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04-104304City of Federal Wa� Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-7000 Fax: (253) 835-2609 Building - Single Family Perml #: 04y-104304 - 00 - SF Inspection request line: (253) 835-3050 Project Name: DEVONSHIRE LOT 21 Project Address: 36113 10TH CT SW Parcel Number: 202100 0210 Project Description: NEW - Construction of a new 3619 sqft single-family home with plumb/mech ****4 bedroom/$360,000**** USING BASIC #04-102730-00 Owner Applicant Contractor Lender NORRIS HOMES INC NORRIS HOMES INC NORRIS HOMES INC HOMESTREET BANK 10516 172ND CT SE 10516 172ND CT SE NORRIHI099LC 5/22/05 HOMESTREET BANK RENTON WA 98059 RENTON WA 98059 10516 172ND CT SE 601 UNION ST SUITE 2000 Yes Occupancy Group # 1 .......................................... RENTON WA 98059 SEATTLE WA 98101 Includes: Census category: 101 -New si #1 #2 #3 #4 No Occupancy Group: R-3 U-1 Deck Proposed Sq. Feet.....: ....... ..........._60 Garage Proposed Sq. Feet ......... .....................587 Construction Type: Type V - N Type V - N Mechanical ................................................. Yes Occupancy Group # 1 .......................................... Occupancy Load: _ OccupancyGroup#2........................................... U-1 Plumbing ................................................. Yes Total BuildingSq. Feet........................................3752 Floor Area (Sq. Ft.): Zoning Designation ............................................. RS 7.2 Description p Quanti tyl Description '' I p Quanti tYl 1st Floor Proposed Sq; Feet..............................1456 Basic Plan......... ............... No 2nd Floor Proposed Sq. Feet.... 1� Census, Category........................................ ...101 New single family house Construction Type #2 ............................................. Type V - N Deck Proposed Sq. Feet.....: ....... ..........._60 Garage Proposed Sq. Feet ......... .....................587 Furiaces1 `----- Height of Structure ......... ......... ............ 26.5 l Mechanical ................................................. Yes Occupancy Group # 1 .......................................... R-3 OccupancyGroup#2........................................... U-1 Plumbing ................................................. Yes Total BuildingSq. Feet........................................3752 Zoning Designation ............................................. RS 7.2 Plumbing Fixtures Description p Quanti tyl Description '' I p Quanti tYl Descri tion L p Quanti N lFBathtubs 2 Dishwashers 1 Gas Pipe Outlets Furiaces1 `----- Laundry Washer Outlets 1� Lavatories 5 Other Plumbing Fixtures Showers Sinks 2 Water Closets Water Heaters Mechanical Fixtures Description JQueintity Description QuantityI Description Quantity _ Ducts 1 Fans 5� Fireplace Inserts 71 Furiaces1 `----- Ranges 1 PERMIT EXPIRES April 18, 2005. Permit issued on I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the pse will be in accordance with the laws, rules and regulations of the State of Washington and the City of FederalW Owner or agent: Date: I I / /0 y 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: DEVONSHIRE LOT 21 Address: 36113 10TH SW Permit number: 04 - 104304 - 00 #1 #2 #3 #4 Occupancy Group: R-3 U-1 Construction Type: Type V - N Type V - N Occupancy Load: Floor Area (Sq. Ft.): Owner NORRIS HOMES INC Name: 10516 172ND CT SE Address: RENTON WA 98059 7�— 0149r ;". Yt�t.'.,>A;� It CAD � f x u1' Building Official ate The priority focus in the review and inspection made by the Cityprior 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. THIS CARD IS To M..IN ON-SITE CITY OF tOMMUnity Developm nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04 -104304 -00 -SF Owner: NORRIS HOMES INC Address: 36113 10TH CT SW 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) Approved to install roofing To be done prior to breaking ground Approved Approved to place concrete Approved to place concrete By 11�W Date By Cj Date . 