04-100827 t r s '
, d
City Communityf Federal pay
men Building - Single Family Permit #: 04 - 100827 - 00 - SF
Development Services
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: PETERSEN
Project Address: 1403 S 302ND ST Parcel Number: 025300 0110
Project Description: NEW-Construction of a new 1767 sqft single-family residence with attached 484 seift garage.
including plumbing&mechanical. ***3 bedroom/$250,000***
Owner Applicant Contractor Lender
KENNETH PETERSON KENNETH PETERSEN REALITY HOMES EAGLE HOME MORTGAGE
20720 127TH ST E 20720 127TH ST E REALIHI984CN(2/15/06) 7320 SW HUNZIKER RD SUITE 205
SUMNER WA 98390 SUMNER WA 98390 REALITY HOMES TIGARD OR 97223
121 ALEXANDER AVE E SUITE B
Includes:
Census category: 101 -New si F #1 '[ #2 r #3 -- #4
Occupancy Group: _ _
R-3 _ U-1 a
Cr,isttvction Type: Type V-_N____ _ Type V-N �s 1
Occupancy Load: — I
Floor Area(Sq.Ft. .1,* - F
1st Floor Proposed Sq.Feet 1767 Basic Plan No
Census Category 101 -New single family hou Construction Type#2 Type;V-N
Deck Proposed Sq.Feet 17 Garage Proposed Sq.Feet 484
Height of Structure 15 Mechanical Yes
Occupancy Group#1 R-3 Occupancy Group#2 U-1
Plumbing Yes Total Building Sq.Feet 2268
Total Proposed Sq.Feet 2268 Zoning Designation RS 7.2
Plumbing Fixtures
1 Description iQuant►ty i Description IQuantiti�__ Description ,LQuant►ti] r
Bathtubs — 2 rDishwashers I I r—
Gas Pipe Outlets II 4 I
I Laundry Washer Outlets 1 7[Lavatories Il 2 1 Other Plumbing Fixtures 2 I
Showers 1 1 Sinks 1 Water Closets ' 2 7
I Water Heaters 1 1
_
Mechanical Fixtures
Description Quantityr Description _�jQuant�I Description Quantity__
Fans 4 � Furnaces 1 , Hoods ;II 1
L
i Ranges 1 j
�1 1
•
CONDITIONS: V Q
No building shall encroach onto any building setback line or easement shown or not shown.
Maximum building height is 30 feet above average building elevation,per Federal Way City Ordina,c try ! .1.
Retain&protect identified significant trees per FWCC,Sec.22-1565 through 1569.Bright protectiv•,•;A T.: Is required at
the dripline of retained trees.
Maximum driveway width is 20 feet.
Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
Prior to any clearing or grading on a lot,the owneribuilder shall install temporary erosion/sedimentation control facilities
approved by the City.These facilities must ensure that dirt or sediment laden water does not enter the public drainage
system,adjacent lots or public streets.The owner/builder bears the responsibility to maintain the facilities in proper
working order,replacing as necessary.The facilities may be removed only after such time as construction is complete&
landscaping is installed.See attached for standards and site plan for location of silt fencing.
Per FWCC.Sec.22-1133(41.eaves.chimneys or awnings.&similar elements of a structure that customarily extend beyond
•
__
the exterior walls of a structure may d up to 18 iriehes MAXIMUM into the recd yard setback.Additionally,the
total horizontal dimensions of the elements that extend into a required yard,excluding eaves, may not exceed 25% of the
structure's facade length from which the elements extend.
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES November 28,2004.
Permit issued on June 1,2004
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: YN, f C�J� Date: 6j- " 0-7
r
THIS CARD IS TO EMAIN ON-SITE
.
