (1) on 6/13/06 garage footprint and size to 740 sqft, to deal with sewer easement.**Revised (2) 08/08/2006 to show exterior walls on main floor to be replaced with correct framing** REVISION (3) 10/18/2006 revision for interior alterations to lower level for replacement of existing ducts, walls, drywall and insulation ** Owner Applicant Contractor Lender ROBERT L CANNON ROBERT L CANNON HIATT CUSTOM HOMES WELLS FARGO MELANIE CANNON 30700 19TH AVE S HIATTCHO74J3 (8/12/06) 16644 W BERNARDO DR SUITE 101 30700 19TH AVE S FEDERAL WAY WA 98003 36122 51 STAVE S SAN DIEGO CA 92127 FEDERAL WAY WA 98003 AUBURN WA 98001 Census Categpry 434 odes: # 1 ft.) I 1 1 alt/add - no change in number of units #2 Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................213 New / Additional Sq. Feet - Other.........................0 New / Additional Sq. Feet -Total .......................... 953 Zoning Designation ............................................... RS 7.2 New / Additional Sq. Feet - 3rd Floor...................0 New / Additional Sq. Feet - Basement...................0 New / Additional Sq. Feet - Deck..........................0 Mechanical to be Included?...................................Yes #4 Occupancy # 1 -Class ................................. ........... .R-3 Plumbing to be Included?......................................Yes Occupancy #I - Use.. . ............................................ Residence (1 or 2 family) New / Additional Sq. Feet - 2nd Floor...................0 Occupancy # 1 - Area (Sq. Feet).............................1290 Occupancy #I - Construction Type ........................Type V- B New / Additional Sq. Feet - Garage .......................740 Mechanical Fixtures Ducts .............................................. 3 Fireplace Inserts............................. 1 Gas Logs........................................ 2 Gas Pipe Outlets ............................. 1 Hot Water Tank............................. 1 Plumbing fixtures Dishwashers................................... 1 Hose Bibbs..................................... 2 PERMIT EXPIRES Sunday, October 26, 2008 Permit Issued on Thursday, October 26, 2006 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 agen Date: Federal Way Development BuillIn - Single Family Permit #: 06 -102097 -01 -SF 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: CANNON Project Address: 30700 19TH AVE S Parcel, Number: 092104 9104 Project Description: ADD - remove existing carport and build a 704 sq/ft, 3 -car garage attached to home. Addition to kitchen of 168sq/ft, addition to dining room of 45 sq/ft and resurface the deck including new railings. Revised on 6/13/06 garage footprint and size to 740 sqft, to deal with sewer easement. Owner Applicant Contractor Lender ROBERT L CANNON ROBERT L CANNON HIATT CUSTOM HOMES WELLS FARGO MELANIE CANNON 30700 19TH AVE S HIATTCHO74J3 (8/12/06) 16644 W BERNARDO DR SUITE 101 30700 19TH AVE S FEDERAL WAY WA 98003 36122 5IST AVE S SAN DIEGO CA 92127 FEDERAL WAY WA 98003 New / Additional Sq. Feet - 2nd Floor ................... AUBURN WA 98001 New / Additional Sq. Feet - 3rd Floor...................0 Census Category: 434 - Residential alt/add - no change in number of units Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................213 Occupancy # 1 - Class ...................................... ...... .R-3 New / Additional Sq. Feet - Other.........................0 Plumbing to be Included? ............................ ......... Yes New / Additional Sq. Feet - Total .......................... 953 Occupancy #I - Use .......................................... ..... Residence (1 or 2 family) Zoning Designation................................................RS 7.2 New / Additional Sq. Feet - 2nd Floor ................... 0 New / Additional Sq. Feet - 3rd Floor...................0 Occupancy # I - Area (Sq. Feet) ..................... ........ 1290 New / Additional Sq. Feet - Basement...................0 Occupancy # I -Construction Type....................... Type V- B New / Additional Sq. Feet - Deck..........................0 New / Additional Sq. Feet - Garage ....................... 