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05-104985 (2)City of .:,...ulr Community C.evelepf?ieotServices .BulYctl<Ylg - Single Family Permit #: 05-104985-02-SP S P.O. Box 9718 Federal Way, OVA 98063-9718 Ph: (253) 835-2607 Fax: 1253) B35.2609 Inspection Request Line: (253) 835-3050 Project Name: HAVILI Project Address: 310 S 312TH ST Parcel Number: 084850 0010 Project Description: NEW - New 3952sgft single family home with plumbing/mech. *****REVISION***** Moving the house forward to line up with neighbors house.; ***2/20/07 REVISION to add 256 sq. ft. work/study room space over garage.*** Owner Applicant Contractor Lender TANIELA HAVILI SPEROS BAVELAS TANIELA HAVILI TANIELA HAVILI SPERO'S DESIGN LLS 310 S 312TH ST 310 S 312TH ST 6698A 161ST AVE SE FEDERAL WAY WA FEDERAL WAY WA BELLEVUE WA 98006 Census Category: 101 - New single family house, detached Includes: #1 #2 #3 #4 Occupancy Class: R-3 U Construction T e: Type V- B Type V- B Occupancy Load: Floor Areas . ft. 3,205 1.003 0 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................1936 New / Additional Sq. Feet - 3rd Floor...................0 Occupancy #2 - Area (Sq. Feet).............................1003 BasicPlan? .............................................. :............ No New / Additional Sq. Feet - Deck ........... :.............. 38 New / Additional Sq. Feet - Garage ....................... 1003 Mechanical to be Included?...................................Yes Occupancy #2 - Class ................... .......................... U Plumbing to be Included? ..................................:...Yes New / Additional Sq. Feet - Total .......................... 4246 Occupancy #2 - Use...............................................Residence (1 or 2 family) New / Additional Sq. Feet - 2nd Floor...................1269 Occupancy # 1 -Area (Sq. Feet).............................3205 New / Additional Sq. Feet - Basement...................0 Occupancy #2 - Construction Type.....: .................. Type V - B Fire Dept. Access/Hydrant Loc. Needed?..............No Height of Structure..-.. ............ ... I ............. p ............. 23.5 Occupancy #1 - Class.............................................R-3 New / Additional Sq. Feet - Other......... ................ 0 Total Building Sq. Feet..........................................1003 Occupancy #1 - Use...:...........................................Private Garage Zoning Designation ............................................... RS 7.2 Mechanical Fixtures Ducts.............................................. 1 Fans................................................ 8 Furnaces......................................... 1 Hoods............................................. 1 Plumbing Fixtures Bathtubs ......................................... 3 Dishwashers................................... 1 Laundry Washer Outlets ................ 1 Other Plumbing Fixtures................ 3 Sinks ............................................... 5 Water Closets ............................ ..... 4 CONDITIONS: Fireplace Inserts ............................. 1 Gas Pipe Outlets ............................. 3 Showers .......................................... 1 Water Heaters ................................ 1 This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC, Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable. Note the eastern setback is 5 feet from the 10' wide drainage easement, effectively a 15' BSBL from the easte: n property line. I Right of Way permit is requireU for frontagt improvements/driveway ins.Qilation/removal. This work must be completed and accepted prior to final building inspection. Contact ROW permit desk at 253-835-2725 for details. PERMIT EXPIRES Saturday, March 7, 2009 Permit Issued on Wednesday, March 7, 2007 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: City of Federal Way Certificate of occupancy Date: This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: HAVILI Address: 310 S 312TH ST Permit #: 05-104985-02-SF Includes: # 1 42 #3 #4 T Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: Floor Area (sq. ft.) 3,205 1,003 0 0 Owner Name: TANIELA HAVILI TANIELA HAVILI Owner Name: TANIELA HAVILI Owner Address: 310 S 312TH