04-102291 .
• . .
r ConvnunFy Develop entServices Building - Single Family Permit #:04 - 1o229i � oo - SF
33530 1 st Way S
Fedenl Way,WA 98003-6210
Ph:253.661.4000 Fax:zs3.66�.a�29 Inspection request line: 253.835.3050
Project Name: GRIFFIN,LOT 3
Project Address: 34100 36TH PL SW Parcel Number:308900 0134
Project Description: NEW-Install manufactured home with site-built,attached,self-supporting,garage including gas
piping
Owner Applicant Contractor Lender
Gary L Griffin Gary L Griffin AJ HOME SERVICES NONE
30030 20TH PL SW 30030 20TH PL SW AJHOMS*077MN (07/15/06)
FEDERAL WAY WA 98023-3404 FEDERAL WAY WA 98023-3404 AJ HOME SERVICES
320 TODD RD NE NONE
Includes:
Census category: 113-New rr #1 #2 #3 i #4 1
�Occupancy Group: R-3 U-1 —�q�
Conl struction Type__ � �-�-��ffi.-_._����__�
-- —
Occupancy Load: 1� �
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Floor Area(Sq.Ft.): ! �i l
__ _ �_._ _s_ _.
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Ist Floor Proposed Sq.Feet ...............................1707 Census Category ......... ............................ 113-New manufactured/fact<
Garage Proposed Sq.Feet :..............................400 Height af Structure ......... ............................14
Occupancy Group#1..................... ..............:.R-3 Occupancy Group#2......... ......................:.....U-1
Total Building Sq.Feet... �.:...... ..............:..2107 Tatal Proposed Sq.F�et..... .:'.........................1707
Zoning Designation.............................................RS 9.6
Mechanical Fixtures
Description -�Quantity Descri tion Quanti Descriptior+ �Qua tin ty
Gas Piping �� ---
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PERMIT EXPIRES January 17,2005.
Pernut issued on July 21,2004
I hereby certify that the above informarion is correct and that the construcrion on the above described property and
the occupancy and the use will be in accordance w' , es and ragulations of the State of Washington and
the City of Federal W .
Owner or agent: ` Date: ���nC,/
� , '�'HIS CARD IS TO EMAIN ON-��i E
��noF �'`-.� �ommuni t Deve lo ��t Ins ec tio� R�c4r d
Y P P
Federal Wa y IVR INSPECTION REQUEST PHONE # (253) 535-3050
PERMIT #: 04-102291-00-SF
Owner: GARY L GRIFFIN
Address: 34100 36TH PL SW
FEDERAL 'JVAY, WA 98023
This card is part of your required inspectiva docurr.ents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARA
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) ❑ Drainage/Downspout(4040) ❑ Final- SWM(4375)
To be done prior to breaking ground Approved fo backfill Approved
By � Date �� -Q By Date '' �� dL By �/� Date�U/20 O�
❑ Skirting/Final(4250) � ���tif� �r.�/Z.U�
Approved
By Date �l7 Z� O �' s �` � D10y
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Federal Way ��- — — �
���-��'�� PERMIT
COMMUM7YDEVELOPA�IY!'SERVICES SF F CO ME EL PL DE EN FP
33530£lRST WAYSOUTH.��X 9�,8 �p p L I C AT I O N
FEDERAL WAY,WA 98063-9718 A� � [� � / /
253-66I4ll S�FAX 253�614129���V a7` �n �
wuiw.dt,rolfederdwa�.com
The oilowtn is�'�r�it�F - o n inco lete a licaiiort wilt not be acce ted. Please rint Ie ibl (irz{nkJ or `�
- • • 1 • - i • • G�
SITE ADDRE.SS �7� � OV 3� pt S�/(/ �
�� SUITE/UNIT# �"�
\
ASSESSOR'S TAX/PARCEL# �' Q � � � �- �� 3 � LOT SIZE(s� 110�
-�-
LEGAL DESCRIPTION(e.g.Acme Estates, Lot I)�DY- 3 �� Q — �0 �3 Z r�J p� p��S�
(Attach sepora(e page jor lerh[liy legd desmpaonJ
� ' � �' 1 • ' � •
T'YPE OF PERMIT �UII.DING ❑�PLUMBING ❑ MECHANICAL
i ❑ DEMOLITION C�lELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
� PROJECT DESCRIPTION,(Provide detai(ed description of work included on this per»tit onlul
J N�T�r t� /l n,A-�V,C.�i c-r u 2 �� H-��E t.�J r� A T�}�r.��,A
