15-101548CIT;OF �� 0 PERMIT PPLICATION
Federal Way �q9
MAR 112015
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PERMIT NUMBER CITY OF [ S _ I V $ _ S F((E��DEAL WAY t>'— /'!
— — TAA?r%ATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
$
ZONING ASSESSOR'S TAX/PARCEL
(0tl O Q � � a- O
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—
— — — — — —
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TYPE OF PERMIT
BUILDINGPLUMBINGMECHANICAL 1:1 DEMOLITION El ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
'
t ���� (✓�
PROJECT DESCRIPTION
Detailed description of work to
,
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be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
N/ I �% I l l" !* 2 r
E-MAIL
CIT
STATE�
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MAILING ADD /
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E-MAIL
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CONTRACTOR
CIT
H'
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
WAY BUSINESS LICENSE #
NAME
• Y
APPLICANT
MAILING AD
E-MAIL I
CITY STATEJZIP
FAX
PROJECT CONTACT
NAME
lci
PRIMARY PHONE
/ CC
MAILING ADDRESS
��� �%�'v
E-MAIL 01-1
(The individual to receive and
respond to all correspondence
�GT✓�L��� Iui1
sT. ATE
ZIPl
FAX
concerning this application)cIT�
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE _
sl /® /?� —j0 7
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I 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 owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such- arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the as a art of this app �ation.
SIGNATU DATE
PRINT NAME: / l C!— .lI
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
ove- .
:D'—.
•
VALUE OF MECHANICAL WORK 1%
MECHANICAL PERMIT �.-
Indicate how many of each type of&je toa installed or relocated as art o this ro'ect. Do not include existin ures to remain
AIR HANDLING UNITS S GAS PIPE QUTLETS OTHER (Describe)
AIR CONDI'T'IONER FIREPLACE INSERTS r' HOODSjc—' ercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PL UMBING WORK
PLUMBING PERMIT
N 0
L_ v l/")
L -U 7)
$
4 f
LOT SIZE (In Squaze Feet)
/„ __0a
EXISTING FIRE SPRINKLER SYSTEM?
El Yes �o
Indicate how many of each type of fixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/showercombo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
:�j�DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
'---SHOWERS
VACUUM BREAKERS
$I
DECK +ilk
DRINKING FOLJNTAINS ^
SINKS (Kitchen/ubuty)
ATER HEATtRS (Electric)
HOSE BIBBS
SUMPS
ASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N 0
L_ v l/")
L -U 7)
$
EXISTING/PREVIOUS USE
L b TIAL,.
LOT SIZE (In Squaze Feet)
/„ __0a
EXISTING FIRE SPRINKLER SYSTEM?
El Yes �o
PROPOSED FIRE SUPPRESSION YSTEM?
❑Yes No
,
SECOND FLOOR
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
,,FOR OFFICE USE
BASEMENT
NEw BUILDING
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
•
COVERED ENTRY
Occupancy Group(s)
Construction
Type
# of
Stories
--._...........
$I
DECK +ilk
GXRA'GE,, CARPORT ❑,rWOO
TENANT AREA ONLY
'"$
OTHER (describe)
q ;
PROJECT AREA ONLY
Area Totals
EHISTING
PR POSEjj
I !3 \/
TOTAL
**NEW HOn7,s ONLY"
ESTIMATED SELLING PRICE S
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEw BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL ,BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin 4 100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application
EASTSIDE CONSTRUCTION % tw-� �% Page 1 of 2
• l � U
Home Iniclo en I spafaol Contact Search L&I
A-Z.Index Heir My&xureIA-1
Safety Claims & Insurance Workplace Rights Trades & Licensing
Washington State Department of
Labor & Industries
I EASTSIDE CONSTRUCTION I
Owner or tradesperson 218 MAIN ST #334
Principals KIRKLAND, WA98033
206-949-8266
ROGERS, HOWARD KING County
DEAN, PARTNERIMEMBER 1 G./
Doing business as �J c� O JM
EASTSIDE CONSTRUCTION lJ"
WA UBI No. Business type v
603 281 392 Limited Liability Company �, V
Parent company
DEAN ROGERSLLC
License
Verify the contractors active registration / license / catification (depending on trade) and any past violations.
Construction Contrtr
..........................................................ac...o
........ . Active.
Meets current requirements.
License specialties
GENERAL
License no.
EASTSC'872DE
Effective — expiration
03/06/2013— 03/05/2017
Bond
................
Wesco Insurance Co
$12,000.00
Bond account no.
46WBO42887
Received by L&I
Effective date
02/19/2014
03/05/2014
Expiration date
Until Canceled
Bond history
Insurance
Security National Insurance
$1,000,000.00
Policy no.