740 Mechanical to be Included?...................................Yes Mechanical Fixtures Ducts .............................................. 3.00 Fireplace Inserts............................. 1.00 Gas Logs........................................ 2.00 Gas Pipe Outlets ............................. 1.00 Hot Water Tank............................. 1.00 Plumbing Fixtures Dishwashers ................................... 1.00 Hose Bibbs..................................... 2.00 PERMIT EXPIRES Friday, June 20, 2008 Permit Issued on Tuesday, June 20, 2006 I hereby certify that the above i formation is correct and that the construction on the above described property and the occupancy and t e us ill be in accordance with the laws, rules and regulations of the State of Washington a of F deral Way. Owner or agent: Je'eDate: City of Federal Way Community Development Services Builing - Single Family Permit #: 06 -102097"02 -SP'' 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: CANNON Project Address: 30700 19TH AVE S ` ; Parcel Number: 092104 9104 Project Description: ADD - remove existing carport and build a 704 sq/ft, 3 -car garage attached to home. Addition to kitchen of 168sq/ft, addition to dining room of 45 sq/ft and resurface the deck including new railings. **Revised (1) on 6/13/06 garage footprint and size to 740 sgft, to deal with sewer easement.* *REVISED (2) 08/08/2006 to show exterior walls on mair floor to be replaced with correct framing** Owner Applicant Contractor Lender ROBERT L CANNON ROBERT L CANNON HIATT CUSTOM HOMES WELLS FARGO MELANIE CANNON 30700 19TH AVE S HIATTCHO74J3 (8/12/06) 16644 W BERNARDO DR SUITE 101 30700 19TH AVE S FEDERAL WAY WA 98003 36122 51 ST AVE S SAN DIEGO CA 92127 FEDERAL WAY WA 98003 New / Additional Sq. Feet - 2nd Floor AUBURN WA 98001 New / Additional Sq. Feet - 3rd Floor...................0 Census Category: 4,314 -,Residential alt/add - no change in number of units i #I 1 #2 1 #3 x_ L _#4 Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................213 Occupancy # 1 - Class ............................................. R-3 New / Additional Sq. Feet - Other.........................0 Plumbing to be Included? ...................................... Yes New / Additional Sq. Feet - Total .......................... 953 Occupancy # 1 - Use...............................................Residence (1 or 2 family) Zoning Designation................................................RS 7.2 New / Additional Sq. Feet - 2nd Floor ................... 0 New / Additional Sq. Feet - 3rd Floor...................0 Occupancy #I - Area (Sq. Feet).............................1290 New / Additional Sq. Feet - Basement...................0 Occupancy #1 - Construction Type ............ ........... :Type V - B New / Additional Sq. Feet - Deck..........................0 New / Additional Sq. Feet - Garage ....................... 740 Mechanical to be Included?...................................Yes Mechanical Fixtures Ducts .............................................. 3 Fireplace Inserts............................. 1 Gas Logs........................................ 2 Gas Pipe Outlets ............................. 1 Hot Water Tank............................. 1 Plumbing Fixtures Dishwashers ................................... 1 Hose Bibbs..................................... 2 PERMIT EXPIRES Friday, August 22, 2008 Permit Issued on Tuesday, August 22, 2006 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 h ty of Federal Way. Owner or agent: Date: L, Z L7 CITY OF Federal Way THIS CARD IS TO VJMAIN ON-SITE , , Community Development Inspection Record IVR INSPECTION REQUEST PHONE # (253) 835-3050 Z_ PERMIT #: 06 -102097 -0l, -SF Owner: ROBERT L CANNON Address: 30700 19TH AVE S FEDERAL WAY, WA 98003-5103 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) To be done prior to breaking ground By Date ❑ Drainage/Downspout (4040) //j Approved to backfill U Y B L/Date(0-0 - Footings/Setback (4110) Approved to place concrete By M_4C- Date Plumbing Groundwork (4190) Approved to cover By Date Foundation Wall (4115) Approved