CITY OFommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-100827-00-SF
Owner: KENNETH PETERSEN
Address: 1403 S 302ND ST
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
• �
0 Temp.Erosion Control(4365) 0 Footings/Setback(4110) 0 Foundation Wall (4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By MA Date ' (ro-e y By '- Date 7/z/G y_ By C„) Date 7„/ c r..cp
❑ Drainage/Downspout (4040) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By ' L. t' Date (i.i,l�f By Date By 94.4.1,,,, Date N1-4
,❑ Underfloor Framing(4285) 0 Floor Sheathing (4105) El- Shear Walls (4245)
Approved
tosheath floor ,t, Approved to install flooring Approved to install siding
By 6-7'13ate I/z ,/, ' `By C -' Date 11,15 Y> ,i ,2_3y,..4.-e.5 Date CL_�S_0�
#❑ Roof Sheathing(4220) � 0
0 Rough Plumbing (4230) 0 Mechanical Rough-in (4165)
Approved to install roof ng Approved Approved
By L Date el 11 CI By r l L Date //1(C2L( `By/it. Vri 0 L,
❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
-�/ (� Rough-in and Fire/Draft Stop inspections must be
lBy "i/ Date >8//4 By fIX Date 1 f ti-/ signed-off and approved. IBC 109.3.4/UBC 108.5.4
e❑ Framing(4120) [a' Insulation (4150) ❑Gypsum Wallboard Nailing (4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By if i f Date it q oq By C tilN Date 11 2 2_61 By
G fj Dat2.2 -e r J
❑ Final-SWM(4375) �,, Final-Mechanical (4065) ❑ F' 1-Plumbing(4075)
Rie°
Approved Approved ApprovedBy Date 2-/?-05 B27/‘,Z2 Date✓y, ---(1--D By 0' Date // 4ar`
J
11 Final-Building (4050) ❑Temp. Erosion Maintenance (437 0)
I /7, Approved Approved
,SNA
By O , 'Date , # 111 1 By. Date
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
YJzie a/ JC X 0
Z4iffre 2 Y. cow%v-L /111143
/f? 17'i.5 -TMr.
817v V PZ"F. >( e4N11E—ir–z-,TA- r71o4. z:r-'41J
A-2 Z.- X r-!NA& AleG/ N/G/ , ti0 //-ccc5 s .
E�%EI�/ECONSTRUC I I. PERMIT APPLICATI.OPf
CITY OF �.� �Q APPLICATION NUMBER: D.f- /00-g2-7- co
Federal W «B4 APPLICATION NUMBER: -
CITY OF ! xtion ::
:::pe*.
TDowing is reprint( lw
Please note: E3/ // Veioii
rical,Fire Prevention Systems and Engineering permits may require a separate application.
- I PROPERTY INFORMATION
SITE ADDR S: , 3O G c..1 ASSESSOR'S TAX/PARCEL #: Q z�J D O - col old 56— 6SJIazj
LEGAL DES PTION JECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): SF—c, -----7/-,7`i
i coPi ec 04.57- Re-eo/W LJ? pe-ED 4 rt-{-L Y8 e-Tcp Ifp i7
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): XBUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL/� /'-J7I2(IC /
0 ENGINEERING� ❑♦ 6) r CT 'FIRE PREVENTIONySYSTEM
C
PROJECT DESCRIPTION(Provide detailed description): 1 v --ire-(3)
Fg0114aa1 I/dMg
PROJECT NAME: K.67J 12:5-7 12S-CA) 5 / 17 A((
i
-;::■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: ����� ; DAYTIME PHONE`
, �tJ (ZC3) 33y -09C2
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
2-011-0 i 77-74 si- 6 5u,NW n, 4/4 gene ,, (
, CONTRACTOR: NAME: ' DAYTIME PHONE:
12 Th' /-111416 S h �j/�') (Zs ) 9.2 - 6,56 ,(((JJJ+"`t$
MAIUNG I 30&ADDRESS
A-te ADDRESS,
AA eIt STATE.
/PAT I j JV/1 V 5 y i /U/29ieit 0 3 - L a 55 39 - 14 ( ENING PHONE: -
�� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
926 - 5-is.......
