04-104781City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (25-3)835-7000 Fax: (253) 835-2609
Building -Single Family Permit #: 04 -104781' -00 -'SF
` Inspection request line: (253) 835-3050
Project Name: DEVONSHIRE LOT 22
Project Address: 36119 10TH CT SW Parcel Number: 202100 0220
Project Description: NEW - 3619sgft single family home with plumb/mech. Includes covered porch.
"Brookside" Plan ***4 Bedrooms; $350000 sale price*** Using Basic 04-102514
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
Zoning Designation .............................................
RS 7.2
RENTON WA 98059
SEATTLE WA 98101
Includes:
Census category_ 101 -New si
#1
#2
#3
#4
Occupancy Group:
R-3
A-1
g
1
_
Construction Type:
Type V - N
Type I - FR
l
Plumbing..................................................
I OccupancyI Load: — — --
Zoning Designation .............................................
RS 7.2
J
! Floor Area (Sy. Ft.):
_
Plumbing Fixtures
Description Qf _ua— -
_n fNi
�-— --
I Description-ription
1 st Floor Proposed Sq. Feet.................................1321
B thtubs 2 Dishwashers 1 Laundry Washer Outlets
Basic Plan .................................................
No
Construction Type#2..........................................
Type I
Fire Sprinklers Required.....................................!No
1
Height of Structure ..............................................
25
Occupancy Group # 1 ...........................................R-3
l
Plumbing..................................................
Yes
Zoning Designation .............................................
RS 7.2
Plumbing Fixtures
Description Qf _ua— -
_n fNi
�-— --
I Description-ription
Quanti
B thtubs 2 Dishwashers 1 Laundry Washer Outlets
1
Lavatories l 5 j Other Plumbing Fixtures �I 2 Showers
2
Sinks 2 J Water Closets —II3
Water Heaters
1
Mechanical Fixtures
L _
Description
Fc uanti
( Description` 1;Quantity
Description Quantity
Ducts
5
I_ Fireplace Inserts
Furnaces ��
1
Ranges 1
l
PERMIT EXPIRES June 6, 2005.
Permit issued on December 8, 2004
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 ordance with the la s, rules and regulations of the State of Washington and
the City of Fede Y.
Owner o agent: Date: ��/ d
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 Ci , staff.
Tenant Name: DEVONSHIRE LOT 22
Address: 36119 10TH SW
Permit number: 04 - 104781 - 00
#1
#2
#3
#4
Occupancy Group: R-3
A-1
Construction Type: Type V - N
Type I - FR
Occupancy Load:
IL
Floor Area (Sq. Ft.):
11
Owner NORRIS HOMES INC
Name: 10516 172ND CT SE
Address: RENTON WA 98059
Building Official Date
The priorityfocus in the review and inspection made by the City prior 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.
CITY OF Tommunity Development Inspection Record
Federal Way IVR INS ECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -104781 -00 -SF
Owner: NORRIS HOMES INC
Address: 36119 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 mast 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 Date 2 - �TO�' By a �Date _ --1_o By /� Date
' Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190)
Approved to backfill Approved to cover
B<\ Dateo 3_ 11_ a S By Date
Underfloor Framing (4285) Floor Sheathing (4105)
Approved to sheath floor Approved to install flooring
By J Date 3 p By LAY Date pS-
Roof Sheathing (4220) Q Rough Plumbing (4230)
Approved to install rooting Approved
By Date 1-3 b By Date to -1 _ o
Gas Piping (4125)
Approved to release test
By t )%CJ Date .� I KI 10<
Framing (4120)
Approved to insulate
By r jamDate L _-) _
❑ Final - SWM (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date Q\q CS -1
Fire/Draft Stops (4095)
Approved
By Date r
Insulation (4150)
Approved to install wallboard
Date
Cl1
Final - Mechanical
Approved
By Date
❑Temp. Erosion Maintenance (4370)
Approved
By Date
❑
Slab/Concrete Floor (4255)
Approved to place concrete
By
Date
Shear Walls (4245)
Approved to install siding
By
Date
Mechanical Rough -in (4165)
Approved
By Date 4'
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 ]09.3.4/UBC 108.54
bQ 'Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By (2,4--1, Date 1.�Z►_a�
❑ Final - Plumbing (4075)
Approved
By Date
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SUITE/UNIT M
SITE ADDRESS J W – i `�+ ��^�-
LOT SIZE (sj) T ' .
