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03-102366 • • Chi ofF6dci sit Way Cc-Triunity Devel went Sc.iees Building - Single Family Permit #:03 --102366 -I1 =4F 33530 1st Way e ~ Federal Way,WA 98003-6210 Ph:253 661.4000 Fax•253 661 4129 Inspection request line: 253.835.3050 Project Name: DANVILLE STATION LOT 16 Project Address: 1790 SW 345TH PL Parcel Number: 189545 0160 Project Description: NEW-Construct new SFR w/attached garage per BASIC#02-104113;No deck; includes mechanical &plumbing** 4 bedroom,proposed selling price: $250,000** Owner Applicant Contractor Lender SCHNEIDER HOMES,INC. SCHNEIDER HOMES,INC. SCHNEIDER HOMES,INC. SCHNEIDER HOMES,INC. 6510 SOUTHCENTER BLVD 6510 SOUTHCENTER BLVD SCHNEI*245P8 3/1/05 6510 SOUTHCENTER BLVD TUKWILA WA 98188 TUKWILA WA 98188 6510 SOUTHCENTER BLVD TUKWILA WA 98188 TUKWILA WA 98188 Includes: Census category: 101 -New si #1 #2 #3 #4 Occupancy Group: R-3 U-1 II; Construction Type: Type V-N Type V-N Occupancy Load: Floor Area(Sq.Ft.): ' 1st Floor Proposed Sq.Feet 1240 2nd Floor Proposed Sq.Feet „n 1112 Basic Plan No Census Category 101-New single family house Construction Type#2 Type V-N Garage Proposed Sq.Feet 492 Height of Structure 23.5 Mechanical Yes Occupancy Group#1 R-3 Occupancy Group#2 U-1 Plumbing. Yes Total Building Sq.Feet t 2844 Total Proposed Sq.Feet 2844 Zoning Designation RS 7.2 Plumbing Fixtures Descrlptic t :.:;:: ',,,,'Quantity H ' •Desch tiara: :, Quantity, .;;. ,Ci'escripticin,:: ; = Quantity Dishwashers 1 Gas Pipe Outlets 4 Laundry Washer Outlets 1 Bathtubs 2 Lavatories 4 Water Heaters r 1 Showers 1 Sinks 2 Water Closets 3_J Mechanical Fixtures ':'.Descriptio_n'kw z- >..Quant* .."-43, ;!i-VDescripttan : '[Quantity ::F;: ': ;Desciiptiol MH ,: "quantity Ducts 1 Fans 5 Air Handling Units 1 Fireplace Inserts 2 Ranges 1 Furnaces 1 Hoods 1 CONDITIONS: 1)No building shall encroach onto any building setback line or easement shown or not shown. Maximum building height is 30 feet above average building elevation,per Federal Way City Ordinance#90-51. 2)Retain&protect identified significant trees per FWCC,Sec.22-1565 through 1569.Bright protective fencing is required at the dripline of retained trees. 3)The driveway shall be paved per FWCC,Sec.22-1453.The driveway shall be paved from the existing roadway pavement edge,or curb,to the garage or carport. 4)Maximum driveway width is 20 feet. 5)Building setbacks are:20 feet front; 5 feet side; 5 feet rear. 6)Prior to any clearing or grading on a lot,the owner/builder shall install temporary erosion/sedimentation control facilities approved by the City.These facilities must ensure that dirt or sediment laden water does not enter the public drainage system,adjacent lots or public streets.The owner/builder bears the responsibility to maintain the facilities in proper • . i d f A worrkifig order,replacing as necessa facilities may be removed only after suc e as construction is compl••:te& landscaping is installed.See attached fo standards and site plan for location of silt fe mg. Per YWCC,Sec.22-1133(w),eaves,chimneys or awnings,&similar elements of a structure that customarily extend beyond the exterior walls of a structure niay extend up to 18 inches MAXIMUM into the required yard setback.ldditioiSally,the' total horizontal dimensions of the elements that extend into a required yard,excluding eaves,may not exceed 25%of the structure's facade length from which the elements