06-105065I�
community Development Services Building - Single Family Permit #: 06 -105065 -00 -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: LAKOTA CREST LOT 33
Project Address: 164 SW 311TH PJ,_ x Parcel Number: 416680 0330
Project Description: NEW - Construct a new 2,533sgft, 2 -story, single-family residence with a 28sgft covered
entryway and a 617sgft attached garage, includes plumbing & mechanical. ***4
bedroom/Proposed sale price: $400,000*** BASIC #06-100434
Census Category: 101 - New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
_ _R-3
R-3
Construction Type:
Owner
Applicant
Contractor
Lender
New / Additional Sq. Feet - Total ..........................
Floor Areas . ft.)
LAKOTA CREST LLC
KATHY BRAY
LYLE HOMES, INC
HOMESTREET BANK
Plumbing Fixtures
family)
1601 114TH AVE SE SUITE 100
LYLE HOMES INC
LYLEHI*954MM 7/15/07
2000 TWO UNION 601 UNION ST
New / Additional Sq. Feet - 3rd Floor...................0
Laundry Washer Outlets................ 1
BELLEVUE WA 98004
1601 114TH AVE SE SUITE 100
1601 114TH AVE SUITE 100
SEATTLE WA 98101
New / Additional Sq. Feet - Basement ...................
0
Basic Plan?...........................................................
BELLEVUE WA 98004
BELLEVUE WA 98004
Type V- B
Occupancy 42 - Construction Type .......................
Census Category: 101 - New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
_ _R-3
R-3
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Yes
New / Additional Sq. Feet - Total ..........................
Floor Areas . ft.)
2,533
617 0 0
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC,
Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if
applicable.
Additional Permit Information
Mechanical Fixtures
New / Additional Sq. Feet - 1st Floor ....................1448
New / Additional Sq. Feet - 2nd Floor ...................
1085
New / Additional Sq. Feet - Other.........................0
1
Plumbing to be Included? ......................... .............
Yes
New / Additional Sq. Feet - Total ..........................
3150
Occupancy # I - Use...............................................Residence
(1 or 2
Plumbing Fixtures
family)
Occupancy 42 - Use...............................................Private
Garage
Zoning Designation ...............................................
RS 7.2
New / Additional Sq. Feet - 3rd Floor...................0
Laundry Washer Outlets................ 1
Occupancy # 1 - Area (Sq. Feet) .............................
2533
Occupancy #2 - Area (Sq. Feet).............................617
1
New / Additional Sq. Feet - Basement ...................
0
Basic Plan?...........................................................
Yes
Occupancy # 1 - Construction Type.......................
Type V- B
Occupancy 42 - Construction Type .......................
Type V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage .......................617
Mechanical to be Included? ...................................
Yes
Occupancy # 1 -Class .............................................R-3
Occupancy #2 - Class ..........................................
- R-3
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC,
Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if
applicable.
Mechanical Fixtures
Fans................................................
4
Furnaces.........................................
1
Gas Logs........................................ 1
Gas Pipe Outlets ............................
3
Hot Water Tank.............................
1
Plumbing Fixtures
Bathtubs .........................................
2
Dishwashers...................................
1
Laundry Washer Outlets................ 1
Lavatories......................................
5
Showers..........................................
1
Sinks.............................................. 1
Water Closets .................................
3
Hose Bibbs.....................................
2
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC,
Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if
applicable.
t -PER* EXPIRES Thursday, November 2008'
Permit Issued on Monday, November 20, 2006
1 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: Date:
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 33
Address: 164 SW 311TH ST
Permit 4: 06 -105065 -00 -SF
Includes:
41
42 #3 #4
Occupancy Class:
R-3
R-3
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Floor Area (sq. ft.)
2,533
617 0 0
Owner Name: LAKOTA CREST LLC
Owner Address: 1601 114TH AVE SE SUITE 100
BELLEVUE WA 98004
• • ERM
Z � c,
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.
' THIS CARD IS TO 'MAIN Or= SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105065 -00 -SF
Owner: LAKOTA CREST LLC
Address: 164 SW 311 TH ST
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.
