00-105271 t • •
ComnCity ofFeDevelopmWay Services Building - Single Family Permit #:00 - 105271 - 00 - SF
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: PALIGUTAN
Project Address: 31218 12TH AVE SW Parcel Number: 416800 0080
Project Description: RES REM-Converting garage to living space
Owner Applicant Contractor Lender
Efrain M&Mary Anne Paligutan NONE Efrain M&Mary Anne Paligutan Efrain M&Mary Anne Paligutan
31218 12TH AVE SW 31218 12TH AVE SW
FEDERAL WAY WA 31218 12TH AVE SW FEDERAL WAY WA
98023-4503 NONE FEDERAL WAY WA 98023-4503
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 308 Census Category 434-Residential alt/add-no
Height of Structure 14.6 Mechanical Yes
Occupancy Group#1 R-3 Plumbing Yes
Total Proposed Sq.Feet 308 Zoning Designation RS 7.2
Plumbing Fixtures
Description'„o, Quantity ,, Description - ; , Quantity Description Quantity
Lavatories 1 Showers 1 Water Closets 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Ducts 1 Fans 1
CONDITIONS:
Per Federal Way City Code section 22-1133(4),eaves,chimneys or awnings,and similar elements of a structure
that customarily extend beyond the exterior walls of a structure may extend up to 18 inches "MAXIMUM" into
the required yard setback. Additionally,the total horizontal dimensIons of the elements that extend into a
required yard,excluding eaves,may not exceed 25% of the length of the facade of the structure from which the
elements extend.
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to
the subject proposal.
PERMIT EXPIRES May 5,2001,IF NO WORK IS STARTED.
Permit issued on November 6,2000
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: (l
•
INSPECTION LOG
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POS IS CARD ON THE FRONT OF BUILD.
CITY OF =
EDE Ffl_ BUILDING DIVISION
uV AY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253.661-4140,
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00-105271-00-SF
OWNER'S NAME: Efrain M & Mary Anne Paligutan
SITE ADDRESS: 31218 12TH SW
O FOOTINGS/SETBACKS () FOUNDATION WALL
Do ` '„ ' 6i" "i'16tratAtIlr i`' iH ABO'TE'IVtilt
( ) DRAINAGE: Line ( ) Connection
g
bistiI'IL THE 5 t ' i � 7'►ry vED
O UNDERFLOOR /Z '- l UG'G_...
O ROUGH PLUMBING: DWV Water piping f
O ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
() FIRE/DRAFTSTOPS
� Tierp °i�SBE-APP�d AR ORrTE `II SPE IONpe
( ) FRAMING/FIRESTOPPING / - 2 3• o-s)
qETHEA OVE MUST BE APPROVED RIO ,"T N ULATING 0
O INSULATION: Floors Walls 2 ,t7 v/ Attic / Z 0— C)/
E VED`iI OI T,O PL SREET
R N
() WALLBOARD NAILING () SUSPENDED CEILING
T E ABOVX 'ST " ' ' RO � � 'WIR,TO TAP LO.Li9k 71� •��V...., G CEMING'TILE
O ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL ,.
( ) FIRE FINAL
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( ) BUILDING FINAL 41/// O / 711//
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• BUILDING DIVISION
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V ED • 33530 First Way South
�— ECIEI _ Federal Way,WA 98003
uV FIy (253)661-4000
OCT 2 3 ?OM 1 Fax(253)661-4129
v.i`t ; a; i +L'WAY
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT (--1 1 I "6 I " '
APPLICATION # 00 If 3 ,' l
« Site address --
S
LA-1
Tenant en „ O/I L 1 G LTk Lot# Assessor's Tax #
X Buildig.�wj�e�r's�ame(/A L v Address
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City (��'V State tA../Pr Zi. ,.D Phone 4_ - :-
Description
Description of Work G
............................................................................................
Name(F,M,L) ' 1 L ( G (0 TP
Address (( 1 Co
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L""r 1 Zip �/o p---
City "1 n vCr�•0 t/ ul, Vv� - "L �)-3 State �0
Contact Person Da hog, // her Phone, 1 6sFax
.BUtL3lNCCINT3TOR< ` < �>
FederalWay
Business License
#
Company Name kr 04�
N Ca— J ()Lib-
Address `���
CTy State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes ❑ No
Name ,� l O C
Address v l"
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
•
Please Complete Reverse Side
A
•
R • i
xisting Use
roposed osed Use
Permit includes: 4 Building VI Plumbing 0 Mechanical 0 Other
Type of Work: ,Vc1 Residential 0 New 51 Remodel ($ #of bedrooms - 0 Deck
0 Commercial 0 Addition 0 Repair l Garage 0 Shed
Enter 1st Floor 4 %0 sq ft 2nd Floor — sq ft 3rd Floor --- sq ft Existing Floor Area 13 S� sq ft
Area Basement sq ft Decks _ sq ft Garage '3 0 sq ft Proposed Total Area \3'(;c sq ft
Water Availability 0 Sewer Availabilit f, On-Site Septic System Availability 0 Project Valuation $ OfO&O.00
Zoning I Lot Size Existing Bldg Valuation $ l~�n+ vbr�-0
t(!4 fCJ- )
Forew residential/only Proposed se
d se
11'
n9
cost: $
_
Name �P�,"„J N Address
0 i•
City `JState Zip
Contractor Name Address
City ,�11{a bo
"� State Zip
`.'�
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBINO;ICONTRACTORMEgNiNgE
Contractor Name Address
City b 4 6 State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
>:>:UN, ??'`''"2<'? "f
LUNIBII�G€`FIX'°i't�Rl"�':'�E)U.T.
Water Closets i Sinks Urinals Lawn Sprinklers
-S Bathtubs Dish Washers Drinking Fountains Other
Showers I Electric Water Heaters Sumps
Lavatories I Washing Machine Drains fi otal.>ixtctre: aunY
L
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VIECHANICALUNIECOUNTEMEN MECHANICAL
EVAUAT
EVALUATION ONLY Y $
Fuel Type (gas/electric/other) \tLAS'�Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs •Gas Lo Unit Heater 50+ Tons
Furn,>100 BTUs 64
(AL'(J Inlii I Miscellaneous Fuel Tanks
Gas Hwt Q,0Hood Boilers Above Ground
_Cony Burner Duct Work 0-3 Tons Underground
ak12 --) BBQ's Wood Stoves 3-15 Tons Total Unrt Count
DISCLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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.
Owner/Agent: `_iiiDate: / 0 /
41111
REVES
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