04-104998City of Federal
Way
Community Development Services Building, - ,Single Family Permit #: 04 - 104998 - 00 - SF
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: LABIZON
Project Address: 30512 24TH AVE SW Parcel Number: 889420 0070
Project Description: NEW - Construct a new 3,393 sqft single-family residence with 621sgft attached garage, including
plumbing & mechanical. No decks. ***Estimated selling price $595,000/4 bedrooms***
Owner
Applicant
Contractor
Lender
ALEX & ALINA LABIZON
GALA CONSTRUCTION *ALEX LA
GALA CONSTRUCTION *ALEX LA
GATEWAY BANK, FSB
4506 240TH ST SW
4506 240TH ST SW
GALACCL9640B 9/2/06
2370 130TH AVE NE SUITE 100
MOUNTLAKE TERRACE WA 9804
MOUNTLAKE TERRACE WA 9804
4506 240TH'ST SW
BELLEVUE WA 98005
MOUNTLAKE TERRACE WA 9804
Includes
Census category: 101 -New si 1 #1 #2 #3 #4
Occupancy Q ou : — ' — R-3 U-1
Construction Type: Type V- N Type V- N
Occupancy Load:
Floor Area (Sq. Ft.):�
1 st Floor Proposed Sq. Feet .................................
1779
2nd Floor Proposed Sq. Feet ................................
1614
Basic Plan .................................................
No
Census Category .................................................
101 - New single family house
Construction Type#2..........................................
Type V - N
Fire Sprinklers Required ......................................
No
Garage Proposed Sq. Feet ....................................
621
Height of Structure ........................................
:a,.. 27
Mechanical .................................................
Yes
Occupancy Group # 1...........................................
R 3
Occupancy Group#2...........................
I ......... ......U-1
Plumbing .................................................
Yes
Total Building Sq. Feet........................................4014
Total Proposed Sq. Feet..........................:............ 3393 . —
Zoning Designation ...............
Plumbing Fixtures
Description
Quanta
Descri ion
L _ P
Quanta
1
2
Descri tion
� P TIQuantit]
Laundry Washer Outlets
Showers ��
1
Bathtubs
Lavatories
2
5
Dishwashers
Other Plumbing Fixtures
Sinks
2
Water Closets
3
Water Fleaters
]
Mechanical Fixtures
Description lQuantityl Description JQuantity. Description Quanta
Ducts 1 Fans 4 Fireplace Inserts
Furnaces 1 Ranges 1
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
I
PERMIT EXPIRES July 31, 2005.
Permit issued on February 1, 2005
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: I17 Date:
City of Federal 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: LABIZON
Address: 30512 24TH SW
Permit number: 04 - 104998 - 00
#1
#2
#3
#4
Occupancy Group:
R-3
U-1
Construction Type:
Occupancy Load:
Type V- N
Ty e V- N
Floor Area (Sq. Ft):
Owner ALEX & ALINA LABIZON
Name: 4506 240TH ST SW
Address: MOUNTLAKE TERRACE WA 98043
1
Building Official Date
The priorityfocus 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 ownerioccupani or to any aiher person that this Cer i jicate evidences strici 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 P-EAWN ON -SITE '
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104998-00-SF
Owner: ALEX & ALINA LABIZON
Address: 30512 24TH AVE SW
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TIUS CARD.
Inspections arc 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
By 1i], Date 2-2-4-U5- By f C Date 3 - O — By li� Date
❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255)
Approved to backfill Approved to cover Approved to place concrete
By Date 3 By Ate By �' 'i)ate
❑ Underfloor Framing
Approved to sheath floor
ByL.W,�j Date l,.t _1.4 _ 6
❑ Roof Sheathing (4220)
Approved to install roofing
By Date 5 tq
Gas Piping (4125)
Approved to release test
By MM IL "� f Date
❑ Framing (4120)
Atlnroved to insulate
By _ C^J Date( — 19-0,
❑ Final - SWM (4375)
Approved
By Date
❑ Final - Building (4050)
Approved
By Yf- Date 61-7,0J_
❑ Floor Sheathing (4105)
Approved to install flooring
By Date` ()S
❑ Rough Plumbing (4230)
Approved
By Date 0
Fire/Draft Stops (4095)
Approved
By ,
❑ Insulation (41h)
Approved to install wallboard
By.Z-O::� Date
❑ Final - Mechanical (4065)
Approved
By Date If/7 gL
❑Temp. Erosion Maintenance (4370)
Approved
By
❑ Shear Walls (4245)
Approved to install siding
By FL Date S U�
❑ Mechanical Rough -in (4165)
Approved
By Date _
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
:signed -off and approved. IBC 109.3.4/UBC 108.5.4
Gypsum Wallboard Nailing (41
to install mud & e
�,-�.1 t1s
❑ Final - Plumbing (4075)
Approved
By FZjC' Date , ?//�,16U
EECEWED
lw,
CITY CF k DEC 1 0 2004
Federal Way CITY OF FEDERAL W _P E R M I T
COMMUNITY DEVELOPMENT SERVICES BUILDING DpAPPLICATION
33S30 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718
253-661-41IS• FAX 253-661-4129
luluw.Cilunl7edlrwlu�a Fix,"±Q��ecF��
(a1 re-W fill
The _Mowing is requnform n - an fete application will ni
.0_q - y-11S_
:SF)MRC M])EUeDEENFP
Eed. Please print legibly fin ir:kl or tope.
