02-102179 •
City of Federal Way
Conmimtity Development Services Building - Single Family Permit #:02 - 102179 - 00 - SF
33530 1st Way S
Federal Way.WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CANNON
Project Address: 29437 10TH AVE SW Parcel Number: 119600 2265
Project Description: NSF-Construct new single family residence with attached garage; includes plumbing and mechanical.
**proposed selling price$400,000/4 bedrooms**
Owner Applicant Contractor Lender
MARTIN&KATHERINE CANNON BRIDGE BUILT HOMES BRIDGE BUILT HOMES MARTIN&KATHERINE CANNON
6203 HAWTHORNE TERRACE NE PO BOX 99218 BRIDGBH259QC(9/13/04) 6203 HAWTHORNE TERRACE NE
TACOMA WA 98499 TACOMA WA 98499 PO BOX 99218 TACOMA WA 98499
98422 TACOMA WA 98499 98422
Includes:
Census category: 101 -New si #1 #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: Type V-N Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 2476 2nd Floor Proposed Sq.Feet 2181
Basic Plan No Census Category 101 -New single family house
Construction Type#2 Type V-N Deck Proposed Sq.Feet 130
Garage Proposed Sq.Feet 857 Height of Structure .30
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Building Sq.Feet 5644 Total Proposed Sq.Feet 5644
Zoning Designation RS 9.6
Plumbing Fixtures
Description Quantity Description Quantity tDeci ton tt; __Quantity
Dishwashers 1 Gas Pipe Outlets 6 Bathtubs 2
Laundry Washer Outlets 1 Water Closets 4 Lavatories 6
Showers 1 Sinks 1
Mechanical Fixtures
Quantity ' Description iQuantityl Description [Quantity
Fans 5 BBQs 1 Fireplace Inserts 2
Ranges 1 Furnaces I lIoods
CONDITIONS:
See attached "Permit Conditions" document for all conditions of approval.
Conditions for the patio/deck revision are as follows:
1.Based on the findings of the April 14,2003 Geotechnical Consultation prepared by Terra Associates,the irrigation system
within the 40 foot setback area shall be above ground on a temporary basis and shall be removed once the new vegetation is
established.A landscpae inspection shall be required prior to final inspection.Contact Deb Barker at 253-661-4103 to
arrange the inspection.DB 04/16/03.
2.Prior to occupancy,the Geotechnical Engineer shall inspect and provide written documentation to the CIty that
demonstrates that all pipe connections to catch basins and T-sections are water tight.See Kim Scattarella with any
questions.DB 04/16/03
ti
• I
PERMIT EXPIRES October 18,2003.
Permit issued on October 2,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and ti- --asv•naccordance with the laws,rules and regulations of the State of Washington and
the City of Fe. al W��
gent: eA
2.x'3
Owner or . ��1��� Date
/
of
ay
Cmmuniterle el p en Building - Single Family Permit #:02 - 102179 - 00 - SF
Community Development Services _
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.412C Inspection request line: 253.835.3050
11 Project Name: CANNON
Project Address: 29437 10TH AVE SW Parcel Number: 119600 2265
Project Description: NSF-Construct new single family residence with attached garage; includes plumbing and mechanical.
**proposed selling price$400,000/4 bedrooms**
Owner Applicant Contractor Lender
MARTIN&KATHERINE CANNON BRIDGE BUILT HOMES BRIDGE BUILT HOMES MARTIN&KATHERINE CANNON
6203 HAWTHORNE TERRACE NE PO BOX 99218 BRIDGBH259QC(9/13/04) 6203 HAWTHORNE TERRACE NE
TACOMA WA 98499 TACOMA WA 98499 PO BOX 99218 TACOMA WA 98499
98422 TACOMA WA 98499 98422
---
Includes:
Census ry
cateS o 101 -New si #1 I #2 #3 #4
Occupancy Group: R-3 U-1
l
Construction Type: Type V-N Type V-N J
Occupancy Load:
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 2476 2nd Floor Proposed Sq.Feet 2181
Basic Plan No Census Category 101 -New single family house
Construction Type#2 Type V-N Deck Proposed Sq.Feet 130
Garage Proposed Sq.Feet 857 Height of Structure 30
Mechanical Yes Occupancy Group#1 R-3
Occupancy Group#2 U-1 Plumbing Yes
Total Building Sq.Feet 5644 Total Proposed Sq.Feet 5644
Zoning Designation RS 9.6
Plumbing Fixtures
Description Quantity Description Quant _ Description Quantic;'
Dishwashers _I 1 I Gas Pipe Outlets Bathtubs 12 j
Laundry Washer Outlets II- 1 I Water Closets I 4 7 I Lavatories it 6 1
moi` —� --
i Showers j1 Sinks 1
J Mechanical Fixtures
I Description 1Quantity Description Quantity _ Description ,Quantity;
Fara11 5J BBQs 1 Fireplace Inserts 11 2
Ranges l Furnaces 1 Hoods 7L I
CONDITIONS:
See attached "Permit Conditions" document for all conditions of approval.
