06-101513I t
'tity of ityDe FederalWayy Buildio - Single Family Permit4k 06 -101513 -00 -SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: NORTHLAKE RIDGE 4/14
Project Address: 33611 38TH AVE S Parcel Number: 618143 0140
Project Description: NEW - Construction of a new 3259 sqft, 2 -story, single-family residence with a 400 sqft
attached garage and a 152 sqft covered entry porch, includes plumbing & mechanical.
**** 4 bedrooms; Proposed sale price: $389,700 ****** BASIC #06-100499 **7/31/06 Add
2nd HWT**
Owner
Applicant
Contractor
Lender
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
PO BOX 130
PO BOX 130
QUADRC*221 OF 9/10/07
PO BOX 130
BELLEVUE WA 98009
BELLEVUE WA 98009
PO BOX 130
BELLEVUE WA 98009
3811
Occupancy #1 - Use...............................................Residence
BELLEVUE WA 98009
Census Category: 101- New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Load:
179W -'
New / Additional Sq. Feet - Other.........................0
Floor Area . ft.
3,259
400 0 0
Mechanical Fixtures ,
Air Handling Units ......................... 1.00 Fans................................................ 8.00 Furnaces......................................... 1.00
Gas Logs ........................................ 4.00 Ranges............................................ 1.00 Gas Pipe Outlets............................. 10.00
Hot Water Tank ............................. 1.00
Plumbing Fixtures
Bathtubs ......................................... 4.00 Dishwashers................................... 1.00 Laundry Washer Outlets................ 2.00
Lavatories...................................... 6.00 Sinks.............................................. 3.00 Water Closets................................. 5.00
Hose Bibbs..................................... 4.00
CONDITIONS:
Special plat condition(s) apply.
r
New / Additional Sq. Feet - 1 st Floor....................1615
New / Additional Sq. Feet - 2nd Floor..................:
179W -'
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................
3811
Occupancy #1 - Use...............................................Residence
(1 or 2
family)
Occupancy #2 - Use...............................................Private
Garage
Zoning Designation ............................................... RS 9.6
New / Additional Sq. Feet - 3rd Floor...................0
Occupancy #1 - Area (Sq. Feet) .............................
3259
Occupancy #2 - Area (Sq. Feet).............................400
New / Additional Sq. Feet - Basement ...................
0
Basic Plan?...........................................................
No
Occupancy #1 - Construction Type ........................
Type V - B
Occupancy #2 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage .......................400
Mechanical to be Included? ...................................
Yes
Occupancy #1 - Class.............................................R-3
Occupancy #2 - Class .............................................
U
Mechanical Fixtures ,
Air Handling Units ......................... 1.00 Fans................................................ 8.00 Furnaces......................................... 1.00
Gas Logs ........................................ 4.00 Ranges............................................ 1.00 Gas Pipe Outlets............................. 10.00
Hot Water Tank ............................. 1.00
Plumbing Fixtures
Bathtubs ......................................... 4.00 Dishwashers................................... 1.00 Laundry Washer Outlets................ 2.00
Lavatories...................................... 6.00 Sinks.............................................. 3.00 Water Closets................................. 5.00
Hose Bibbs..................................... 4.00
CONDITIONS:
Special plat condition(s) apply.
PERMIT EXPIRES Monday, April 14, 2008
*it Issued on Friday, April 14, 2006
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 W
Owner or agent: N Date: 746—C-
3
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: NORTHLAKE RIDGE 4/14
Address: 33611 38TH AVE S
Permit #: 06 -101513 -00 -SF
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Floor Area (sq. ft.)
3,259
400 1 0 0
Owner Name: QUADRANT CORPORATION, THE
Owner Address: PO BOX 130
BELLEVUE WA 98009
^% tua f44% , C130
166:- _ -
Building Official
ll OCp
D to
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
dity of DWay
evelopment
Buildi� - Single Family Permit* 06 -101513 -00 -SF
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name:
Project Address: 33611 38TH AVE S FILE Parcel Number: 618143 0140
Project Description: NEW - Construction of a new 3259 sqft, 2 -story, single-family residence with a 400 sqft
attached garage and a 152 sqft covered entry porch, includes plumbing & mechanical.
**** 4 bedrooms; Proposed sale price: $389,700 ****** BASIC #06-100499 **7/31/06 Add
2nd HWT**
Owner
Applicant
Contractor
Lender
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
PO BOX 130
PO BOX 130
QUADRC*221OF 9/10/07
PO BOX 130
BELLEVUE WA 98009
BELLEVUE WA 98009
PO BOX 130
BELLEVUE WA 98009
BELLEVUE WA 98009
Occupancy #2 - Use...............................................Private
Census Category: 101- New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
c Load:
Yes
New / Additional Sq. Feet - Total ..........................
