00-106173 r"V1 �►
• • 41111 .
Ciof Federal Way
Community Development Services Building - Single Family Permit #:00 - 106173 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: CADELINA
Project Address: 31713 2ND AVE S Parcel Number: 337530 0490
Project Description: RES ADD-Construct 385 sq ft bedroom/bathroom addition to existing single family residence;
includes plumbing and mechanical.
Owner Applicant Contractor Lender
Jerrie H Cadelina QUALITY HOME ENCLOSURES QUALITY HOME ENCLOSURES NONE
31713 2ND AVE S QUALITY HOME ENCLOSURES QUALIHEOOCP(1/20/01)
FEDERAL WAY WA 6310 PACIFIC HWY E QUALITY HOME ENCLOSURES
98003-5260 TACOMA WA 98424 6310 PACIFIC HWY E NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N j
Occupancy Load:
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 385 Census Category 434-Residential alt/add-no
Height of Structure 12.62 Mechanical Yes
Occupancy Group#1 R-3 Plumbing Yes
Total Proposed Sq.Feet 385 Toning Designation RS 7.2
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Lavatories 1 Showers 1 Water Closets J'
Mechanical Fixtures
Description Quantity' ! Description Quantity Description Quantity
Fans 1
CONDITIONS:
1.No building shall encroach onto any building setback line or easement shown or not shown.
2.Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
3.Service connections for electrical and communication facilities shall be placed underground per section 16-48 of
the Federal Way City Code.
4.Maximum 18 inch roof overhang into any required yard setbacks.
5.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating
to the subject proposal.
PERMIT EXPIRES July 15,2001,IF NO WORK IS STARTED.
Permit issued on January 16,2001
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 Fed; a1 W. .
Owner or agent: Or AI Date: / /6 0/
/ /
•
POSTHIS CARD ON THE FRONT OF BUILDI
�.oF G ' BUI ING DIVISION
EDE RRL_
uV 1=1)' INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00-106173-00-SF /41
OWNER'S NAME: Jerrie H Cadelina `l i
SITE ADDRESS: 31713 2ND S
() FOOTINGS/SETBACKS 3 0/ i () FOUNDATION WALL "---:///)/
DO NOT POU CONCRETE .CIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line 7 G�l i ( ) Connection ,3 /
DO NOT POUR SLA UNTIL THE ABOVE IS AP OVED �Gf►'a� h �eil
O UNDERFLOOR FRAMING ;7 7 4,J
O ROUGH PLUMBING: DWV ✓ L ater piping I/ /
( ) ROUGH MECHANICAL Gaing �/� �
O SHEATHING 94/01 �C�Roof /f/ii v loor g//
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
() FIRE/DRAFTSTOPS y/io
ALL THE ABOVE MUST BE PROVE1 RIO 0 ING INSPECTION
() FRAMING/FIRESTOPPING � Q
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR HEETROCKING
ch! moo�✓ Caul! ce
() INSULATION: Floors Walls 'f/�101 01 Attic /Q
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING 4'-2�C'l O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
• •
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
/.3c.c/ C /i- X. j�,'t t-/� c t,s 1
-4;0, G. CONSTAUCI ION PERMIT APPLICATIC
--- _IEllE.F — • e:• !CE%V0 APPLICA NUMBER: ,_,C- - (� ( !1 - 5F.'VV EN APPLICATION NUMBER: _ _ _ _ — _ _ _ _
IIEC 2 tl XII APPLICATION NUMBER: _ _ - _ _ __... ._ _
i **The following FFxis � /lunation-Please print(in ink)or type**
� �pT>
Please note: Electrical, Fire Preve`t1 /Mems and Engineering permits may require a separate application.
