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04-103655 • w • Ilk .. . City of Federal Way Building - Single Family Permit #: 04 - 103655 - 00 SF Cotntnuni Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: ROE Project Address: 28812 5TH AVE S Parcel Number:515298 0050 Project Description: NEW-Construct a new,two-story 3960 sqft single-family residence with an attached 724 sqft garage, including plumbing and mechanical. No deck. ***3 bedrooms;proposed selling price:$550,000 *** Owner Applicant Contractor Lender Myong J Roe TERRY JENSEN CONSTRUCTION( TERRY JENSEN CONSTRUCTION( WASHINGTON MUTUAL 601 UNION ST#3315 PO BOX 1326 TERRYJC016OZ 5/28/05 1401 5TH AVE SEATTLE WA ISSAQUAH WA 98027 PO BOX 1326 SEATTLE WA 98101 98101-4018 ISSAQUAH WA 98027 Includes: Census category: 101 -New si #1 #2 #3 1 #4 Occupancy Group: R-3 U-1 Construction Type: Type V-N Type V-N Occupancy Load: 1 Floor Ar as(S Ft.): I _______4 J 1st Floor Proposed Sq feet. 1475 2nd Floor Proposed Sq.Feet 2485 Basic Plan.....,., ...; No' Census Category 101- ew sinle familyhour Construction Type#2 N.. g .....�,a ............... Type V-' l Fire Sprinklers , .....,' No Garage Proposed Sq.Feet .724 4 al........ Yes y" Occupancy Group#1 R-3 Occupancy Group#2 U-1 Plumbing Yes Total Building Sq.Feet 4684 Zoning Designation RS 9.6 Plumbing F tures (_ Description Quantity Description Quanti •- • ion Quantity I Bathtubs —[ 3 Dishwashers 1 as Pipe Outlets 2 Laundry Washer Outlets 1 I Lavatories liim- 6 I Other Plumbing Fixtures _II 3 If - Showers 1 Sinks 4 j Water Closets I 5 J rwater Heaters I 2 Mechanical ixtures 1 [ Description Quantity( Description Quantityl Description Quantity B QS 1 Ducts 1i j Fans II 7 [ •eplace Inserts 1 Furnaces 1 Gas Logs 1 IL L CONDITIONS: 1. A City Right-of-Way Permit is required to tie into the existing catch basin.Contact Kathleen Messinger,Streets Engineering Technician at 253.835.2725 for permit application/requirements. 2.No building shall encroach onto any building setback line or easement shown or not shown. 3.Maximum building height is 30 feet above average building elevation,per Federal Way City Ordinance#90-51. 4.The driveway shall be paved per FWCC,Sec.22-1453.The driveway shall be paved from the existing roadway pavement edge,or curb,to the garage or carport. 5.Before&during the course of any grading,building construction or other development activity on a lot subject to the NGPE,the common boundary between the easement&the lot must be marked with a 4 foot tall well-maintained orange construction fence,per the recorded plat. 6.Per FWCC,Sec.22-1133(4),eaves,chimneys or awnings,&similar elements of a structure that customarily extend beyond the exterior walls of a structure may extend up to 18 inches MAXIMUM into the required yard setback. Additionally,the total horizontal dimensions of the dements that extend into a required yard,excluding eaves,may not or . • exnae&lam%of the structure's facade lith from which the elements extend. 7.Prior to any clearing or grading on a lot,the owner/builder 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 and construction entrance. 8.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES April 17,2005. Permit issued on October 19,2004 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: / "r/ Date: /c /J — City of 7-deral Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform Building Code 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: ROE Permit number: 04- 103655-00 Address: 28812 5TH S #1 #2 #3 #4 Occupancy Group: R-3 _ U-1 i• J Construction Type_ Type V-N Type V-N lr LOccupancy Load: LFloor Area(Sq.Ft.): Owner Myong J Roe Name: 601 UNION ST#3315 Address: SEATTLE WA 98101-4018 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. • THIS CARD IS TO 'MAIN ON-SITE , „ CITY OF dit ommunity P nt Developm Inspection Record P Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103655-00-SF Owner: MYONG J ROE Address: 28812 5TH AVE S 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. .❑ Temp.Erosion Control(4365) �❑ Footings/Setback(4110) ❑ Foundation Wall(4115) To be done prior to breaking ground Approved to place concrete• Approved to place concrete ���11/ Date/(.. ZCJ�e.B3G-_� Date{/- L�%p � By Q Date , 1 5_0 S ❑ Drainage/Downspout(4040) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to backfill Approved to cover Approved to place concrete By C_ W Date7" 1 CIS' By �• Li Date/2„, 2 .. a 4 By '✓7 Date7 7' ti • 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245) Ap roved to sheath floor Approved to install flooring Approved to install siding j By L Date r '• 1 9 V By C...