06-101556lCity of Federal Way
Community Development Services Buil - Single Family Permit: 06 -101656 -00 -SF
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 4/31
Project Address: 33711 42ND CT S
Parcel Number: 618143 0310
Project Description: NEW - Construct a new 2886 sqft, 2 -story single-family residence with 398 sqft attached
garage and an 98 sqft covered entry porch, including plumbing and mechanical. No deck.
***6 bedrooms; $294,900 selling price*** BASIC #05-100604
Owner
Applicant
Contractor
Lender
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
PO BOX 130
PO BOX 130
QUADRC*2210F 9/10/07
PO BOX 130
BELLEVUE WA 98009
BELLEVUE WA 98009
PO BOX 130
BELLEVUE WA 98009
New / Additional Sq. Feet - Total..........................
3382
BELLEVUE WA 98009
Occupancy #2 - Use ...............................................
Census Category: 101 - New Single Family House
Includes:
# 1
#2 #3 #4
Occupancy Class:
R-3
U
ConLtruction Type:
Type V- B
Type V- B
Occupancy Load:
R-3
Occupancy #2 - Class.............................................0
lw`loar Arcs (sq. ft.
2,886
398 0 0
Mechanical Fixtures
Air Handling Units .........................
chit al>ritnoati
Fans................................................
7.00
Furnaces.........................................
1.00
Gas Logs ........................................
New / Additional Sq. Feet - 1 st Floor....................1268
Ranges............................................
Occupancy # 1 - Class .............................................
R-3
Occupancy #2 - Class.............................................0
Hot Water Tank .............................
New / Additional Sq. Feet - Other .........................
0
Plumbing to be Included?......................................Yes
New / Additional Sq. Feet - Total..........................
3382
Occupancy #1 -Use ...............................................Residence (1 or 2
Occupancy #2 - Use ...............................................
Private Garage
family)
Bathtubs .........................................
Zoning Designation ...............................................
RS 9.6
New / Additional Sq. Feet - 2nd Floor ...................
1618
New / Additional Sq. Feet - 3rd Floor...................0
Lavatories ......................................
Occupancy # 1 - Area (Sq. Feet) .............................
2886
Occupancy #2 - Area (Sq. Feet).............................398
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 ..........................
98
New / Additional Sq. Feet - Garage .......................398
Mechanical to be Included? ...................................
Yes
Mechanical Fixtures
Air Handling Units .........................
1.00
Fans................................................
7.00
Furnaces.........................................
1.00
Gas Logs ........................................
5.00
Ranges............................................
1.00
Gas Pipe Outlets.............................
11.00
Hot Water Tank .............................
1.00
Plumbing Fixtures
Bathtubs .........................................
3.00
Dishwashers...................................
1.00
Laundry Washer Outlets ...............
2.00
Lavatories ......................................
5.00
Sinks..............................................
2.00
Vacuum Breakers...........................
1.00
Water Closets .................................
4.00
Hose Bibbs.....................................
4.00
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards
relating to the subject proposal.
Special plat condition(s) apply.
�g
PERMIT EXPIRES Saturday, April 26 08
t it Issued on Wednesday,,April 26, 1616
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,thf,,Cjjtygf Federal Way.
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 4/31
Address: 33711 42ND CT S
Permit #: 06 -101556 -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.)
2,886
398 0 1 0
Owner Name: QUADRANT CORPORATION, THE
Owner Address: PO BOX 130
BELLEVUE WA 98009
mac, air � �►�'' � �. L o -� L-�
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 severiy 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.