Floor Area . ft.
3,259
400 0 0
Mechanical Fixtures
Air Handling Units ......................... 1.00 Fans................................................ 8.00 Furnaces......................................... 1.00
Gas Logs ........................................ 4.00 Ranges............................................ 1.00 Gas Pipe Outlets............................. 10.00
Hot Water Tank ............................. 1.00
Plumbing f=ixtures
Bathtubs ......................................... 4.00 Dishwashers................................... 1.00 Laundry Washer Outlets................ 2.00
Lavatories ...................................... 6.00 Sinks.............................................. 3.00 Water Closets................................. 5.00
Hose Bibbs..................................... 4.00
CONDITIONS:
Special plat condition(s) apply.
New /Additional Sq. Feet - 1st Floor....................1615
1
New /Additional Sq. Feet = 3nd Fidal�...................
1796
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................
3811
Occupancy #1 - Use ...............................................
Residence (1 or 2
family)
Occupancy #2 - Use...............................................Private
Garage
Zoning Designation......... ...................................... RS 9.6
New / Additional Sq. Feet - 3rd Floor...................0
Occupancy #1 - Area (Sq. Feet) .............................
3259
Occupancy #2 - Area (Sq. Feet).............................400
New / Additional Sq. Feet - Basement ...................
0
Basic Plan?...........................................................
No
Occupancy #1 -Construction Type.......................
Type V - B
Occupancy #2 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage .......................400
Mechanical to be Included? ...................................
Yes
Occupancy #1 - Class.............................................R-3
Occupancy #2 - Class .............................................
U
Mechanical Fixtures
Air Handling Units ......................... 1.00 Fans................................................ 8.00 Furnaces......................................... 1.00
Gas Logs ........................................ 4.00 Ranges............................................ 1.00 Gas Pipe Outlets............................. 10.00
Hot Water Tank ............................. 1.00
Plumbing f=ixtures
Bathtubs ......................................... 4.00 Dishwashers................................... 1.00 Laundry Washer Outlets................ 2.00
Lavatories ...................................... 6.00 Sinks.............................................. 3.00 Water Closets................................. 5.00
Hose Bibbs..................................... 4.00
CONDITIONS:
Special plat condition(s) apply.
PERMIT EXPIRES Monday, April 14, 2008
*it Issued on Friday, April 14, 2006 &
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 Wqy_
Owner or agent:
City of Federal Way
Certificate of Occupancy
Date:
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: NORTHLAKE RIDGE 4/14
Address: 33611 38TH AVE S
Permit #: 06 -101513 -00 -SF
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Floor Area (sq. ft.)
3,259
1 400 1 0 0
Owner Name: QUADRANT CORPORATION, THE
Owner Address: PO BOX 130
BELLEVUE WA 98009
CW
*j <� �
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most sevedy 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.
Project Name: "NORTHLAKE RIDGE 4/14
Project Address: 33611 38TH AVE S
Permit #: 06 -101513 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 618143 0140
Project Description: NEW - Construction of a new 3259 sqft, 2 -story, single-family residence with a 400 sqft
attached garage and a 152 sqft covered entry porch, includes plumbing & mechanical.
**** 4 bedrooms; Proposed sale price: $389,700 ****** BASIC #06-100499
Owner
Applicant
City of Federal Way
Community Development Services
Building - Single Family
P.O. Box 9718
Federal Way, WA 98063-9718
QUADRANT CORPORATION, THE
Ph: (253) 835-2607 Fax: (253) 835-2609
FILF
Project Name: "NORTHLAKE RIDGE 4/14
Project Address: 33611 38TH AVE S
Permit #: 06 -101513 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 618143 0140
Project Description: NEW - Construction of a new 3259 sqft, 2 -story, single-family residence with a 400 sqft
attached garage and a 152 sqft covered entry porch, includes plumbing & mechanical.
**** 4 bedrooms; Proposed sale price: $389,700 ****** BASIC #06-100499
Owner
Applicant
Contractor
Lender
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
PO BOX 130
PO BOX 130
QUADRC•221OF 9/10/07
PO BOX 130
BELLEVUE WA 98009
BELLEVUE WA 98009
PO BOX 130
BELLEVUE WA 98009
No
Occupancy #1 - Construction Type .......................
