19-102979 • ►SNF, s ' v
•
•
Building - Single Family
City y ral Way Permit #:19-102979-00-SFr
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
•
Project Name: MIRROR LAKE HIGHLAND LOT 9
Project Address: 31008 6TH LN SW Parcel Number: 555790 0090
Project Description: NEW-Construction of a 1090 square foot,2-story single family residence with a 156 square
foot covered entry and a 60 square foot deck. Includes plumbing and mechanical. ***3
Bedrooms;$400,000 estimated selling price***
•
Owner Applicant Contractor Lender
WILLIAM MCCAFFREYMIRROR THE NEXUS STUDIO INC THE NEXUS STUDIO INC OWNER IS LENDER
LAKE HIGHLAND LLC 30929 37TH PL SW 30929 37TH PL SW
30929 37TH PL SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 101 -New Single Family House
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,090.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 736 New/Additional Sq.Feet-2nd Floor 354
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 1090
New/Additional Sq.Feet-Basement 0 Basic Plan9 No
Occupancy#1-Construction Type Type V-B New/Additional Sq.Feet-Deck 60
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? Yes
Plumbing Work Valuation9 5000 Mechanical Work Valuation? 4000
Number of Stories , 2 New/Additional Sq.Feet-Other 156
Plumbing to be Included9 Yes New/Additional Sq.Feet-Total 1306
Will Certificate of Occupancy be Issued9 Yes Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation RS 7.2
Residential
Total Valuation: 137,682.60
,V r 1-11 e3
it�.'
Fans 3 Fireplace Inserts 1 Gas Piping 1
Gas Pipe Outlets 3 Hot Water Tanks 1
."�„ ��4 t I b 8 _ i
Bathtubs 1 Dishwashers I Laundry Washer Outlets I
Lavatories 3 Showers I Sinks I
Water Closets 2 Hose Bibbs 2
CONDITIONS:
This project will require a NFPA 13D fire sprinkler system.NO FRAMING INSPECTION UNTIL
APPROVAL OF THE SYSTEM.
411
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1
PERMIT EXPIRES Tuesday,3 March,2020
-41
Permit Issued on Thursday,September 5,2019
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
s/Washingt•, and the City of Federal Way.
Owner or agent: M'► d/1 Date: 61fie' I
City of Federal Way u
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: MIRROR LAKE HIGHLAND LOT 9 Permit# 19-102979-00-SF
Address: 31008 6TH LN SW
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,090.00 0.00
Owner Name: WILLIAM MCCAFFREYMIRROR LA]
Owner Address: 30929 37TH PL SW
FEDERAL WAY WA 98023
uilding 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 severely affect the health and safety of the general public. Although the City has made as complete
a review and inspectio s is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees
nor warrants to the owner/o -orto-anyetherat 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 presponsibility of the owner and/or occupant of the premises.
ry
THIS CARD IS TO REMAIN ON-SITE
• -Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102979 00 Address: 31008 6TH LN SW
Project: WILLIAM J MCCAFFREY FEDERAL WAY WA 98023
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.
® SWM Precon Site Mtg(4400) Q Initial Erosion Control(4365) I p Footings/Setback(4110)
Approved To be done PRIOR to breaking ground f/ Approved to place concrete
By Date By Date B34). ` Date G i
Foundation Wall(4115) ® Drainage/Downspout(4040) Q Plumbing Groundwork(4190)
Approved to place concrete 1/" Approved to backfill
pIx Approved to cover
Be(,('5 Datehe /9 By Date ' Byc( )S Date
.?
frrfff
0 onFloor 0 l
Approved to place concrete . Approved to sheath floor Approved to install flooring
By Date #1.By /ha Date 11 1 Ii By/60 1
El Shear Walls(4245) 1 Roof Sheathing(4220) 12 Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
BN(.�/ Date 62./3 hq ByJ413 Date hy? /9 ! By :, Date thgla0
Niiiiii
El Mechanical Rough-in(4165) TEe fwd Gas Piping(4125) 0 Fire/Draft Stops(4095)
Approved d Approved to release test
IS°1
� Approved
Byt%W S Date//?/2p By` I Date//,/o By 410 Date 116
20
El Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 17 Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
BY Date off and approved. IBC 109.3.4
BY A1J Date ii 2 Se Za
El Insulation(4150) I El Gypsum Wallboard Nailing(4130) 1 El Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By I, Date l A I By Date i By Date
•21 Final-Mechanical(4065) 'f El Final-Plumbing '' 3
(4075) Final-Building(4050)
Approved Approved Approved
By Date ��By Date .`By 55 Date �� a�� .