THIS CARD IS TOWMAIN ON-SITE r
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101556 -00 -SF
Owner: QUADRANT CORPORATION, THE
Address: 33711 42ND CT 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
By
Date
By Date
❑
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to backfill
Approved to cover
Approved to place concrete
By
Date
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
By
Date
By Date
❑
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
Mechanical Rough -in (4165)
Approved to install roofing
Approved
Approved
B Y
Date
B y
Date
B Date
y
❑
Gas Piping (4125)
❑
Fire/Draft Stops (4095)
NOTE: Prior t7scheduling raming (4120)
Approved to release test
Approved
inspection; Elec& MechanicalRough-in
and Firpections must beBy
�p,� Date '�—��
By
Datesigned-off
and app.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
By
Date
By
Date
B�C > Date —Zq
❑
Final - SWM (4375)
❑
Final - Mechanical (4065)
❑ Final - Plumbing (4075)
Approved
Approved
Approved
By
Date
BK
<<j Date v . .–p
%ByCN�L,J Date _ S
❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370
Approved Approved
B)()_Dat -,0 j6, By Date
A
A •
City of Federal Way Buildin 1 mily Permit #• 06 -101556 -00 -SF
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 y Inspection Request Line: (253) 835-3050
Project Name: $NORTHLAKE RIDGE 4/311
Project Address: 33711 42ND CT S
Parcel Number: 618143 0310
Project Description: NEW - Construct a new 2886 sqft, 2 -story single-family residence with 398 sqft attached
garage and an 98 sqft covered entry porch, including plumbing and mechanical. No deck.
***6 bedrooms; $294,900 selling price*** BASIC #05-100604
Owner
Applicant
Contractor
Lender
ATTN: SALES MANAGER
QUADRANT CORPORATION, THE
QUADRANT CORPORATION, THE
Type V -8
QUADRANT HOMES
PO BOX 130
QUADRC*221OF 9/10/07
1618
825 SW 361ST ST
BELLEVUE WA 98009
PO BOX 130
2886
FEDERAL WAY WA 98023
BELLEVUE WA 98009
0
Census Category: 101 - New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V -8
Type V- B
Load:
New / Additional Sq. Feet - 2nd Floor ...................
1618
Floor Areas . ft.
2,886 11
398 1 0 0
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards
relating to tlie'subject proposal.
Special plat condition(s) apply.
r` � �
�C c4 -
_
\O_\%_ Q c, c- vn.��
New / Additional Sq. Feet - 1 st Floor.* ..................
1268
New / Additional Sq. Feet - 2nd Floor ...................
1618
New / Additional Sq. Feet - 3rd Floor...................0
Occupancy #1 -Area (Sq. Feet) .............................
2886
Occupancy #2 - Area (Sq. Feet).............................398
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 ..........................
98
New / Additional Sq. Feet - Garage .......................398
Mechanical to be Included? ...................................
No
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 ..........................
3382
Occupancy #1 - Use ...............................................
Residence (1 or 2
family)
Occupancy #2 - Use...............................................Private
Garage
Zoning Designation ...............................................
RS 9.6
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CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards
relating to tlie'subject proposal.
Special plat condition(s) apply.
r` � �
�C c4 -
_
\O_\%_ Q c, c- vn.��
PPMAIT EXPIRES Saturday, April 26,&08
' nit issued on Wednesday, April 26, J
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:
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 4/31
Address: 33711 42ND CT S
Permit #: 06 -101556 -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.) 1
2,886
1 398 0 0
Owner Name: ATTN: SALES MANAGER
ATTN: SALES MANAGER
Owner Name: QUADRANT HOMES
Owner Address: QUADRANT HOMES
825 SW 361ST ST
FEDERAL WAY WA 98023
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 it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
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-Community
a ed prem y Buildin iLAIEmily Permit #• 06-101556-00-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 4/311
Project Address: 33711 42ND CT S Parcel Number: 618143 0310
Project Description: NEW-Construct a new 2886 sqft,2-story single-family residence with 398 sqft attached
garage and an 98 sqft covered entry porch,including plumbing and mechanical.No deck.
***6 bedrooms; $294,900 selling price***BASIC#05-100604
Owner Applicant Contractor Lender
ATTN:SALES MANAGER QUADRANT CORPORATION,THE QUADRANT CORPORATION,THE
QUADRANT HOMES PO BOX 130 QUADRC*2210F 9/10/07
825 SW 361ST ST BELLEVUE WA 98009 PO BOX 130
FEDERAL WAY WA 98023 BELLEVUE WA 98009
Census Category: 101 -New Single Family House
Includes: #1 #2 #3 #4
Occupancy Class: R-3 U
Const action Type: Type V-.B Type V-B
Occupancy Load:
Floor Area(sq. ft.) 2,886 398 0 0
r''.r ';.',- T rte-' . 1111,60,1101111~160.0111, E .