•
N
• PEAT EXPIRES March 31,2003,IF NO WO•S STARTED. •
• Permit issued on October 2,2002
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: ,.:��r Date: (CA 02-102
POYHIS CARD ON THE FRONT OF BUILD
`��F =EIZIBUI _DING DIVISION
VV FiY� L INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 02-102179-00-SF
OWNER'S NAME: MARTIN & KATHERINE CANNON
SITE ADDRESS: 29437 10TH SW
() FOOTINGS/SETBACKS id/2510Z j () FOUNDATION WALL I/i I 5"/° '7111/
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
() DRAINAGE: Line / ,/�)��2 5 () Connection
✓✓✓ DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV ater piping 3 if ag •
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( SHEAR WALLS CV K — l— U ' c �a e)0-
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING 47.. 3
THE ABOVE MUST BE APPROVED PRIOR TO INS LATING OR SHEETROCKING
( ) INSULATION: Floors Walls g//D "-CA/ Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING II/2-i/ 3 4AL�i�'/ 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 APP VED PRIOR TO BUILD EPARTMENT FINAL
O BUILDING FINAL I a z-5/di 4
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
•
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
Ofre� $� a- "4 .
C
CONSTRUN PERMIT APPLICATION
•
•
�"°` � RECEIVED C ION
VV ErY _ APPLICATION NUMBER: D 2 - I 0 . ( 7 `i - co 5F
MAY 2 3 2002 APPLICATION NUMBER: - -
` APPLICATION NUMBER: - -
CITY OF FEDE te�nv
**The follow J(rLs ttottiiatiori—Please print(ih ink)or type**
17
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 1 - 5
_ .is ..t-/::PROPERTY INFORMATION '-:
:-.:.•.t-.-
Lfr
SITE ADDRESS: 29 59' 10 Ace. 5 ASSESSOR'S TAX/PARCEL #: 1(..,E.-
1 LZ Q - 2_ 2
---4LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. . .` . Aa.PR07E[CTnElINFORMATION .
W
TYPE OF PROJECT(This application): BUILDING PLUMBING MECHANICAL DEMOLITION
El ELECTRICAL ,❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ¶ ( _- It.u,. N... ' C .�e_, t
PFOJECT NAME: C t ' - II` i—
:_PEOPLE INFORMATION : . ..
PROPERTY OWNER: NAME: DAYTIME PHONE:Crni
tPanti+ K.Atf+1i.(4a Cl**-met (2_53)SLR -irR3)
MAILING ADDRESS S((STREET ADDRESSS;;CITY,STATE,ZIP): n
O, CS Zaci.)