BELLEVUE WA 98009
Occupancy #2 - Construction Type ........................Type
Census Category: 101 - New Single Family House
Includes:
41
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occu anc Load:
3259
Occupancy #2 - Area (Sq. Feet).............................400
Floor Areas . ft.
3,259
400 0 0
t .
Additi*al ennit lnfoonation
New / Additional Sq. Feet - 1 st Floor....................1615
New / Additional Sq. Feet - 2nd Floor ...................
1796
New / Additional Sq. Feet - 3rd Floor...................0
OccuparlFy #I -Area (Sq. Feet) .............................
3259
Occupancy #2 - Area (Sq. Feet).............................400
New / Additional Sq. Feet - Basement ...................
0
Basic Plan?...........................................................
No
Occupancy #1 - Construction Type .......................
Type V- B
Occupancy #2 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage .......................400
Mechanical to be Included? .................................... Yes
Occupancy #1 - Class.............................................R-3
Occupancy #2 - Class............................................
U
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................
3811
Occupancy #1 - Use ...............................................
Residence (1 or 2
family)
Occupancy #2 - Use...............................................Private
Garage
Zoning Designation ...............................................
RS 9.6
Mechanical Fixtures
Air Handling Units ......................... 1 Fans................................................ 8 Furnaces......................................... 1
Gas Logs ........................................ 4 Ranges............................................ 1 Gas Pipe Outlets............................. 10
Hot Water Tank ............................. 1
Plumbing Fixtures
Bathtubs ......................................... 4 Dishwashers................................... 1 Laundry Washer Outlets................ 2
Lavatories ...................................... 6 Sinks.............................................. 3 Water Closets................................. 5
Hose Bibbs..................................... 4
CONDITIONS:
Special plat condition(s) apply.
�. ... PF&IT EXPIRES Monday, April 14, $ ,
-Permit Issued on Friday, April 14, 200
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
nA , V-) and tDe City of Fecj*ral Way.
Owner or agent:
City of Federal Way
Certificate of Occupancy
Date: 4 - O— C -,y <--
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: NORTHLAKE RIDGE 4/14
Address: 33611 38TH AVE S
Permit #: 06 -101513 -00 -SF
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Floor Area (sq. ft.)
3,259
400 0 0
Owner Name: QUADRANT CORPORATION, THE
Owner Address: PO BOX 130
BF V E WA 98009
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD IS TO VqAIN. ON-SITE .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101513 -00 -SF
Owner: QUADRANT CORPORATION, THE
Address: 33611 38TH AVE S
FEDERAL WAY, WA 98001
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)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By
Date
B
Date Z6 —06
By Date S
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to backfill
Approved to cover
Approved to place concrete
By ,;; Datee 5 _t.c6 -0 6
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
B
S Date S OG
By Date to
Byn Date b_
❑
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
Mechanical Rough -in (4165)
Approved to install roofing
Approved
Approved
By
Date fl 6 _ p _
By./ Date
By 0 Date
❑
Gas Piping (4125)
❑
Fire/Draft Stops (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
B
Date - �- �j
By
�� Date (a . I c� _ es
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑
Framing (4120)
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
B,y4(S Date �- 7,0-o10
B
(�j Date�z�_ p 1p
B Date -L
❑
Final - SWM (4375)
❑
Final - Mechanical (4065)
❑ Final - Plumbing (4075)
Approved
Approved
Approved
By
Date
B
Date �� ��
/
By ,Dateg'9
Final - Building (4050) ❑Temp. Erosion Maintenance (4370
Approved Approved
4)1P By Date By Date
Cnw9.
0 Vr,,
A
RECFAW RECEIVED
Federal Way MAR 1� ^ ; PER01f
COMMUNITYDEVELOPMENT SERVICES OF FEDERAL WAY
33325 8M A SOUTH • �- 80r PERF t ,,,�,PP LI'�ttP'l fi
FEDERAL WAY, WA 98063-y i r HH�j 1'S
253-835-2607•FA.Y253-835-2609 BUILDING D
www atuoffederalwau cram
— / (9 4��-L,3
CO ME EL PL DE EN FP
The folloupina is re wired information - an Inco Tete a lication will not be accg ted. Please print Leqibly in in or
PROPERTY•. •
SITE ADDRESS 3361138th Avenue So., Federal Way, WA 98001 SUITE/UNIT # N/A
ASSESSOR'S TAX/PARCEL M 6 1 8 1 4 3- 0 1 4 0 LOT SIZE (sD 6,171
LEGAL DESCRIPTION (e.g. Acme Estates, Lot i) North lake Ridge, Division 4, Lot #14
(Attach separate Page for lengthy legal descnphan)
PROJECT• •
TYPE OF PERMIT ♦ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Construction of Single Family Residence, Quadrant Homes Plan Number 3211 B.