extend. This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES February 24,2004. Permit issued on August 28,2003 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: ._ Date: I 4 . * . , . , i . POS IS CARD ON THE FRONT OF BUILD • ' c• , .., • . ft w -,,; ay BUII7,5ING DIVISION • • ' ' INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-102366-00-SF OWNER'S NAME: SCHNEIDER HOMES,INC. SITE ADDRESS: 1790 SW 345TH ( ) FOOTINGS/SETBACKS Go - a 1-Ca S ..c.....i ( ) FOUNDATION WALL 7/4Y/':-; ':;;T_IIIIi7A1Ctilit?tc -iiN TrWft_00,AW, Pnli, ( ) DRAINAGE: Line -? 'to/0 0 3 ,,........i ( ) Connection ?... / #' 03 C-..C-4,........) 4aiiI4TAPNIWirbtt. 1OTTP *. AVINT - 7,4100 ( ) UNDERFLOOR FRAMING & "4 2.2? •-• 0, ( ) ROUGH PLUMBING: DWV /ONO Water piping /w/...r/e2 / f t ( ) ROUGH MECHANICAL f/0/ 10/(51 I)3 PVF Gas piping /D/7/03 pi4a- ( ) SHEATHING Roof 9 •-• / 7.• 0.3,<.0 Floor 2_0. o3 (t. 41EAR WALLS q . la- .4 , -ic %-..„ ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS '=',,,Iii7",'' ':`.::::7, ::,A4 TOCI*X04.0"t iitilk&ROVkiY PitiOR TOJIlit0g1NG IlsISPECliON '''-•' -''V-:::1 ( ) FRAMING/FIRESTOPPING A7//6143 /% al4:'Jakir:1:,itrAlOW10,§0E74110:TEW11140.0:0 lt4$tTLTI*XOitT$Atk:tliOcKt '.17f,Z ZIN ( ) INSULATION: Floors Walls fOrk:)/03 i 'e...P Attic 7 '- ,;i liiiiaiiWafttiOgrA#08TE740W rOk)49$870-bittigICW114WOSHEE174.0O('A5 i Z:,;;JA.4,::i ( ) WALLBOARD NAILING /OM 03 rrir ( ) SUSPENDED CEILING ri-':4-fiSffAitEtAi30‘.kW*ii0OgrettliktaCKKT:A#040-700434.1,0 tOONOlital ( ) ELECTRICAL FINAL /Z' f( ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL IglitilV gMgg7ASOTVt jOST:WAttiONAP-11407;t0MbiNOWARt"*IgiSTFOtAlalf44i;iiar%- ( ) BUILDING FINAL ,Z -../7-.6/3 4-. c-%) rliAlW,_ .___ .r'r tijtOlkt*S:'*,,,,,OttiWI:Ntit#001r441filSM-Vig)itiiii6:8tb7 :: *Selr 4r74eT470% 04.-7C6 ;eii,rio 3 pc— -- — • lg. - 0 51 7\ c CONSTRU ON PERMIT APPLICATION ON V �yE — APPLICATION NUMBER:�?j - LC2,� -at APPLICATION NUMBER: - - r) APPLICATION NUMBER: - **The following is required information—Please print(in ink)or type** i Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 1 • AZ PROPERTY INFORMATION 1 • SITE ADDRESS: (7QO SW 345714 PL ASSESSOR'S TAX/PARCEL#: L BA 54_v. - Q L o { LEG..".L DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Datt4VCILE STATto,J DIV. 1i tor lG . _::t::..-•..'•..: -..,. . , :_.- - . :.11 PROJECT INFORMATION. - = .:_. , . . -.. . TYPE OF PROJECT(This application): -----44i BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): CONSTD tX-T A 14E A)4 1 bOr1,,24 Sitr,i 51peit.z. 1#tii y graStrei Wrrm A-r-rAckk- CPM PROJECT NAME: jj/S !6/ (253) i • '00 PEOPLE INFORMATION PROPERTY OWNER: NAME: - - DAYTIME PHONE: x.HN ► ' 11CMFS \v/c. (2Ob )248 -247/ MAKING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): l0510Soo-racenrree, 8tvo, 11L . Vt, 98188 CONTRACTOR: NAME: DAYTIME PHONE t�J`L`1��� MAILING ADDRF (QST EET AV , 314/CITY,ST IANC c ( )248 -24171 EVENING PHONE: 40510 SOOTW&y l . TOK1AMLA A)A. 98188 )248 —247/ CITY OF FEDERAL WAY BUSINESS LICENSE NUM FAX NUMBER: 1 `L - tri-UV 444-0/5-16_/-._ (204)24Z -42- CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy° 6cMNem 2 45 p - - - 03 /O 1 /o3 APPLICANT: NAME: DAYTIME PHONE: `R-t (?.tom)248 -24-11 MAILING ADDRESS STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: CJ510 SOUTRCE10TEi2 6i-,c117 ied4tt4,„,'JDA,(igt$t (2* )24,2 -42z.9 RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT A OTHER(DESCRIBE):R1215.1.tiim , (, )242. -4Zo9 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER APPLICANT. 