2 .d By � Date,-' - t> ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255) Approved to backfill Approved to cover NOTE: Prior to scheduling a Framing (4120) Approved to place concrete By Date By Date By Date ❑ Underfloor Framing (4285) Rough -in and Fire/Draft Stop inspections must be Floor Sheathing (4105) ❑ Shear Walls (4245) signed -off and approved. IBC 109.3.4/UBC 108.5.4 Approved to sheath floor Approved to install flooring Approved to install siding By e Date By Date 3- -? By Cj&,/ Date U Final - Building (4050) Approved Q By / Date 8#101- Temp. Erosion Maintenance (43 Approved By Date Roof Sheathing (4220) ❑ Rough Plumbing (4230) Mechanical Rough -in (4165) Approved to install roofing Approved Approved By Date 3.�-� B G Date C� By Date 9 ,� 5, Gas Piping (4125) Fire/Draft Stop (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 �%-1 Date _ g.,�� ByC Date —lp-o S signed -off and approved. IBC 109.3.4/UBC 108.5.4 [ Gypsum Wallboard Nailing (4130) Insulation (4150) Framing (4120) Approved to insulate Approved to install wallboard Approved to install anud & tape By , � Date „ ar-#- MIS Bykj� Date _ oK By Date Q 5-pL .O3 ❑ Final - SWM (4375) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By GS' Date By = L - Date By F Date O 4 714 U Final - Building (4050) Approved Q By / Date 8#101- Temp. Erosion Maintenance (43 Approved By Date Federal a COMMUNITY DEVELO 33325 8ru AVENUE SO FEDERAL WAY, W 8063- 253-835-2607• FAX 3-835-2, uavm.clluoffederalwao com a[IN FP VO V 0 8 2004 SITE ADDRESS �'/p �Q C' (�(/1/ SUITE/UNIT # ASSESSOR'S TAX/PARCEL # j— - Q _J LOT SIZE (so LEGAL DESCRIPTION (e.g. Acme Estates, Lot /Anarh seporale page f kVhy legal do -06..) TYPE OF PERMIT kBUILDING Z14LUMBING D)ECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION JProvide fletailed description of work included on /p— w - i _ PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE MAILING ADDRESS �J y� CITY, STATE, ZIP COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY STATE, ZIP CELL PHONE zr CITY, STATE, ZIP CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER If 0-0 -q- 1 7Z 1 B EXPIRATION DATE L /2 / J / l 0y FAX NUMBER /�p (7L� � 77J - /c'-&7 C�ONTRACTOO S REGISTRATION NUMBER(copyof card required with each applications /�j� Q 'r & 'Z7,12 Z if EXPIRATION DATE 5--1 ZL /Q5_ COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE FAX RELATIONSHIP TO PROJECT - NUMBER ❑ Architect ❑ Tenant gent ❑ Other (Describe) ( - ""ME PR ARY PHONE E-MAIL ADDRESS 7Q3- /b�9 Per RC'W 19 27.095: `LeNAME nder:injormation !s required project value exceeds $5,000 �W �/(r� MAILING ADDRESS CITYSTATE, ZIP / r , EXISTING USE // / PROPOSED USE ,S �� EXISTING ASSESSED/APPRAISED VALUE $ �� o VALUE OF PROPOSED WORK $_� goo SPRINKLERED BUILDING? ❑ YES bio FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES kNO WATER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER OAAKEIIAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTIC) AREA DESCRIPTION EXISTING S . FT. P TOTAL • z BASEMENT .�� BBQS FIRST HOODS (c. --id) —� WOODSTOVES BOILERS FIREPLACE INSERTS RANGES i-+ htISC (Describe) THIRD FURNACES GAS WATER HEATERS FOURTH GAS PIPE OUTLETS o NO NEW ADDRESS REQUIRED? ADDITIONAL FLOORS (DESCRIBE) � � WATER CLOSETS MISE (Describe) DF KE uF;,) GARAGE/CARPORT HOW MANY FLOORS? TOTAL E#STDfG �%�Qr TOTALPROPOSED SzW 0 �j L)yS SjjbO MD PROPOSED V`J aarclfr tin RARE nNl.Vaa NI iMRFR OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECILANICAL Value of Mechanical Work AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS .�� BBQS FANS HOODS (c. --id) —� WOODSTOVES BOILERS FIREPLACE INSERTS RANGES i-+ htISC (Describe) .�-- COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS o NO NEW ADDRESS REQUIRED? PLII�ffiING � � WATER CLOSETS MISE (Describe) L BATHTUBS (arT.nisnaw«comr"I SHOWERS (roii<q o YES —T DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS -- RAINWATER SYST % WASHING MACHINES URINALS- Z_ HOSE BIBBS LAVS eauvoomSiks VACUUM BREAKERS ELECTRIC WATER HEATERS 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 city, i lading its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE �.'