12-101369• Cit#nilding - Singe Faliily
Community Federal
8 Econ. f3ev. Permit #: 12 -101369 -00 -SF
Services S
33325 8th Ave S
Federal way, WA 98003 FInspection Request Line: 253
Ph: (253) 835-2807 Fax (253) 835-2809 �ti ( ) 835-3050
Project Name: SAGHALIE FIRS LOT 1
Project Address: 34007 19TH AVE SW Parcel Number: 750380 0010
Project Description: NEW - Construction of a 2,219 sqft, 2 -story single family residence, with a 24 sgft covered
entry and a 399sgft attached garage, including plumbing and mechanical work. No deck.
""Proposed selling price is $290,000,5 bedrooms**** BASIC #11-100674
Census Category: 101- New Single Family House
Includes:
Owner
ARR111cant
Contractor
Lender
Type V - B
SSHI LLC DBA D R HORTON INC
SSRI LLC DBA D R HORTON INC
D R HORTON
SSRI LLC DBA D R HORTON INC
Occupancy # 1 -Use ............................................... Residence (1 or 2
12931 NE 126TH PL
12931 NE 126TH PL
DRHOR**963CS (8/3/12)
12931 NE 126TH PL
KIRKLAND WA 98034
KIRKLAND WA 98034
12931 NE 126TH PL
KIRKLAND WA 98034
KIRKLAND WA 98034
Census Category: 101- New Single Family House
Includes:
#1 #2 #3 #4
Occupancy Class.
R-3
Construction Type.
Type V - B
Occupancy Load-
oadFloor
Occupancy # 1- Class.............................................R-3
FloorAreas . ft.
2,642 1 0 1 0 0
Additional Pormlit 1Rformaftim
New / Additional Sq. Feet -1 st Floor .................... 996
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Basement...................0
Occupancy #1 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Garage .......................399
Occupancy # 1- Class.............................................R-3
Plumbing to be Included? ....................................... es
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
New / Additional Sq. Feet - 2nd Floor...................1247
Ogcupancy #I - Area (Sq. Feet).............................2642
BasicFlan?........................................................... No
New / Additional Sq. Feet - Deck. ......................... 0
Mechanical to be Included?...................................Yes
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total .......................... 2642
Zoning Designation...............................................RS 7.2
Mechanical Fbdurm
Fans ................................................ 4 Fireplace Inserts.............................. 1 Furnaces......................................... 1
Gas Piping ...................................... 4 Hot Water Tanks............................ 1
Phirnbing Rctures
Bathtubs ......................................... 2 Dishwashers................................... 1 Laundry Washer Outlets................ 1
Lavatories ....................................... 4 Other Plumbing Fixtures................ 1 Showers.......................................... 2
Sinks ............................................... 2 Water Closets................................. 3 Hose Bibbs..................................... 2
CONDITIONS:
1) No final inspection or C of O until all PW punchlist items, including final asphalt overlay, are complete.
PW sign -off required.
S �GSJ ��,v
PESIT EXPIRES Tuesday, October 2&12 I(,
—Permit Issued on Thursday, April 6, 201
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 three City of Federal Way. / /
Owner rpaC��✓ I� t Date: �J /
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 Chy staff.
Tenant Name: SAGHALIE FIRS LOT 1
Address: 34007 19TH AVE SW
Permit #: 12 -101369 -00 -SF
Includes.
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Areas . ft.)
2,642 0 0 0
�USr
Owner Name: SSHI LLC DBA D R HORTON INC
Owner Address: 12931 NE 126TH PL
Building
KIRKLAND WA 98034
S-20-
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 sevedy 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 otherperson 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 ON-SITE
cr"oF Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 12 -101369 -00 -SF Address: 34007 19TH AVE SW
Project: SSHI LLC DBA D R HORTON INC FEDERAL WAY, WA 98023
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.