-.. . .:/ .PROPERTY INFORMATION . , . ••
7 tiJ�' SITE ADDRESS:3 I 1I 2-tit
i A Y w ASSESSOR'S TAX/PARCEL #: >� 37 5 d - D_ �GIL�
�I // __ '1 2
LGAL DESCRIPTION� OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
(xv- 4R, f- U_ SI��
i 1-kG- /tetcc2Df,.1Gr to Ti-t ___F-A-c- 1-ket2EbF 2-Cc>12-OE ) 1$3. SOL. t �3 oL-
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4S4 -455 i- T
ocA- C D i�� K-�-c c, _oc,- -e-ry f �4 ;',41 Cy-ry-p_\
- .- Fr .:►l:PRO]ECT INFORMATION - -
TYPE OF PROJECT(This application): )UILDING LUMBING J MECHANICAL El DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): * 0 F-- 0[biz.(l•+ ,-i Zl3-x.�}kt - L3 00 1>
L 91.4. t4 . . ' r- e)t Foci ' ;j. `) 'OP/N-4-14 L-Oc .
0),Iii ii, ,i Atifr,A, I , i 14.0-il..),,``
VIAO
—
PROJECT NAME: ip: .— - ,-- .-_tfkc�YlA, /#w'ga-r--b__ -_
g -': 4:=1:;V,;-7- v*_1174/340PLE INFORMATION ': . -
PROPERTY OWNER: (25v 7/7 _`i` py. 0 n�,{I'(i (AI/t ,--kui ; /9
MAIiN � SS( �T Rte^%�j• TATE'II' D> Cr 1)er2 - V/ WA` f3010
CONTRACTOR: NAMQu, L-N-\1
` � +�-� DAYTIME PHONE:
j/ 4L -KkCtvsctie ) � S 7ZNGDDDRESSJSTREEEf ADDRESS;
CSTATE,`ZII P)• /'Q�j� ` l^ E EVENING PHOI,It��t -� ,j
1�\� (J� ( h cPAC.i v7 Y ,TPS- IVvP,' W4 L (V�42 L FAX 11-
Uh�� /0'• (039 2-WABUSINESS3, NSE NUMB - - - - - - .
CONTRACTOR'S REGISTRATION NUMBER. > EXPIRATION DATE.
C Li 4L_ /4-, Q aOC_P c0( / / O(
,
AYTIME PHONE:
APPLICANT: NAME: /� LpaA4.14
Dj .55) 77 -/ q9 q9MAILING ADO (STRE�ET��,ORnY JE,ZIP): EVENING PHONE: (�! ( /
/(0b e Eck` / `ANA GtB lips c2 Qn�-67yc
RELATIONSHIP TO PROD y"�Pe-°Y1517---
Le + FAX NUMBER: c�Z$3-1
❑ ARCHITECT ❑ TENANT ( )THER(DESCRIBE): ' 'f (?��j`J �j
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR f_
M. DETAILED BUILDING INFORMATION . • •
Ji r- I /
EXISTING USE: l�6a- A_ , , , NG BUILDI •SSESSED/A• '' ' VALUA '
PROPOSED USE: `"!- doz._ Lei 12ROPOSED VALUATION FOR IMPROVEMENTS: $ • 5/COO.
SPRINKLERED BUILDING? ❑ YES I'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLIPTG PRICE: $
. n PRO]ECT FLOOR AREAS 41111
a)
FLOOR EXISTING S.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST ( roe) � � Z I ✓ 5---
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: �j b QU 5 b 2( Y S
--FIXTURES r r
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(:
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC D GAS
PLUMBING
BATHTUB(S) I LAVATORY(S) URINAL(S) WATER HEATER(S
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) ` SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) I WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
/ 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,au
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 U
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City r
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employees,upon the accurac
of the information supplied to dty as a part of this application.
NAME/TITLE:
-) DATE: OD
❑ PROPERTY OWNER 7APPLI NT ❑ CONTRACTOR
.FOR OFFICE USE ONLY:
❑ 1EW , .: ;❑,ADDITION'- ❑ ALTERATION -. r .REPAIR TENANT IMPROVEMENT-
CENSUS CODE: CLOT SIZE:-
ZONING DESIGNATION• . BUILDING SHELL-ONLY? "❑ YES ,I❑ NO.