New/Additional Sq.Feet- 1st Floor' 1268 New/Additional Sq.Feet-2nd Floor 1618
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 2886
Occupancy#2-Area(Sq.Feet) 398 New/Additional Sq.Feet-Basement 0
Basic Plan? No Occupancy#1 -Construction Type Type V-B
Occupancy#2-Construction Type Type V-B New/Additional Sq.Feet-Deck 98
New/Additional Sq.Feet-Garage 398 Mechanical to be Included? No
Occupancy#1 -Class R-3 Occupancy#2-Class U
New/Additional Sq.Feet-Other 0 Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 3382 Occupancy#1 -Use Residence(1 or 2
family)
Occupancy#2-Use Private Garage Zoning Designation RS 9.6
VHifi'',7,,,,,,10, ‘:,:..1 ._ tee x. ... tiotlt.s�r^tri$ , ,i, .,,.1 ,-;.,.{, . .,tt,,,,.
�z!!`r,s. «;)i .':4: ,,�.. . . . ... :_r is .h . .W i,,.�,- ;x , .:'S,.- , «.k• :. x...•xea.,.y,. ,:ffi^s5: xr+, ;V.rara„...i;,i,:, .,_. »a ,,2:'':L• ,.;iAi" IgG_„"k.. ^
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards
relating to tht subject proposal.
Special plat condition(s)apply.
Cis-,--,,C' 'Q------- \k .—\ 1- o �' �-J
,- G-_ -.' "1
• P IT EXPIRES Saturday, April 26, 08
it Issued on Wednesday, April 26, .
•
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:
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 4/31 Permit#: 06-101556-00-SF
Address: 33711 42ND CT S
Includes: #1 #2 #3 #4
Occupancy Class: R-3 U
Construction Type: Type V-B Type V-B
Occupancy Load:
Floor Area(sq.ft.) 2,886 398 0 0
Owner Name: ATTN:SALES MANAGER
ATTN:SALES MANAGER
Owner Name: QUADRANT HOMES
Owner Address: QUADRANT HOMES
825 SW 361ST ST
• FEDERAL WAY WA 98023
•
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 it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
' ' ' 4ilk' ' . . ,0 , , ,
THIS CARD IS TVEAIN ON-SITE
CITY OF V Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101556-00-SF
Owner: ATTN: SALES MANAGER
Address: 33711 42ND CT 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.
•
0 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 ‘.13,-/-- Date -77 -40 ByG vv_____ Date -a 4--p
•
'ET Drainage/Downspout(4040) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
Ilk__ U...-...") Date 9_ i-5_ L` By Date By Date
0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By> Date z/.-d 6 Byl5 Date �(tv T/k By,..-J-27-r. Date _g�,J
.❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) 0 Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
e3
By s�j Date —0-01, By T _ Date 0$-\.(t-OL, By GAJ Datee g_21-%b
NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120) 0 Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
' Rough-in and Fire/Draft Stop inspections must be '
signed-off and approved. IBC 109.3.4/UBC 108.5.4
.- -- - . . .- --- . . BrI Date ---21-a L By C Date ng --66
❑Gypsum Wallboard Nailing(4130) ❑ Final-SWM(4375) 0 Final-Plumbing(4075)
Approved to install mud&tape Approved Approved
By s- S Date h _..a._ ,-0` By Date By C Date 6A S,�el
•
❑ Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
By Date By Date
pb iOt ,-'°0 — o'At w%gi&
•
itG
r-sclera!Wa t�ECEIVE
Y 1PERMIT MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES J
33325 8TH AVENUE SOUTH•PO BOX 9778 MAR 3 A?PPL I CATION \\\
FEDERAL WAY,WA 98063.9778 TD
253-835.2607•FAX 253-835-2609
www.atuoffederalwau eom
OR •F FEDERAL WAY
The ollowi ! is re•uffed_t ;uL,,;;_• j inco •lete • ••lication will not be acc •ted. Please •rint le•ibl in in or j•
• PROPERTY INFORMATION
SITE ADDRESS 33711 42nd Court So., Federal Way, WA 98001 SUITE/UNIT# N/A
ASSESSOR'S TAX/PARCEL# 6 1 8 1 4 3 - 0 3 1 0 LOT SIZE(sf) 6,903
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) Northlake Ridge, Division 4. Lot#31
(Attach separate page for Lengthy legal desorption)
• PROJECT INFORMATION
TYPE OF PERMIT • BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Construction of Single Family Residence, Quadrant Homes Plan Number 2831 C.