--CJ Date(- fa-O5' By Date /i, f8 — 0 J --- • . , ❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) ❑ Mechanical Rough-in (4165) Approved to install roofing Approved Approved By e Date 2// /OS By T if Date 2 -/ -p,� By la- Date 2-2.y-05- ❑ Gas Piping(4125) 0 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 I By rDate 2./z 1/0 S By / Date 3- 8- 0 signed-off and approved. IBC 109.3A/UBC 108 5 4 ❑ Framing(4120) ❑ Insulation(4150) .❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape B Date 3„„<O...0(---- S Date 3—(6— B/`C1- Date ,j -2.--,._(i.S • ❑ Final-SWM(4375) ❑ Final-Mechanical(4065) �❑ Final-Plumbing(4075) Approved Approved Approved `By Date"71 "-s. By a ,N Date/ •7.-0,5 By le../C-- 0,AS:Date • ❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370) Approved Approved By Date •7 - 0 S By Date isb 4 %44\44.ks\i,"\!, NJ N V co) ,� a 4T40 \CI r Z -a z t''')N r, En° A � t z Qc.,,,..) < r w S x a R. -1` T :, _ • , ..,. _, .. ‘, ., .., z, O ,....,....,...(..) , ...,.; ,4 ,,, :., .7.......„ •c z A t w ., o-i a..oF ---.& • • � ( - � Federal Way _ _ " il_ 4a3 G - PERMIT R M IT SF F CO ME EL PL DE EN FP ) COMMUNRYDEVELOPMENT SERVI��Yi-',..:::'1..\-1 33325 Bat AVENUE SOUTH WA259•PO BOX 9718 p p LI C AT I O N FEDERAL WAY,WA 98063-97]8 -T� I 253u ow a uofederdway.o,n, 9'.-V I t✓` /i�1'•q i l/ / /'c1 I / O j / The following is_-• ,i_• .J Q 'o+ ,7, . incomplete ap•lication will not be acce•ted. Please •rint/legibly(in ink)or type. //pe. • PROPERTY INFORMATION [ SITE ADD• S i l 5 in ilJS SUITE/UNIT# /� ASSESSOR'S TAX/PARCEL# 5 2 c1 3 0 � 0 LOT SIZE(sf (2 0?S LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ke .I a 1 / (lti 7 (Atha separate page for lengthy legal description( . 1 ■ PROJECT INFORMATION TYPE OF PERMIT ¢BUILDING PLUMBING K,MECHANICAL ///❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) e I •I PROJECT NAME(Name of Business or Owner Last Name) Q a • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER M °IJg R ©E ( ) _ MAILING ADDRESS CITY,STATE,ZIP (14 3 21 p4 S (A-) jCcd8.0A< c& -y (All- '26202 3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE T- 'I J i-'- Co NkSir (o,2P T A 1 (VS)ss 7 - 9S-60 MAIOL1N�o �� � ,STA � t4. 4 �ELL PHONE _ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 41- 1-4 0 7 5 .6 3_ B L Cli' ' )2-/ 3! 1O'/ (442.0ss7 -9s&? CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE � ic. (. LLC 4 I Q2 S /2g /0S APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING Tt,t/1--YRESS ��- s Co.-isT CITY,STATE,ZIP (ELL PHONE ( ) - RELATIONSHIP TO PROJECT • FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) 0J (1 -- ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS T -'-'-r .SG,-' ") (kis ) S5-7- r50e:. LENDER Per RCii 19 27095: Lender information is: ' ` NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUII.DING INFORMATION EXISTING USE 5/N94gAPV/6/ PROPOSED USE 5/"1/419 L4'- 69-00f/g, y� EXISTING ASSESSED/APPRAISED VALUE $ y VALUE OF PROPOSED WORK $ `VO/acro SPRINKLERED SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES p(NO WATER SERVICE PROVIDERLAKEHAVEN ❑HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS - ----- AREA DESCRIPTION EXISTING SQ.FT. _ PROPOSED SQ.FT. TOTAL BASEMENT IA 7q + I-17 c [4 14 FIRST ovOlgiefdritti3 4 g` SECOND 620 THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) Agl- G pLej^. -- GARAGE/CARPORT G /ZL" 23 HOW MANY FLOORS? TOTAL EXIST/NG TOTAL PROPOSED TOTAL EXIST DrG AND PROPOSED 2t $S3 **NEW HOMES ONLY" NUMBER OF BEDROOMS 3 ESTIMATED SELLING PRICE $ '5"5O)6-CO _-FIXTURES -. . - Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS I. GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERSFIREPLACE INSERTS RANGES MISC(Describe) OMPRESSORS I FURNACES a GAS WATER HEATERS JDUCTS 2 GAS PIPE OUTLETS PLUMBING 43 BATHTUBS(or Tuj Lcombo) SHOWER ( WATER CLO (rode) MISC ribe) I DISHWASHERS li SINKS in 1 DRINKING FOUNTAINS 1 GAS PIPE OUTLETS SUMPS RAINWATER SYST L WASHING MACHINES! URINALS HOSE BIBBS 6 LAVS in oroom sir,lrsl NI( VACUUM BREAKERS ELECTRIC WATER HEATERS -: _ -- r':DISCLAIMER/SIGNATUREBLOCK -7:- ;' 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 ge..4?-0‘,1-4Ved-- DATE g 30'G L.-- (S e) (Title) ! RELATIONSHI TO PROJEC 0 Owner 0 Agent i Contractor 0 Architect 0 Other S i FOR OFFICE USE ONLY - o NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT i BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES 0 NO { ZONING DESIGNATION CHANGE OF USE? o YES o NO t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO • Bulletin#100—March 30,2004 — Page 2 of 4 k\l Uandouts—Revised\Permit Application