17-103715 )
Building - Single Family
City of Federal Way Permit #:17-103715-00-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: ACTS ADULT FAMILY HOME
Project Address: 28604 26TH AVE S Parcel Number:746690 0260
Project Description: REM-Demolish(2)interior non-bearing walls.No plumbing or Mechanical.
Owner Applicant Contractor Lender
NANCY MAINA NANCY MAINA OWNER IS CONTRACTOR
28604 26TH AVE S 28604 26TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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.)
Additional Permit Information
Mechanical to be Included? No Number of Stories 1
Is this an Online or O.T.C.application? No Plumbing to be Included? No
Total Valuation:300.00
®: :$ y
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday,29 January,2018
Permit Issued on Wednesday,August 2,2017
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.
Owner or agent Date: ° 17
a
•
Al' THIS CARD IS TO REMAIN ON-SITE '
ederai WayConstruction Inspection Record F
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103715 00 Address: 28604 26TH AVE S
Project: NANCY MAINA FEDERAL WAY WA 98003-3304
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 Final-Building(4050)
Approved
B r. �J Date ¢i l7
•
Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
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\;(L \ t \-c r t ihp�,�c�c' RECEIVED
AUG 0 2 2017
.- CITY OF FEDERAL WAY
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COMMUNITY DEVELOPMENT
EVACUATION
PLAN 11/i/14
rove Damon
swampy,414101
21404 2bTH'WE t.PL!DQRA L PIAY"I1+WOOD a06•10-4.48a
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RECEIVED PERMIT APPLICATION
CITY OF
Federal WayAUG o 2 2017 RMPEIT CENTER+ 33325 8th Avenue South+Federal Way,WA 98003-6325
253 835 2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
MUS D E�OPNT 7
PERMIT NUMBER _ -J- TARGET DATE /2/ / 7
SITE ADDRESS 1G�,LJ
f o r (/, f A /�/J lip 1 ,� _! 1 0`/Q� SUITE/UNIT#
U [ K°L)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
fl
3uv
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION e� i q �` S'
Detailed description of work to
be included on this permit only
(4,7:_c-7
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PRIMARY PHONE !,'7C-S- r�-
NAM
PROPERTY OWNERLI n1 3 1 L
CI � � STATE ZIP l
cc erS� 7A,), w A `341 PLR
NAME PHONE
e/l—
MAILING ADDRESS E-MAIL'
CONTRACTOR
CITY - STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT- MAILIN ADDRESS E-MAIL
2g v� � l e c
CIT (' STATE ZIP FAX
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
PROJECT FINANCING NAME 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 the city as a part of
this application.
SIGNATU' . l -�� DATE 83iC) j r
PRINT NAME: - v v 1 4 n g+
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 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(cas)
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(In 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
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Area Totals
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Square Feet
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Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application