0 CONTRACTOR i DETAILED BUILDING INFORMATION - _ EXISTING USE: 1JVA • EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ • • ROPOSED USE: 5F1 PROPOSED VALUATION FOR IMPROVEMENTS: $ • ' SPRINKLERED BUILDING? 0 YES 44 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES--s%Iti NO WATER SERVICE PROVIDER: ----Et LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: `---Xii LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTIOt111 Y** s • NUMBER OF BEDROOMS: f ESTIMATED SELLING PRICE: $ iA PROJECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST /240 1 Z41 SECOND 111 Z (l I Z THIRD FOURTii I OTHER FLOORS LDESCRIBE) DECK GARAGE p HOW MANY FLOORS? ___/__. •�q 2 49 Z TOTAL: Z8441 Z84 9 Indicate number of each type of fixture MECHANICAL 1 AIR HANDLING UNIT(S) - EVAPORATIVE COOLER(S) GAS LOG(S) / REFRIG.SYSTEM(S) BBQ(S) FAN(S) 1 HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) I RANGE(S) MISC.( ) COMPRESSOR(S) I FURNACE(S) DUCT(S) 3 GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC GAS PLUMBING /@) 2 BATHTUBS). y LAVATORY(S) = URINAL(S) , I WATER HEATER(S) * I DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC '4%43 GAS DRINKING FOUNTAIN(S)•--i— SHOWER(S) _ =�_ .WASH-MACHINE OUTLET I GAS PIPE OUTLET(S) SINK(S) 3 WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) , ,=4 -DISCLAIMER/SIGNATURE BLOCK - • • ` I certify under penalty of perjury that the inforniition furnished bjr 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 a's to any daim(induding costs,expenses,and attorneys'fees incurred in the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of-the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a art of this application. NAME/TITLE: .L ,..7--76 6ATE: .7e.*:—. ❑ PROPERTY OWNER. 0 APPLICANT , P CONTRACTOR • - - fi li:iv - _ ' Eq-�5��(: © : _ _ori. _ ---- -c '- r-�\' -- _— � ',k,.! r ��1rI %11�=77— j 507.011-1.4F, ` a-�=r'e;;l- r=-; ---.,,_--t.,1.-2- -=-=.7.7.7--;-----; _ 1 -yam= :^�7o----4---7-..- '-`'.7-----'7'- . _ r— _ =-_'= '4C-i1.L, ,," a ill,''''i'-'-'77'- 1111-_ -_' - -,. r 1 [ ��ml � Yef/�I'm- • LL --. �':>r, _-__ - ..,,yid T - _ _-_ -,.�..` ���. • ., _ � ,� ,.':.�,-.. , 6y Hl -- --[1 �,>.ii- r''''i'--`^«i.. ___-.7_ ig y _ Y _ _ -. �{ ry»....� a«'_ _ 1111_ __ +-/ ,F _l.F: (JJs:.1,Fi J.111 - 111_ -___T-'fes-_�, 2__,--7--_____--,--_-1,...--------;_— _ ,A •f�-` [ a. =?FJ- •i,. ^--r- 1'7-4 -------- �R = 7116; i.. —-:7-''---14::4"11---111±11 ;N Tr;• 1" / .._ ,y._-.=IR -r_;4T_- .—� `_y 1?-o"_=-y i �'�_'-`�„""�_�- Er V "-=- 1111—= ' _ - .=_-✓T � - - - - `� .10 • QOMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 980639718.253-661-4000•FAX:253-661-4129 • vrnw.dtvoffederaivravoom Construction Permit Fe Calculation Sheet *******PLEASE NQTE: ALL FEES MUST BE VERIFIED B YSTAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WA& 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)$26.00 (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus 53.50 for each additional SIOO.Ot?orfraction thereof,to and inducing $2.000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus 515.50 for each additional$1.000.00 or fraction thereof,to and (4)$25,001.00 to$50,000.00 including$25,000.00 (4)$435.00 for the first$25,000.00 plus 511,00 for each additional 51.00000 or fraction thereof,to and including$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus 58.00 for