05-102826 :� • -' Ili •
City of Federal Way ,
Community Development Services Building - Single Family Permit #: 05 - 102826 - 00 - SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: NORTHLAKE RIDGE 2/91'
Project Address: 33121 41ST LN S Parcel Number:618141 0910
Project Description: NEW-Construct a new 3592 sqft,2-story single-family residence with a 418 sqft attached garage and
a 116 sqft covered entry porch,includes plumbing&mechanical. No deck.***6 bedrooms; $316,900
selling price*** BASIC#05-100344
Owner Applicant Contractor Lender
QUADRANT HOMES*CHARLEY R QUADRANT CORPORATION,THE QUADRANT CORPORATION,THE NONE
PO BOX 130 PO BOX 130 QUADRC*221OF 9/10/05
BELLEVUE WA 98009 BELLEVUE WA 98009 PO BOX 130
BELLEVUE WA 98009 NONE
Includes:
Census category: 101 -New Si #1 #2 #3 I� #4 f
Occupancy Group: — R-3 1 U i� i
Construction Type: s _ Type V-B Type V-B
I Occupancy Load: 1-
Floor Area(Sq.Ft); .�_M�
R
-- _ i
1st Floor Proposed Sq.Feet 1726 2nd Floor Proposed Sq.Feet. 1982
Basic Plan No Census Category 101 -New single family houst
Occupancy#2-Construction Type Type V-B Deck Proposed Sq.Feet. 116
Fire Sprinklers Required No Garage Proposed Sq.Feet 418
Height of Structure 23 Mechanical Yes
Occupancy#1-Class R-3 Occupancy#2-Clasp U
Plumbing Yes Total Building Sq.Feet 4126
Zoning Designation RS 9.6 Ge';y .,.,rt.s.M'o rr
Plumbing Fixtures
Description Quantity L _ _ Description 1Quantityl Description 7Quant_ity_
LBathtubs 6
!I Dishwashers 1 Gas Pipe Outlets 9 J
I-Laundry Washer Outlets 2 Lavatories 9 Other Plumbing Fixtures " 4 1
Sinks 2 I Vacuum Breakers 1 Water Closets --li 71
_
I Water Heaters 1
Mechanical Fixtures
Description Quantity Lu Description Quantity Description -14uantity�
Air Handling Units 1 1 Fans r 12 Furnaces 1
1 Gas Logs 2 Ranges 1
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
This parcel is located within a Wellhead Protection Area(Capture Zone 1)and must comply with FWCC,Chapter 22,
Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
ALTERNATE ADDRESS FOR THIS SITE IS: 4116 S 331st PLACE
111
PERMIT EXPIRES December 24,200w
Permit issued on June 27,2005
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: to f 3 of o
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 City staff.
Tenant Name: NORTHLAKE RIDGE 2/91 Permit number: 05- 102826-00
Address: 33121 41ST S
#1 #2 #3 #4
Occupancy Group: R-3 U
Construction Type: Type V-B Type V-B
Occupancy Load:
Floor Area(Sq.Ft.):
Owner QUADRANT HOMES*CHARLEY REID *
Name: PO BOX 130
Address: BELLEVUE WA 98009
/0/4°•-r—
Building Official 4y / /Z/7Ar 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 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 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 TO .MAIN ON-SITE
CITY OF (itommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102826-00-SF
Owner: CHARLEY REID
Address: 33121 41ST LN 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) .Li Footings/Setback(4110) �❑ Foundation Wall(4115)
To be done prior to breaking ground
Approved to place concrete Approved to place concrete
By QJrS Date 7/4/Ar ,Byx21, Date rf-7a.- 'By<c-1-S Dater-7-e2
❑ Drainage/Downspout(4040) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
N4 "%
By r-.--- - Date 0/0.)-- By ate By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor ,Appppprroved to install flooring Approved to install siding
S Date 9 /By !/ Date 9/2$/,Qf By 4,1"./../ Date VZ 8/0.5
•
❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) 0 Mechanical Rough-in(4165)
'
Approved to install roofing Approved Approved
`
By � Date q Ji 4 5 By Date OAS— B c Z Date4" .-
I
❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
A roved to release test Approved inspection;Electrical,Plumbing&Mechanical
fre l j Rough-in and Fire/Draft Stop inspections must be
-� Dat __6_ ,By Date/t/ahr , signed-offand approved. IBC 109.3.4/UBC 108.5.4
•
❑ Framing(4120) /❑ Insulation(4150) • �❑Gypsum Wallboard Nailing(4130)
Approved to insulate l ,/ Approved to install wallboard Approved to install mud&tape
By/�v7 Date /O/f3/a By G ci Date(0 . (7. psi T\--"i":3 DatIC . d 7,
❑ Final-SWM(4375)/ 0 Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By CMS Date /War By fliC Date /3/7/01 By �� Date OvAta—
El
Final-Building(4050) ❑Temp.Erosion Maintenance(4370)
Approved Approved
ti
By 1144-
Date /Z /0 By Date
Federal Way
COMMUNlTY'DEVELOPMENT SERVICES
33325 8T" AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
u!u:u.:i!Uc(Iedemlunu. ro:r.
l:
PERMIT
APPLICATION
SF F CO (_/ L &E EN FP
1
tYbv�.�S 1 C�
The following is required information -an incom Tete a Iication will not be accepted. Please rint le ibl in ink ort e.
