04-1045801 +
Ciryu nit�� Development Services Federal W by
Co:r.�uBuilding - Single Family Permit #: 04 -1x04580 - 0: SF
i
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request Mlle: (253) 835-3050
Project Name: DEVONSHIRE LOT 27
Project Address: 36110 10TH CT SW
Parcel Number: 202100 0270
Project Description: NEW - 3,752 sq ft home w/ plumbing and mechanical ***4 bedrooms; $350000 sale price***
Basic 04-102730 replacing submitted plans for a 3271 sq ft home w/ plumbing and mechanical using
Basic 04-102729
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
Mechanical .................................................
Yes
RENTON WA 98059
SEATTLE WA 98101
Includes:
Census category: 101 -New si #1
#2
#3
#4
Occupancy Group R-3
U-1
Census Category.................................................
101 - New single family'.hous(
Constr ictton Type zv Type V '- N
Occupancy Load
Type V - N
Deck Proposed Sq. Feet ....... ..'.... ............
60
Floor Area (Sq. Ft) �` ------��---
-
Height of Structure ..............................................
—�
S. Flcor Proposrd Sq. .........................1456
2nd Floor Proposed Sq. Feet
r
1696.....................1696
Basic Plan ........................
Yes
Census Category.................................................
101 - New single family'.hous(
Construction Type #2 .............. ..............
Type V - N
Deck Proposed Sq. Feet ....... ..'.... ............
60
Garage Pryi ,ed Sq. Feet ...................................
540
Height of Structure ..............................................
24
Mechanical .................................................
Yes
Occupancy Group#1...........................................
R-3
Occupancy Group#2...........................................U-1 Plumbing- .............................................. Yes
Total Building Sq Feet........................................3752 Total Proposed Sq. Feet ....................................... 3271
Zoning resignation ............................................. RS 7.2
Plumbing Fixtures
Description �Quantity� description )QuanttyDescription —Quantity
Bathtubs 2 Dishwashers Gas Pipe Outlets 3
Laundry Washer Outlets 1 avatoriesI 4 rOther Plumbing Fixtures 2
Showers --- 1 Sinks -- �1`__ 2 - Water Closets 3
Water Heaters y l
Mechanical Fixtures
DescriptionY______DescriptionQuantit __Description _JQuanti
� Ducts _-- -- - --�-- _ I�-- 1 � Fans --- --I 6 i =F' lace Inserts
-- J�- -- - --V --- ----- -- - — --
Furnaces -- —------� - 1 — i Ranges --- ----- 1
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 use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federalay.
Owner or agent: _ L(/Y l Date:
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 27
Address: 36110 10TH SW
Permit number: 04 - 104580 - 01
#1
#2
#3
N #4
Occupancy Group: R-3
U-1
Construction Type: Type V - N
Occupancy Load:
i Floor Area (Sq. Ft.):
--
Y
Owner NORRIS HOMES INC
Name: 10516 172ND CT SE
Address: RENTON WA 98059
Aix YLto..lr:.1, CW U , , d
Building Official /,5/-/ �v Zs/� Date
The priorityfocus 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 ofsaid structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
Clrf OF ' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -104580 -0f -SF 1
Owner: NORRIS HOMES INC
Address: 36110 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)
0
Footings/Setback (4110)
Rough Plumbing (4230)
Foundation Wall (4115)
To be done prior to breaking ground
Approved to place concrete
Approved
Approved to place concrete
By
Date �� �' V�
By
Date _)jA,.b
ByC
Date -C]
❑
-71
Gas Piping (4125)
❑
Slab/Concrete Floor (4255)
Plumbing Groundwork (4190)
