19-105906 •
lor
Building - Single Family
City of Federal way Permit #:19-105906-00-SF
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 10
Project Address: 30926 6TH LN SW Parcel Number: 555790 0100
Project Description: NEW-Construction of a 1277 square foot,2-story single family residence with a-140-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.) 1,277.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 836 New/Additional Sq.Feet-2nd Floor 441
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 1277
New/Additional Sq.Feet-Basement 0 Basic Plan? 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 Valuation? 5000 Mechanical Work Valuation? 4000
Number of Stories 2 New/Additional Sq.Feet-Other 140
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 1477
Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Residence(1 or 2
family)
Comprehensive Plan Designation SF-High-Density Zoning Designation RS 7.2
Residential
Total Valuation: 158,713.48
meq,*s- i 'Y sir 4i dsr' �;E r€ E d�.
� P P l i d i � {
�(fi . _ a ,°` :
Fans 3 Fireplace Inserts 1 Gas Piping 1
Gas Pipe Outlets 3 Hot Water Tanks. 1
Bathtubs 1 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 3 Showers 1 Sinks 1
Water Closets 2 Hose Bibbs 2
CONDITIONS:
Fire sprinklers are required due to lack of turnaround.
A separate permit is required to install fire sprinklers.
PERMIT EXPIRES Mon4y724,Aingust,2020
Permit Issued on Wednesday,February 26,2020
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
Washingto t= d the City of Federal Way. /�
Owner or agent: L7)91, 1A.c, r Date: 2-12,(9 lam!/
City of Federal Way
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 10 Permit# 19-105906-00-SF
Address: 30926 6TH LN SW
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,277.00
Owner Name: WILLIAM MCCAFFREYMIRROR LAI
Owner Address: 30929 37TH PL SW
FEDERAL WAY WA 98023
Building 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 inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees
nor warrants to the owner/occupant or to any other person that 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 the responsibility of the owner and/or occupant of the premises.
,4 THIS CARD IS TO REMAIN ON-SITE
CRY
O ' Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105906 00 Address: 30926 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
- -fin are unsure about any of the inspections Or the inspection sequence 1)n-going inspections arelogged on the back of this carA
0 SWM Precon Site Mtg(4400) ® Initial Erosion Control(4365) ® Footings/Setback(4110)
Approved To be done PRIOR to breaking ground I Approved to place concrete
By Date By Date 1 BiG!] S Date 1,24920 .
® Foundation Wall(4115) ® Drainage/Downspout(4040) ® Plumbing Groundwork(4190)
Approved to place concrete Approved to backfill Approved to cover
By(R15 Date 3 If ,422c) By •
Date By Date
® Slab/Concrete Floor(4255) ® Underfloor Framing(4285) Q Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
El Shear Walls(4245) ' ® Roof Sheathing(4220) El Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
El Mechanical Rough-in(4165) El Gas Piping(4125) El Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By Date
El Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Q 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 Date
El• ®
Insulation(4150) Gypsum Wallboard Nailing(4130) El Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date Date
El Final-Mechanical(4065) El Final-Plumbing(4075) MI Final-Building(4050)
Approved Approved Approved
By Date ' By Date By t Date lk. V .Y •a
uF -De -01/pozo ``°f
se rim ie, fre- e„,ft,. ✓ ins T f'J )7:.9 �? .
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
R RECEIVED 10
i
'CITY OF DEC 20 2019 PERMIT APPLICATION
Federal Wa PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
Y CfTY OF FEDERAL IW-835-2607 + FAX 253-835-2609 +perrnitcenter@cityoffederalway.com
/ 9 -
r COMMUNfY DEVELOPMENT
PERMITNUMBER / 05 g O / _ ,� TARGETDATE LLL llVll��ll ll! v �
SITE ADDRESS
SUITE/UNIT#
Lcof
$ PROJECT VALUATION ZONING A t` ASSESSOR'S TAX/PARCiL#
` I O Q NO l'. � jtl t Obi
5- 51 5- '�l 1 0 - Cl 0 ID
TYPE OF PERMIT
0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT MI g.g17R. V"/�k �L
!^' i/IA( ti's
PROJECT DESCRIPTION .�
Detailed description of work to 130 LD fi ' (tt 14 L_ L ( p
be included on this permit only 1`"
NAME PRIMARY PHONE
L&K€, TLlllt`i_is+Tb Ll /._ -3-1✓ 1-g 5-
PROPERTY OWNER MAILING ADDRESS
3o 2q 3114 PL.5 . E-MAIL aa..FFR E-s-1
CI STATE ZIP
T .L wP`i i,bC, CO tcA l USI"
NAMEbV I NUS _...... _ .PHONE
5 t 0 Its "544f--
MAILING ADDRESS
MAIL _
CONTRACTOR C ,
5 `ff� M Age 4 ) (3 i litalf-AY5
CITY I STATE ZIP
FAX
�I Kt>t^,CDR
WA STATE CONT,- TOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N
NAME PRIMARY PHONE
!g£ KEA) Irovi b t Lam..
APPLICANT MAILING ADDRESS
C5ADIC M ill3A1 0 E4554itt
CITY STATE ZIP FAX
NAME 131LL MC, J R. ( _.. PRIMARY PHONE
PROJECT CONTACT 1111 ')Ati
E-MAIL
(The individual to receive and MAILING ADDRESS
respond to all correspondence ( iWt t A5 A&V ) 5ANC,
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING —
OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 19.27.095) PHONE
of certify
rtfy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized 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 t - city, including ' officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: .A grow4 DATE 12-t ZV CI
PRINT NAME: a, t Of 1 Aj1\ Y `'C •
1 r
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• Rift.