CONTRACTOR: NAME: DAYTIME PHONE:
_
'cZ-Rue- � uir 1+6M-6S e-4e). (� ) 582_ -445
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EYEO,-PMA
NfHNE:e
eo• zzytc. 992.18, EA-Gavna wA . 984.4" (2_53 ) 191 -0323
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER' FAX NUMBER:
- - (253) 58't -1o62r6-
CONTRACTORS REGISTRATION NUMBER: •/�� /' Q (� n c �o EXPIRATION DATE:
(copy of card required) �d e_ 1 G y Q 2. s 3 (`, 9 / ( 3 /02-
APPLICANT: NAME: DAYTIME PHONE:
<-'YMP-TCP— / get5 JY/Vli� ( ) -
MAILING ADDRESS(STREET ADORES CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): - (ifiCl ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER li APPLICANT ❑ CONTRACTOR
<;l "DETAILED BUILDING INFORMATION - "
EXISTING USE: _ ¶ itE OnL1 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ n 1 F}
PROPOSED USE: Si tiGLE... FIAT 111 . 12CS. PROPOSED VALUATION FOR IMPROVEMENTS: $ L %cc c•
SPRINKLERED BUILDING? ❑ YES s-NO , FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: AKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: JAKEHAVEN 11 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTI• LY** •
NUMBER OF BEDROOMS: - ESTIMATED SELLING PRICE: $ ' J
•
• • _•. . ■ PROSECT FLOOR AREAS • -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
• BASEMENT' r j{-8
FIRST G c,` n 9 r73 iq'��411•` '
SECOND
THIRD 2-i ' , r i -1p i ri 3 g9 I .
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
O
DECK ( Fc ( 3c) e__,31 10 -- i` tc .
GARAGE s•� I
5
HOW MANY FLOORS? t. S Sri CLIC 2o. I 7 q4-5-
TOTAL: 5(/ 14 5C?0)Zelo3•
■ FIXTURES
Indicate number of each type of fixture -
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
t BBQ(S) 'j FAN(S) I HOOD(S) WOODSTOVE(S)
BOILER(S) 2....,_ FIREPLACE INSERT(S) ) RANGE(S) MISC.( - )
COMPRESSOR(S) I FURNACE(S)
DUCT(S) /..Q GAS PIPE OUTLET(S) HEAT SOURCE: CI ELECTRIC RLGAS `
PLUMBING 2 'AQ
2- BATHTUB(S) IQ LAVATORY(S) URINAL(S) I WATER yH�EATER(S)
i DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) CI ELECTRIC ,O,GAS
DRINKING FOUNTAIN(S) I SHOWER(S) I , WASH MACHINE OUTLET
GAS PIPE OUTLET(S) i SINK(S) `-- 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,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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),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 dty as a part of this application.
NAME/TITLE: __ 1i¼ ) ... !.L' _;,� _ DATE: - 4/3((b v
❑ PROPERTY QWNER; ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
1_1.NEW- : : ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: '« LOT SIZE:
ZONING:DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? - ❑ YES ❑ NO
SECTION:` . TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH-PO BOX 9718-FEDERAL WAY,WA 98063-9718•253661-4000-FAX 253-661-4129
wwwcayoffederalway.corn
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only • $50.00 _#of Thermostats(First-$37.50;add'n-$1 1.S0ea)
(First 1300 ft2-575.00;Each add'n 500 ft2-$24.00) _Service.and feeder $81.00 N of Low voltage fire or burglar alarms
• Square Feet: • First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50
- Each outbuilding or garage 531.00 MOBILE HOME/RV PARK Square Feet:
• (Inspected with service) _k of service or feeders •Per\VAC 296-46-9 I 0(5)(b)(i&ii)
_Each outbuilding or garage 550.00 (I first service/feeder-S50.00;Add'n ser\ice/ __t!of Signs(First sign-537.50,add-n sign
(Inspected separately) feeder-$32 each) 517.50 each)
_Swimming pool,hot tub,spa $75.00
_Yard Pole meter loops $50.00
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'u _0 to 200 $ 81.00
Up to 200 amp 5 81.00 5 24.00 Feeder _201-600 189.00
_201 -400 amp 101.00 50.00 _0 to 100 $ 81.00 5 50.00 _601- 1000 284.50
_401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00
_601-800 amp 176.50 94.50 _201 -400 189.00 75.00 #of circuits
_Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (I-S circuits-$63.50;Add'n circuits,$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50
(When inspected separately from the services.) _801 -1000 348.00 145.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial
_0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0- 100 $ 50.00
_201-600 amp 101.00 _Mast or meter repair 68.50 _101 -200 63.50
_over 600 amp 151.50 - 201-400 - 75.00
Mast or meter repair 37.50 _401-600 101.00
#of circuits _over 600 109.00
(1-4 circuits-$50.00;Add'n circuits$5 ca)
If service is greater than 200 amp.a plan review is req'd.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(0)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee(tom line 12
Estimated Plan Review Fee: $63.50 +( X.35) = (13)
- • -:,• DEMOLITION :':. - <_ , r ._:w--.•,-
Estimated Permit Fee: (14)
Bond Amount: (15)
.f ENGINEERING eu:-,:.. ::.,
Estimated Permit Fee:(16)
Bond Amount: (17)
'.' - ■ OTHER FEES----
it'
Mitigation Fee: (18) 2IR(l0. (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-January 18, 2002
Consion Permit Fee Calculation SIlet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL 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)$26.00 •
(2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3);2,001.00 to$25,000.00
(3)$78.50 for the first;2,000.00 plus$15.50 for each additional$L000.Oc'J or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1.00.00 or fraction thereof,to and
including$50,000.00.