Approved to release test
T
. 5
- Date � ��
Drainage/Downspout (4040)
Approved
Date �2 s p
Approved to backfill
Approved to cover
Approved to place concrete
By C
Date 3, 2_ o S
By
Date
By
Date
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date _ a_
By
Zj Date -g S
By
Date - 4
Framing (4120)
Approved to insulate
Insulation (4150)
Approved to install wallboard
` By` %QVZ� Date ' `J j By « � Date
❑ Final - SWM (4 75) Final - Mechanicalt(4065)
Approved Approved
ByDate �V� By Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved P ZS r Approved
By Date Kl By Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date 7J/,6 o,S`
[ Final - Plumbing (4075)
Approved
By Date \ � ID
Roof Sheathing (4220)
Rough Plumbing (4230)
La Mechanical Rotight4n (4165)
Approved to install roofing
Approved
Approved
By
Date S-45" /7.s
B
Date S, )'3,a `5
B Bate _ _9
-71
Gas Piping (4125)
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
By L-
Approved to release test
T
. 5
- Date � ��
By
Approved
Date �2 s p
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Deaft Stop inspections must be
siened-off and approved. IBC 109.3.4/UBC 108.5.4
Framing (4120)
Approved to insulate
Insulation (4150)
Approved to install wallboard
` By` %QVZ� Date ' `J j By « � Date
❑ Final - SWM (4 75) Final - Mechanicalt(4065)
Approved Approved
ByDate �V� By Date
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370)
Approved P ZS r Approved
By Date Kl By Date
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date 7J/,6 o,S`
[ Final - Plumbing (4075)
Approved
By Date \ � ID
e
Federal Way DEC ®� 2004
PERMIT
33�58TM UWA WU�N�B 7WULD,NG FEDERALPLICATION
FEDERAL WAY, WA 98063-9718
253-8352607• FAX 253-835-2609
www. cituoffederalwau. com
The followina is required information - an incomplete application will n
SITE ADDRESS t 1U11 L1 /LlI" I
ASSESSOR'S TAIL/PARCEL # ' 0—
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
•
0-)4 - I -Q Lr c -o 1
SF MF CO>E EL PL DE EN FP
D / /
rted. Please print leaiblu lin ink) or type.
SUITE/UNIT #
- C} J / /V LOT SIZE (sj)
(Attach separate page for lengthy legal description) y--�
PROJECT• •
TYPE OF PERMIT �( BUILDING LXPLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
/p lc 1 51= S F/J. �fi �'I ✓Sli SiC -` 1/0 - %Q�,'
PROJECT NAME (Name of Business or Owner Last Name) /[Js1�)CX�
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME I / PRIMARY PHONE
MAILING ADDRESS ITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
—,�
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
Ir
CELL PHONE
CITY OF FEDERAL; SAY BUSINESS LI NSE NUMBER EXPIRATION DATE
FAX NUMBER
MAILING ADDRESS
7udo)
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appitcatiou)
C e 11Z L) 2 4=e--
CELL PHONE
EXPIRATION DATE
/ / C�)-'�r
�2� l !e
FAX NUMBER
❑ Architect ❑ Tenant
COMPANY NAME
,v
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
7udo)
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
_�!I
✓—/2104Z)A-
FAX NUMBER
❑ Architect ❑ Tenant
❑ Agent Other
(Describe)
EXISTING USE f /Y / /n`� ��jj�� ` t✓ PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ /Lf. ULA VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES >(NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES LINO
WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE [iTACOMA o PRIVATE (WELL) /'
SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
•
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
— FANS
HOODS(co—reiaq
WOODSTOVES
FIRST
/ FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
% FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
2
BATHTUBS (or Tub/shower combo(
SHOWERS
`7 WATER CLOSETS
MISC (Describe)
DECK(COVERED?)
