09-103970 "uildin - Sin le Famil y)
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City of Federal Way •
Community Development Services Permit #: 09-103970-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718FI , Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: ABLE CARE ADULT FAMILY HOME
Project Address: 30620 8TH PL S Parcel Nut : 0 ! -50
Project Description: NEW- Verification of Occupancy for Adult Family Home. ***No construction wo14:
allowed under this permit.***
Owner Applicant Contractor Lender
MANUEL MORALES DELIA MORALES
DELIA MORALES 30620 8TH PL S
30620 8TH PL S FEDERAL WAY WA 98003-4137
FEDERAL WAY WA 98003-4137
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq. Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement....... ...... ..0
Basic Plan? No New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No
New l Additional Sq.Feet-Other 0 Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Zoning Designation RS 7.2
No Fixtures Associated With This
PERMIT EXPIRES Wednesday, April 7, 2010
Permit Issued on Friday, October 9, 2009
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: Date:
F( NAQ9
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: ABLE CARE ADULT FAMILY HOME Permit#: 09-103970-00-SF
Address: 30620 8TH PL S
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: MANUEL MORALES
DELIA MORALES
Owner Name:
Owner Address: 30620 8TH PL S
FEDERAL WAY WA 98003-4137
/041
Building Official Dat
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.
r -- `�
- wilding - Single Famli .y'
City of Federal Way i
Community Development Services Permit #: 09-103970-00-SF
PO Box 9718
Federal Way WA 98063-9718 ec
Ins tion Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: ABLE CARE ADULT FAMILY HOME
Project Address: W 317T ' ekot cern-e i' Parcel Number: 873198 0990
Project Descrip 'en: NEW-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
„ . Applicant Contractor Lender
DELIA MORALES DELIA MORALES
30620 8TH PL S 30620 8T11 PI..S
FEDERAL WAY WA 98003-4137 FEDERAL WAY WA 98003-4137 J
C or re et odeAy-e Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Admit ,1t 1. ,,,
New/Additional Sq.Feet--I st Floor.. ..0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Basic Plan? No New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No
New/Additional Sq.Feet-Other 0 Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Zoning Designation RS 7.2
No Fixtures'AssociatedWith > s Permit 11 t l ;r
PERMIT EXPIRES Wednesday, April 7, 2010
Permit Issued on Friday, October 9, 2009
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: Date: /0 v — e 2
City of Federal Way • i
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: ABLE CARE ADULT FAMILY HOME Permit#: 09-103970-00-SF
Address: 3641 SW 317TH CT
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0 .
Owner Name: DELIA MORALES
DELIA MORALES
Owner Name:
Owner Address: 30620 8TH PL S
FEDERAL WAY WA 98003-4137
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.
J
A '
Federal Way 'CEI E R M I T SI4F CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION / /
253-835-2607•FAX 253-835-2609 Cl a 9 2
www.cituoffederalwau.com
SITE ADDRESS 1 V3oao—S r9�55P ' V /y 1 w AQcJ —
SU6ITINGASSESSOR'S �{/
EL#
f li ( o / C
yY' ' aav t � 3 c # tkoig r'¢' %�inf:! *26A T .!'''''''%.1., z�v , e::-,,,it,'11:1',`,
..,r g- 4/1/..3 .• - .1. 'op.' `". . > , a�a�,..-, ,,, � -...err n Y, .. .,,>�
NAME OF PROJECT 1 �"'�.,
(Tenant or Homeowner Name) PE L14/l pi . /-('L/ 4- 4F-7 `->
' BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
4-D1 c.T /4-,tt/L (- i--IGni/t c/l-,t-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME y /� ". .r. . ., ,� PRIMARY PHONE
PROPERTY OWNER of L/4 £2 XI• 1. A- 1 L () j)%2f 4 - -''/r
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
Dbav-klI) PL -) item i Y,0- 1V 'c> A/4—
OWNER IS ALSO: o CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME _ - --- PRIMARY PHONE
( )
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT C //l) 0. //t/?A 1- (= �)`'ief h- %C �'
1,
MAILING ADDRESS,CITY,STATE,ZIP FAX
`3C`'(-) C' - -)I, P i -Fri)' `I u moo ( ) N
PROJECT CONTACT NAME } PRI Y PHONE
(The individual to receive and � it t' A" S fN C A64 ue NA-Ai r (?53)1 z6 - -2/0)--
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) —
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: l, r 24) DATE f U
PRINT NAME: C �l/T7) �t1 'S
Bulletin#100–4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
II4MECHANICAL FIXTUR
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain..
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
EE `ING FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(orTub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ t-A-KC N.4yC/i $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL b ;
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT ————
_.....-"----- -----"- -.._....----------
FIRST FLOOR(or Mobile Home)
SECOND FLOOR — — —---
COVERED ENTRY — — — — —_----
DECK
GARAGE ❑ CARPORT ❑ --------------- —_------
---.. _....----.—.._.—.—.----
OTHER(describe)
EXISTING PROPOSED TOTAL
— _---- —
Area Totals
**NEW HOMES ONLY*
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application