ASSESSOR'S TAX/PARCEL M —
;rs� -# 22
LEGAL DESCRIPTION (e.g. Acme1 1
Estates, Lot I/ 7V �ro,eha9e f- 1 F-l+'7ddeso.peon) —
TYPE OF PERMIT kill BUILDING ivM�t�[c �'-MECtiAfflcAL
U DEMOLITION [) ELECTRICAL b ENGINEERING b FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descriptiort of work includedrott lids pehnit onlul
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PROJECT NAME (Ndnte of bus(itess or otimer Gust Ndinej t�j o Q
PROPERTY NAME
RI RY PIIONE
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OWNER N O M S M E s
CITY, STATE, ZIP
MAILING ADDRESS )
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t,VNTRACTOR COMPANY NAME
APPLICANT Nn E
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NOp�I S
CITY, STATE, ZIP
CELL PHONE
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CITY OF FED RAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
4- - '
L V/EXPIRATION
DATF,
CONTRACTORS REGISTRATION NUMBER copT b hit tblj wl !el: ipptiei oa
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APPLICANT COMPANY NAME
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APPL CANT AME
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OFFICE PIIONF,
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MAILING ADDRESS
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(146)
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NUM13ER
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RELATIONSIIIP TO PROJECT, i • / • �.�
Tettatit b Agetit Xotliet (besciibe) W_S7_ __1�.L_
FAX
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b Atettilect b
RI RY P ONE
E-MAIL ADD ESS
CONTACT
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LENDER
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ISTING A§SES$EbI�P�SED VALUE t f!) OdV
itES �NO
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SPRINKLEREb i3IllLbttad? b YES
b TACOtvtA b iitllVAfiE (WEj
WATER SERVICE PROVIDER •"S LAHEIiAVEN b IIIGIILtNE
SEWER SERVICE PROVER )(LAKERAVEN b ItIGIILINf:;
tj I'RItIATE (SERE)
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11 R'I
)UI"fIONAL I� LOORS IUESCRIUE) v vJ tG R l:�
nanc;►/cnnrotzT
OW MANY PLO0RS7
MW IIOMGS ONLY" NUMt3Ct2 er �etlltooMs
12
WIN
i
TOTAL
i�
fixtures to re►ndin.
Indicate HUHibef ojr'dcli type djftktilre td be Utsicilled oh PelOCd[ea as par. aj C"—V.
E(HAN1CAi
liue Of Mechariicdl 6ljak �J OOd _ REhplo. SYSTEMS
(7 EVAI'ORl1'I'IVE Cool.Eps Loos WOOUSTOVES
d Alf?t1ANbLINo UNITS110 ANS ttOOb$1c°'"'"�,�i°I1 MIsC (besctibe)
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arises tial of lily tl+tldHcd of Ills Ciirf, 1HctiAdt+iy iia bjficer3 dKtl @HllftdyeN3h UadH IN! HceuFiicif 8j IN litf diHidlidH sirptfita ct td ik2 eti1J ds d Hdri of
this applicaddil.
NAME/TITU';—A"'.
'�
(Sigi161uhc) i
RELATIONSHIP TO PhOJECt d O%Vnet t( Age►il d Cot,U tit ltit d Ait ltilci ! d 011itt
]FOR OFFICE tJ5�k dNLY 1
d fiI;NANI' #Mti#tnVEMENT
ly NEW b UMON d ALTERA'l JVS d pA##t d YES tj Ntl
�
IfvILblNd $1#ALL tiNL ? d YES b RV BABIU Fli"_d tm d Nb
zomiNa b*810HA` i0ft IJPI§* HMO -d d i t S b NO
NEW Abbit 5 #t t�Ui#tl;b7 b irm d NO bpMlj PERMIT b itm b NO
rLATTEb tot' d YES b Nti
°
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llullcthi N 100 — Witch J0, 2004
Ical lbH