05-1025621 '*3a�
cr" oe — 4
Federal Way PERMIT�
COMMUNITY DEVELOPMERTSERVICES
SF FCO ME EL PL DE EN FP
333258TH RALWAVENUE SOUTH .POBOX 9718 APPLI CATI O N
FEDERAL WAY, 930635971E
253-335-2607• FAXX 253-835-2609
u Www. atuoffederalwau. com
The olloudM is required in ormation — an incoMpWe application will not be accgptect Pleaseprintlegib!g(ininkjortilpe.
PROPERTY INFORMATION
SITE ADDRESS 33018 41ST WAY S, Federal Way, WA 98001 SUITE/UNIT # N/A
ASSESSOR'S TAX/PARCEL M 6 1 8 1 4 1 - 0 0 9 0 LOT SIZE (s,) 6,251
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) Northlake Ridge, Division 2, Lot #
(Attach separate page, jor I -Why t qW des-wtnn)
TYPE OF PERMIT ♦ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
Construction of Single Family Residence, Quadrant Homes Plan Number 1660 A.
Lot 9 of Northlake Ridge, Division 2
City of Federal Way Registered Basic Plan Number 05-101478-00.
PROJECT NAME (Name of Business or Owner Last Name) Quadrant Homes
PROPERTY
OWNER
CONTRACTOR
APPLICANT
LENDER
NAME
PRIMARY PHONE
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
Quadrant Homes
( 425) 455 -
2900
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
( 425) 864 - 9771
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 4-13 L
12 / 31 / 2005
( 425) 455 -
2900
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appHeatioa)
EXPIRATION DATE
Q U A D A C t 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
Sack Britton 425 688 - 3708 jack.britton@quadranthomes.com
r" r
NAME
Quadrant Homes
MAILING ADDRESS
PO Box 130
CrrY, STATE, ZIP
Bellevue, WA 98009
EXISTING USE N/A PROPOSED USE Sinale Family Residence
EXISTING ASSESSED/APPRAISED VALUE $ N/A VALUE OF PROPOSED WORK $ 62,160.00
SPRINKLERED BUILDING? ❑ YES ♦ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ♦ NO
WATER SERVICE PROVIDER ♦ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
Value of Mechanical Work $
SQ. FT.
SQ. FT.
SO. FT.
BASEMENT
0 EVAPORATIVE COOLERS 2 GAS LOGS
0 REFRIG. SYSTEMS
0 BBQS
3_ FANS
0
0
0
FIRST
1 RANGES
0 MISC (Describe)
0 COMPRESSORS
I FURNACES
0
1,680
1 680
SECOND
PLUMBING
0
0
0
THIRD
_Q_ MISC (Describe)
1 DISHWASHERS
2 SINKS
0 DRINKING FOUNTAINS
0
0
0
FOURTH
1 WASHING MACHINES
0 URINALS
4 HOSE BIBBS
0
0
0
ADDITIONAL FLOORS (DESCRIBE)
0
0
0
DECK(COVERED?)
0
64
64
GARAGE ® CARPORT ❑
0
540
540
nustmo
ntorosat
rare
7tW7F11T6 1+r"
xorusw9epr(pott
MM
NUMBER OF FLOORS
0
i-NEWHOMES ONLY** NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $ 263 900.00
type of fixture to be installed or relocated as part of this project Do not include existing fixtures to
if ECJL4MCAL
/ OC) , SO
a"IMPAIR n TENANT IMPROTTEMEItT
Value of Mechanical Work $
2,772.00 ;L-1 L ��
BASIC PLAN?
a YES
1 AIR HANDLING UNITS
0 EVAPORATIVE COOLERS 2 GAS LOGS
0 REFRIG. SYSTEMS
0 BBQS
3_ FANS
_0 HOODS (com -.d)
0 WOODSTOVES
0 BOILERS
_ 0 FIREPLACE INSERTS
1 RANGES
0 MISC (Describe)
0 COMPRESSORS
I FURNACES
_1 GAS WATER HEATERS
o YES
0 DUCTS
7 GAS PIPE OUTLETS
PLUMBING
2 BATHTUBS (or Tub/shower combo) 0 SHOWERS
2 WATER CLOSETS rroiiet)
_Q_ MISC (Describe)
1 DISHWASHERS
2 SINKS
0 DRINKING FOUNTAINS
0 GAS PIPE OUTLETS
0 SUMPS
0 RAINWATER SYST
1 WASHING MACHINES
0 URINALS
4 HOSE BIBBS
LAVS aathroom smka
VACUUM BREAKERS
9 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 authorised 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 igformation supplied to the city as a part of
this application.
NAME/TITLE ;*/ len'e�jack Britton, Permit Coordinator, Quadrant Homes DATE 5/4/2005
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ♦ Agent ❑ Contractor ❑ Architect ❑ Other
o NEW a ADDITTION
o ALTERATION
a"IMPAIR n TENANT IMPROTTEMEItT
BUILDING SHELL.ONLY?
o YES a NO
BASIC PLAN?
a YES
a NO
2MING DESIGNATION
CHANGE OF USE?
o YES
a NO
NEW ADDRES&IMQUIRED?
o YES a NO
UP/SEPA/SU?
a YES
a NO
PLAT'T'ED LOT?
ca YES a NO
DEMO PERMIT REQUIREC?
o YES
ago
Bulletin #100 — August 19, 2004 Page 2 of 4 k\Handouts\Pennit Application
O � N N N c p O ✓ -'
v a �
o o =
ti (n N
o
�. w o v> of -7- U mzm
N o= o > co [W[nn w %