to place concrete By %� Date Slab/Concrete Floor (4255) Approved to place concrete By Date ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Approved to sheath floor Approved to install flooring By Date - Q6 By Date By ❑ Roof Sheathing (4220) Approved to install roofing d By Date i® ❑ Gas Piping (4125) Approved to release test By 141- Date q //5), ❑ Framing (4120) Approved to insulate ByDate ®i•Z�. p ❑ Rough Plumbing (4230) /, / Approved By 6W Date !4�&/Cy ❑ Fire/Draft Stops (4095) Approved By /,=/_ Date • Zg • 0 Shear Walls (4245) Approved to install siding 11 /— Date oloi Mechanical Rough -in (4165) Approved By /—y " Date NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be igned-off and approved. IBC 109.3.4/CIBC 108.5: ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to install wallboard Approved to install mud & tape By C_." ✓ Date/ p - 3 . 0 ,fo By Date ❑ Final - SWM (4375) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) Approved By Date ❑Temp. Erosion Maintenance (4370) Approved By Date THIS CARD IS TOMAIN ON-SITE CITY OF ommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -102097 -00 -SF Owner: ROBERT L CANNON Address: 30700 19TH AVE S FEDERAL WAY, WA 98003-5103 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) ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By Date By Date By Date ❑ ❑ Drainage/Downspout (4040) Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ Underfloor Framing (4285) Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ ❑ Roof Sheathing (4220) Rough Plumbing (4230) ❑ Mechanical Rough -in (4165) Approved to install roofing Approved Approved By Date By Date By Date ❑ ❑ Gas Piping (4125) Fire/Draft Stops (4095) NOTE: 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 Date By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ ❑ Framing (4120) Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date By Date ❑ ❑ Final - SWM (4375) Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved By Date By Date THIS CARD IS TO nUMAIN ON-SITE CITY OF tommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -102097 -01 -SF Owner: ROBERT L CANNON Address: 30700 19TH AVE S FEDERAL WAY, WA 98003-5103 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) ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By Date By Date ",7/ By F� Date Z/ C. ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By G' Date % By Date By Date ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By 4C,4j Date 29 Q` By Date By Date ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) ❑ Mechanical Rough -in (4165) Approved to install roofing Approved Approved By Date E4 By Date By Date ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) to scheduling a Framing (4120) Approved to release test Approved ctrical, Plumbing & Mechanicalire/Draft Stop inspections must beproved. E By Date By Date IBC 109.3.4/UBC 108.5.4 ❑ Framing (4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date By Date ❑ Final - SWM (4375) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved By Date By Date THIS CARD IS TOMAIN ON-SITE CITY OF tommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -102097 -02 -SF Owner: ROBERT L CANNON Address: 30700 19TH AVE S FEDERAL WAY, WA 98003-5103 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) ❑ ❑ Footings/Setback (4110) Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By Date By Date By Date ❑ ❑ ❑ Drainage/Downspout (4040) Plumbing Groundwork (4190) Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ ❑ Underfloor Framing (4285) Floor Sheathing (4105) Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By /� Date V_zy/a,,� ❑ ❑ ❑ Roof Sheathing (4220) Rough Plumbing (4230) Mechanical Rough -in (4165) Approved to install roofing Approved Approved By Date By Date By Date 4?