Foundation Wall (4115)
Approved to place concrete
By-'� C S Date s' l �L'
Slab/Concrete Floor (4255)
Approved to place concrete
By Date
Drainage/Downspout (4040) Plumbing Groundwork (4190)
Approved to backfill Approved to cover
By Date S'"�/!�(��2 By Date
❑ Underfloor Framing (
Approved to sheath floor
By IC-(,t�e-' Date
Roof Sheathing (4220)
� Approved to install roofing
By f C / Date (0- 7_1z_
Gas Piping (4125)
Approved to release test
LS Date _ (S
Prior to scheduling a Framing inspection;
Electrical, Plumbing &Mechanical Rough -in and
Firelimft Stop inspections must be signed -off and
approved. IBC 1093.4
( Floor Sheathing (4105)
Ct Approved to install flooring
By Date �,- -7- / Z_
Rough Plumbing (4230)
Approved
By 142� Date (p /Z
0 Fire/Draft Stops (4095)
Approved
By Date - /Z
Framing (4120)
Approved to insulate
By 10 c Date
Shear Walls (4245)
0 Gypsum Wallboard Nailing (4130)
Approved to install siding
By- -
..Date
Approved to install mud & tape
Mechanical Rough -in (4165)
Approved
Approved
By-: G
Date
By
0 Interim Erosion Control (4370)
By
Approved
By
Date 4�0/C yt?_
Drainage/Downspout (4040) Plumbing Groundwork (4190)
Approved to backfill Approved to cover
By Date S'"�/!�(��2 By Date
❑ Underfloor Framing (
Approved to sheath floor
By IC-(,t�e-' Date
Roof Sheathing (4220)
� Approved to install roofing
By f C / Date (0- 7_1z_
Gas Piping (4125)
Approved to release test
LS Date _ (S
Prior to scheduling a Framing inspection;
Electrical, Plumbing &Mechanical Rough -in and
Firelimft Stop inspections must be signed -off and
approved. IBC 1093.4
( Floor Sheathing (4105)
Ct Approved to install flooring
By Date �,- -7- / Z_
Rough Plumbing (4230)
Approved
By 142� Date (p /Z
0 Fire/Draft Stops (4095)
Approved
By Date - /Z
Framing (4120)
Approved to insulate
By 10 c Date
Insulation (4150)
0 Gypsum Wallboard Nailing (4130)
0 Final Erosion Control (4375)
Final Electrical
Approved
Approved to install wallboard
Approved to install mud & tape
Right of Way
Approved
By
Date (Q
By / Date 6 .,0? l2
By
Date
By
Date
Final -Mechanical (4065)
0 Final -Plumbing (4075)
❑
Final - Building (4050)
Approved
Approved
Approved
By^
Date - 3- t 2.
�C Date?, _P!—/Z
By ar
Date _ _L
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
eraiway RECEIV D PERMIT
Fed
MF CO ME PLDE EN FP b
COMMu-,,YDEVrdC uvasERvicMAR 2 7 2A'PLICATION a
253-835-2607'
ssa3,s•asor PAX 253435-2609
CITY OF FEDERAL WAY
SITE ADDRESS
SMTE/UNIT #
34007 19th Avenue SW
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
7 5 0 3 8 0- 0 0 1 0
TYPE OF PERMIT
X BUILDING X PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
/Tenant Name/HonmwnerLast Name)
Saghalie Firs Lot 01
PROJECT DESCRIPTION
Detailed description of work to
New Construction - Single Family Residence
Under Basic Plan 3720 - 11 -100674 -00 -SF
be included on flys permit only
NAME
PRUTARY PHONE.
PROPERTY OWNER
SSHI LLC dba D.R. Horton
425 821-3400
#lAILMG ADDRESS
Z-MAIL
12931 NE 126th Place
CITY
Kirkland
STATE
WA
ZIP
98034
NAM
Same as propgM owner
PHONE
MAnMGADDRESS
2 -MAH,
CONTRACTOR
CITY
STATE
ZIP
FAX
VA STATE CONTRACTOR'S LICENSE #
DRHOR**963CS
EZPMATION DATE
08 03 /12
FEDERAL WAY BUSINESS LICENSE #
20 -10 -101914 -00 -BL
NAME
Same as owner and contractor
PRONE
APPLICANT
MAILING ADDRESS
E•liAD.