Lot 31 of Northlake Ridge, Division 4
City of Federal Way Registered Basic Plan Number 05-100604-00.
PROJECT NAME(Name of Business or Owner Last Name) Quadrant Homes
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Quadrant Homes (425 ) 455 - 2900
MAILING ADDRESS CITY,STATE,ZIP
PO Box 130 Bellevue,WA 98009
CONTRACTOR 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 98009 (425 ) 864 - 9771
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 9-9 0- 1 0 1 9 1 4- B L 12 / 31 / 2005 (425) 455 - 2900
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Q U A D R C * 2 2 1 O F 09 / 10 / 2007
APPLICANT 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 98009 (425 ) 864 - 9771
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant •Agent 0 Other(Describe) ( 425 ) 452 - 6535
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Glen M. Lyons (425) 646 - 8360 glen.lyons@quadranthomes.com
LENDER Per RCW 19.27.090: Lender information is NAME
((project value exceeds$5,000 Quadrant Homes
MAILING ADDRESS CITY,STATE,ZIP
PO Box 130 Bellevue,WA 98009
• DETAILED BUILDING INFORMATION
EXISTING USE N/A PROPOSED USE Single Family Residence
EXISTING ASSESSED/APPRAISED VALUE $ N/A VALUE OF PROPOSED WORK $ 106.782.00
SPRINKLERED BUILDING? 0 YES • NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES • NO
WATER SERVICE PROVIDER • LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER • LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
O 0 0
FIRST
O 1,268 1,268
SECOND
O 1,618 1,618
THIRD
O 0 0
FOURTH
O 0 0
ADDITIONAL FLOORS(DESCRIBE)
O 0 0
DECK(COVERED?)
O 98 98
GARAGE ® CARPORT❑
O 398 398
=STING PROMISED TOTAL TOM 11XLATIXOIt TOTAL I*OPOIED se TOTALS"
NUMBER OF FLOORS 0 2 2 0 3,382 3,382
**NEW HOMES ONLY** NUMBER OF BEDROOMS 6 ESTIMATED SELLING PRICE $ 367,400.00
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAIVICAL
Value of Mechanical Work $ 4.761.90
1 AIR HANDLING UNITS 0 EVAPORATIVE COOLERS 5 GAS LOGS 0 REFRIG.SYSTEMS
O BBQS 7 FANS 0 HOODS(Commercial) 0 WOODSTOVES
O BOILERS 0 FIREPLACE INSERTS 1 RANGES 0 MISC(Describe)
O COMPRESSORS 1 FURNACES 1 GAS WATER HEATERS
O DUCTS 11 GAS PIPE OUTLETS
PLUMBING
3 BATHTUBS(or Tub/Shower Combo) 0 SHOWERS 4 WATER CLOSETS(Toilet) 0 MISC(Describe)
1 DISHWASHERS 2 SINKS 0 DRINKING FOUNTAINS
O GAS PIPE OUTLETS 0 SUMPS 0 RAINWATER SYST
2 WASHING MACHINES 0 URINALS 4 HOSE BIBBS
5 LAVS(Bathroom Sinks) 1 VACUUM BREAKERS 0 ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 of he city, cluding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE Glen Lvons,Permit Coordinator,Ouadrant Homes DATE 3/29/2006
(Si re) (Title)
RELATIONSHIP PROJ ❑ Owner •Agent ❑ Contractor 0 Architect 0 Other
OFFICE.ISB°02tt __.
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES n NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-August 19,2004 Page 2 of 4 k\Handouts\Pennit Application