l/ rek - e(' '`,vs 0/19
;,-(b...6,1,4 ,2 Con?rag,Do 1 rip.,7/,l.,.t
•
❑ Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved c"--------
By Date By Date
By Date
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i RECEIVED PERMIT APPLICATION
'CITY OF p p
JUN i 9 201.ERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenterQcityoffederalway.com
CITY OF FEDERAL WAY
COMM [TY ELOPMENT ;
/�
'�1
PERMIT NUMBER —.I ±17 9- 5F 7/17/i?
/ / TARGET DATE
SITE ADDRESS SUITE/UNIT i
3 I ppb tallt LAU Svc l FEDEgAL WAti r ,W A. R%o13 1-61--iit R
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 9
q , .
TYPE OF PERMIT BUILDING 'PLUMBING (MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT M 1 k ,K E. iAl L` t--A, �t>l L,t) - cl
PROJECT DESCRIPTION
Detailed description of work to 13,U t CD 1-\ 1(t (TJ I_ A 4 l '1 '5)P
be included on this permit only
NAME PRIMARY PHONE
KtP LM : AAi t` Ja1Ri.. b 1-1-C-1-1-C- 2 -70 _I- ��.x`74 7
PROPERTY OWNER v wtr�ADDRESS L.6't . W fALGA. I- -�
crrir _1 �--t p' *WA.`-f STATE "W . _ � �DZ3 C-C {C',1i, 1.1f-t--
RAKE
& 14-5(vn 5`n271 0 1t-4G PHONE-5,44
tE.--
KAMM ADDRESS E-MAIL
CONTRACTOR C JA `i;.' AI Ag,\10 0 iLt. .1 tUr "A3
CITY - STATE ZIP FAX 6`fit`0, C/
! r.t4
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS�LIICENSE I
Nwcu ► i, ti2,3,-1 IA Co I Vi 19
NAS .„,,, PRIMARY PHONE
C N-E-A) 170 t b t tI i` INki;
MAILING ADDRESS
APPLICANT. C�PSYM Pts ,�.C3i �) E'I5 K•
• CITY STATE ZIP FAX C
NAME1 ` ' PRIMARY PHONE
tLL- MCO CR. i
'✓lll
PROJECT CONTACT 'Jan
(The individual to receive and MAD.IN ADDRESS ^^ n ��{{��,,�� r E-MAILA�
respond to all correspondence Mil M I:JI JV+i� ./�
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME X. OWNER-FINANCED
When value is$5,000 or more MAU,n(O ADDRESS,CRY,STATE,ZIP PHONE
(RCW 19.27,095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
alt applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers employees, upon ���hhheee aaa��wwwcccyyy of the
Information supplied to the city as a part of this application. ` 11^I ► Q
9.
SIGNATURE: r l C Vii/ W iAl Y l TE t k 1
PRINT NAME: M L 1-l A 4 r`C c J r A I
Bulletin#100-January 29,2016 Page 1 of 2 lc\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ ,
t Indicate how many of each type of fixture to be installed or relocated asart of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS 2 FANS GAS PIPE OUTLETS ` OTHER(Des�crriib�e)��/
AIR CONDITIONER FIREPLACE INSERTS HOODS)Commercial) ( W �''""f/
BOILERS FURNACES T HOT WATER TANKS(cavi AttAsv
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING r GAS PIPINGWOODSTOVES
VALUE OFPLUMBING WORK
PLUMBING PERMIT $ :)c)QO
Indicate how many of each type of fixture to be installed or relocated aspaart of this project.Do not include existing fixtures to remain.
