02-100236}
City of Federsl Way
Community Development Services J
33530 Ist Way S
i
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
- fte Family Permit #:02 - 100236"- D0'- SF
Inspection request line: 253.835.3050
Project Name: SOUTH CAMPUS BIBLE SCIfMQ LOT #1
Project Address: 35213 19TH AVE SW Parcel Number: 787960 0010
Project Description: NSF with attached garage. Includes plumbing and mechanical. No deck.
*** 4 bedrooms, Selling price = $219950 ***
Owner
Applicant
Contractor
Lender
DREAMCRAFT HOMES
DREAMCRAFT HOMES
M J F HOLDINGS INC
CITY BANK *MICHELI
215 E MEEKER
215 E MEEKER
MJFHOI*092DA 10/1/03
PO BOX 97007
KENT WA 98032
KENT WA 98032
217 E MEEKER ST
LYNNWOOD WA 98046
Bathtubs
Construction Type:
KENT WA 98032
Includes:
E1e *✓ri tion
p. —.Qu,
anti
Descri tion° :'
Census category: 101 -New si
, �_ H -'Description IjQuantit'
#1 #2 #3 #4 —�
Occupancy Group:
Gas Pipe Outlets
R-3 R-3
Laundry Washer Outlets
Bathtubs
Construction Type:
I Lavatories
Type V - N Type V - N
Showers
—27
Occupancy Load:
Water Closets
�3
Floor Area (Sq. Ft.):
1 st Floor Proposed Sq. Feet .................................
984
2nd Floor Proposed Sq. Feet ................................
830
Basic Plan .................................................
No
Census Category .................................................
101 - New single family houst
Construction Type#2..........................................
Type V - N
Garage Proposed Sq. Feet ....................................
440
Height of Structure ..............................................
20.6
Mechanical.................................................
Yes
•Occupancy Group#1.............................. ............
Plumbing .................................................
R-3
Yes
Occupancy Group#2...........................................
Total Building Sq. Feet ........................................
R-3
2254
Total Proposed Sq. Feet.......................................2254
Zoning Designation .............................................
RS 7.2
Plumbing Fixtures
Mechanical Fixtures
E1e *✓ri tion
p. —.Qu,
anti
Descri tion° :'
Q taritt
, �_ H -'Description IjQuantit'
Quantity
Dishwashers
Gas Pipe Outlets
�
Laundry Washer Outlets
Bathtubs
3
I Lavatories
Water Heaters
Showers
—27
Sinks __1E171
Water Closets
�3
Mechanical Fixtures
See conditions doc.
CONDITIONS:
PERMIT EXPIRES September 3, 2002, IF NO WORK IS STARTED.
Permit issued on March 7, 2002
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 agent: V' Date: � I'&---
Description
Quanti
Description
Qtaarit t
U."I f , �,,„ Qescription
Quantity
Furnaces I�
Gas Logs ��
Hoods
See conditions doc.
CONDITIONS:
PERMIT EXPIRES September 3, 2002, IF NO WORK IS STARTED.
Permit issued on March 7, 2002
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 agent: V' Date: � I'&---
POSWIS CARD ON THE FRONT OF BUILDIIT-
L
G _ NG DIVISION
\) � - INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050 •
PERMIT #: 02 -100236 -00 -SF
OWNER'S NAME: DREAMCRAFT HOMES & M J F HOLDINGS INC
SITE ADDRESS: 35213 19TH SW
() FOOTINGS/SETBACKS 4�� /// () FOUNDATION WALL
() DRAINAGE: Line ra
24
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
O ROUGH MECHANICAL '
() SHEATHING 4
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
F1
O Connection
Water pipi
Gas pipi
167/
Ditch Cover
d, B STAVED GRSIEE G
_.
( ) INSULATION: Floors.
