05-103252 I ' r
• . .. . .
City of Federal ay Building - Single Family Permit #: 05 103252 - 00 - SF
Community Development Services
F.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 ,, Inspection request line: (253) 835-3050
Project Name: KIRK
Project Address: 28401 15TH AVE S Parcel Number:720300 0435
Project Description: NEW-Construct a new 3,638sqft home with a 170 sqft deck and a 704 sqft attached garage,includes
plumbing and mechanical. ****4 bedroom/$450,000****
Owner Applicant Contractor Lender
VANZELL KIRK VANZELL KIRK RICHIE CONSTRUCTION WA DOT CAPITAL INC
28619 13TH AVE S 28619 13TH AVE S RICHIC*950NC 08/18/07 13751 LAKE CITY WAY NE SUITE:
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 1642 S 240TH ST SEATTLE WA 98125
SEATTLE WA 98198-8624
Includes:
Census category: 101 -New si #1 #2 #3 L #4
Occupancy Group: 1 R-3 U
r Construction Type: I Type V-B Type V-B
Occupancy Load: [ L
------
l Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 1771 2nd Floor Proposed Sq.Feet 1415
Basic Plan No Census Category 101 =New single family houst
Occupancy#2-Construction Type Type V B Deck Proposed Sq.Feet 170
Fire Sprinklers Required No Garage Proposed Sq.Feet 704
Height of Structure 23.5 Mechanical Yes
Occupancy#1-Class R-3 Occupancy#2-Class U
Other Proposed Sq.Feet 452 Plumbing Yes
Total Proposed Sq.Feet 4324 Zoning Designation RS 7.2
Plumbing Fixtures
Description Quantity Description Quantity Description - �i�Quan ty
Bathtubs 4 Dishwashers 1 Laundry Washer Outlets t
Lavatories 6 Other Plumbing Fixtures 2 -1 Showers 7— 1
Sinks 2 Sumps 1 7 Water Closets 4
Water Heaters 1
Mechanical Fixtures
Description Quantity Description (Quantity Description Quantity
Ducts 1 Fans 4 1 Fireplace Inserts 7717 2
Furnaces 6 Ranges 1
L
CONDITIONS:
*A Right Of Way permit will be required for frontage improvements and driveway approach. Please contact Kathleen
Messinger @ 253-835-2725.
Se A—r -ET) ,a cc, Z,Przat, 51/'7/4 (om)
1 10.. r t , / 1 r
• PERMIT EXPIRES April 11,2006.
Permit issued on October 13,2005
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 a in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / Date: /0 .7.S ' 0 Si
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform 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: KIRK Permit number: 05 - 103252-00
Address: 28401 15TH S
#1 #2 #3 #4
Occupancy Group: R-3 U
Construction Type: Type V-B 1 Type V-B --.
Occupancy Load:
Floor Area(Sq.Ft.): 1_
Owner VANZELL KIRK
Name: 28619 13TH AVE S •
Address: FEDERAL WAY WA 98003
rNK. yytim.lr+", C130 6 Z?- � C c
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 severely
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 it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
r
DATE , INSPECTOR AREA AND TYPE OFTtNSPECT ON,
/1/710 r rL( i iit/Puz../wsi-ki c,: 6/Are- v1e_f--
ewe"r 1 i-n cfr 7a
l7l27-/ .4-'r 6 p e-r M 77"c
` THIS CARD IS TO i' MAIN ON-SITE• . ' , ' .
CITY OF .. Itommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
•
PERMIT#: 05-103252-00-SF
Owner: VANZELL KIRK
Address: 28401 15TH AVE S
FEDERAL WAY, WA 98003 -
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.
El 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 , s' Date /0 2/ 61- , By -v Date /40,/g By 0'f Date I,01/2.0 s
FDrainage/Downspout •
(4040) •❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By / I Date G /..r/ By Date By Date
• .
Underfloor Framing(4285) El Floor Sheathing(4105) .0
Shear Walls (4245) ,
Approved to sheath floor Approved to install flooring / Approved to install siding
2 2-74 By 4Date
By ��i Date //�/��Q� By ( Date j (/9) F`1/�,
;O, Roof Sheathing(4220) ❑ Rough Plumbing(4230) i❑ Mechanical Rough-in (4 65)
Approved to install roofing w Approved Approved
By L *.k.;_.. Date \ --. .1, s , By .... Wl Date 2..a-f...06, .By Date"( -Zi -o-.
❑ Gas Piping(4125) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test ' Approved 02/Dr
inspection;Electrical,Plumbing&Mechanical
ino
Rough-in and Fire/Draft Stop inspections must be
By Date/ ' By Dat .., �" signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing (4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Appr ved to install mud&tape
By Date / By Date 3//y./0‘,/ B Date g '20 Op
gFinal- SWM (4375) ❑ Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By ;_ 'I ' ' Date 6j Qt By G(JDate 3-Z4'- j By / /..S/96...