BATHTUBS)or Tub/sboamCombo) 3 LAVS)Nana sinks) TOILETS / WATER PIPING
DISHWASHERS _T_ RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS I SHOWERSVACUUM BREAKERS
DRINKING FOUNTAINS ' SINKS(sitabm/urwry) WATER HEATERS(ci.etrie)
HOSE BIBBS SUMPS T WASHING MACHINES 13 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NA. C.AK ..ikAV cO A1/41 % $ N A
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
51.. 2 1 Z 0 Yes No o YesA No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
; '
FIRST FLOOR(or Mobile Home) 936,
COVERED ENTRY (h lD
t
GARAGE 0 CARPORT 0
OTHERr s'g7we �c`".4.,1 .'', ...1 s y" '�,. ?'. u..t�`b"- _ ' :',"..,'.r e 3�>ti'.'
a «oaTrn.„.„.",,t5..-m..„..7.1 s�w„na .. .,r- a ..
OPOSO' TOTAL
Area Totals •1 °POtp
ESTIMATED SELLING PRICE$ 110() 000 I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of Additional Information
AREA DESCRIPTION Occupancy Chmup(s) Stories
Square Feet •,
11.;:' <J3 tf;; s sere r( nk ' • S.r'+..+b"X..-1. ek.„?
9
RECEIVED
... Lakehaven JUN 19 2019
WATER&SEWER DISTRICT 11
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT smili
ru
Lakehaven Water& Sewer District - Development Engineering Section
31623 - 1st Ave S • PO Box 4249 ilk Federal Way, WA 98063-4249
Telephone: 253-945-1581 or 253-945-1580 , Email: DE@Lakehaven.org
This certificate is intended to provide the applicant, land use agencies &/or public health departments with
information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at its sole
discretion, reserves the right to delay, or deny, water service based upon capacity &/or supply limitations
in Lakehaven's or Other Purveyor's system facilities.
Proposed Land Use: ® Building Permits-SFR ❑ Building Permit-MFR ❑ Building Permit-Other
❑ Subdivision 0 Short Subdivision 0 Binding Site Plan
❑ Rezone 0 Boundary Line Adjustment
❑Other(specify/describe)
Tax Parcel Number(s): 072104-9024. -9109.-9110. -9111,-9114 Site Address: 310XX-6th PI SW
Ex. Bldg. Area to Remain: N/A sf New Bldg. Area Proposed: 1.295+1-avg. sf ea. (16) Lakehaven GIS Grid: H-07
Applicant's Name: McCaffrey
WATER SYSTEM INFORMATION
1. 0 Water service can be provided by service connection to an existing " diameter water main that is approximately
feet from the site.
2. ® Water service for the site will require an improvement to Lakehaven's water distribution system of:
® a. 30+/- feet of diameter water main to reach the site; and/or
® b. The construction of a water distribution system on the site; and/or
❑ c. A major portion of Lakehaven's comprehensive water system plan would need to be implemented and/or
constructed; and/or
II d. Other(describe): Lakehaven Developer Extension Aareement(active. Project 6308003) reauired.
3. ® a. The existing water system is in conformance with Lakehaven's Comprehensive Water System Plan.
❑ b. The existing water system is not in conformance with Lakehaven's Comprehensive Water System Plan and an
Amendment to this Plan will be required.This may cause a delay in issuance of land use approvals or permits.
4. ® a. The subject property is within the corporate limits of Lakehaven Water&Sewer District,or has been granted
Boundary Review Board approval for extension of water service outside of Lakehaven's water service area.
❑ b. Annexation or Boundary Review Board approval will be necessary to provide service.
5. Water service is subject to:
® a. Payment of connection charges(to be determined by Lakehaven);
® b. Proof or reservation of easement(s)as required by Lakehaven;
® c. Other: Water Service Connection aoolicatlon reauired.for any new/modified service connection. DE Agreement(#2
above) must be accepted by Lakehaven. prior to any new service connection activation(s).
Comments/special conditions: Some service Dressure(s) areater than 80 osi indicated, some Pressure Reducina Valves indicated.
contact local buiidina official for requirements&Ior additional information.
The nearest fire hydrant will be on the Property(pending completion of DE Agreement(#2 above)).
Fire Flow at no less than 20 psi available within the water distribution system is 1.000 GPM (approximate)for two(2) hours or more.
This flow figure depicts the theoretical performance of the water distribution system under high demand conditions. Fire flow rates
greater than this may be accommodated through water distribution system improvements, contact Lakehaven for additional
information.
