16-102068 Building - Single Family
C &EFederal
n.Dv.S Permit #. 16-1020613.-(}0-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: OSPINA
Project Address: 32817 26TH PL SW Parcel Number: 894520 0300
Project Description: REP-Tear off existing roof and sheeting and replace with new sheeting and architectual
shingles laminated.
,
Owner Applicant Contractor Lender
ERICA REHBERG IVAN D OSPINA OWNER IS CONTRACTOR
IVAN D OSPINA 32817 26TH PL SW
32817 26TH PL SW FEDERAL WAY WA
FEDERAL WAY WA 98023
98023
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 3200.00 Occupancy#1 -Construction Type. Type V-B
Mechanical to be Included? No Occupancy#1 -Class R-3
Plumbing to be Included? No Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, October 26, 2016
Permit Issued on Friday,April 29, 2016
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: l i �� _ Date: LI /4)0 / ((j
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102068-00-SF Address: 32817 26TH PL SW
Project: ERICA REHBERG FEDERAL WAY, WA 98023-2819
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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
Date — .1..A___ ___.,------- Date s_ 2�_(c,�
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Realm
. • PERM-' APPLICATION
CITY OF -'`
Federal Way APR 2s 20'6
CITY OF FEDERAL WAY
PERMIT NUMBERo_ — I 0 10. ( T?) _ 41.311lY./�TARGET DATE
SITE SUITE/UNIT#
� R r7 Ls
PROJECT U TIO ZONI G ASSESSOR'S TAX/PARCEL#
$ 3aub 42, Lj 5 - 05 0
TYPE OF PERMIT ^3UILDING ❑ PLUMBINGMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
'�J
NAME OF PROJECT (Y) T /1 s `.
PROJECT DESCRIPTION RP r Q"Oa f v) `11 a..
1 v'C�k.I C fttcLQ
Detailed description of work to ����1 "S . I 1 Y1 t Vi L 3.(,s C 1 Lao i
4-Lj
be included on this permit only re,0,4•W_Q,MQ144.
4. i . r 1�'l' /<r - ,,
S S V L��
NAME /p ca
PRIMARY PHONE
PROPERTY OWNER
-1-\104 CL V `a _ �L 1 �
ING ADDRESS Q ,I^ - L
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SID/ vUotm, zipot
NAME ionit
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LV .) C 6 i f a/ C l--C/ V PH
MAILING ADDRESS 1 E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
b?)Af2Ar
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
.. NAME PRIMARY PHONE
PROJECT CONTACT aVC ` �5 ) a_) o_63_ R)\)
(The individual to receive and MAILING ADDREsSS E-MAIL
respond to all correspondence l
concerning this application) CITY STATE ZIP FAX
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 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.
vet
SIGNATURE: (2aO e,4/la) DATE Li /10.51 l/
I
PRINT NAME: L V I Ccs OSn i'
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing factures 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/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
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
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)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application