ST FEDERAL WAY WA Building Official ❑ e 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 severly 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 "EMAIN ON -SITE clTvor- Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-104985-02-SF Owner: TANIELA HAVILI Address: 310 S 312TH ST 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 By Date By Date By Date ❑ ❑ Drainage/Downspout (4040) Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ Shear Walls (4245) ❑ Underfloor Framing (4285) Floor Sheathing (4105) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Rough Plumbing (4230) ❑ Mechanical Rough -in (4165) ❑ Roof Sheathing (4220) Approved to install roofing Approved Approved By Date By Date By Date ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Approved to release test Approved inspection; Electrical, Plumbing & Mechanical Lei i2eruwj r �r�7'/�s�/`I�c� - Rough -in and Fire/Draft Stop inspections must be g P P By Date By Date gne@-uff and approved. IBC 109.3.4/UBC 1085.4 ❑ Framing (4120) ❑ ❑ Gypsum Wallboard Nailing (4130) Insulation (4150) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date By Date ❑ ❑ Final - Plumbing (4075) ❑ Final �SWM (4375) Final - Mechanical (4065) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved By Date By Date Comm niity❑veopmentServices B>i"ilaing - Single Fancily Permit # 05-104985-01-SF P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (263) 835-2609 Inspection Request Line: (253) 835-305Ct Project Name: HAVILI Project Address: 310 S 312TH ST Parcel Number: 084850 0010 Project Description: NEW - New 3952sgft single family home with plumbing/meth. xxxxxREVISIONxxrxx Moving the house forward to line up with neighbors house. Owner. - Applicant Contractor Lender TANIELA HAVILI SPEROS BAVELAS 310 S 312TH ST 310 S 312TH ST SPERO'S DESIGN LLS FEDERAL WAY WA FEDERAL WAY WA 6698A 161ST AVE SE BELLEVUE WA 98006 Census Category: 101 - New single family house, detached Includes: #1 #2 #3 #4 Occupant Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: Floor Area (sq. ft.) 0 0 0 1 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................1936 Occupancy 42 - Class.............................................0 Plumbing to be Included?......................................Yes New / Additional Sq. Feet - Total .......................... 3990 New / Additional Sq. Feet - 3rd Floor...................0 BasicPlan?........................................................... No New / Additional Sq. Feet - Deck ..........................38 New / Additional Sq. Feet - Garage .......................1003 Mechanical to be Included?..:................................Yes Ducts.............................................. Furnaces ......................................... Bathtubs......................................... Laundry Washer Outlets................ Sinks.............................................. New / Additional Sq. Feet - 2nd Floor...................10'13 New / Additional Sq. Feet - Other..........................0 Total Building Sq. Feet..........................................1003 Zoning Designation..:....:........................................RS 7.2 New / Additional Sq. Feet - Basement...................0 Occupancy #2 - Construction Type ........................Type V - B Fire Dept. Access/Hydrant Loc. Needed?..............No Height of Structure................................................23.5 Occupancy #I - Class............... ............................. R-3 Mechanical Fixtures 1 Fans ................................................ 8 1 Hoods .............................................. 1 Plumbing Fixtures 3 Dishwashers ................................... 1 1 Other Plumbing Fixtures................ 3 5 Water Closets ................................. 4 CONDITIONS: Fireplace Inserts............................. 1 - Gas Pipe Outlets ............................. 3 Showers .......................................... 1 Water Heaters ................................ 