(5)$50,001.00 to$100,000.00
(5)$710.00 for the first$50,000.00 plus$5.00 for each additional$1,000.00 or fraction thereof,to and
including;100,000.00.
(6)$100,001.00 to$500,000.00
(6)$1,110.00 for the first$100,000.00 plus$6.00 for each additional$1.000.00 or fraction there9f,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1,000.40 or fraction thereof,to and
including$1,000,000.00.
(8)$1,000,001.00 and up
(8)$6,260.00 for the first$1,000,000.00 plus$4.00 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,commercial 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
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (� (a)Base Fee: ( I i 0
(b)Additional Inclement Fee: (r1
Estimated Permit Fee: (1) 2�.Le �1� )
0
Estimated Plan Review Fee: (2) e ste-.
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ MECHANICAL •
PROPOSED VALUATION: / cj7ccj
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4) SO
Estimated Plan Review Fee: (5)
■ •FIRE PREVENTION SYSTEM • . -
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
$22.50 +{ (r] X$8.00/fixture)= ��.Q (8) Estimated Permit Fee
Estimated a Fee �•o
X .65 = eS . (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Page One): Line(s)(1)+(2)+(3)+(1)+(5)+(6)+(7)+(8)+(9)+(10) = (Il)
✓ HAVEN UTILITY DISTRICAO
31627 First Avenue South • P.O. Box 4249 • Federal Way, WA 9866-;7-471;
Phone: (253) 945-1581 Fax: (253) 529-4081
. (AiP"'
DATE: 1/413 1
REQUESTOR: ('tet-112.JS �Ri�C6E ll!
LEGAL DESCRIPTION: -C'A`I ?f el, ,b . 09[oCD - o �.CoS _ _
PROPERTY ADDRESS: Sc.J o�I`tr!-( S-7' °� lb-744 Alli x-) 1414.• - -
iThis property was connected to the water distribution system under Application
No. , and all the connection charges have been paid.
This property was connected to the sanitary sewer system under Permit No. ,
and all the connection charges have been paid.
EY The following connection charges are owing AND ARE PAYABLE ONLY AT THE TIME THAT
SERVICE IS REQUESTED:
WATER SEWER
HKP (frontage) $ GFF (area) $
/CFC $ at(g °D Front Footage $
Meter S $u c - 1`' $ It 70'*'/ ((SD"9. CIC/CFC $
Right-o -Way Permit $ ► Basic Permit Fee $ p-ip°$
Right-of-Way Permit $
'lktVA'r' rufq STA-rlo,J PCrg. °S
(ALL CHARGES ARE SUBJECT TO CHANGE WITHOUT PRIOR NOTIFICATION. )
Owner must provide proof of easement.
N.
Owner must execute Temporary Water/Sewer Service Agreements, /
rlNo existing sewer service charges at this time. Not connected.
According to District records, this property was assessed under Utility Local
(./17(--
Improvement District (U.L. I . D. ) No. (Water) / No. ' --D (Sewer) .
To receive this payoff figure, please contact King County Department of Finance,
L. I .D. Department, at (206) 296-3913.
,�/ Other pertinent information:
i
a,,,,, 4,,,,,.,_ )_______
r pare, s Signatu
Kathleen R. Brown Checked by: _ 4 ____
Signatory Name 11
Engineering Technician I Date: 1I1-�Ibl _— .
Title ll
NOTE: Contact Customer Service at (253) 946-5436 to request final billing upon closing.
VOID AFTER 3 0 DAYS
LUD 201.A.01 (Rev. 09/03/98)