PROPERTY• •
SITE ADDRESS 33121 41ST LN S, Federal Way, WA 98001 SUITE/UNIT # N/A
ASSESSOR'S TAX/PARCEL # 6 1 8 1 4 1 - 0 9 1 0 LOT SIZE (sj) 4,992
LEGAL DESCRIPTION (e.g. Acme Estates, Lot i) North lake Ridge, Division 2, Lot #91
(Attach separate page for lengthy legal des—ph,n)
PROJECT• •
TYPE OF PERMIT ♦ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
Construction of Single Family Residence, Quadrant Homes Plan Number 3541 C 1EGF=1 V F=
Lot 91 of Northlake Ridge, Division 2
City of Federal Way Registered Basic Plan Number 05-100344-00. JUAi���
PROJECT NAME (Name of Business or Owner Last Name) Quadrant Homes CITY OF FEDERAL WAY
D6mLDINf; ni=PT
PEOPLE. •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PI ION
Quadrant Homes
( 425) 455 - 2900
MAILING ADDRESS
CITY, STATE, ZIP
PO Box 130
Bellevue, WA 98009
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 applications EXPIRATION DATE
Q U A D R C* 2 2 1 0 F 09 / 10 / 2005
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
❑ Architect ❑ Tenant ♦ Agent ❑ Other (Describe)
( 425) 646 - 8363
NAME
PRIMARY PHONE
E-MAIL ADDRESS
Jack Britton
425 688 - 3708
jack.britton@quadranthomes.com
Per RCW 19.27.095: Lender information is
required ifproject value exceeds $5,000
NAME
Quadrant Homes
MAILING ADDRESS
CITY, STATE, ZIP
PO Box 130
Bellevue, WA 98009
EXISTING ASSESSED/APPRAISED VALUE $ N/,
SPRINKLERED BUILDING? ❑ YES ♦ NO
PROPOSED USE Single Family Residence
VALUE OF PROPOSED WORK $ 132,904.00
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ♦ NO
WATER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
6 BATHTUBS (orTub/Shower combo)
SQ. FT.
SQ. FT.
S . FT.
BASEMENT
2
SINKS
0 DRINKING FOUNTAINS
0 GAS PIPE OUTLETS
0
0
0
FIRST
URINALS
4 HOSE BIBBS
9 LAVS (Bathroom Sinks)
1
0
1,610
1,610
SECOND
u YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
0
1,982
1982
THIRD
0
0
0
FOURTH
0
0
0
ADDITIONAL FLOORS (DESCRIBE)
0
0
0
DECK(COVERED?)
0
116
116
GARAGE ® CARPORT ❑
0
418
418
NUMBER OF FLOORS
EXISTING
0
PROPOSED
2
TOTAL
2
TOTAL FMSTTRG SF
0
TOTAL PROPOSED SF
4,126
TOTAL SF
4,126
**NEW HOMES ONLY** NUMBER OF BEDROOMS 6 ESTIMATED SELLING PRICE $ 331 370.00
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL (y
Value of Mechanical Work .$ 5,926.80
1 AIR HANDLING UNITS 0 EVAPORATIVE COOLERS 2 GAS LOGS 0 REFRIG. SYSTEMS
_0 BBQS 12 FANS 0 HOODS(commer,ial) 0 WOODSTOVES 0
_ 0 BOILERS 0 FIREPLACE INSERTS 1 RANGES 0 MISC (Describe)
0 COMPRESSORS _1 FURNACES 1 GAS WATER HEATERS
0 DUCTS 9 GAS PIPE OUTLETS
PLUMBING
6 BATHTUBS (orTub/Shower combo)
0
SHOWERS
7 WATER CLOSETS (roilet) 0 MISC (Describe)
1 DISHWASHERS
2
SINKS
0 DRINKING FOUNTAINS
0 GAS PIPE OUTLETS
0 SUMPS
0 RAINWATER SYST
2 WASHING MACHINES
0
URINALS
4 HOSE BIBBS
9 LAVS (Bathroom Sinks)
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 of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE
12
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner ♦ Agent ❑ Contractor
DATE 6/9/2005
(Title)
❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
r( YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
a YES ❑ NO
UP/SEPA/SU?
Cl YES
❑ NO
PLATTED LOT?
u YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100- August 19, 2004 Page 2 of 4 k\Handouts\Permit Application
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