1 This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC, Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable. Note the eastern setback is 5 feet from the 10' wide drainage easement, effectively a 15' BSBL from the eastern property line. Right of Way permit is required for frontage improvements/driveway installation/removal. This work must be completed and accepted prior to final building inspection. Contact ROW permit desk at 253-835-2725 for dl -tails. PERMIT EXPIRES Friday, August 22, 2008 Permit Issued on Tuesday, August 22, 2006 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: t'p4Date:_0 City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: HAVILI Address: 310 S 312TH ST Permit #: 05-104985-01-SF Includes: 41 #2 #3 #4 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: Floor Area (sq. ft.) 0 0 0 0 Owner Name: TANIELA HAVILI T ANIELA HAVILI Owner Name: Owner Address: 310 S 312TH ST FEDERAL WAY WA 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 severly 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. 7— Clty of Fed^ral Wty Buila><ng - Single Family Permit #: 05-104985-007S F , Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: ($ 3) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: HAVILI Project Address: 310 S 312TH ST Parcel Number: 084850 0010 Project Description: NEW - New 3952sgft single family home with plumbing/meth. Owner Applicant Contractor Lender TANIELA HAVILI SPEROS BAVELAS 310 S 312TH ST 310 S 312TH ST SPERO'S DESIGN LLS FEDERAL WAY WA FEDERAL WAY WA 6698A 161ST AVE SE BELLEVUE WA 98006 Census Category: 101 - New single family house, detached Includes: # 1 #2 #3 #4 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: Floor Areas . ft.) 1 0 0 1 0 0 Additional Permit Information - New / Additional Sq. Feet - 1 st Floor....................1936 Occupancy #2 - Class.............................................0 Plumbing to be Included?......................................Yes New / Additional Sq. Feet - Total ..........................3952 New / Additional Sq. Feet - 2nd Floor...................1013 BasicPlan? ............................... .-...:............ .......... No New / Additional Sq. Feet - Deck ..........................38 New / Additional Sq. Feet - Garage .......................1003 Mechanical to be Included?...................................Yes Occupancy # I - Class.............................................R-3 New / Additional Sq. Feet - Other.........................0 Total Building Sq. Feet..........................................1003 Zoning Designation ............................................... IRS 7.2 New / Additional Sq. Feet - Basement...................0 Occupancy #2 - Construction Type...,...................Type V - B Fire Dept. Access/Hydrant Loc. Needed?..............No Height of Structure.................................................23.5 Mechanical Fixtures Ducts ............................... :.:............ 1.00 Fans................................................ 8.00 Fireplace Inserts............................. 1.00 Furnaces .......... ................... 1.00 Hoods..... ... --................................. 1.00 Plumbing Fixtures Bathtubs ......................................... 3.00 Dishwashers................................... 1.00 Gas Pipe Outlets............................ 3.00 Laundry Washer Outlets ................ 1.00 Other Plumbing Fixtures................ 3.00 Showers.......................................... 1.00 Sinks... ........................................... 5.00 Water Closets.................................. 4.00 Water Heaters................................ 1.00 CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC, Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable. Note the eastern setback is 5 feet from the 10' wide drainage easement, effectively a 15' BSBL from the eastern property line. Right of Way permit is required for frontage improvements/driveway installation/removal. This work must be completed and accepted prior to final building inspection. Contact ROW permit desk at 253-835-2725 for details. PERMIT EXPIRES Thursday, June' 26, 2008 Permit Issued on Monday, June 26, 2006 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: City of Federal Way Certificate of occupancy Date This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: HAVILI Address: 310 S 312TH ST Permit #: 05-104985-00-SF Includes: # 1 #2 #3 #4 Occupancy Class: R-3 U Construction Tv