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 4050,
Indicate how many of each type of future to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS .g FANS 3 GAS PIPE OUTLETS I OTHER� (Describe) d
AIR CONDITIONER FIREPLACE INSERTS --1-- HOODS(commercial) �1:4; �w M1-
BOILERS FURNACES HOT WATER TANKS(Gas) C'"1V' 'Tea.
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING I GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existin res to remain._
1 BATHTUBS(or Tub/Shower comm) \� LAVS(Hand Sinks) L TOILETS WATER PIPING
I DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS iSHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility WATER HEATERS(Electric)
HOSE BIBBS SUMPS 1 WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NAS, Cce- .Avt,(ulliaki $ NA
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
5 FK ❑Yes 0 No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) 9) L
SECOND FLOOR 441 I
COVERED ENTRY t4 C
DECK /,,
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals EXISTING PROPOS TOTAL
//
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ 40o,(,\J U 41 OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Construction #of
Square Feet Occupancy Group(s) Additional Information
Type Stories
NEW BUILDING
ADDITION --—
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in ' Occupancy Group(s) Construction #of
Square Feet Additional Information
TOTAL BUILDING1'e Stories —
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
L
RECEIVED
6 Lakehaven DEC 2 0 2019
WATER&SEWER DISTRICT CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
Lakehaven Water & Sewer District - Development Engineering Section -0 > -
31623 — 1st Ave S * PO Box 4249 0 Federal Way, WA 98063-4249 > 0 rn
Telephone: 253-945-1581 or 253-945-1580 Email: DE@Lakehaven.org r; P
m
This certificate is intended to provide the applicant, land use agencies &/or public health department! P . '
information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at it
discretion, reserves the right to delay, or deny, water service based upon capacity &/or supply limitz m (
in Lakehaven's or Other Purveyor's system facilities. No rJ o
� 0 no, u,
Proposed Land Use: ® Building Permits-SFR ❑ Building Permit-MFR ❑ Building Permit-Other O o 'O
❑ Subdivision ❑ Short Subdivision ❑ Binding Site Plan
r
❑ Rezone ❑ Boundary Line Adjustment rn C Q O
❑ Other(specify/describe) = t7
-n
Tax Parcel Number(s): 072104-9024, -9109, -9110, -9111, -9114 Site Address: 310XX - 6th PI SW = 0 v)
Ex. Bldg. Area to Remain: N/A sf New Bldg. Area Proposed: 1,295+/-avg. sf ea. (16) Lakehaven GIS Grid
Applicant's Name: McCaffrey 0
r
WATER SYSTEM INFORMATION 0
1. ❑ Water service can be provided by service connection to an existing " diameter water main that is approxii O
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 8"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
• d. Other(describe): Lakehaven Developer Extension Agreement(active, Project 6308003) required.
3. I 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 application required, 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 pressure(s) greater than 80 psi indicated, some Pressure Reducing Valves indicated,
contact local building official for requirements&/or 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 Elevation(s)-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
'
C I l
Signature: �t. "� Date: l r
C,O,rPITt ON 5 u, )-ctJ&
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'ICTE: Lakehaven Water and Sev:e� r ~
District neither warrants nor guarantees Water Certificate ofA�Availability J
the accuracy of any facility information Parcels 072104-9024, 91J09, -9110�V-9111, -9114 I
provided.Facility locations and conditions
are subject to field verification. ' ��
` I F; 10, 19,2017 BIP
Mirror Lake Highland wtr.docx (Form Update 1/3/17) Page 2 of 2
RECEIVED
DEC 2 0 2019
♦
LakehavenTY OF FEDERAL WAY
M NI Y DEVELOPMENT
WATER&SEWER DISTRICT
Lakehaven Water &Sewer District - Development Engineering Section
31623 - 1st Ave S PO Box 4249 0 Federal Way, WA 98063-424971) > rn
Telephone: 253-945-1581 or 253-945-1580 0 Email: DE@Lakehaven.org rn 0
This certificate is intended to provide the applicant, land use agencies &/or public health departments c„ 1
information necessary to evaluate development proposals. Lakehaven Water & Sewer District, at it!
discretion, reserves the right to delay, or deny, sewer service based upon capacity &/or supply limits rJ z
in Lakehaven's or Other Purveyor's system facilities. '-
o 0
Proposed Land Use; ® Building Permits-SFR ❑ Building Permit-MFR ❑ Building Permit-Other CI)
0.
3 O
LI Subdivision 0 Short Subdivision ❑ Binding Site Plan
❑ Rezone ❑ Boundary Line Adjustment
rn 2 a 0
❑ Other(specify/describe) ,7s5. N
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+/- avq. sf ea. (16) Lakehaven GIS Grid:
Z
Applicant's Name: McCaffrey r0
SEWER SYSTEM INFORMATION
1. ❑ 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 Developer Extension Agreement(active, Prosect 6308003) required.
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:
® 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 accepted 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
/ 7
Signature: Y-�---� �.�- Date: / 0//
?/1
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JOTS: Lakehaven Water and Sere'r SevrerCertificate.ofAvailability
neither warrants nor guarantees parcels 8172704-9 24 9109 9710 9111 9714[District
he accuracy of any facility information ' 100 ' 200rovided.Facility locations and conditions re subject to field verification. '
t Pee, 1.11M10, 19;2017 BM
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