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: I NAME: J� � DAYTI PHONE'
MAILING ADDRESS(STREET ADDRCITY,STpTE ): 50144,164
' `'6 le.4 EVENING PHONE*, -
RELATIONSHIP TO PROJECT: AA' t� i FAX NUMBER:
o ARCHITECT 0 TENANT OTHER ( DESCRIBE): Q(�l/V g (Z3 ) 9I6 - 69
rI
1.5 E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: • PROPERTY OWNER APPLICANT /CONTRACTOR
. . ■ DETAILED BUILDING INFORMATION '
EXISTING USE: // EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
i PROPOSED USE: �� ( ___,— PROPOSED VALUATION FOR IMPROVEMENTS: $ (,)/ 0\-..)
SPRINKLERED BUILDING? o YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: k'LAKEHAVEN 0 HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: XLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION Off•* •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ /IIC) J reit )2e->,"l C'
.. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK 1 ? S /•
GARAGEL-7t
HOW MANY FLOORS? � i i,
TOTAL: z: 2(e,
■ `FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $ 5 . 060
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FANS)t-'/✓ I HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) / RANGE(S) MISC.( )
COMPRESSOR(S) I FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S), URINAL(S) WATER HEATER(S)
1 DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC 9c1GAS
DRINKING FOUNTAIN(S) i SHOWER(S) i WASH MACHINE OUTLET. •
2_ GAS PIPE OUTLET(S) SINK(S) _ WATER CLOSET(S), • _- MISC. j
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 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: �Ll;i rY\ ._1.1.-�,5 Eir Gide f'L.1 DATE: 3—/0 04-t
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
I I NEW • ;i i ADDITION p ALTERATION !,o REPAIR o TENANT IMPROVEMENT ,
CENSUS CODE:-=,= s, .. ?- r,'.1 = ',LOT SIZE '
;ZONING DESIGNATION': ..- BUILDING ONLY?�D YES ❑ NO
COMP PLAN DESIGNATION - 4 :BASIC PLAN? `❑ YES' `❑'NO
SECTION -,, -;'TOWNSHIP. 'RANGE--7Pf5' NEVI/ADDRESS REQUIRED? ❑YES .. ❑ NO
-PLATTED LOT? `:'❑YES i i NO . • CHANGE OF USE? D YES `-D NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvoffederalway.com
7/03 /a�ia5
• •
King County Certificate
King County of Water Availability
Department of Development and Environmental Services
Building Services Division
900 Oakesdale Avenue Southwest
Renton,Washington 98055-1219 Alternative formats available
(206)296-6600 TTY(206)296-7217 upon request
King County Certificate of Water Availability
This certificate provides the Seattle King County Department of Public Health and the Department of Development and
Environmental Services with information necessary to evaluate development proposals.
Do not write in this box
number name
1 .Building Permit 0 Preliminary Plat or PUD 7
0 Short Subdivision 0 Rezone or otherCA
Applicant's name: INA, ren
Proposed use: S//VL-rL�
Location: Lar-9 Block: 02 tat-&o}"C.EiUF 14-1D� /L-" 02,-340—OCA/0)
1302, 5 3102 F- A-E w7t-W WA- c�°P�°x•
(attach map and legal descriptio(t if necessa ) ca o
2
Water purveyor information:
/ /1 41 '�'
1. a. Waterbe provided by service connection only to an existing (� (size)water main
that is ,SD ✓ feet from the site.
OR
❑ b. Water service will require an improvement to the water system of:
❑ (1) feet of water main to reach the site; and/or
O (2) The construction of a distribution system on the site; and/or
❑ (3) Other(describe)
2. ..1q, a. The water system is in conformance with a County approved water comprehensive plan.
OR
❑ b. The water system improvement is not in conformance with a County approved water comprehensive
plan and will require a water comprehensive plan amendment. (This may cause a delay in issuance of a permit or
approval).
3. AXa. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board
approval for extension of service outside the district or city, or is within is ie County approved service area of a private
water purveyor.
OR
❑ b. Annexation or Boundary Review Board (BRB)approval will be necessary to provide service.