e: Type V - B Type V - B Occupancy Load: Floor Area (sq. ft.) 0 0 0 0 Owner Name: TANIELA HAVILI TANI JELA HAVILI Owner Name: Owner Address: 310 S 312TH ST FEDERAL WAY WA 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 severly 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 ..EMAIN ON -SITE CITY OF " r' _ ' Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-104985-01-SF Owner: TANIELA HAVILI Address: 310 S 312TH ST 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 By Date $• y ej , o B G Date • Z9.O 4 By C Date S. d ❑ Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255) (Z).3�_jApproved 6 acklill Approved to cover Approved to place concrete By&r_`_' Date By Date By Date [� Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date — / - � By Date By C Date - ., Lj ! d . S-, p d p ❑ Rough Plumbing (4230) ❑ Mechanical Rough -in (4165) ❑ Roof Sheathing (4220) Approved to install roofing Approved Approved By L: CO-) Date/ 51. Q rcp By Date By Date 3 q NOTE: Prior to scheduling a Framing (4120) ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) Approved to release test Approved inspection; Electrical, Plumbing &c ;Mechanical Rough -in and Fire/Draft Stop inspections must be By Date By Date signed -off and approved. IBC 109.3.4/UBC 10& 5.4 ❑ Framing (4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By � Date d By Date �� ❑ Final - SWM (4375) ❑ Final - Plumbing (4075) ❑ Final - Mechanical (4065) Approved Approved Approved By Date By / �� Date / By Date PP ❑ Final - Building (4050) []Temp. Erosion Mailntenance {4370) Approved Approved By ;/ ��te 11 JG +ry �7 �' ^ By Date Orwor 1A 1 Federal Way o f PERMIT CBAfbEE1N17Y ABE BLUPrR• S y s �, F>a>= MVVA WP P L I C AT I N 33325 gnu AVEHU6 SaU7'N I O 9[7 7 8 FEDERAL WAY, wA 98063.9728 BUILD11�[a D� 253-835-2607• FAX 253-835-2609 I u f e ru. d r un flcderoluta f t. wm The following is - an SF F CO ME EL PL DE EN FP C,J Z' " will not be accepted. Please SITE ADDRESS SUITE/UNIT # ASSESSOR'S TAX/PARCEL # �! �� _(� 5 AQ- - LOT SIZE (sf LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) blAOUbf,1011 (Attach sepa fep r. Icny(hy iLvaf description) PROJECT INFORMATION TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL or ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of Work included on this perm't onl % PROJECT NAME (Name of Business or Owner Last Name) v 1 " PEOPLE•- • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME _ PRIMARY PHONE MAILING ADDRESS CETY, STATE, ZIP COMPANY MB APPLICANT NAME OFIZICE PHONE r MAIUNG ADDRESS CITY, STATE, ZIP CEL ONF + �]1In r I + �F ; x CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATTON DATE FAX NUMBER — — — — — B L CONTRACTDR'S REGISTRATEON NUMI3ER (copy of card required with each spPlicatian) EXPIRATION DATE COMPANY NAME _ - gaff A11 NAM • -+- 4 ,7 OFFICE PHONE z5 ) se--) 3. E IN , ADDR Cj�Y f f , STAll ZIP CELL PHONE +� - t + ELA O S rAX NUMBER �J rchi� nant ❑Agent ❑Other (DescrbeJ PR MARY PHf3N E-MAIL ADDRESS NAh15.,I/ + L � 4 ^ ► PerRCW 19.27.095. Lender information is NAME required if project value exceeds $5,000 MAILING ADD13,tr.5S CITY, STA • , P PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ �VALUE OF PROPOSED WORK 00g SPRINKLERED BUILDING? `❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER %1 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) r 7Z sQ AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT FIRST /?f SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED?) lr GARAGE CARPORT ❑ lv �� /TOTAL ! 0� 3� 005 E7[I6PGIG PItOYOB&D TOTAL EEIBTAG 6P TOTAL PROP08Eh 9P TOTAL 9Y NUMBER OF FLOORS **NEW HOMES ONLY" NUMBER OF BEDROOMS � ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHAMCAL �`j Value of Mechanical Work IV.Jvv AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub/Shm-r combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS JBmlu iusinke) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS N� GAS LOGS HOODS (commemiat) RANGES GAS WATER HEATERS SHOWERS 4 WATER CLOSETS (Toilet) SINKS Z i / DRINKING FOUNTAINS R SUMPS ��,� RAINWATER SYST -l6 / REFRIG. SYSTEMS —,G�W WOODSTOVES 7V1 MISC (Describe) URINALS HOSE BIBBS VACUUM BREAKERS ELECTRIC WATER HEATERS MISC (Describe) I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, andfurther, 