���� �on 2�'7 w re4-- ��.G� / N G ��, 2�.l�LG- C'�-a3' �/ D�l�I�G
PROJECT NAME(Name of Business or Owner L,ast Nam� U r � �� �
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� PROPERTY xAMEC�A� -
PRIMARY Pf10NE
OWNER
MAILING ADDRESS CITY,STATE,Z[P ���) �
I �� O O 1 L Z
I CONTRACTOR COMPANY NAME APPLICANT NAME
.�� OFFICE PHONE
� �-�.��s ( )
MAILING ADDRESS ,STATE,ZIP CELL PHONE
� � ^--.. N� �C��-. � � -
TY OF FEDERAL WAY BUSINESS LICENSE NUMBER XPIRATION DATE FAX NUMBER
I - - - - - - - - - - B L � � � � -
( CONTRACTOR'S REGISTRATION NUMBER(copy of cazd reqn'ued with each application� EXP(RATfON DATE
� � �
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' APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
'• W N ( ) -
MAILING ADDRESS CITY,STATE,'LIP CELL PHONG
f
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RELATIONSHIP TO PROJECT FAX NUMQER
I ❑ Architect ❑ Tenant o Agent ❑ Other(Describe) � � _
I
iCONTACT NAME PRIMARY PHONE E-MA1L ADDRESS
� LENDER Per RCW 19.27.095: Lender inJormabiod ts NnMe
i
j required ijproject value ezceeds,�5,000
� MAILING ADDRESS CITY, ,ZIP
• • 1 r : 1 � 1 1 • ' �
EXISTING USE �A c��-t �,���J� PROPOSED USE ���F-W��
—�y�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
� SPRINKLERED BUII,DING? ❑ YE,S .�11rQ FIRE SUPPRF.SSION SYSTEM PROPOSED/RF.QUIRED? � YES �1�I0
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHI,INE $TACOMA ❑ PRIVATE(WELL)
',, SEWER SERVICE PROVIDER ,l�AKEHAVElY ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
: - -.r-.�: i
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AREA DESCRIPTION EXISTING S .FT. PROPOSED S .FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FIAORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT ��
HOW MANY FIAORS? TOTAI.FXISTQ(G 70TAI.PAOPOSCD TOTAI.ERiSTWGMDPROPOSED
`•NEWHOMES ONLY~� NUMBER OF BEDRO S ESTIMATED SELLING PRICE
�
Indicate number of each type of fixfure to be installed or relocated as part of fhis projecf. Do not include existing fixtures to remain.
MECFIAMCAL I
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Value ojMechanical Work $�SD�"" +
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS �
ggQg FANS HOODS�ca�«<��� WOODSTOVES
BOILERS F[REPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATERF{EATERS
DUCTS GAS P[PE OUTLETS �
1
PLUMBING
BATHTUBS�orTub/ShoazrComAo) SHOWERS WATER CLOSE'I'S�rotieq MISC(Describe) !
DISHWASHERS S[NKS DRINKIIVG FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST �
WASHING MACH[NES URINALS HOSE BIBBS
LAVS pact,iooms„a�s VACUUM BREAKERS ELECTRIC WATER HEATERS
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I certify under penaify of pery'ury that the information furnish¢d by me ts true and correct to the best of my knowledge, and further, thaf I �
am authorized by the owner of the above premises to perform ihe work jor which the permit application is made. I further agree to hoid i �
harntless the City oj Federal Way as to any claim(including costs, expenses, and attorneys'Jees incurred tn the investigation and defense of � �
such clai�, which may 6e made by any person, inciuding the undersigned,and fiied against ih¢City of Federai Way,but only where such c(aim �
arlses out of the reliance of Lhe city, including its officers and empioyees, upon the accuracy oJ the injormatiort supplied to the city as a part of {
this application. � �
NAME/TITLE ' DATE . 6— �{� p Y I
ignature) (Title�
RELATIONSHIP TO PROJECT �wner ❑ Agent ❑ Contractor ❑ Architect ❑ Other j
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FOR OFFICE USE ONLY I
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUII.DING SHELL ONLY? ❑YF.S a NO BASIC PLAN? o YFS ❑NO !