Walls Attic
( ) PLANNING
( ) PUBLIC WORKS
( ) FIRE FINAL
() BUILDING FINAL 77---
O GT'i S O'' D`
•
•
INSPECTION LOG
DATE
INSPECTOR
OK
CORR/RE.I
AREA AND TYPE OF INSPECTION
I��l
` CG �.ofKEW��EO CONSTR ION PERMIT APPLICATION
EOETZI�L_
A
� PPLICKHON NUMBER: Q o - L OQ_ ,3�- RY JAN 1 Ft :_01
APPLICATION NUMBER:
Qi FY
OFF LC DEFY AY APPLICATION NUMBER:BUILD
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
,.•. .. •
SITE ADDRESS: 3SZ I3 I q AA -,SW ASSESSOR'S TAX/PARCEL #: Jc1-7 1 I�� —O D O r O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): &—c Qua
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ,BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
a ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): t4w Inas' cn J 2
PROJECT NAME: —SOL(41
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME:1^ + �e
MAILING ADDRESS (STREET ADDRESS; IY, STATE, Zip):,
CONTRACTOR:
APPLICANT:
DAYTIME PHONE:
UA q pia•
NAME:�
D�
�m�
DAYTIME PHONE:
(,956)859 1
- Cl �QQi I
MAILING ADDRESS (STREET ADDRESS; crW,
atsf,
STATE, ZIP):
EVENING PHONE:
- 50
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:FAX
NUMBER:
(0-65) V31
- 5109
CONTRACTOR'S REGISTRATION NUMBER:
0 L
EXPIRATION DATE:
I n '2 A
/ 03
(copy of card required)
NAME: .,,., ....- ...
C.�G� P%IoUr- ►-, (ate) gal b
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
n 0ii 3Z ( )
FAX NUMBER:
-
RELATIONSHIP TO PROJECT: J
I--] ARCHITECT ❑ TENANT MO
THER (DESCRIBE): (�J' j)
E-MAIL ADDREE �"I
SS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNERAPPLICANT ElCONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
W.
**NEW RESIDENTIAL CONSTRUCTION ON/L�Y**
NUMBER OF BEDROOMS 'T ESTIMATED SELLING PRICE• $ � / �.
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED?— ❑ YES ❑ NO
Cl
q �t i
SECOND
THIRD
FOURTH
•
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
1.A ��
"l
LA q0
TOTAL:
a
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) l GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S)
FAN(S) _ __(HOOD(S) WOODSTOVE(S)
)
BOILERS) FIREPLACEINSERT(S) I RANGE(S) MISC. (_
COMPRESSOR(S) 1 FURNACE(S)
DUCTS)_ GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ( GAS
PLUMBING
Z BATHTUB(S) 4 LAVATORY(S) URINAL(S)
1 DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S)
DRINKING FOUNTAINS) Z SHOWER(S) 1 WASH MACHINE OUTLET
GAS PIPE OUTLET(S) _ I SINKS) -- WATER CLOSET(S)
INTERCEPTORS) SUMP(S)
nTSrUAIMER/STGNATURE BLC
I WATER HEATER(S)
❑ ELECTRIC [A GAS
I certify under penalty of perjury that theynformation 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 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 Wl�1�yo" –� I f isMWi-b\Yi Aevs� • DATE:
❑ PROPERTY OWNER F, APPLICANT ❑ CONTRACTOR
CAn ^CETrc 1 /CC r%ml V•
❑ NEW +y` vJ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?— ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
0 0
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building, mechanical, and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $24.25
(2) $501.00 to $2,000.00
(2) $24.25 for the first $500.00 plus $3.27foreach addition7/$100.00or
fraction thereof, to and including $2,000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $15 .00 for each additional $1,000,
00 or fraction thereof, to and including
$25,000.00
(4) $25,001.00 to $0,000.00
(4) $403.61 for the first $25,000.00 plus $10.62 for each ioViVxa1$J.000.00or
fraction thereof, to and including
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus $7.50 for each additlonal $1.000.00or
fraction thereof, to and including
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,025.55 for the first $100,000.00 plus $6.00 for each addi6ona/$1.000.00or
fraction thereof, to and including
s
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $s00,o0o.00 plus $5.09 far each addib"1$1,000.DOor
fraction thereof, to and including
$1,000,000.00.
(8) $1,000,001.00 and up
(8) $5,788.23 for the first $1,000,000.00 plus $3.91 for each additions/
VAX A7or fraction thereof.
Sold number is the base fee for the specified increment
Italicized underlined number is the lee per additional saecilred
increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
** Electrical, plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ BUILDING
(a) Base Fee:
(b) Additional Increment Fee:
PROPOSED VALUATION: �� SS. v �'�' ki
t
FEE FACTOR FROM TABLE A: Number: 3 (a) Base Fee: ?l •g(V
(b) Additional Increment Fee: '—
Estimated Permit Fee: (4) ' 2�
Estimated Plan Review Fee: (5) 2
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Review Fee:
Base Fee Number of Fixtures
$21.00+{ X $7.00/fixture) _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)