19-105905 Building - Single balmily
City of Federal way Permit #:19-105905-00-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 LOT11
Project Address: 30922 6TH LN SW Parcel Number:555790 0110
Project Description: NEW-Construction of a 1294 square foots 2-story single family residence wick a t26 square
foot covered entry and a 108 square foot deck. Includes plumbing and mechanical. ***3
Bedrooms;425000 estimated selling price***
f
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.) 1,294.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 853 New/Additional Sq.Feet-2nd Floor 441
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 1294
New/Additional Sq.Feet-Basement 0 Basic Plan? No
Occupancy#1 -Construction Type Type V-B New/Additional Sq.Feet-Deck 108
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 126
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 1528
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: 161,435.86
* v" � u a 3 i - � 4 1 ,
Fans 3 Fireplace Inserts 1 Gas Piping 1 ffi
Gas Pipe Outlets 3 Hot Water Tanks 1
_ n,.. ��. �''�z,�s�,d. z �"'sz�r�C:
Bathtubs 1 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 3 Showers I 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.
4* *1100
PERMIT EXPIRES Monday,'24 ust,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 accori,ance with the laws, rules and regulations of the State of
Washingt.n a the City of Federal Way.I t
Owner or agent: Mt t Date: 2 24 ( z7
t? 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 LOT11 Permit# 19-105905-00-SF
Address: 30922 6TH LN SW
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load: 0.00
Floor Area(sq.ft.) 1,294.00
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
tIL 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 , ••
"T"'O' Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105905 00 Address: 30922 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 inspedor if
you are unsure abMit any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
SWM Precon Site Mtg(4400) ' ® Initial Erosion Control(4365) ', 3❑ Footings/Setback(4110)
Approved To be done PRIOR to breaking ground Approved to place concrete
By Date By Date By /V S Date Y 4.20•24)
v
El Foundation Wall(4115) ® Drainage/Downspout(4040) •® Plumbing Groundwork(4190)
Approved to place concrete Approved to backfill Approved to cover
By/A S Date 42a,Z J By Date By Date
El Slab/Concrete Floor(4255) ® Underfloor Framing(4285) 1 ® Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor i Approved to install flooring
By Date By Date ! By Date
• ,
El 'I'�Shear Walls(4245) Roof Sheathing(4220) 1 El Rough Plumbing(4230)
Approved to install siding Approved to install roofing i Approved
By Date By Date By Date
ElMechanical Rough-in(4165) El Gas Piping(4125) •® Fire/Draft Stops(4095) '
Approved Approved to release test Approved
By Date By Date
.BY Date
is Interim Erosion Control(4370) Prior to scheduling a Framing inspection; tEl 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 1993.4
BY Date
El Insulation(4150) ® Gypsum Wallboard Nailing(4130) ® Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date 'i By Date By Date
El Final-Mechanical(4065) On Final-Plumbing(4075) M Final-Building(4050)
Approved Approved Approved
By Date By Date By Date •
•
uie -e - 'A/2.z. Lw.5 .
5er6..,fc ,Zr{ 6 - 4c `, 1 /fid 'Te-if A t..
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
I t .
RECEIVED
C-- - ,A, PERMIT APPLICATION
DEC 2 0 2019 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenten@cityoffederalway.com
CITY OF FEDERAL WAY -
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ / S _ c /Ve°
J TARGET DATE
SITE ADDRESS
SUITE/UNIT i
'3 c1 Z 2. (Q t.A'14 C ka i E0- i vA`l i w.&19 50L5 L.61- lA 1 1
PROJECT VALUATIONZONING ASSESSOR'S TAX/PARCEL I
TYPE OF PERMIT %BUILDING brPLUMBING . 1 MECHANICAL ❑ DEMOLITION 0 ENGINEERING XFIRE PREVENTION
NAME OF PROJECT M 1(t2(Zg RI 1,„Lq'lJ
PROJECT DESCRIPTION
Detailed description of work to 'U L'i P
`J
`J 1(t in IAJ4 L`1 p l I
be included on this permit only f�
NAME PRIMARY PHONE -v {
M`RR- ! '`�
PROPERTY OWNER t./.` LA:KE, `b� b LLC— 2A-3—i" •
MAILING ADDRESS E-MAIL
g 29 3114 PL..S c 4 CITY1, STATE Z� WSMcE R F-i -.
L \MP \A r Z cofcmc, U‘r
NAME t N 1. /`C •0 I t V- PH"544/..--
MAILING ADDRESS�/
CONTRACTOR `5 D `C' / A530\/6) B u Loa ` 445
CITY - STATE ZIP FAX .51:01;>1 0,CbIA
WA STATE CON' OR'S LICENSE 9 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
NxVL f253,1 L1(0 1 / '?.,to/ 11
NAME t\tE$ PRIMARY PHONE
VM
�
APPLICANT MAILING ADDRESS �
(540(tt M 0,13(x10 31144t
. CITY STATE ZIP FAX
NAME» „ PRIMARY PHONE
PROJECT CONTACT DILL
l(,CQ � \(
Aivi 1.-
(The individual to receive and MAILnr ADDRESS E-MAIL
respond to all correspondence ( )M4 , 45 ABov�) 54kikt,
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING X OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) -
I certify under penalty of perjury that I am the property owner or authorized 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
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 the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this app n.
SIGNATURE: V`/11/4/ (144t '{ DATE 2- L +
PRINT NAME: Vi I L l.. A i/1 P' AV r- ,"
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 4490,
Indicate how many of each type of fixture to be installed or relocated as tart of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS 3 FANS 3 GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Comm ;at) 6L�
,
AS �i-7
BOILERS FURNACES + HOT WATER TANKS(Gas) .)J a.
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 existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand sinks) S. TOILETS I WATER PIPING
DISHWASHERS - RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS I SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS(Kitchen/Utility) -7- WATER HEATERS(Electric) '21
HOSE BIBBS SUMPS ` WASHING MACHINES J TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NA. LAKY-RAI ) $ N A
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
5 F t 0 Yes No AYes o No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT' g
, =- ;-4.
FIRST FLOOR(or Mobile Home) !�(�
„R
V
SIrC (
'"a
COVERED ENTRY 1 2-1,0_
.. S4 # - (O
GARAGE 0 CARPORT 0
xa s, � * ;sa 144.': m i r. �} i2.4: 6
Area Totals NG
1 62� TOTAL
,37:7377.777 LX_Tttgitfrifta7jZWctr*SZglnsaMXaitta
ESTIMATED SELLING PRICE$ 4L C( . I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Construction #of
Square Feet Occupancy Group(s) Additional Information
Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Groh s Construction #of
S+uare Feet P P( ) a Stories . "A244^.'""Information
a E rYr
TENANT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application