17-102431 Building - Single Family
City orFederal Way Permit #:17-102431-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: ALL NATIONS ADULT FAMILY HOME
Project Address: 3237 SW 325TH ST Parcel Number:873190 1970
Project Description: Replace existing bedroom window.
Owner Applicant Contractor �t Lender
JOSEPHINE WAINAINA CYNTHIA GATIRIALL NATIONS OWNER IS CONTRACTOR
5057 34TH ST NE ADULT FAMILY HOME
TACOMA WA 9842 5057 34TH ST NE
TACOMA WA98422
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
OccunLd:
Floor paAreacy(sq.oaft.)
Additional Permit Information
Mechanical to be Included? No Is this an Online or O.T.C.application? No
Plumbing to be Included? No
Total Valuation: 148.00
PERMIT EXPIRES Saturday, 18 November,2017
Permit Issued on Monday,May 22,2017
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. Date: � I
Owner or agent: /►�. �.� � '
ter, �
,v114'r THIS CARD IS TO REMAIN ON-SITE
CT OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102431 00 Address: 3237 SW 325TH ST
Project: EASTSIDE FUNDING LLC FEDERAL WAY WA 98023-2500
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.
0 Final-Building(4050)
Approved
By 3 Date 5114 Ili
El Rough Electrical El Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
„„,....._4,,, MAY 22 2017 PERMIT APPLICATION
CITY OF
Federal Way OF FED��LVaERMIT CENTER+ 33325 8th Avenue South+Federal Way,WA 98003-6325
MUNITY DEVELOPMEN-253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER \ 1 -- 1 0 2 4 I - s F ��I S"'7
TARGET DATE 1
SITE ADDRESS SUITE/UNIT#
Ss- (f\ . Q5 S4 ✓a 1 waL
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ '- H-gr b g 3 1 9 0 _ 1 �1 `l 0
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT \ i\)0,\--11./ 4\---f. 1,
PROJECT DESCRIPTION - �- ��P�a c�� 'tom CA of
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS , E-MAIL,
50 al 3Lkcw - c 1V '
CITY STATE ZIP
NAME ; ..Y\/6\J t PHONE UI
l J �fJ 2oC, y�s s] q ( v
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-- , PRIMARY PHONE
NAME
;, + C ye a eVak Y
APPLICANT MAILING ADDRESS E-MAIL
() -1 '(-0t-- .
CITY STATE ZIP FAX
\CZ.00Y'/\-‘'' via elg(.4 z-a-
NAME - PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME ...
PROJECT FINANCING 0 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 he city as a part of this application.
d
SIGNATURE: •. IN , DATE S \?'st: . 11
PRINT NAME:41
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture 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 WOODS TOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of facture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAYS(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(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes o No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application