eadr addifk7ral S1,000.00 or fraction thereof,to and including$100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,110.00 for the first$100,000.00 plus 56.00 for each additional 51.000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,510.00 for the fist$500,000.00 plus 55.50 for each additional 51.000.00 or fraction thereof,to and including$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus 54.00 for each additional 51.0017.00 or fraction thereof. Bold number Is the base fee for the specified Increment jtalldzed,underlined number Is Melee per additionalseedfied 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 Fre 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** ■ BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: Z ooa FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) • ■ FIRE PREVENTION SYSTEM • PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number. (a)Base Fee: (b)Additional Increment Fee: • • Estimated Permit Fee: (6) • Estimated Plan Review Fee: (7) • • ■ PLUMBING . . . .. . . . • . ease Fee Number of Fixtures . . • $22.50+{ X$8.00/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) TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES (-#i -Single Family _Service or feeder only $50.00 _N of Thermostats(First-$37.50;add'n-S11 5k (First 13001i'-$75.00;Each add'n 500 fl'-$24.00) _Service and feeder $81.00 _N of Low voltage fire or burglar alarms Square Feet: First 2500 fl'-$43.50;Each add'n 2500 ft'-$11.50 _Each outbuilding or garage S31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _N of service or feeders •Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _N of Signs(First sign-S37.50;add'n sign (Inspected separately) feeder-$32 each) S17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL 1J (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 S 81.00 _Up to 200 amp S 81.00 S 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 S 81.00 S 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 N of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5_ circuits-$63.50;Add'n circuits,S5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp S 68.50 _Over 600 volts surcharge 63.50 _0-100 S 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50 _over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 1 _8 of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits S5 ea) . If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+S63.50.Add'l plan review for other submissions is$75.00/hr. '::::FIXTUREDESCRIPTION(A) __ FIXTURE FEE FROM TABLE-131B)- ;,-;:;NUMBER_OF..UNITS(C) - =_ '-' `-..:'I.TOTAL(D) _- 4A's = _ TOTAL' Orli Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from fine 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) • DEMOLITION - Estimated Permit Fee: (14) Bond Amount:(15) ■ ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) , - • ■ OTHER FEES Mitigation Fee;•(18) (20) (22) SBCC Surcharge:(19) - (21) • (23) Total(Pages OAe&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19,2002 I • RECEIVED • ;" �� CONSTRUCTION PERK_ ,,PPLICATION uv FEy JUN 0 9 2003 APPLICATION NUMBER: 03- 0 2-315.(7- APPLICATION NUMBER: - - cult OF FEDERAL WAY APPLICATION NUMBER: BUILDING DEPT. -iip,7 **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. I�4�3 I•! PR�OOPERTYINFORMATION SITE ADDRESS: /7 'e f% `_e' 995 L ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION CT PTION OF SUBJEPROPERTY(ATTE."H..EPARATE DESCRIPTION IF LENGTHY): ���. --.2 -7-11 y T 2/ /1/ /1 ��,_ y� �i° �f.