(.,SITE 4 � 6 � .� ��I 7 ve . + � /���i��� -f � � [JV a_u1,4 ,J gtV_5 SUITE/UNIT # `��jj 7�
ASSESSOR'S T /PARCEL # V - LOT SIZE (sj) J j 73. W
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) eh �6gq_ Zd l # /
(Attach separate page for lengthy k'gal description)
PROJECT• •
TYPE OF PERMIT Y/BUILDING t�ZLLWTRICAI,
UNBING MMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO CT DESCRIPTION (Provide detailed description of work included on this rmi4 941W
R 14 0
CPROJECT NAME (Name of Business or Owner Last Name)
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PH NE
Z0- CITY p JJ (Aft) W3 - oo 77
/ 9NG ADD ADDRESS _S - `p ITLG V 9,gl33
COMPANY NA"
GALA os�� aeZ 0ti
APPL NAME
d ,c LQ do;' NAME
OFFICE
OFCE PHONE
y23 -oo j7
MAILING AbpHF4S
�i50� �' �r 0 'Z S V/
;, STA'fF, 'LIP
T
_(Aa-)
CELL PilOHE
.
170�RM44? ce
i ) -
CITY ON FL W!rURINFSS LICE F:lt ., +_
L 4g,•'(j1P/ T�� Lo,
J 1 Q�' /
(�'PIRATION
CTOR'3 REGISTRATION'NUMBER 1copr of card required with �h application)
CIJG�CGL 96
DATE
C PANY AM
X Co m s R czf vo
APPLICANT NAME
Wc- ex
OFFICE PHONE 1
(206) y29 -00 7 7
MAILING ADDRESS
y5J6. 2 Y _S KI
CITY, STATE Zl
0&r1,;F?o_ Le 7,
CELL PHONE
( ) -
RELAT7ONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent h' Other C'-Ok G
FAX NUMBER
(Describe)
CONTACT NAMIr
LENDER Per RCW19.27.095: Lender information is
required if project value exceeds $5,000
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE$
SPRINKLERED BUILDING? ❑'fY NO
WATER SERVICE PROVIDER fSVEN
SEWER SERVICE PROVIDER AKEHAVEN
3 -00 77
l
,70 1
PROPOSED USE { i lit W1
-VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
ra .
C Gov
❑ NO
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
J 7 7-9
/1
% 7 7-9
SECOND
/
r
7
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
�� ,� /
6
HOW MANY FLOORS?
TOTAL ax.I.G
Ll TOTAL OSE
'IOTq �gO/7D PROPOSE
'J7l U��t71
**NEWHOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
Indicate
of fixture to be installed & rNbcated as part of this project. Do not include existing fixtures to
1
MECHAMCAL
Value of Mechanical Wor .$ _ -O0O
AIR HANDLING UNITS
EV
GAS LOGS
BBQS
+�3,E1'v5
— FANS I
IL
1100i3S (C—m-cial)
BOILERS
FIREPLACE INSERTS114
_
/ RANGES I
COMPRESSORS
FURNACES I
_
I GAS WATER HEATERSi
DUCTS
GAS PIPE QLTTL.EM
�
BATHTU13S JL/-%a Combo)
� SHOWERS �
n
J WATEIII
R CLOSETS (Toilet
DISHWASHERS I
SINKS it
_
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
}
WASHING MACHINFS i
URINALS
HOSE BIBBSA
LAVS feashrnmx Smw I k
VACUUM BREAKERS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the ft&rmattan 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. ` �y�,
NAME/TITLE 4ay----
w6 D DAIS 12 r !D —a;y y
iSignatu }. r
RELATIONSHIP TO PROJECT i�'Owner ❑ Agent ['Contractor ❑ Architect ❑ Other
R OFFICE USE ONLY
,s. w ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑
BASIC PLAN?
❑ YES
ZONING DESIGNATION
S —
CHANGE OF USE?
❑ YES O
NEW ADDRESS REQUIRED? E. YES
UP/SEPA/SU?
❑ YES
PLATTED LOT?
❑ NO
DEMO PERMIT REQUIRED?
❑ YES VZO
FA
Bulletin #100 - March 30, 2004 Page 2 of 4 k\Handouts - Revised\Permit Application