SINKS
DRINKING FOUNTAINS
GARAGE CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
msrma
rs
Ai
TOTAL etnsm o •r
+
TOTAL M014 ® sr
r�aru sr
/
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
— FANS
HOODS(co—reiaq
WOODSTOVES
BOILERS
/ FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
% FURNACES
GAS WATER HEATERS
DUCTS_
GAS PIPE OUTLETS
u
2
BATHTUBS (or Tub/shower combo(
SHOWERS
`7 WATER CLOSETS
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom sinkal
VACUUM BREAKERS
ELECTRIC WATER HEATERS
BLOCKDISCLAIMER/ SIGNATURE
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 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, 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 DATE
(Si at
QSUe)
RELATIONSHIP TO PR ECT ❑Owner Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — August 19, 2004 Page 2 of 4 MandoutsTermit Application
0
r
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
Single Family Square Feet
(First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00)
❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 117.50 74.00
(Inspected with service) $ 36.50
❑ 201 - 400 amp 220.50 87.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 256.50 103.00
(Inspected separately) $ 58.00
❑ 601 - 800 amp 332.00 140.50
NEW MULTI -FAMILY (three units or more)
❑ 801 - 1000 amp 405.50 169.50
Service Feeder
❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
Ll 201 - 400 amp 117.50 58.00
❑ Over 600 volts surcharge $ 74.00
Ll - 600 amp 161.00 80.00
LJ Mast or meter repair $ 80.00
❑ 601 - 800 amp 206.00 110.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY
❑ 0 to 200 amp $ 94.50
❑ 201 - 600 amp 220.50
Service or Feeder
❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 - 600 amp 117.50
❑ over 600 amp 177.00
❑ # of circuits to be added/ altered
(1-5 circuits - $74.00; Add'n circuits, $6.00/ea)
❑ # of circuits to be added/ altered
(1-4 circuits -$58.00; Addh circuits $6.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$ 74.00 plus 351/6 of Permit Fee
❑ Mast or meter repair $ 43.50
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$ 74.00 plus 35% of Permit Fee
MOBILE HOMES
❑ Service or feeder only $ 58.00
TEMPORARY SERVICE
❑ Service and feeder $ 94.50
Commercial Residential
MOBILE HOME/RV PARK
❑ 0 - 100 $ 58.00 $ 51.00
❑ # of service or feeders
❑ 101 - 200 74.00 51.00
(First service/feeder-$58.00; each add'n -$37.50)
❑ 201 - 400 87.00 n/a
❑ 401 - 600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$43.50; add'n-$13.50/ea)
(First sign -$43.50; add'n sign $20.50/ea)
❑ Low Voltage
❑ Swum-ing pool/hot tub ................ $87.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $58.00
❑ Security Alarm System
❑ Additional Plan Review $87.00/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑
(Per System(s) 1•t 2500 ft2-$5 1.00;
Each add'n 2500 ft2-13.50) `Per WAC 296-46-910(5p)(i ii)
Bulletin #100 -August 19, 2004 Page 3 of 4 k\Handouts\Permit Application
LOL
Federal Way 8i 1 IT S>a i• CO ME EL PL bE EN FP
EE1V€"� jv#
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.•. •• •
SITE ADDRESS t� \ d
S W SUITE/UNIT
3v tt
_ LOT SIZE (sj) 755-00 E-1
ASSESSOR'S TAX/PARCEL M
Lor --
LEGAL DESCRIPTION (e.g. Actne Estates, Lot 1) =0
Vgdhala,lhyIva duairaml
TYPE OF PERMIT ) I BUILDING t�l,#f.bM� � 1 1utECIfANICAL
o DEMOLITION >a0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide delaited description of Work included ott this peNnit oitlu)
t4 n
•n 1� �.. S-rl�°�7 IJ f r � O `i - . r,2'l 2 al
PROJECT NAME (Name of busiitess or Otbiter Lasi Ndmej i� O 12 R —� N c
Y N•�
PROPERTY
OWNER
t,uNTRACTOR
APPLICANT
CONTACT
LENDER
NAME O'S..
' C...ti....
N O R 91 c �' CITY, STATE: ZIP f•
MAILING ADDRESS
10 5110 M
APPLICANT NA E OFFICE PI
COMPANY NAME
Noltvs �w19S t:.
No .►S MES ►ivC.
-
rl
y2PI (.3`i
PHONEE
MAILING ADDRESS
CITY, STATE, ZIP
CELL
(2of*) W3 -ybQ
In
CITY OF FED RAL WAY 13USINESS.1; NUMBER
- EXPIRATION DATE
16
FAX NUMBER
� yZ5793= !(037
I 2 �
2 V - -Q LL_ o _
EXPIRATION DATE
CONTRACTOR S REGISTRATION NUMBER eopT of eat sequuc wi eab ipPNcdkiod)
/ r
2Z / ay
�
c_..,.