/ZZ/IV Gas Piping (4125) ❑ Fire/Draft Stops (4095) NOTE: 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 444 Date?By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 �f— U Framing (4120) Approved to insulate By Date ❑ Final - SWM (4375) Approved By Date ❑ Insulation (4150) Approved to install wallboard By �fAj Dateld`311.1 ❑ 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 Date ❑ Final - Plumbing (4075) Approved By Date THIS CARD IS TO R L MAIN ON-SITE' ` CITY OF tommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -102097 -03 -SF Owner: ROBERT L CANNON Address: 30700 19TH AVE S FEDERAL WAY, WA 98003-5103 '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. Approved inspection; Electrical, Plumbing & Mechanical ❑ Temp. Erosion Control (4365) Rough -in and Fire/Draft Stop inspections must be ❑ Date Framing (4120) Approved to insulate ❑ Date /40 Z Insulation (4150) Approved to install wallboard Footings/Setback (4110) Foundation Wall (4115) Date Zoo 27 10t17 Final - SWM (4375) To be done prior to breaking ground Date I 710e, Final - Mechanical (4065) By Date ❑ Final - Plumbing (4075) Approved to place concrete Approved Approved to place concrete By Date By By Date By Date ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) ❑ ❑ ❑ Drainage/Downspout (4040) Plumbing Groundwork (4190) Slab/Concrete Floor (4255) By Approved to backfill Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ ❑ Underfloor Framing (4285) Floor Sheathing (4105) Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ ❑ ❑ Roof Sheathing (4220) Rough Plumbing (4230) Mechanical Rough -in (4165) Approved to install roofing Approved Approved By Date By Date By Date ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) NOTE: 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 ❑ Date Framing (4120) Approved to insulate By ❑ Date /40 Z Insulation (4150) Approved to install wallboard signed-ofTand approved. IBC 109,3.4/UBC 108.5.4' ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape By ❑ Date Zoo 27 10t17 Final - SWM (4375) By ❑ Date I 710e, Final - Mechanical (4065) By Date ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date 41rl By Date _T/dr, ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved By ate G� / 6 By Date t tTY o�- — Z federal way RECEAD PERMIT COMWNirrDEVELOPMENT SERVICES 6F CO ME EL PL DE EN FP 33sl58TMAVENUE •POBOX 9718ARR 2 7 2A6PPLI Cmok Ab ATI O N A FEDERAL WAY FAX 98063-9718 98063 153 8351607• FAX 153-835-260-260 9 A�(, u: a iit�� Ic Lr±vll3aom Ctl"Y OF FEDEIiA1.WAY VL 49 The following is regui$tpj1i0NfiW)j*, an incomplete application will not be accepted. Please print legibly (in ink) or tune. SITE ADDRESS 3 © %� ! 'e' ue---; ASSESSOR'S TAX/PARCEL $ C 07 Zcl C O LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 0-1 Z 104 – SUITE/UNIT $ LOT SIZE (sfi • lv"5 4L (Attach separate page for Iertgthy legal dm&iption) �PROJECT•' • k - TYPE OF PERMIT kBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlul PROJECT NAME (Name of Business or Owner Last Name) PEOPLE•• • PROPERTY NAME PRIMARY PHONE OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE EXISTING ASSESSED/APPRAISED VALUE 1$ SPRINKLERED BUILDING? ❑ YES ;1NO WATER SERVICE PROVIDER /LAKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK $$ —4 s�– FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES Ii O ❑ HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) MAILING ADDRESS © f�7U CITY, STATE, ZIP FE� jC/OMPANY NAME APPLICANT NAME /OFFICE PHO�N�E-7 MAILING ADDRESS ✓ CITY, STATE, ZIP CELLPHONE FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE r C. H a-7-1 COMPANY NAME PPLICANT NAME OFFICE PHONE J ('-' A,. MAILING ADDRESS CITY, ST E,ppZIP `` t CELLPHONE LATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) ( ) - NAME'T (/ ;Z 1 C214) PRIMARY PHONE - E-MAIL ADDRESS Per RCW 19.27.098: Lender information is NAME required if project value exceeds $8,000 CITY, STAT , ZIP PHONE leo 2 Z ( ) - MAILING ADDRESS �f4l yS� s'i1. lQN �?c �Q .ifs d EXISTING ASSESSED/APPRAISED VALUE 1$ SPRINKLERED BUILDING? ❑ YES ;1NO WATER SERVICE PROVIDER /LAKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK $$ —4 s�– FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES Ii O ❑ HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SO. FT. TOTAL SQ. FT. BASEMENT DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS FIRST WASHING MACHINES URINALS HOSE BIBBS SECOND VACUUM BREAKERS ELECTRIC WATER HEATERS THIRD ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO FOURTH ❑ YES o NO PLATTED LOT? o YES o NO ADDITIONAL FLOORS (DESCRIBE) ❑ YES ❑ NO DECK(COVERED?) GARAGE V CARPORT ❑ CA 1 d 70 F/ TPOOLD NUMBER OF FLOORS PROPOMD TOTAL TOTAL WaSTDfa 8P TOTAL PRO BP TOTAL Sr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECFIAMCAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS BBQS FANS HOODS (commercw) BOILERS _ �_ FIREPLACE INSERTS RANGES COMPRESSORS FURNACES �� GAS WATER HEATERS DUCTS ' GAS PIPE OUTLETS PLUMBING BATHTUBS (m Tub/shower combo) SHOWERS WATER CLOSETS (Toilet) _ DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS pathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS REFRIG, SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I certify under penalty of perjury that the information furnished by Tree is true and correct to the best of my knowledge, and further, that I am authorised 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/TITLE v Z� DATE (Signature) (Title) i RELATIONSHIP TO PROJECT 'Owner ❑ Agent ❑ Contractor ❑ Architect In Other FOR OFFICEUSEONLY ❑ NEW ❑ ADDITION ❑ ALTERATION o REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? ❑ YES o NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? . ❑ YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet 4ubwoo Service or Feeder Each Add'n (First 1300 ft2- $107.50; Each add'n 500 ft2 - $34.50) ❑ 0 to 100 amp $117.00 $ 71.50 ❑ Detached outbuilding or garage ❑ 101 - 200 amp 145.00 91.50 (Inspected with service) $45.50 ❑ 201 - 400 amp 272.00 107.50 ❑ Detached outbuilding or garage ❑ 401 - 600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 601 - 800 amp 410.00 173.50 ❑ 801 - 1000 amp 500.50 209.50 NEW MULTI -FAMILY (three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $ 34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 - 400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 - 600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 - 800 amp - 254.00 136.00 ❑ Over 800 amp 364.00 272.00 Service or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE/MULTI FAMILY ❑ 201 - 600 amp 272.00 ❑ 601 - 1000 amp 410.00 Service or Feeder ❑over 1000 amp 456.50 L 0 to 200 amp, $ 89.50 ❑ 201 - 600 amp 145.00 ❑ # of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 circuits - $91.50; Add'n circuits, $7.00/ea) J.# of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits -$71.50; Add'n circuits $7.00/ea) $91.50 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK ResidentiaVKulti-Family $63.00 ❑ # of service or feeders (First service/feeder-$71.50; each add'n -$46.50) CommerciaWndustrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 71.50 ❑ 101 - 200 amps 91.50 ❑ 201 - 400 amps 107,50 ❑ 401 - 600 amps 145.00 ❑ over 600 amps 157.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats ❑ # of Signs (First -$53.50; add'n-$16.50/ea) I(First sign -$53.50; add'n sign $25.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub ................ $107.50 Square Feet to be served by system(s) (includes additional circuit, if required) ❑ Fire Alarm System ❑ Yard Pole meter loops ..................... $71.50 ❑ Security Alarm System ❑ Additional Pian Review $107.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling *Automation Fee on all Permits ., $5.00 ❑ (Per System(s) 1st 2500 ft2-$63.00; Each add'n 2500 ft2-16.50) *Per WAC 296-46-910(51(b)(i & ii) 2- 3av S c .y q I a4 Alio 3� goo ►��' q�,e.s. ��oa3 NXHiIiYT "A„ THAT PORTION OF THE NORTHWEST'A OF THE NORTHWEST ut OF SECTION 9, TOWNSHIP 21 NORTH, RANGE 4 EAST, WILLAMETTE MERIDIAN, IN KING COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: I BEGINNING A7 THE SOUTHWEST CORNER OF SAID SUBDIVISION; THENCE SOUTH B9° 50'17' EAST, ALONG.THE SOUTHERLY LINE, 1017,04 FEET; THENCE NORTH 00, 03' 43" WEST, 382 FEET TO THE TRUE POINT OF 8EGINNING; THENCE CONTINUING NORTH 00* D3' 43" WEST, 133 FEET; THENCE SOUTH 89° 50' 17" EAST 300 FEET; THCNCE SOUTHWESTERLY 328 FEET, MORD OR LESS, TO THE TRUE POINT OF BEGINNING, SITUATE IN THE CITY OF FEDERAL WAY, COUNTY OF KING, STATE OF WASH j1/N 'o 0 2006 OF MQ ®be `4 fav 30-70 sq 4CLnA wAY