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ZOIIING DESIGNATION . CHANGE OF USE? ❑YF.S ❑NO i
NEW ADDRE.SS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YE.S a NO �
PLATTED LOT? ❑YE.S ❑NO DEMO PERMIT REQUIRED? o YES ❑NO �
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Qulletin#l00-March 30,2004 Page 2 of 4 k\[fandouts-Revised\Pem�it Application
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RESIDENTIAL COMMERCIAL
NEW RE.SIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Sennce or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500(t2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Dctached outbuIIding or garagc ❑ 101 -200 amp 117.50 74.00
(Inspected with service) �a 36.50 ❑ 201-400 amp 220.50 87.00
❑ Detachcd outbuilding or garagc ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MLJLTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAI,/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Mcdical/Educational/Inslitutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBII.E HOMES
❑ ervice or feeder only $58.00 TEMPORARY SERVICE
�Secvice and feeder $94.50
Commercia( Residenlia(
MOBII,E HOME/RV PARK ❑ 0- 100 $58.00 �a 51.00
❑ # of service or feeders ❑ 101 -200 74.00 51.00
(First service/feederv$58.00;each add'n-$37.50) ❑ 2Q 1 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ,, ❑ Swimming pool/hot tub................ $87.00
Square Feet to be served by system(s) (includes additional circuit,if required)
❑ Fire Alarm Syscem - �-Yard Pole meter loops..................... $58.00
❑ Securicy Atarm Systcm ❑ Additional Plan R�iew $87.00/hour
❑ Voice Cabling (for modificd submittals)�
❑ Data Cabling
�r System(s) 1��2500 ft�-$51.00; ��
Each add'n 2500 ft2-13.50) •Per wAC 296-46�.970(5/(b/(Ba ii�
I3ulletin#l00-March 30,2004 Page 3 of 4 k\I[andouts-Revised\Pennit Application
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This is an overview of possibie fees assoc{ated with the issuance of permits arzd is not{ntended to 6e;nciusive.
, .
� PERMIT FEES
Building,mechanical,and fire prevention system fees are based on the following schedule.
`*Electrical and plumbing fees are calculated separately•*
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$30.50
(2)$SO1.00 to$2,000.00 (2)$30.50 for the first$500.00 plus$4.00(or each addi2iona($100.00 or fraction thcreof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$90.50 for the first$2,000.00 plus$18.00(or each additiona($I 000.00 or fraction thercoC,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$504.50 for the Tust$25,000.00 plus$]3.00 for each addiiiona($]000.00 or fraction U�ereo(,to
and including$50,000.00
�5)$50,001.00 to$100,000.00 (5)$829.50 for the fint$50,000.00 plus$9.00(or each additional$1 000.00 or fraction thereoC,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,279.50 for the First$100,000.00 plus$7.50 for each additiona($] 000 00 or fracuon thereof,
to and including$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$4,279.50 for the£ut$500,000.00 plus$6.00 for each addilional$1 000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$7,279.50 for the first$1,000,000.00 ptus$4.50 for each additiona!$1 000 00 or fraction thercof.
Tab(e A
PLAN REVIEW FEES
• Building Permit 65% of Building Permit Fees
• Mechanical Permit 25% of Mechanical Permit Fees
• Plumbing Permit 65% of Plumbing Permit Fees
• Additional Building Division Review $61.00/hour
PLUMBING PERMIT FEES
• $26.50 Permit Fee lus $9.50 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBBC) Surcharge $4.50/issued permit
• Fire District #39 review fees (commercial onlyj 15% of Building Permit Fees
• Public Works review fees Hourly/varies by project
• School District Impact Fees (new residential only) $3,269.00/single family residence
$ 940.00/multi-family unit
• Demolition Permit Fees
• Required Bond(s)/Deposits
If you need assistance completing the permit application form, or have questions
concerning the application process, please contact
Community Development Customer Service Counter at (253) 661-4115
8:00 am to 5:00 pm, Monday through Friday
Qulletin#100—March 30,2004 Page 4 of 4 k\Handouts—Revised\Pennit Application