08-106052 F • Wuilding - Single Family
City of Federal Way Permit #: 08-106052-00-S F
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
1: , .242
Project Name: GOMEZ
Project Address: 33266 22ND CT SW Parcel Number: 932090 0610
Project Description: ALT-Fire damage clean-up& initial assessement by city inspector.To cover(1)inspection.
Owner Applicant Contractor Lender
JOSE R GOMEZ JOSE R GOMEZ JOSE R GOMEZ
JOSE R GOMEZ JOSE R GOMEZ 33266 22ND CT SW
33266 22ND CT SW 33266 22ND CT SW FEDERAL WAY WA
FEDERAL WAY WA FEDERAL WAY WA 98023-2879
98023-2879 98023-2879
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.) 0 0 0 0
aR. �g
i w
$'..�'i, � •x`
New/Additional Sq.Feet-3rd Floor 0 New I Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
CONDITIONS:
No construction work allowed on this permit
PERMIT EXPIRES Wednesday, June 24, 2009
Permit Issued on Friday, December 26, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the6 use will be in accordance with the laws, rules and regulations of the State of Washington
_g
Q_,)
and the City of Federal Way. 2/-2-6/0-23 lOwner or agent: Date: /1.11-6 0-23
gek. 11-1) ICI
‘ v * ,, _
1
THIS CARD IS TO AMAIN ON-SITE _
CITY OF fommuni tY p m t y Develo t Ins ection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-106052-00-SF
Owner: JOSE R GOMEZ
Address: 33266 22ND CT SW
FEDERAL WAY, WA 98023-2879
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.
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.
E Final-Building(4050)
A proved
./
By ' Date f/7/ !
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Federalc.,„„,,,A 0 �� glt� l O D 57
�' /EC 'ERIVIT
3258" VWJE DEVELOPMENT - w. MF CO ME EL PL DE EN FP
33325 8m AMUR SOUTH•PO BOX 9718
PBt1SR1E WAY,WA 98063-9718 APPLICATION
253435-2607. com DEC 2 6 2 PPLI CATI O N ��-�
The folio • _ . i, • , fete will not be accepted. Please print legibly�bJ(i
i►d51 or type.
1 •.i . r
Cil PROPERTY INFORMATION
SITE ADDRESS :3 3A,6Cp ..).0i• „222.11"°( Ci---,c /� 4ii 28b�-3 SUI TE/UNIT#
py _
ASSESSOR'S TAX/PARCEL# l 0 Z Q - 0 6 I 0 LOT SIZE(sJ9
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
e •pA•len/A9 legal&militia')
PE PROJECT INFORMATION
'TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
DESCRIPTION(Provide detailed description of work on this
--- .�_ :• a CC - cryo
1 ASS 1 " `1 Gf 'N.SPL TO 1
PROJECT NAME(Name of Business or Owner Last Name) o �`� ___
IN PEOPLE INFORiMATION
PROPERTY NAME
OWNER bye g• Cow) PRIMARY PHONE
MAILING ADDRESS CITY,STATE, E-MAIL ADDRESS _
,a-O6 5uo. ,Sag /)L pd [,wily ti/-,
CONTRACTOR COMPANYNAi, I APPLICANT NAME _
(J OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I
CONTRACTOR'S'RZQISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY�N IR APPUCANT NAME
/� Y OFFICE PHONE
c
Jos e
MAILING ADDRESS r � �� CITY,STATE,ZIP CELL PHONE
.22C2( 6,.x,0 329 /JL .o►!e'tl Er2,'Y h/41 •I )
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect a Tenant a Agent ci Other ( )
PROJECT I NAME -
I PPRIMARY PHONE I IL-MAIL
ADDRESS I
CONTACT 1
LENDER NAME Pe'RCW 19.17.095:
MAILING ADDRESS Lender information is required ifprel�°�a ,ds$5,000
CITY,STATE,ZIP (PHONE
. It )r -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK $ 1 70 C)
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ; o NO
WATER SERVICE PROVIDER $LAKEHAVEN a HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER a(LAKEHAVEN ❑ HIGHLINE ci PRIVATE(SEPTIC)
ii PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED ` TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
:, r.. �.,• ` . M •-; . TOTS TOT.w comms tar raretmorosss sr rots Sr _--
•NUMBER OF FLOORS 1 :asrnrs ( ritoroszo I
**NEW HOAIES ONLY'"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
® FIXTURES
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing fixtures to remain..
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQs FANS
GAS WATER HEATERS MISC Abel
BOILERS ' FIRERWE,INSERTS ROODSlononsiclat
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATIiTUBS(orTe6/aeo.er combat LAV
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toms
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
under penalty of perjury that I am the property owner or authorised agent o f the property owner.I ceryl that to the best of mg
lawI certify application is true and correct.I cer f that I will comply with all applicable
of a the Way
regulations
pertainingin sto of this permit I understand that the issuance of this permit
City of to the mark autherissd by the issuance of a permit. construction or sneironmerttal laws.
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating clabn(including costs, expense4 and ntorrneys'fees incurred in the
I i farther dshold harmless thCity of Federal Way aby toa Including the undersigned, and filed the city, but only
vertiuand defenseissof such claim), of h t made �dl person, the accuracy of the information supplied to
where such claim arises out of the reliance-of the city,including its officers and employees,upon
the city as apart of this application.4 4
/
DATE a-
BIGNATIIRE: Property Owner and/or Authorized Agent
--7Z2-‘7/r22--
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
13UILDIN`GST :ONLY? a YES a NO BASIC PLAN? a YES a HO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? n YES o NO IIP/SEPA/SII? a YES o NO
PLATTED LOT? _ a YES a NO DEMO PERMIT REQUIRED? a YES p NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application