05-102243r-ederllvay RECEIVED PERMIT
COMMUMTY DEVELOPMENT SERVICES
333 5 8m SOUTH - PO BOX
FEDERAL WA,, WA 98063-9718971 MAI 12 Asp P L I C AT I O N
253-835-2607• FAX 253-835-2609
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SITE ADDRESS 32905 41ST WAYS, Federal Way, WA 98001 SUITE/UNIT M N/A
ASSESSOR'S TAR/PARCEL N 6 1 8 1 4 1 - 0 8 3 0 LOT SIZE (sf) 4,727
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) Northlake Ridge, Division 2. Lot #83
/Attach eepamte page jar 1.W1 g legal d -.wt -,Q
PROJECT INFORMATION
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 2585 B.
Lot 83 of Northlake Ridge, Division 2
City of Federal Way Registered Basic Plan Number 05-101709-00.
PROJECT NAME (Name of Business or Owner Last Name) Quadrant Homes
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
Quadrant Homes ( 425) 455 - 2900
MAILING ADDRESS CITY, STATE, ZIP
PO Box 130 1 Bellevue, WA 98009
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Quadrant Homes
Quadrant Homes
Quadrant Homes
( 425) 455 -
2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
(42S) 864 - 9771
PO Box 130
Bellevue, WA 98009
(42S) 864 -
9771
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
1 9-9 1-1 0 1 9 1 4-B L
12 / 31 / 2005
( 425) 455 -
2900
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
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
(42S) 455 - 2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
PO Box 130
Bellevue, WA 98009
(42S) 864 - 9771
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ♦ Agent ❑ Other (Describe)
(42S) 646 - 8363
NAME PRIMARY PHONE E-MAIL ADDRESS
Jack Britton 425 688 - 3708 jack.britton@quadranthomes.com
qu �� J
NAME
Quadrant H omes
MAILING ADDRESS
PO Box 130
CITY, STATE, ZIP
Bellevue, WA 98009
EXISTING USE N/A PROPOSED USE Single Family Residence
EXISTING ASSESSED/APPRAISED VALUE $ N/A VALUE OF PROPOSED WORK $ 95,719.00
SPRINKLERED BUILDING? ❑ YES ♦ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ♦ NO
WATER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
SQ. FT.
SQ. FT.
SQ. FT.
BASEMENT
t # •.
0
0
0
FIRST
0
1,093
1095
SECOND
0
1,492
1,492
THIRD
0
0
FOURTH
0
0
ADDITIONAL FLOORS (DESCRIBE)
0
0
0
DECK(COVERED?)
0
63
63
GARAGE ® CARPORT ❑
0
394
394
MEMOrsoroeso
'roru.
7Ml7S•k= s#'•
mlAtllRdtCYM71Dse
NUMBER OF FLOORS
0
2
2
• .. , ;
**NEW HOMES ONLY** NUMBER OF BEDROOMS 4 ESTIMATED SELLING PRICE $ 322,350.00
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 $ 4.268.55
AIR HANDLING UNITS 0 EVAPORATIVE COOLERS _3 GAS LOGS 0 REFRIG. SYSTEMS
BBQS 6 FANS 0 HOODS porri—o 0 WOODSTOVES
BOILERS 0 FIREPLACE INSERTS 1 RANGES 0 MISC (Describe)
COMPRESSORS 1 FURNACES 1 GAS WATER HEATERS
DUCTS 8 GAS PIPE OUTLETS
BATHTUBS )or7Lb/Shower Combo) _0 SHOWERS
DISHWASHERS 2 SINKS
GAS PIPE OUTLETS 0 SUMPS
WASHING MACHINES 0 URINALS
_ 3 WATER CLOSETS (Tmk) �_ MISC (Describe)
0 DRINKING FOUNTAINS
0 RAINWATER SYST
4 HOSE BIBBS
—&— 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 O'V `ZT4ack Britton, Permit Coordinator. Ouadrant Homes DATE 5/4/2005
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ♦ Agent ❑ Contractor ❑ Architect ❑ Other
1.a.,A �, '.!l•z` %' , "L . .4" fit�■'sIhVF •E:57
Ej NEW o ADDITION
a ALTERATION
t3 REPAIR a TENANT IMPROVEMENT
ZONING DESIGNATION
t # •.
Bulletin #100 - August 19, 2004 Page 2 of 4 k\Handouts\Permit Application
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