02-101764�T
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Building - Single Family Permit #:02 - 101764 - 00 - SF
Inspection request line: 253.835.3050
Project Name: SALINAS
Project Address: 29414 2ND AVE SW Parcel Number: 119600 3428
Project Description: SF- Removing stucco and replacing with like. Reroof. Replace existing footing drains and downspout
drains.
Owner
Applicant
Contractor
Lender
Yvonne R Salinas
H. DALBY COMPANY
H. DALBY COMPANY
NONE
29414 2ND AVE SW
H. DALBY COMPANY
HDAHLI *225MU
Type V - N
FEDERAL WAY WA
1402 MAPLE AVE SW
H. DALBY COMPANY
Occupancy Load:
98023 -3526
RENTON WA 98055
1402 MAPLE AVE SW
NONE
Includes
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
No
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category .... ...............................
.............:434 — Residential alt/add - no -
Mechanical.................. ...............................
No
Occupancy Group # 1 .............................
.... ...... .... R -3
Plumbing ..... ........... -- .............................
No
PERMIT EXPIRES December 2, 2002, IF NO WORK IS STARTED.
Permit issued on April 29, 2002
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.
i
Owner or agent: ` Date: L� 7/
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City of Federal Way
Applicant
Building - Single Family Permit #:02 - 101764 - 00 - SF
Community Development Services
Yvonne R Salinas
H. DALBY COMPANY
33530 1 st Way S
NONE
29414 2ND AVE SW
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
HDAHLI *225MU
Inspection request line: 253.835.3050
FEDERAL WAY WA
Project Name: SALINAS
Project Address: 29414 2ND AVE SW Parcel Number: 119600 3428
Project Description: SF- Removing stucco and replacing with like.
Owner
Applicant
Contractor
Lender
Yvonne R Salinas
H. DALBY COMPANY
H. DALBY COMPANY
NONE
29414 2ND AVE SW
H. DALBY COMPANY
HDAHLI *225MU
Type V - N
FEDERAL WAY WA
1402 MAPLE AVE SW
H. DALBY COMPANY
Occupancy Load:
98023 -3526
RENTON WA 98055
1402 MAPLE AVE SW
NONE
Includes:
Census category: 434 - Reside
#1
#2
#3
#4
Occupancy Group:
R -3
No
Construction Type:
Type V - N
_
Occupancy Load:
r
Floor Area (Sq. Ft.):
Census Category ................. ...............................
434 - Residential alt/add - no,
Mechanical.................. ...............................
No
Occupancy Group # 1 ............... ............................R
-3
Plumbing.................. ...............................
No
PERMIT EXPIRES October 26, 2002, IF NO WORK IS STARTED.
Permit issued on April 29, 2002
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: S�V— —W 1l(`Q f M4 Date:
�h
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City Federal Way
Community Development Services Building - Single Family Permit #: 02 - 101764 - 00 - SF
33530 1st Way S
Federal Way, WA 98003 -6210
Pb: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: SALINAS
Project Address: 29414 2ND AVE SW arcel Number: 119600 3428
Project Description: SF- Removing stuccoynd r �with
Owner
plic
Contractor
Lender
Yvonne R Salinas
H. D COMPANY
H. DALBY COMPANY
NONE
29414 2ND AVE SW
H. OMPANY
HDAHLI *225MU
FEDERAL WAY WA
14 MAPL SW
DALBY COMPANY
98023 -3526
RENTON WA 98
1 APLE AVE SW
NONE
Census Category....!
Occupancy Group #
WORK IS STARTED.
the above described property and
)ns of the State of Washington and
Owner or agent:
OCEIVED •
eF CONSTRU CTION PERMIT APPLICATION
EA_ APR 2 9 2002 PPLICATION NUMBER: a - D L :7
PPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT. -- - - - - - - --
* *The following is required information — Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION {
SITE ADDRESS: ( flV�c� + ` ASSESSOR'S TAX/ PARCEL #: ! 0 0 - le� 2 19
LEGAL DESCRIPTION OF S BJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
;oe,o A AAAl l'oyi stet
PROJECT INFORMATION
TYPE OF PROJECT (This application): >�tUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
1711
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NAME:
(
DAYTIME PHONE:
V0V1Vte_ iV'ac.9
( ) -
MAILING ADDRES
I
(STREET ADDRESS; CITY, ATE, ZIP):
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,.
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): I
I +0-z Avemo-e_
EVENING PHONE:
(ftj f�*srZ-10
CITY OF FEDERAL WAY BUSYNESS LICENSE NUMBER:
FAX NUMBER:
__ -__ ___ -__
(q[.)2 71 -3-12
CONTRACTOR'S REGISTRATION NUMBER: H
EXPIRATION DATE: /
(copy of card required)
AI A
DAYTIME
e )602_
MAILING DDRESS (STREET ADDRESS ITY, STATE, ZIP): C? ( C?o Q^A a �3l
EVENING PHONE:
�L-� "►+ e�-� �LG wlA 9F, 1-2,1
( ) -
RELATIONSHIP TO PROJECT:
FAX NUMBER:
ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):10)
'OR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
E -MAIL ADDRESS: )
EXISTING USE: earl; rl; EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $1,001 0VV
SPRINKLERED BUILDING? ❑ YES XNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE
❑ LAKEHAVEN ❑ HIGHLINE
❑ TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
1�
CO 'A^
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINALS) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC. ( )
SUMP(S)
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: DATE: �✓
❑ PROPERTY OWNER AIlPPLICANT ❑ CONTRACTOR
a-,., At (n! , k --4r S
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 253- 661 -4129
www.citvoffederalway.com