NA107730800
Received by L&I
Effective date
02/26/2015
03/05/2014
Expiration date
03/05/2016
Insurance history
Savings
No savings accounts during the previous 6 year period
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603281392&LIC=EASTSC*872DE&SAW= 8/10/2015
EASTSIDE CONSTRUCTION Page 2 of 2
No L&I tax debts are recorded for this contraicense during the previous 6 year period, but some
may be recorded bi other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verily the business is up-to-date on workers' comp premiums.
L&I Account ID
550,979-03
.................................
Account is current.
Doing business as
EASTSIDE CONSTRUCTION
Estimated workers reported
Quarter 1 of Year 2015 "0" Workers
L&I account representative
T1 / MC14OLE CAROW (360)302-5634 - Email: CANI235@dni.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
> Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of VMshington.
https://secure.Ini.wa.gov/verifyIDetail.aspx?UBI=603281392&LIC=EASTSC*872DE&SAW= 1 8/10/2015
533 5W 293RD ST.
FEDERAL WAY, WA 98023
PARCEL # 1196001680
APPLICANT / PREPARER
RUEPPELL,
INC.
424 29TH
ST. NE
SUITE B
NEW
PUYALLUP,
WA. 98372
(253) 297-8040
IEIGHT LIMIT
NOTE:
OWNER AND/OR CONTRACTOR IS RESPONSIBLE
FOR VERIFYING THAT THE TIGHT -LINE SYSTEM
EXISTS. IF IT DOES NOT EXIST THE OWNER AND/OR
CONTRACTOR WILL BEAR THE RESPONSIBILITY
OF PROVIDING AN ALTERNATE MEANS OF
HANDLING THE ROOF RUNOFF.
533 5W 293RD ST,
O'ASPHLT
P S SD50' APRONAREG. G WIlk 0'
,W,
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°I
-____ I
(Q ( 1 20' SETE, GK r -m• I I
j�'Y1 I i 'ice
jWl�l I I Ila j
0 �Iw1 I 1 NEW CONCRETE 110 0
III 1 DRIVEWAY' T i: `J)
I I 1 ;i' -e•
—9'�5.-m.
I T 1
I I I1
j I
1 I
-13' '
I
I I j------ 5 SETBACK ---------J
�-----------------------,
15-
LOT AREA: 6,500 SF (+,-)
EXISTING HOUSE FOOTPRINT: 1008 SF.
EXISTING HOUSE W/ EAVE: 1140 SF.
NEW ADDITION FOOTPRINT: 568 SF.
NEW ADDITION W/ EAVE: 584 SF.
DRIVEWAY CONC.: 634 SF.
PATIO/WALKWAY: 106 SF.
TOTAL IMPERVIOUS AREA: 2316/6500=35.6%
1 "=20'
w,
TO &I
�.0
LLA4 a a W
' 6' MAX �E..e�r e,w°1Oos�ory
�Ge IFRER�EOu v�
TAP INTO
NEW
NEW TIG�
GARAGE
IEIGHT LIMIT
ADDITION
Zi
�XCEED 30' AVERAGE
TRUCTURE DOES NOT
rISTURBED ON LOT
0 EXISTING TREES
'RD NEW DOWNSPOUT
RD EXISTING DOUN51"OUNT
EXISTING T16HTLINE
REMA�N ED
—9'�5.-m.
I T 1
I I I1
j I
1 I
-13' '
I
I I j------ 5 SETBACK ---------J
�-----------------------,
15-
LOT AREA: 6,500 SF (+,-)
EXISTING HOUSE FOOTPRINT: 1008 SF.
EXISTING HOUSE W/ EAVE: 1140 SF.
NEW ADDITION FOOTPRINT: 568 SF.
NEW ADDITION W/ EAVE: 584 SF.
DRIVEWAY CONC.: 634 SF.
PATIO/WALKWAY: 106 SF.
TOTAL IMPERVIOUS AREA: 2316/6500=35.6%
1 "=20'
w,
TO &I
�.0
LLA4 a a W
' 6' MAX �E..e�r e,w°1Oos�ory
�Ge IFRER�EOu v�
April 7, 2014
P & P Construction
Attn: Patrick Schaeffer
1462472 nd St E, # 124
Sumner, WA 9839.0
10
RE: Permit #15 -101548 -00 -SF; RBCB Investments & Veristone Fund I LLC; 533 SW 293d St
Dear Mr. Schaeffer,
The Public Works Department has reviewed the site plan associated with the above -referenced permit.
Prior to our approval, please address the following items:
1) Rotate the site plan so that north is oriented correctly.
