23-105100City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HABITAT CONDOS BLDG B UNIT B-108
Project Address: 33020 17TH PL S
Building - Multi Family
Permit #:23-105100-00-MF
Inspection Request Line: (253) 835-3050
Parcel Number: 298690 0280
Project Description: Installing new drywall on ceiling of damaged condo unit, Replacing interior insulation along
with repairs to walls, texturing and painting walls. No plumbing or mechanical work.
Owner
Applicant
Contractor
Lender
MARY BOUMA
MARIO RIVERAMR. DO -ALL
MARIO RIVERAMR. DO -ALL
33020 17TH PL S UNIT B-108
401 BROADWAY
401 BROADWAY
FEDERAL WAY WA 98003
TACOMA WA 98402
TACOMA WA 98402
USA
USA
USA
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1
#2
#3
#4
Occupancy Class:
i
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
0.00
0.00
1 0.00
1 0.00
Additional Permit Information
Mechanical to be Included? ..................................... No
Is this an Online or O.T.C. application? .................. Yes
Plumbing to be Included?... ....... ............................. No
Total Valuation: 4,000.00
Number of Stories ................................................... 2
Permit for Building Shell Only? .............................. No
No Fixtures Associated With This Permit H
CONDITIONS:
1. Subject to field inspection without plans.
2. Electrical work is by separate permit, if needed.
PERMIT EXPIRES Tuesday, 9 April, 2024
Permit Issued on Thursday, October 12, 2023
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
Was � the ity of Federal Way.
Owner or agent:
Date: 2
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 23 105100 00 Address: 33020 17TH PL S Unit B-108
Project: MARY A BOUMA FEDERAL WAY WA 98003-9409
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.
t❑ Insulation (4150) 2❑ Gypsum Wallboard Nailing (4130) 0 Final - Building (4050)
Approved to install wallboard +�Apy roved to install mud & tape Approved
By T o Date ��l rJ ��j3 By T'` k' Date I tilti'� By I Date �`�/5j q
❑
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF
Federal Way
PER11VT NUMBER 'A L_
RECEIVED PERMIT APPLICATION
PER
T 1 2�23 MIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
OC 1 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
•`OMMt1HITY DEVELOPMENTS
�o51ao-!
TARGET DATE O ` v
SITE ADDRESS
Zd LAC r 5 c7
SUITE/UNIT #
Flog
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
$
TYPE OF PERMIT
�P$UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
N O
�� .�+� A,
PROJECT DESCRIPTION
Detailed description of work to
-z) r-v
be included on this permit only
NAME
PRIMARY PHONE
MAILING ADDRESS �1
E-MAIL
PROPERTY OWNER
WF
cIT-
•�tT/
NAME ■f
PHONE
MAILING ADDRESS
#17-CONTRACTOR I�A v f d
E-MAIL
J SRV/Ct
CITY— STATE
ZIP
FAX
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WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
1y p
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d
NAME ,/JI �
PRIMARY PHONE
� � 2
APPLICANT
MAILING ADp 5
E-MAIL L
CITY f
7—WoomAtwA
STATE
ZIP
SD L
FAX
NAME
�
P�7l�ARY PRONE
y� 2, - O O
PROJECT CONTACT
MAILING ADDR&,a
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C
(The individual to receive and
respond to all correspondence
CITf
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of per 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 ci s a plicla ian.
SIGNA DATE r! 2
PRINT NAME: V
etC
O
dl�
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each typ
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
Indicate how mcmy of each type
BATHTUBS (or Tub/Shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
rflxture to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS —
GAS PIPING
this roeat. Do not include existing -lures to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS (commercial)
HOT WATER TANKS (Gas)
REFRIGERATION SYST
WOODSTOVES
VALUE OF PLUMBING WORK
FflxNre to be installed or relocated as pail of this project. Do not include existing fixtures to remain.
LAYS (Hand Sinks)
TOILETS WATER PIPING
RAINWATER SYSTEMS URINALS OTHER (Describe)
SHOWERS VACUUM BREAKERS
SINKS (Kitchen/utility) WATER HEATERS (El—ni; )
SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
CF,I&INS $
EXISTING/PREVIOUS USE LOT SIZE )In Squa a Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes 1 0 ❑Yes KNo
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING PROPOSED
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE S # OF BEDROOMS
COMMERCIAL - NEWADDITION
AREA DESCRIPTION Area in Occupancy Group(s)
Square Feet
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Groups)
Square Feet
TOT.AI. BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
TOTAL
TOTAL
Construction
Construction
FOR OFFICE USE
# of Additional Information
Stories
# of Additional Information
Stories
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application