(;rT (TnlelRELATIONS ❑ Owner Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES ❑ NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑ NO Bulletin tl 100 – March 30, 2004 Page 2 of 4 k\Handouts – Rcvised\Permit Application GtlMA_NMTYbEYELOP�fE1P1'$EkVIC$S 33SJOFIRSTWAY sovrtl • koWX 9719' 1 20 200A P P LI 'CATION FEt)ERAL WAY, WA 99063-9716 1S3-661-111S•kAX253-iiat�t�9�-y-'._ un.�oa�w/ka�ratwuu.own��{J �k/DERAL WAY : foi[otutn�.t3 Fegtttred 11�fo�'dFtdH - tcn t►tcantpt l� ptfCaHa►t4w;t -0 - --�, 0 -. -3 -0--4 S.� CO ME 9b Pb bE PIN rP or SITE ADDRESS ; (oJ to Gr ` S vY S1U1TE/1JN1T N nssEssoR'S TAx/i'ARcEL # — _ — — — — - C7 Z I O Lot SIZE (Sp t=T- LEGAL DESCRIP'T'ION (e.g. Acme Estates, tot I) ti L V O /f LG T # .7 1 (AttacA ieporale peq��oi tergth� Irpd desotPea^t TYPE OF PERMIT ", .BWLDINO *mjmbtNd tf(MECt#ANtCAL d DEMOLITION ,+O ELECTRICAL tj ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of ibork included ott lids 00 nii ott)U) �+ 1 I '1. _ d pfz11 dPKrta - _ `t�'or-. IXaSiG It S / N PROJECT NAME jNefdrnObtlSittes5 Or 0WIter LOS' gd" el Na/4R r 5 1 - PROPERTY OWNER WNTRACTOR APPLICANT CONTACT LtMDER RY N ONE NAME G l 7 3-1-36 N O R M [M h S G, CITY, STATE] Zip MAILING ADDRE A� ��• C O �. ClQ O oSlb 7 i7 ISTTNO ASSESSED/APPRAISED VALUN tiumbeP ojeach type of fixture td be instatted oP Peiocdled us /idPt tijihis bFdJeCt: Dd tttrt tHclude existfng filrtules to remavt. Indicate I tl E N"A.NT' iMts#tii►EMENT PIA'' t n NEW oultntim S#ELL t&W FIRST N UANI8 PLAN0 ftd NO d Nb zoNNO bE8itNAtN of ENSNATIVE COOLERS O OAS LOGS �REhRIG. SYSTEMS TI I I RD l' FOURTH y� PIREPLACE INSERTS ADDITIONAL FLOORS (DESCIz1BIS) ��/ . FOR( I f7 0 COMPRESSORS Dl,CI< (COVERED?) w�7 GARAGE/CARPORT S 1 �8� Ilow Mnriv rLooas? TOT tkI3Tina TOTAL PROPosto �„ TOTAL rmsmo A (� �� ••NEW HOMES 0NLV1' 10U1413ttz bF otbtzooMs _ MtIMAtl5b 8ELUH0 hktcE , BATHTUBS (atTubisho—r combo$ tiumbeP ojeach type of fixture td be instatted oP Peiocdled us /idPt tijihis bFdJeCt: Dd tttrt tHclude existfng filrtules to remavt. Indicate I tl E N"A.NT' iMts#tii►EMENT PIA'' t n NEW oultntim S#ELL t&W MECIiAMCAL 77 Value Mecitanicdl Work $ ;,j 004 UANI8 PLAN0 ftd NO d Nb zoNNO bE8itNAtN of ENSNATIVE COOLERS O OAS LOGS �REhRIG. SYSTEMS b Alt? IIANbLING UNITS PANS IIGGbs WOODSTOVES MISC (besctibc) C) b[iQS C) BOILERs PIREPLACE INSERTS RANGES GAS WATER RATERS 0 COMPRESSORS PURNAcEs GAS PIPC OUTLETS VC,6,_ DUCTS ------ FL ING SIIOWERS , - _ WATER CLOSETS owwi �— MISC (Desctibel BATHTUBS (atTubisho—r combo$ SINKS b bRINk)NO FOUNTAINS 1 _ DlsllwAsIlEks O 0 SUMPS y hAIN�VAtgtz syst GAS PIPE OUTLETS WASNINO MACIIINES �_ URINALS litls� bltit35y L Nttttl WAtI&K I&ATERs VACUUM URPAktkS i 1 ceitlfy alideF pgkdlty df peFjdv# that thii tAf*HHalldrl,fdtiiigk&J bIJ Ai# 1!`'�iilb litrl Edt+pf E !a lka krlar Ohio k►+dtuttdyd h*# wittjurtief, that 1 ant authorized by tli! dWHer H,/ the cTbet,d preiH sea td peFfdFHt ow wdFk fdF lit tka P6 It tippliedtldN 13 HIddE. 1 j`drtkr+t tlgree to hold harmless thr Cltg bf kideral tvay dx to arty cldtHt jtiicWdlHd.t "A; kkP#N!>l!t'ttNd ttttdiil811 tit# L4 t 6j FSd 1H the y,bestiboilg w kHd defense aJ such ctairrtl, Which hldy be hidde by arty pet-3oii, lite edify the IiiidersijHFdl xNdJiltd dgdlH>it thM t ity 8tt edehal Way, but bs 11 elig such aloof arises a , the PeltaHce of the ally, iHcludtNg 1!3 bffleers aHd pHijtldyel'l+ 1t/t8N tli� accuFHcff 81 th# ti[jdtiHd1161i sUpptled td the city as a part of tilts applicatldri. BATE`-- NAME/TITLE rritlel (signature) RELAT1ON8tttP TO t'h0JEC't' d 0%vtict )(AgeNt d Coiitrdtlot d Atchilecl b Olhcr FOR OFFICE USE 014L3r tl AbtiiidN ALTtttON I tl E N"A.NT' iMts#tii►EMENT PIA'' t n NEW oultntim S#ELL t&W ti YEA b NO UANI8 PLAN0 ftd NO d Nb zoNNO bE8itNAtN ANGbdv d tl NO NEW AblikESS REQUIRED? tl irES d btMd �Et�Ii t' iiE+�UMIJI ti VM jit;S b NO b PLAT'T'ED LbT? tl YES b Nb t'agd 2 LAIh1HdoUls— Bulletin N100 -Mach 30, 2004 brd - itcvlsetl\I'Ctrttil Application