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04-102597 111111 ` • 41 F r City of Fedcrai Way ~ Con. F d el» t Sery ices Building - Single Family Permit #:04 - 102597 - 00 - SF 3'.,:l30 1st Way S Federal Way,WA 98003-0210 Ph:253 661.4000 Fax:253 661.4129 inspection request line: 253.835.3050 • Project Name: DMC EVERLASTING HOME CARE Project Address: 1012 S 325TH ST Parcel Number: 150240 0320 Project Description: ADD-Construct 667 sqft addition to an existing adult family home,including plumbing&mechanical for one bathroom. Owner Applicant Contractor Lender Daniel G Corpuz &Mirna M Corpuz Daniel A Corpuz Daniel A Corpuz KEY BANK 1012 S 325TH ST 36823 3RD AVE SW KEY BANK i FEDERAL WAY WA FEDERAL WAY WA 36823 3RD AVE SW 32400 PACIFIC HWY S 198003-5933 98023-7333 FEDERAL WAY WA FEDERAL WAY WA 98003 Includes: Census category: 434-Reside #1 #2 ii #3 #4 J I Occupancy Group: _ — R-3 o C I Construction Type: Type V-NF _ L 7ccupancy Load ' Floor Area(Sq.Ft.): — L - --_..- Hr---- -- -- --- _----L - -- --- - 1st Floor Proposed Sq.Feet 667 Census Category 434-Residential alt/add-no. Fire Sprinklers Required No Height of Structure 10.13 Mechanical Yes Occupancy Group#1 R-3 Plumbing Yes Total Building Sq.Feet 3172 Total Proposed Sq.Feet 667 Zoning Designation RS 7.2 Plumbing Fixtures Description Quantity)r Description Quantity Description Quantity!, Lavatories 1 Showers it 1 Water Closets1 — L - Mechanical Fixtures IL DescriptioniLQuantity Description ;Quantity Description �I,iQuantity Fans 1 CONDITIONS: No building shall encroach onto any building setback line or easement shown or not shown. Maximum building height is 30 feet above average building elevation,per Federal Way City Ordinance#90-51. Building setbacks are: 20 feet front; 5 feet side; 5 feet rear. All building downspouts,footing drains&drains from all impervious surfaces such as patios&driveways shall be connected to the approved storm drain outlet as shown on the approved construction drawings No.ILA 90-0021 on file with the City of Federal Way Public Works Dept.All connections of the drains must be constructed and approved prior to the final building inspection approval. PERMIT EXPIRES January 29,2005. Permit issued on August 2,2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancyand the use will be in a ordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or ag: t: ' j Date: 2 /6 ' , t THIS CARO F. TOMAIN 'ON-SITE 1 r cir,OF .so.. omrnunity DevelopiniTat Inspection Record F eras Way IVtR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102597-00-SF Owner: DANIEL G CORPUZ Address: 1012 S 325TH ST FEDERAL WAY, WA 93003-5933 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. nspcctions arc listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not he covered until it is approved. Check with your inspector if you arc unsure about any of the inspections or the inspection sequence On-going inspections are logged on the back of this card. in Temp. Erosion Control(4365) ❑ 1Footings!Setback (=4110) ❑ :Foundation Wail(4115 To be done prior to breskin�ground �A�pjp�roved to peace coirc�etc I Approved to place concrete t__'__ __.._. _._ Date By fi/// ate ;��iv . By tj Date * /(p-e) 7-71-77— arage/po,vnzpaut (4040) ❑ i'i..:nbiog Grountlwok-1 (4190) i (0 Slay/Concrete l+li;or (4255) l Apprc,„d to bac011 Approved to cov,:r r 7 Arp'oved to p tate concrete 1 a I r.,' t).�i,. <"6�/ :;y Date: 'd ®� By Date 1: .. ft,_ -..�._. ._ _ _. j ... /f.,.�.._.. -�..w,../. i l,1:41;r11oal c-A a.+rd!, (42?`_�) 1 ❑ door Shetthint !4105) i� Shear,-`J3iis(-4 ,IST i - t �rovi,i.c idinc0 lteor A rn'e,r._to instz'flooring 1 a.ovr i to i},tail s+Jinn, a rt� F. � P. �/ ��1-'r i 1 v Dat. tiO ,0 1 I :By /h.--(/--- Date 3 y ;3:-L'e 8 —z6:71. ri-'� ...._.,,_.....,A r�� # Yt ,�£"if,> �1::1� _-.,�.... 1 � 11o:€v�x' I`i'.1Til�Sl�'2r: (r2 ill 1-.