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 \ DATE (Signature) (TiS1e) RELATIONSHIP TO PROJECT A Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES In NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO ELECTRICAL PERMIT INFORMATION RESIDENTIAL NEW RESIDENTIAL SERVICE Single Family Square Feet_ (First 1300 Fta- $104.50; Each add'n 500 ft2 - $33.50) ❑ Detached outbuilding or garage (Inspected with service) $44.00 ❑ Detached outbuilding or garage (Inspected separately) $69.50 NEW MULTI -FAMILY (three units or more) Service Feeder ❑ Up to 200 amp $113.50 $ 33.50 ❑ 201 - 400 amp 141.00 69.50 ❑ 401 - 600 amp 193.00 96.00 ❑ 601 - 800 amp 247.00 132.00 ❑ Over 800 amp 353.50 264.50 ALTERED SINGLEIMULTI FAMILY Service or Feeder ❑ 0 to 200 amp $ 87.00 ❑ 201 - 600 amp 141.00 ❑ over 600 amp 212.50 ❑ # of circuits to be added/altered (1-4 circuits-$69.50; Add'n circuits $7.00/ea) ❑ Mast or meter repair $52.00 ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 COMMERCIAL HEW COMMERCIAL INDi1STRIAL SERVICE ❑ 0 to 100 amp ❑ 101 - 200 amp ❑ 201 - 400 amp ❑ 401 - 600 amp ❑ 601 - 800 amp ❑ 801 - 1000 amp ❑ Over 1000 amp Service or Feeder Each Add'n $113.50 $ 69.50 141.00 89.00 264.50 104.00 308.00 123.50 398.50 168.50 486.50 203.50 530.50 283.00 ❑ Over 600 volts surcharge $89.00 ❑ Mast or meter repair $96.00 ALTERED C2MMERCIAL INDUSTRIAL Service or Feeders ❑ 0 to 200 amp $113.50 ❑ 201 - 600 amp 264.50 ❑ 601 - 1000 amp 398.50 ❑ over 1000 amp 443.50 ❑ # of circuits to be added/altered (1-5 circuits - $89.00; Add'n circuits, $7.00/ea) COMMERCIAL INDUSTRIAL PLAN REVIEW $89.00 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE MOBILE HOOF RV PARK Residential/Multi-Family $61.00 ❑ # of service or feeders (First service/feeder-$69.50; each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 69.50 ❑ 101 - 200 amps 89.00 ❑ 201 - 400 amps 104.50 ❑ 401 - 600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats (First-$52.00; add'n-$16.00/ea) Low Voltage rare Feet to be served by system(u) Fire Alarm System Security Alarm System El Voice Cabling WDataCabling (Per System(s) 1st 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) *Per WAC 29646-910(5)(b)(i & ii) ❑ # of Signs (First sign-$52.00; add'n sign $24.50/ea) ❑ Swimming pool/hot tub ................ (Includes additional circuit, if required) ❑ Yard Pole meter loops ..................... ❑ Additional Plan Review (for modified submittals) ❑ Automation Fee on all Permits .. $87.00 $104.50 $104.50/hour $5.00 DEPARTMENT OF CommuNrrY DEVELOPMENT SERVICES 33325 8'h Avenue South PO Box 9718 CITY OF Federal Way WA 98063-9718 Federal Way 253-835-2607; Fax 253-835-2609 www.ci offederalwa .com HAZARDOUS MATERIALS INVENTORY STATEMENT CRITICAL AQUIFER RECHARGE AND WELLHEAD PROTECTION AREAS I. WHY SHOULD THIS INVENTORY STATEMENT BE FILLED OUT? Critical Aquifer Recharge (CARAs) and Wellhead Protection Areas (WHPAs) are considered "critical areas" pursuant to Federal Way City Code (FWCC), Chapter 18, "Environmental Protection." This inventory statement must be filled out by the applicant or agent for any proposed activity listed in Section H of this handout, and which are located within Wellhead Capture Zones 1, 5, and 10 as shown on the Critical Aquifer Recharge and Wellhead Protection Areas Maps. Please refer to the handout on Critical Aquifer Recharge and Wellhead Protection Areas for a description of the review process. H. ACTIVITIES GOVERNED BY CARA AND WHPA REGULATIONS The inventory statement must be filled out for the following activities: • Construction of any residential structure, including single-family development • Construction of any barn or other agricultural structure • Construction of any office, school, commercial, recreational, service, or storage building • Construction of a parking lot of any size ■ Other minor new construction (see WAC 197-11-800[2]) • Additions or modifications to or replacement of any building or facility (does not include tenant improvements) • Demolition of any structure • Any landfill or excavation ■ Installation of underground tanks • Any division of land, including short plats • Change of use, which involves repair, remodeling, and maintenance