4. a. Water is or will be available at the ratlow and duration indicated below at no less than 20 psi measured at the
nearest fire hydrant 1 ID v feet from the building/property(or as marked on the attached map):
Rate of flow at Peak Demand Duration
O less than 500 gpm (approx. gpm) 0 less than 1 hour
❑ 5.00 to 999 gpm 0 1 hour to 2 hours
Ai 1000 gpm or more✓ ,'i hours or more✓
❑ flow test of gpm 0 other
O calculation of gpm
(Note: Commercial building permits which includes multifamily structures require flow test or calculation.)
OR
❑ b. Water system is not capable of providing fire flow.
5. a. Water system has certificates of water right or water right claims sufficient to provide service.
OR
❑ b. Water system does not currently have necessary water rights or water right claims.
Comments/conditions: Ar-611)-11(4E j niTtOj QF 4- `tL.OW P/Z 55L/ SEU►CF �0. Ma tPl r
I certify that the above water purveyor information is true. This certification shall be valid for one year from date of signature.
LAKEHAVEN UTILITY DISTRICT LZ---
Agency
LAgency name ignatory n-
ErIN 1NEj '� ElfA1 J ,.
Title i nat re7�c Date -7 - 3^U
'et/ ,c
In ,57 e ,/ Pressure Zone; Highest Elevation of Property 2-(, law to t, Est. Min. Pressure 3c,
** The District, at its sole discretion, reserves the right to delay or deny water service based
upon capacity limitations in District and Other Purveyor facilities. **
Water availability form.doc b-cert-water.ndf Rev. 02-14-2002 Page 1 of I
• •
King County Certificate of
King County i Sewer Availability
Dept.of Development and Environmental Services
Building Services Division
900 Oakesdale Avenue Southwest
Renton, Washington 98055-1219 Alternative formats available
(206)296-6600 TTY(206)296-7217 upon request
King County Certificate of Sewer Availability
This certificate provides the Seattle King County Department of Public Health and the Department of
Development and Environmental Services with information necessary to evaluate development proposals.
Do not write in this box
number name
ca �
�Building Permit 0 Preliminary Plat or PUD
b Short Subdivision 0 Rezone or other
n F• t
Applicant's name: K& /Z.�ti' r: cu
• F
Proposed use: &/N,4LrE—/ - t4/i..Yi2�51 bE41 til
t:1 ncn
t-11 Z
Location: GOT 9/ PLtX-k 27 Ara OA CSE (-T7. 6253 ce-0C /Q)
13029 s 3v 2 •v`) ST FEDAio-; (400'4.0`'`)
(attach map and legal description if necessary)
'' i� a
▪ �
z
Sewer agency information:
Q
Car- rr
1. E C a. Sewer service wiil-be provided by side sewer connection only to an existing size sewer
/ 30 f feet from the site and the sewer system has the capacity to serve the proposed use.
OR
O b. Sewer service will require an improvement to the sewer system of:
O (1) feet of sewer trunk or lateral to reach the site; and/or
❑ (2) The construction of a collection system on the site: and/or
❑ (3) Other(describe)
2. a. The sewer system improvement is in conformance with a County approved sewer comprehensive plan.
OR
O b. The sewer system improvement will require a sewer comprehensive plan amendment.
3. a. The proposed project is within the corporate limits of the district or has been granted Boundary Review
Board approval for extension of service outside the district or city.
OR
O b. Annnexation or Boundary Review Board (BRB)approval will be necessary to provide service.
4. Service is subject to the following:
a. Connection charge: -TD r b
b. Easement(s): I-5 tt`6LU t t I>
c. Other: 1p5n.m t i-- X11[I.6..
Comments:
*The District,at its sole discretion,reserves the right to delay or deny sewer service based upon capacity limitations in District and Other Purveyor facilities.*
cerfy that the above sewer agency inforn8t:vrtruc. Thi.S C ertificaa:v_ s&;;cVGNd iuone cc_eG i datef
signature.
LAKEHAVEN UTILITY DISTRICT `,0-/k) --
Agency namegn tory name�/J
ANG lAJAF_P 16-7 `-(' -gnu rcth-kJ v�� 07-oz�03
Title Signature �ll�n Date 7!3/6.3
sewer availability form.doc b-cert-sewer.pdf 02-07-2002 Page 1 of 1