Lot 14 of Northlake Ridge, Division 4
City of Federal Way Registered Basic Plan Number Q11-100499-00.
PROJECT NAME (Name of Business or Owner Last Name) Quadrant Homes
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
C•Zey� FkrTeil i
LENDER
NAME PRIMARY PHONE
Quadrant Homes ( 425) 455 - 2900
MAILING ADDRESS CITY, STATE, ZIP
PO Box 130 Bellevue, WA 98009
COMPANY NAME
Quadrant Homes
APPLICANT NAME
Quadrant Homes
OFFICE PHONE
(42S) 455 -
2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY, STATE, ZIP
PO Box 130
Bellevue, WA 98009
(42S) 864 -
9771
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( 425) 452 - 6535
1 9-9 0-1 0 1 9 1 4-13 L
12 / 31 '/ 2005
(42S) 455 -
2900
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
G AL A D R C t 2 2 1 Q F
09 / 10
/ 2007
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Quadrant Homes
Quadrant Homes
( 425) 455 - 2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
PO Box 130
Bellevue, WA 98001
(42S) 864 - 9771
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ♦ Agent ❑ Other (Describe)
( 425) 452 - 6535
NAME PRIMARY PHONE E-MAIL ADDRESS
Glen M. Lyons 425 646 - 8360 glen. lyons@quadranthomes.com
�"" ��'�
..=riagtiirrti�f°g>�i4ct-tial7iiciMa�baeds�;ti00'
NAME
Quadrant Homes
MAILING ADDRESS
CITY, STATE, ZIP
PO Box 130
Bellevue, WA 98009
EXISTING USE N/A PROPOSED USE Single Family Residence
EXISTING ASSESSED/APPRAISED VALUE $ N/A VALUE OF PROPOSED WORK $ 120.583.00
SPRINKLERED BUILDING? ❑ YES ♦ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ♦ NO
WATER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
BBQS
SQ. FT.
SQ. FT.
SQ. FT.
BASEMENT
0 FIREPLACE INSERTS
1 RANGES
0 MISC (Describe)
COMPRESSORS
0
0
0
FIRST
_ 0 GAS PIPE OUTLETS
0
1,463
1,463
SECOND
0
1,796
1,796
THIRD
0
0
0
FOURTH
0
0
0
ADDITIONAL FLOORS (DESCRIBE)
0
0
0
DECK(COVERED?)
0
152
152
GARAGE ® CARPORT ❑
0 1
400
1 400
L a8TIw
PsOl08LD
TOTAL
74i'At lkGloliir�v sr
T'OT1►Lo
NUMBER OF FLOORS
0
2
2
3,811
I
3,811
"NEW HOMES ONLY** NUMBER OF BEDROOMS 4 ESTIMATED SELLING PRICE $ 389 700.00
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ 5,377.35
AIR HANDLING UNITS
0 EVAPORATIVE COOLERS
4 GAS LOGS
0 REFRIG. SYSTEMS
BBQS
8 FANS
_0 HOODS (commercial(
_ 0 WOODSTOVES
BOILERS
0 FIREPLACE INSERTS
1 RANGES
0 MISC (Describe)
COMPRESSORS
1 FURNACES
1 GAS WATER HEATERS
DUCTS
_ 0 GAS PIPE OUTLETS
BATHTUBS (or Tub/shower Combo( _Q_ SHOWERS 5 WATER CLOSETS (Toilet) 0 MISC (Describe)
DISHWASHERS 3 SINKS 0 DRINKING FOUNTAINS
GAS PIPE OUTLETS 0 SUMPS 0 RAINWATER SYST
WASHING MACHINES 0 URINALS 4 HOSE BIBBS
LAVS (Bathroom smka( 1 VACUUM BREAKERS 0 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 otf
/ he� city jpciuding its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application. ., /
NAME/TITLE ( ./,Zfri ! ffr✓ Glen Lyons, Permit Coordinator, Quadrant Homes DATE 3/14/2006
RELATIONSHIP VO PROJEJ7 ❑ Owner ♦ Agent ❑ Contractor ❑ Architect ❑ Other.
t��'%7x i
on=■
:N;
M �
ZONING DESIGNATION
10:14) A11A ��j
R17,7173 TIMM
■ a:
■ s
Bulletin #100 — August 19, 2004 Page 2 of 4 k\Handouts\Permit Application
43
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