"X Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
\ l
By C i Date 6 2 7 . 0 By 1)ate`f °f
CITY OF" ?),S — ---1-- LE SFederal Way 1Et - P
COMMUNTYDEVELOPMENT SERVICES PERMIT M T SF FCO ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 °✓L O 6 L U U- A T T C A Tor
253-835-2607•FAX 253-835-2609 1 1J j �/1 1T 1 N �, _ /
www.cittioffederalway.com {�
OF FEDERAL WAY ,� _ �
The ollowi • is re-tibieQYil '•Wan-an incom•tete a••lication will not be acce•ted. Please •rant le.ibl (in in or •e.
IN PROPERTY INFORMATION
SITE ADDRESS X/or •'r" / �A-
l✓ �/� �`1 r //�� LA/"i� SUITE/UNIT# -----
ASSESSOR'S TAX/• • ELS172. 0 3 0 cp - o V j S LOT SIZE(s) ;OK)91
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) 4-.0j 7-1" Z /7/ CK CAP.; j, /-yah// (.d tit.:
(Attach separate page for lengthy legal desenptionl
4 N- _' ■ PROJECT INFORMATION
TYPE OF PERMIT pc6UILDING 0 PLUMBING )(MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
-r75 Jv . •A- 3t!3 3C- .44warr
PROJECT NAME(Name of Business or Owner Last Name) 4w_-'d /` .
PEOPLE INFORMATION
PROPERTY NAME fPRIMARY PHONE
OWNER L/ /"� L.
� - �/eji. I (20C )7?7 -30 S
MAILING ADDRESS CITY,STATE,ZIP
J /l( '- /3 •�i 5.) i'''''.. :1),--1 4.4 (--.l./ t----)A- 7 -e.) „
CONTRACTOR COMPANY/'
NAMEfAPPLICANT NAME OFFICE PHONE
AN
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAXX NUMBER
-B L / / ( -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME
�� AAPPLICANT NAME OFFICE PHONE
.6G--1, -,�� ( -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME
PRIMARY PHONE 11 I E-MAIL AD ESS
& l/� k' ' (Zo:) 715- 3Q :)1—
LENDER 9 f > 3 //} //�, ��^
a er.. a ona ;aa NAME /� (7� %h/ ..Y!:
r � 4 'tom zr -�' ,�, �/!T' /�
MAILING ADDRESS CITY,STATE,ZIP
(;73/ L4,44 ( nom C.)/ (iZZZ •) T t2' 704/2-1.--
,
. ' . • • ■ DETAILED BUILDING INFORMATION .
EXISTING USE ( -r._�./40.1 ) PROPOSED USE ,S1:-/Z-- •- 7 2,®c:
EXISTING ASSESSED/APPRAISED VALUE $ a/00 0 VALUE OF PROPOSED WORK $ 2-e..2 0/ 0 c�l) r'`
SPRINKLERED BUILDING? 0 YES '174NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES I '-NO
WATER SERVICE PROVIDER �AKEHA/IVEN 0 HIGHLINE Cl TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER T7CLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
I.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT.Z SQ.FT.
BASEMENT
. :
FIRST I7 , 4°-? , +
SECOND ,
1 7 L r 7 - t
THIRD
FOURTH , •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) 11 0
GARAGE,in CARPORT 0 (f
7°V / 7
EXISTING PROPOSED TOTAL OT.C^XI$TING P .7L PROPOS.SP AL 6F ,
NUMBER OF FLOORS -2.- �, ?` # a 1/
**NEW HOMES ONLY** NUMBER OF BEDROOMS (2/ ' Fla not-,
ESTIMATED SELLING PRICE $ .:� ) J
FIXTURES
• _
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 i,
Value of Mechanical Work $ v v`-'
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS i REFRIG.SYSTEMS
BBQS Li FANS 4 HOODS(commersig WOODSTOVES
BOILERS '2,•••-^ FIREPLACE INSERTS 1 RANGES MISC(Describe)
COMPRESSORS FURNACES I GAS WATER HEATERS
9 DUCTS GAS PIPE OUTLETS
PLUMBING
1
"Z BATHTUBS or Tun/snowercameo) SHOWERS WATER CLOSETS(mast) MISC(Describe)
DISHWASHERS /� SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
° WASHING MACHINES URINALS •./ HOSE BIBBS
LAVS(BRtbroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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 ,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. 7
NAME/TITLE M2-4,1""" DATE ( a- (...7../-
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner 0 Agent 0 Contractor 0 Architect 0 Other
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application