�t/�.•, /moi G 72 7` ` / - _ ._ _:_r�.. ..'• : -..: - . - i PROJECT INFORMATION -. . TYPE OF PROJECT(This application): RI BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM — PROJECT DESCRIPTION(Provide detailed description): � S r .4/��. - ti y� 4P #;- /,y "fig"S' 9 /53,A-.....4-10,-. 3 .± ��..f4 7 o2-car- /4c--s.c ?0, az -/U V// PROJECT NAME: /5a^ v, //e .c/ f j v d-. //I - •J L ? / /( • 1'i PEOPLE INFORMATION i PROPERTY OWNER: NAME: DAYTIME PHONE: cJc.ikNEAbe.e. 1koMEs 11.1c. (MOb )z48 -241/ MAILING ADDRESS(STREET ADDRESS;CITY,STATE,IIP): 1051QSooTticF�rc�2. SLVC). TaiauA, Vik 98188 CONTRACTOR: NAME: DAYTIME PHONE CX:ANE.►DE2Ac 1144.. (' f. 0)248 -24171 WAILING ADDRESS(STREET ADDRESS;QTY,ST ZIP): EVENING PHONE: 10510 SOUT H A) . TO(1•01 L ►Nki %I SR 010 )298 -2(71 QTY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: 1. `L - (19-107 6Z4-0o-s_L_ (204)24z -42x9 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy ofcard SC41NE 4 L2.45et_ - - - 03 /o) /03 APPLICANT: NAME DAYTIME PHONE: ` ? (2010)246 -2411 MAILING ADDRESSADDRESS;CITY,STATE,ZIP): -EVENING PHONE: COSI 0 SOumt4 CEN TE Q, &.vD. rlizw tt.O. QPN•ci$t a? (36 )2/12 -4?-09 _ RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT A OTHER(DESCRIBE):15.Mi►,,,1A,r2, (2rg, )242. -4zo9 E-MAIL ADDRESS: 1 CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT. 0 CONTRACTOR A DETAILED BUILDING INFORMATION • EXISTING.USE: • EXISTING BUILDING ASSESSED/APPRAISED•VALUATION $ • • )ROPOSED,P USE: Si • 4 ,,,,�.�7 figs S PROPOSED VALUATION FOR IMPROVEMENTS: $ 3...:-.5'.. 7i>0t- SPRINKLERED BUILDING? 0 YES 61i NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 9 NO WATER SERVICE PROVIDER: LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: \Q LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) * • 1 **NEW RESIDENTIAL CONSTRUCTION O NUMBER OF BEDROOMS: ESTIMATED • SELLING PRICE: ����O!� " 11 PROJECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST /2 ‘=1,() SECOND //12, THIRD FOURTH OTHER FLOORS(DESCRIBE) , DECK GARAGE 4010 HOW MANY FLOORS? _ -70 X TOTAL: 3 0 X 7 Indicate number of each type of fixture MECHANICAL . AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) 'i FAN(S) / HOOD(S) WOODSTOVE(S) BOILER(S) J FIREPLACE INSERT(S) / RANGE(S) MISC.( ) COMPRESSOR(S) I FURNACE(S) ___LcDUCT(S) il GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC _kil GAS ( -) PLUMBING BATHTUB(S).. 4 LAVATORY(S) URINAL(S) , ,. 1 WATER HEATER(S) — DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC y GAS DRINKING FOUNTAIN(S)• - I SHOWER($) ., 1 WASH-MACHINE OUTLET . 1 GAS PIPE OUTLET(S) 2 SINK(S) 3 WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) _ ` '-:4 'DISCLAIMER/SIGNATURE BLOCK - • ' I certify under penalty of perjury that the inforiiiation furnisfied bir 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 offed'eral Way as to any dairh(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of-the dty,induding its officers and employees,upon the accuracy of the information supplied to the dty as a part of this application. ,NAME/TITLE: �� 'DATE: .6-''' -?" .7 .® PROPERTY OWNER_ 0 APPLICANT , i7 CONTRACTOR - - • . T altvorzt==_-_ • • rD • _: ` i ( A 4 • Id 0•' "=c '4 r-�-y o�v 4T� =___-�a -�X�. _ '-� �_ --�!: . ,��__JAL►1 {� • COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•fEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvof fecieratway.corn