❑ 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 GIi4Date /1/,? -7
/ Z-7Lez_
By
Date "� 4
By
Date/Z , /it. v
❑
Plumbing Groundwork (4190)
❑
Slab/Concrete Floor (4255)
❑ Drainage/Downspout (4040)
Approved to backfill
Approve to cover
Approved�p place concrete
By C, Date
By
Date
By
Date
❑
❑
Shear Walls (4245)
Floor Sheathing (4105)
❑ Underfloor Framing (4285)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By .� Date
By
L Date/ �'7 !1
By
Date ti• cD
❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230)
Approved to install roofing Approved
By �L Date' / 40 By �Date
❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095)
Approved to release test Approved
By 4l/// 51 aorte / /�ld By �6 Date Z. /17 k
❑ Framing (4120) ❑ Insulation (4150)
Approved to insulate Approved to install wallboard
By Date Q By A LA�ate yw
❑ Final - SWM (4375) ❑ Final - Mechanical (4065)
Approved Approved
By Cif Pte, Date ( By Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (42
Approved Approved
By Cr U.J Date H' 2—dl- cam% By Date
❑ Mechanical Rough -in (4165)
Approved
By Date
,c
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/tJBC 108.5.4
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑ Final - Plumbing (4075)
Approved
By Date
�a
RECEI)&r
Federal Way OCT p 5 2006pERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 D AVENUE , WA 9 • PO971 9718 i�LI CATI O N
FEDERAL wnx wn s6o63-s71s .�17Y OF FED
253-835-2607•FAX253-835-2609 BUILDIN T-
utmxitw fedemlunu.mm
— an
SITE ADDRESS
ASSESSOR'S TAR/PARCEL N
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
will not be
i
SF MF CO ME EL PL DE EN FP
ated. Please Print Ieaiblu lin inid Or tum.
SUITE/UNIT i
LOT SIZE NJ) C; ),
(Attach -V-ai• P.Wf., L-9ft k9W d—rpao4 V
PROJECT C/
TYPE OF PERMIT XBUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed dgscrt tton of work included on thistt n'l
W11
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
5E) Sit 11A jfkVU� fNf-
ip�4A AR W4
C MPANY AME �_- AP ICANTN F
LaQ AUL/)
OFFICE PHONE
• ^1. 1. 8 ,1� _ I ,' evw 0 4„
CELL PHONE
RELATIONSHIP TO PROJECT
Other
FAX NUMBE/R_
( )
13 Architect ❑ Tenant Agent [i (Describe)
01 �
LENDER Per RCW 19.27.01i5: Lender igformatTon is
required (%project value exceeds $5.000,
MAILING ADDRESS
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE $_
SPRI NKLERED BUILDING?
❑ YES 'KNO
WATER SERVICE PROVIDER
LAKEHAVEN
SEWER SERVICE PROVIDER
LAKEHAVEN
MW DOM
PROPOSED USE
VALUE OF PROPOSED WORK $ L � I
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES XNO
❑ HIGHLI NE o TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
t � �
AREA DESCRIPTION
EXISTING
SQ.FT.
PROPOSED
SQ. FT.
TOTAL
SQ.FT.
BASEMENT
❑ ALTERATION
o REPAIR o TENANT DAPROVEIMMNT
Old
FIRST
❑ YES ONO
G
❑ NO
SECOND
CHANGE OF USE? ❑ YES
❑ NO
THIRD
❑ YES D NO
UP/SEPA/SU? o YES
❑ NO
FOURTH
o YES ❑ NO
DEMO PERMIT REQUIRED? o YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?) 'Po
GARAGE ❑ CARPORT ❑
/L
NUMBER OF FLOORS
aim
..n.a m
�.
�mr�u.
��,
TMAL ra�vo r
—r.-- -
Tour.
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofJixtune to be Installed or relocated as part of this project Do not include exLsting j%xtures to remain.
MECHANICAL
Value of Mechanical Work $ i
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG, SYSTEMS
BBQS FANS HOODSWOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES �_ GAS WATER HEATERS
DUCTS "t GAS PIPE OUTLETS
PIING
BATHTUBS Jo TubiSho—r Combo) SHOWERS WATER CLOSETS MISC (Describe)
_ DISHWASHERS SINKS DRINKING FOUNTAINS
_ GAS PIPE OUI'LE15 SUMPS RAINWATER SYST
_ WASHING MACHINES URINALS HOSE BIBBS
LAVS (Bmh— SIM.) VACUUM BREAKERS ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the h&rmation furnished by me is true and correct to the best 4f 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, expanses, and attorneys' fees incurred in the investigation and d4Iense 4f
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 Rf the reliance of the city, including its q(jioers and employees, upon the accuracy of the iriformation supplied to the city as a part of
this application.
NAME/TITLEi/"C_./
(Signature) rnue) q
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent o Contractor o Architect ,,,Other
FOR OFFICE USE ONLY
o NEW ❑ ADDITION
❑ ALTERATION
o REPAIR o TENANT DAPROVEIMMNT
HUILDENG SMFAL ONLY?
❑ YES ONO
HABIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES D NO
UP/SEPA/SU? o YES
❑ NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED? o YES
❑ NO
Bulletin #100 - January 7, 2005 Page 2 of 4 k\Handouts\Permit Application
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