2) The drawing does not scale at I"=20' as indicated, nor does it seem to scale at any `typical'
engineering scale. Please revise the drawing so that it is scalable at a typical engineering scale.
3) Due to the underlying lot line (see enclosed copy of Assessor's map), you must apply for a City
Lot Line Elimination (LLE) process. Please refer to the enclosed documents for information on
the LLE process, and complete and return the enclosed LLE information sheet, so that we can
process the LLE. The application fee for the LLE is $192.50. There will also be a fee to record
the LLE at King County. The recording fee will be calculated at the time the LLE is complete.
4) It appears that the new roof downspouts are proposed to be tied into an existing tightline system.
The City has no issue with this proposal, however, it should be noted that the owner and/or
contractor is responsible for verifying that this tightline system exists. If it doesn't exist, the
owner or contractor will bear the responsibility of providing an alternate means of handling the
roof runoff.
5) Federal Way Revised Code (FWRC) Section 11.05.120 Service connections, states "Service
connections are facilities extending from a distribution system and terminating on private
property to serve a customer or subscriber. Service connections shall be underground, unless the
distribution system serving the customer or subscriber is aerial, and the building, structure or
facility to be served is new construction or an addition, alteration, or repair thereto is under
$20,000 in value. " Based on the project valuation, the existing overhead utility connections shall
be re -located underground as part of this permit.
L: \CSDC\DOCS\SAVE\ 11360093060. DOC
s
6) The new concrete driveway shall be connected to the edge of SW 293rd St with an asphalt apron.
A City Right of Way permit is required for this connection. Contact Kathleen Mathena, Street
Systems Engineering Technician at (253) 835-2725 for information on the Right of Way permit
requirements.
Please revise the site plan and provide the additional information as requested. Be advised that other City
departments are reviewing your permit and additional comments may be forthcoming.
If you have any questions regarding the above referenced items, please feel free to contact me at
(253) 835-2734 or via e-mail at kevin.peterson@cityoffederalwaYcom.
Sincerely,
Kevin Peterson
Engineering Plans Reviewer
KP:mt
Enc: LLE Application handout
cc: Project file (kp)
Day file
L:\CSDC\DOCS\SAVE\11360093060. DOC
9
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
RESU BMI17ED 33325 8`h Avenue South
�f F, Federal Way, WA 98003-6325
CITY OF °' 253-835-2607; Fax 253-835-2609
Federal Way SEP 2.2 2016 www.cit3Loffederalway.com
CITY OF FEDERAL WAY
CDS
RESUBMITTAL INFORMATION
This completed form MUST accompany all resubmittals.
"Pleasenote.- Additional or revised plans or documents for an active project will not be accepted
unless accompanied by this completed form. Mailed resubmittals that do not include this form or that
do not contain the correct number of copies will be returned or discarded. You are encouraged to
submit all items in person and to contact the Permit Counter prior to submitting if you are not sure
about the number of copies required. **
ANYCHANGES TO DRAW/NGS MUST BE CLOUDED.
Project Number: 15-1015
Project Name: / L. 46 c 4e //-, ye- S
- oo-sF
Project Address: 53.E c) 02 ?3rd
Project Contact: L) 41C,v-\� ��� Phone: 'ZOq q I
RESUBMITTED ITEMS:
# of Copies **
I Ir -
Detailed Description of Item
** Always submit the same num r of copies as required for your initial application."*
Resubmittal Requested by: Letter Dated:
(51 em r
OFFICE USE O
RESUB #.- Distribution Dabs- :V00//49 By.-
�r
Dept/Div Name # Description
Building
Planning
PW
Fire
Other
Bulletin #129 —January 1, 2011 Page 1 of I k:\HandoutsUtesubmittal Information
533 5W 253RED 5T,
FEDERAL WAY, WA 98023
PARCEL " IIS6001680
APPLICANT / PREPARER
RDEPPELL, INC.
424 29TH ST- HE -
S iT IS j
PUYA'_L'UP, WA. 98372
(253) 297--8040
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- Wu S"5 S p o. _
533 SW 5].
LCT AREA: 6,500 S.` (A —) _
EXIS'ING HOUSE FOOTPRINT: 1008 SF.
EXISTING HOUSE W/ SAVE 1140 SF. `
NLW ADDITION FOOTPRINT: 568 SF. {"
NEW ADDITION W/ EAE 584 SF.
DR'.VEWAY CONC.: 634- SF. - -• ,
PATIO/WA KWAY: 106 SF. v 1
TOTAL IMPERVIOUS AREA: 2316/6500-35.6% ---"`°` ---
MAR 31 2015
QTY OF FEDERAL NAY
COS