�� Cr. NI�4�i:aXil�a, �i{J�Gn1�° It' (, a(`"�) i/ 4 .i_R.r.7`ii(i to t ,_tApproved i A pnio:cd 1 1 kJ,4Lj 112._fir Dal-10 0 its Ili ' t±-)_A to 9- •�- o g El Gas f ipin^ (I 1 :5) ,"'ire/Dt aft Stops(4095) 1NOTN Prior is senei ilinr a Framing(4212) Approved,o ta.leas. cs+ App-caved inspeclien, Elect mai,numbing &Mcehanual Rin and Fire/Drat Step inspectimas must be IL9lel :,of' signed-off and eppru eJ. IBC 1093,41bC 108.5.4z 7dy Date By Date -�....,. Ft naming (4120) El � Insulation (4150) 1 ❑Gypsum Wallboard Nailing (4130) 1 Approv"�to insulate Approved to install wallboard Approved to install mud&tape �' Date •9—la__ / By A f/ Date By Date —20-,-p� _3333_....., //1(4.4 Final - SWM (4375)-� '❑ Final-Mechanical (4065)_ 1❑ Final-Plumbing(4075) Approved Approved Approved LBY Date By Date By Date , •❑ Final-Building(4050) ❑Temp. Erosion Maintenance(4370) Approved Approved By ate ` .r -.1,...)1/By Date Federal Way . pERMIT 4 lo 2 I5 ,? GIMF CO COMMUNITY DEVELOPMENT SERVICES } 2004ull. - Le DE ., FP 33530 FIRST WAY SOUTH• BOX 9718 A p p L I C AT 1 FEDERAL WAY,WA 98063-9718 TO 253-667-4115 FAX 253-661-4129 lr www.dtrpfrederalwatt com CITY OF FEDERAL WAY �rAir A. i , . BUILDING DEPT, The ollowin. is re.uired in ormation-an in.. ,,.fete a.•lication will not be acce.ted. ase ; ' , irk PROPERTY INFORMATION SITE ADDRESS 7l//i� 5 3a 5/ pC/.,6/LAL c,,v,ILf ( 9Q ITE/ IT# ASSESSOR'S TAX/PARCEL# /5-0 ..Z`o7` // SU0 •- 03,26)- 06 LOT SIZE(sf 9/4 7 5 F LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4.07- 8 (P1• 64-Oe K. 3 ©F CeA,71.0 y L►/Ty 4)/)/VD, Attach separate page for lengthy legal desenpoonl - PROJECT INFORMATION TYPE OF PERMIT 1X ' DING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) 40/LA S cam( 3 /3 - Atv-rvt 4 L. � e , �orh /•-L a..,... .,'5-74‘,-i-' w /q-of---c41.-e- st` _ _ ., k 4 . . it it '1=1'41'1 1111111/1 nt - >.: - _ • - _._ i.. PROJECT NAME(Name of Business or Owner Last Name) /"4/v/4t 7/1?/1•3/Q ,. "Lf 7,<.ae PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 044,t)I tL ("C` /"?/2/ 4 /t"1-( MAILING ADDRESS CITY,STATE,ZIP /og s 3,25-14 57- ,c41)&4.#4,L, w y 444 984)0 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE b(A) iA.L4 ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB ER - - _ B L / / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE / / APPLICANT COMPANY,rN(+ME APPLICANT NAME OFFICE PHONE MAILING��/AADDDDRESSS> \ CITY,STATE,ZIP ) CELL PHONE RELATIONSHIP TO PROJECT ( ) FAX NUMBER 0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME1).. PRIMARY PHONE (:21-3 jOLo - 6 E-MAIL ADDRESS r %VLIt' LENDER / Per RCW 19.27.095: Lender information is'' NAM1147, L ��ii required if project value exceeds$5,000 STATE6i/� MAILING ADORES cCc�/���"'� t 74o 'et H s cl ( IA. . 1/3 iet- ci 303346ZZ DETAILED BUILDING INFORMATION EXISTING USE AF t--(- PROPOSED USE 3 8-Xer a,.-•01 /J`• r'7Z 'y7'+-. EXISTING ASSESSED/APPRAISED VALUE $!/7© �, /� VALUE OF PROPOSED WORK $ 4o, ,5-1,--1)SPRINKLERED BUILDING? 0 YES AO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES Erf1O WATER SERVICE PROVIDER /AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER IAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS . ___ • AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASE T , 2.0 CD '2 Ci0 (e -7 i Lt- , SEC.Nth THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) • 2 v2O_ %_? / 7 3 I q(� DECK(COVERED?) p4i3�'c�_ t� GARAGE/CARPORT / 2-5. ® 5)-1 HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL MISTING AN PROPOSED "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES _ __ ~Indicate number of each type of fixture to be installed . re ocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ a 5 AIR HANDLING UNITS ...- EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS ✓ FANS HOODS)commerdal) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING / r/ BATHTUBS)o,Tub/Shomorcombo) V SHOWERS V WATER CLOSETS troaeq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST / WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sus) VA UUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the i t ormation 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 prem ses 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. N. DATE ��/��'I NAME/TITL. k �IJ A (Signature) / (Title) RELATIONSHIP TO PROJECT fa'Uwner ❑ Agent r Contractor 0 Architect ❑ Other FOR OFFICE USE ONLY a NEW a ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Pernuit Application