CITY
STATE
ZIP
PAX
PROJECT CONTACT
Erle indtufduai to receive and
NAM
Stephen Rarick
PHONE
(425) 821-3400 x5135
MAILING ADDRESS
E-MAIL
srarick@drhorton.com
reSpond to all COIreSpondenCe
conceming this application)
CI'T'Y
STATE
ZIP
FAX
(817)928-2067
ALTERNATE CONTACT NAME: PHONE
EMAIL
PROJECT FINANCING
Required value of $5.000 or more
NAME
SSRI owns the lots - No lender
l [ OWNER-FIiVANCEp
MADSNG ADDRESS, CITY, STATE. ZIP
PHONE'
(RCW 19.27.095)
1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owners responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City ofFederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and dgfense of such claim), which may be made by any person, including the undersigned, andfiled against the city,
but only where!such cl arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
tnformation supto city as apart of this application.
SIGNATURE: DATE a3/12/12
PRINT NAME.. Step en Rarick
Bulletin #100 -January 1, 2011 Page 1 of 3 k:1HandoutslPerint Application
PLAN 3720
., ,.. s AZUL z (a co of bid or estimate must be provided)
I -di, how marry of each type of f fixture to be Installed or relocated as o this project. Do not include exist fLytures to remain.
-- AIR HANDLING UNITS 4 FANS - GAS PIPE OUTLETS OTHER (Describe)
-- AIR CONDITIONER I FIREPLACE INSERTS -- HOODS 1commereup
BOILERS I FURNACES l HOT WATER TANKS,..,
-- COMPRESSORS -- GAS LOG SETS '" REFRIGERATION SYST
DUCTING 4 GAS PIPING '" WOODSTOVES
Pl..l.•M13INc FI i'1 at,*4
indicate how many of each type of ff%rtwe to be installed or relocated as part of this project Do not include existing fixtures to remain.
BATHTUBS (orTb/wiowercomw 4 IAVS1HauwsWW 3 TOILETS I WATER PIPING
I DISHWASHERS -- RAINWATER SYSTEMS - URINALS OTHER (Describe)
-- DRAINS 2 SHOWERS VACUUM BREAKERS
-- DRINKING FOUNTAINS 2 SINKS pucct=1umuy) '- WATER HEATERS W—iTki
2 HOSE BIBBS -- SUMPS 1 WASHING MACHINES 18 TOTAL F MRES
GENi'EMI., INFORMATION
C MCAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING EffROVBMERTS
t1k-
Lakehaven Utility
Lakehaven Utility
$ -tfr—
WaSTMGJPRMOUS USE
LOT SIZE (In Sgmx Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
-722-19 s f -7.;?--+ t
o Yes X No
t7 Yes X No
ReslDF.�A''i'iAL
- Nk Vii' ou Aot)ITION
Area
is Square Feet
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
----
FIRST FLOOR (or Mobile Home)
----
972
972�-
SECOND FLOOR
---
1247 -
1247
AREA DESCRIPTIONInArea
COVERED ENTRY
----
24
24
�-
DECK
----
GARAGE x CARPORT ❑ 2 car sf
----
399
399'
OT'HERIdit-wribe)
----
--
----
Area Totals
Exurtim
2642
TMAL
2642
_
1NEW H ONLY–
ESTIMATED SELLING PRICE $ 290,000
# OF BEDROOMS
CONINIERCIAL - N WAI1)ITION
AREA DESCRIPTION
Area
is Square Feet
Occupancy Group(s)
Construction
N of
Stories
Additional Information
WiMBUUnu G
AD MON
COMMERCIAL –REMODFIAENAN1''
MPROWMENrs
AREA DESCRIPTIONInArea
Feet
SquareTOTAL
Occupancy Groups)
Construction TypeStones
Additional Information
HIiII.DINfi
TENANT AREA ONLY
PRoJlat."r AREA OIs Y
Bulletin #100 January 1, 2011
Page 2 of 3
k: HandoutslPennit Application
GDATE3/12/12
PLAN:5i20-B-L
-15045-1
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A=04°56'15" 1 _ _ _"----
R= 280.00'
L=24.15'
5' UTILITY E5MT
I �
'I' 19TH AVE SW
10' UTILITY ESMT
NOTE5:
U EXTERIOR OONGR AREA5
N 51 °Oq'08" E
5.20'
12'3
z
� O
iS G
b
12'-5 1/2" ESMT
LT FENCE
N OI °5-7'22" E
42.01'
ARMORED
CN5T ENTRANCE
N 8804"I'Oq" W
8.6q'
LEGEND
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