activities • Dredging • Reconstruction/maintenance of groins and similar shoreline protection structures • Replacement of utility cables that must be buried under the surface of the bedlands • Repair/rebuilding of major dams, dikes, and reservoirs • Installation or construction of any utility, except for on -going operation and maintenance activities of public wells by public water providers • Personal wireless service facilities Project Name V� Applicant Project Location (O a 3i7— Si— trIVo!T!wr Tracking No. OS lQL(9I'S-O III. TYPES AND QUANTITIES OF HAZARDOUS MATERIALS Please provide the approximate quantity of the types of hazardous materials or deleterious substances that will be stored, handled, treated, used, produced, recycled, or disposed of in connection with the proposed activity. If no hazardous materials will be involved, please proceed to Section IV. MATERIAL LIQUID allons SOLID ounds (1) Acid or basic solutions or solids (2) Antifreeze or coolants e (3) Bleaches, peroxides, detergents, surfactants, disinfectants, bactericides, algaecides C (4) Brake, transmission, hydraulic fluids (5) Brine solutions (6) Corrosion or rust prevention solutions (7) Cutting fluids (8) Deicing materials J (9) Dry cleaning or cleaning solvents ' (10) Electroplating or metal finishing solutions (11) Engraving or etching solutions (12) Explosives (13) Fertilizers (14) Food or animal processing wastes } (15) Formaldehyde t� (16) Fuels, additives, oils, greases (17) Glues, adhesives, or resins (18) Inks, printing, or photocopying chemicals (✓ (19) Laboratory chemicals, reagents or standards (20) Medical, hospital, pharmaceutical, dental, or veterinTy fluids or wastes r (21) Metals (hazardous e.g. arsenic, copper, chromium, lead, mercury, silver, etc. (22) Paints, pigments, dyes, stains, varnish, sealers. (23) Pesticides, herbicides or poisons (24) Plastic resins, plasticizers, or catalysts ' (25) Photo development chemicals (26) Radioactive sources (27) Refrigerants, cooling water (contact) (28) Sludges, still bottoms �) (29) Solvents, thinners, paint removers or strippers (30) Tanning (leather) chemicals (31) Transformer, capacitor oils/fluids, PCB's (32) Waste oil (33) Wood preservatives (34) List OTHER hazardous materials or deleterious substances on a separate sheet. f1 Bulletin #056 — November 24, 2004 Page 2 of 3 k:\Handouts\Hazardous Materials Inventory Statement Project Name 6 I S Applicant Project Location Q 7 1 f 6s c j ATracking No. IV. FURTHER INFORMATION Provide the approximate -quantity of fill and source of fill to be imported to the site. V of Imported Fill Source of Fill Check box # 1 if you do not plan to store, handle, treat, use, produce, recycle, or dispose of any of the types and quantities of hazardous material or deleterious substance listed in Section III. Check box(s) #2 through 45 (and fill in appropriate blanks) of the below table if they apply to your facility or activity. #1] The proposed development will not store, handle, treat, use, produce, recycle, or dispose of any of the types and quantities of hazardous materials or deleterious substances listed above. #2 Above ground storage tanks, having a capacity of gallons will be installed. #3 [ Construction vehicles will be refueled on site. Storage within wholesale and retail facilities of hazardous materials, or other deleterious #4] substances, will be for sale in original containers with a capacity of _ gallons liquid or _pounds solid. The presence of chemical substances on this parcel is/will be for "temporary" non -routine #5 W1 maintenance or repair of the facility (such as paints and paint thinners) and are in individual IV containers with a capacity of _ _ gallons liquid or _mounds solid. Check any of the following items that currently exist or are proposed in connection with the development of the site. SIGNA Date `7a � � Print Name If you have any questions about filling out this application form, please call the Department of Community Development Services at 253-835-2607. Please be advised that an application for a development permit lacking the required information will not be accepter!. Bulletin #056 — November 24, 2004 Page 3 of 3 k:\IIandouts\Hazardous Materials Inventory Statement