COMP PLAN DESIGNATION BASICPLAN? '❑YES ' ''L NO`
SECTION -; TOWNSHIP RANGE NEW.ADDRESS REQUIRED? _ E YES _ ❑.NO ,
PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? .'❑YES ..❑ No
OOMMUNFIY DEVELOPMENT SERVI(FS•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
• Construction Permit r i tion Sheet
•
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED FF PRIOR TO ACCEPTANCE
OF PAYME
CHECKS FOR INCORRECT AMOUNTS NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$23.50
(2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 plus$3.05 freach adoitional$100.00or fraction thereof,to and including$2,000.00
(3)$2,001.00 to$25,000.00 (3)$69.25 for the first$2,000.00 plus$14.00 for each ada7tional$L000 00 or fraction thereof,to and including
$25,000.00
(4)$25,001.00 to$50,000.00 (4)$391.25(or the first$25,000.00 plus$1010 for each additional P,000.00 or fraction thereof,to and including
$50,000.00.
(S)$50,001.00 to$100,000.00 (5)$643.75 for the first$50,000.00 plus$Z00 for each additional$1,000.00 or fraction thereof,to and Including
$100,000.00.
. (6)$100,001.00 to$500,000.00 (6)$993.75 for the first$100,000.00 plus$5.60 fu-each additional$1,000.00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,233.75(or the fist$500,000.00 plus$4.75 for each additional$1,000.00 or fraction thereof,to and including
$1,000,000.00.
(8)$1,000,001.00 and up (8)$5,608.75(or the first$1,000,000.00 plus$3.65 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
• Italicized,underlined number is the fee per additional specified Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commerdal only.
Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above.
** Electrical,plumbing,and mechanical fees are calculated separately**
�� -BUILDING r,: .. .- tt t 1_ '- '-
PROPOSED VALUATION: U;t3 ef 0
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
—) Estimated FW Fire Department Surcharge: (3) ►
(COMMERCIAL ONLY)
id PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
le (b)Additional Increment Fee:
►f
y Estimated Permit Fee: (4) /
Estimated Plan Review Fee: (5)
- . -.a FIRE PREVENTIONSYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■'PLUMBING • .• . • . _
Base Fee Number of Fixtures
$21.00+{ X$7.00/fixture} = (8) Estimated Permit Fee
Estimated Permit Fee
X .65= (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) _ (11)
111111111111111Milliiiiiill."11.1233121°111.11111.11.1.111"111111M
TABLE B 1
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-S 10.5
(First 1300 ft2-$67.00;Each add'n 500 ft2-$21.50) _Service and feeder $72.25 First of Low 500 ft voltage
fire Earch bud'n burglar ala fls-$10.
Square Feet: Square Feet:
_Eachoutbuildingorgarage $28.00 MOBILE HOME/RV PARK q
(Inspected with service) _#of service or feeders *Per WAC 296-46-9(0(5)(b)(i&ii)
-Each outbuildingor garage $44.25 (First service/feeder-$44.25;Add'n service/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
-Progress inspection per 1/2 hr $33.50
Swimming pool,hot tub,spa 67.00
Yard Pole meter loops 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $7225
Feeder _201-600 169.00
-Up to 200 amp $72.25 $21.50
201-400 amp 89.75 44.25 0 to 100 $72.25 $44.25 -601-1000 254.50
401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Over 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 -0 to 60 $38.75
_0 to 200 amp $61.50 -Over 600 volts surcharge 56.25 -61-100 44.25
201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
over 600 amp
135.25 _201-400 67.00
_ 401-600 89.75
_Mast or meter repair 33.50 -
#of circuits over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$5625.Add'I plan review for other submissions is$67.00/hr.
',.4.-FIXTURE DESCRIP.7ION;(A)=,` ifIXTURE'FEE FROM TABLE B(B) NUMBEROF.UNITSXC) -'_-',5 ,TOTAL{O) 4 , ' -
TOTAL COLUMN(D):
Total Column(0)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 + X.35 =(13)
.. • • / DEMOLITION . . .
Estimated Permit Fee: (14) •
Bond Amount:(15)
• - ■ ENGINEERING . •
Estimated Permit Fee:(16)
Bond Amount: (17)
• ■ OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge:(19) (21) (23)
Total (Pages One&TWO): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24)
Bulletin #100-August 29,2000
• : _
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__ -Cffx OF FEDERAL.WHY
„ BUILDING DEPT. •
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„ . . .
PUEi IC WORKS DEPARTMENT FILE
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