538 Pressure Zone Est. Meter Elevations)-GIS: High 366+/-, Low 332+/- Est. Pressure Range at Meter(s) (psi): 65-89
I hereby certify that the above water system information is true. This certification shall be valid for one (1) year from the date of
signature.
Name: BRIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVISOR
Signature: .---I_ L✓`/ `U t-�-5-2
Date: /I ?7/
7--
IMO#: 19-102979-00-SF/ NvtTI ON 5 t1/V-ctCC>
Page 1 of 2
ADDRESS: 31008 6th Lane SVS
P fi: New Construcliorl «0i 3!t i3
1111111ROR LAKE HIGHLAND LOT I
— DATE: 06/19/2019
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RECEIVED
Lakehaven JUN 19 2019
WATER&SEWER DISTRICT
CITY OF FEDERAL WAY Nom
—
COMMUNITY DEVELOPMENT rof
Lakehaven Water &Sewer District - Development Engineering Section
31623 - 1st Ave S * PO Box 4249 • Federal Way, WA 98063-4249
Telephone: 253-945-1581 or 253-945-1580 k Email: DE@Lakehaven.org
This certificate is intended to provide the applicant, land use agencies &/or public health departments with
information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at its sole
discretion, reserves the right to delay, or deny, sewer service based upon capacity &/or supply limitations
in Lakehaven's or Other Purveyor's system facilities.
Proposed Land Use: ►_ Building Permits-SFR 0 Building Permit-MFR 0 Building Permit-Other
❑Subdivision 0 Short Subdivision 0 Binding Site Plan
0 Rezone 0 Boundary Line Adjustment
❑ Other(specify/describe)
Tax Parcel Number(s): 072104-9024. -9109.-9110. -9111. -9114 Site Address: 310XX-6th PI SW
Ex. Bldg.Area to Remain: N/A sf New Bldg.Area Proposed: 1.295+/- ava. sf ea. (16) Lakehaven GIS Grid: H-07
Applicant's Name: McCaffrey
SEWER SYSTEM INFORMATION
1. 0 Sewer service can be provided by service connection to an existing "diameter sewer main that is
approximately feet from the site and the sewer system has the capacity to serve the proposed land use.
2. ® Sewer service for the site will require an improvement to Lakehaven's sanitary sewer system of:
® a. 125+/-feet of 8"diameter sewer main or trunk to reach the site; and/or
® b. The construction of a sanitary sewer collection system on the site; and/or
❑ c. A major portion of Lakehaven's comprehensive wastewater system plan would need to be implemented and/or
constructed; and/or
d. Other(describe): Lakehaven Develooer Extension Agreement(active. Prosect 6308003) reouired.
3. ® a. The existing sewer system Is in conformance with Lakehaven's Comprehensive Wastewater System Plan.
❑ b. The existing sewer system is not in conformance with Lakehaven's Comprehensive Wastewater System Plan and an
Amendment to this Plan will be required.This may cause a delay in issuance of land use approvals or permits.
4. a. The proposed site land use is within the corporate limits of Lakehaven Water&Sewer District,or has been granted
Boundary Review Board approval for extension of sewer service outside of Lakehaven's sewer service area.
❑ b. Annexation or Boundary Review Board approval will be necessary to provide service.
5. Sewer service is subject to:
0 a. Payment of connection charges(to be determined by Lakehaven);
® b. Proof or reservation of easement(s)as required by Lakehaven;
❑ c. Other: DE Agreement(#2 above) must be accented by Lakehaven. prior to any new service connection
activation. Sewer Service Connection permit required(1 per building).
Comments/special conditions:
I hereby certify that the above sewer system information is true. This certification shall be valid for one (1) year from the date of
signature.
Name: BRIAN ASBURY Title: DEVELOPMENT ENGINEERING SUPERVISOR
Signature: / /la Date: / O l
7-7row
119-102979-00-SF
ADDRESS: 31008 6th Lane SW
PROJECT: New Construction C 01, 17t-r1 Ott 5 uN -c-/-640G--ac)
`LAKE HIGHLAND LOT 9/ ,(41/'"- ‘7
DATE: 6/19/2019
/1/13/18
Mirror Lake Highland swr.docx(Form Update 1/3/17) Page 1 of 2
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