COMPANY NAME
f?4L-
"PPL CANT AME
Obit'" F6 PA _ S 1p
OFFICE PHONE
1725 1 7%3 -16317
No IZRI S n eS
MAILING ADDRESS •..� �� _
CITY, STATE, ZIP
�� '. r A - p 0 C
W�f I !
LL
CELL Pt10NE
('U w b'� Z„� - I b0
l� Sl IZ
FAXI�VNUMDER
RELATIONSIIIPTO PROJECT
/l
VW(V C 9-
(qZS %�i3 7
b Atchitect C1 Tefiant tJ AgeNt . thet (Describe)
ISTING A§StSSED/APPRAISED VALUN 4i
. ..... _�._.,a a..a:a+•.xe.+.itilt-si,ninoG`n7 h $FS II N0
{rill -----
iiiiiii___.--
iU6I0I,lAL i 1,001?s iFjT[--,scaiiiil t'0
--------
i1zA�;t; jcAtzPotzl'
)W MANY FLOORS?
EW IIOA4ES ONtYt t NUMUCtz OF BEDROOMS
Indicate tillitib of edch type of fixture Id be
oh
GStiMAt'tb s
tlg P&I of
.�3
1E
C
)d Itbl 000de ekistUtOWUrds ld tehtairt.
;C01v-at,
file of MectiarticdI work R�
��
d NEW d AbliitION
O 0A8LOGS ( hEhRIG. SYSTEMS
AIR IIANbLING U141's
—0
PvAPORATIvr COOLERS
ItOObS lcomme'd j) WOODSTOVES
_b
1113Qs
d Nb
hANS
-IRP
h
PANdPIS MISC (besctibe)
GASWALk§
T'
-bQ - t3GlLrks
_ V COMPhrSSOhs
d NO
WRNAChs
GAS PIPE OU'ILGTS
d it S d Nri
yam_ DUCTS
b Nd
PLATTED LOT?
d Y1;5 b Nil
,UAIDIN(i
t
sNOwkrzs
- _ WATrk CLOsi;TS ti•tld1 MfSC (Ucsctibc)
bRiNklNd �OUNTAINs
uATIII ubs (urtu6/51,ow<.c•mib►
imsitwAsllhhs
_._0
SINKS
b
y tzA1Nt Afi ti§ysfi
_O
GAS htrr OUi E'sURINALS
MACIIINhS
--
sUMr s
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alit{ WATkh IIhAThRs _
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-
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fiHIl1iEI Npg ylf�i►{Eifli aC3 IitEUi+ad III tltl trlbe3ti�titleH and defense of l
sn+ a++tlorized by INti dlUiier HJ the ttl,dlyd rrerrilsfil le perfdilil the *JHL 01 HAII N llte j!✓;ltiii dNN
harmless the CIIy b% ) cderal Way as to auy cld"" 11'"lidtli "Al'1 filo
such less lot Wlllclt hIdIJ be inside bg atig her3oh1 INc�� bigo die Wadi I ttfilt dNd jilfid t3�dlNlt t t1+ a lIy Sj �edefia) Way, but bIlly {,loges a part r f
m Ise
dul of Ilse tellaHcc of lite Ctt+f, hicludtii IIIb ceY3 dill{ fill{ Id ahl, Upill lti! HccUfiicrf of lll2 1►ijdFH►iilldN sirr4iflr d ld Iltte Til as d art o
this applicatidrl.
NAME/TITLE � Irltie)
(Spit c)
RELATIONSHIP TO PhOJECt Ll Otvnt c )( Agelit t1 Cohlritclol d Att liit�i l d iO ict
FOR OFF03 Usk dNLY
d TI;NANi' tMiilt0i►i;M13Nr
d NEW d AbliitION
tJ AttkPA't'tON
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dirk b Nd
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efi tib OF USF? d I
d Nb
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UH�l;�PA/NN0 ' ;; d .$i;5
d NO
NRW ADDkIE88 ",QUIRED?
d it S d Nri
b�Md PERMITIt1✓piiittl;ti� tl VtS
b Nd
PLATTED LOT?
d Y1;5 b Nil
lluliclin H 1 oo - Witch 30,
6C4 k1t ttitiJduls - itc�lscl
loll