17-104251 a
Building - Single Family
City of Federal way Permit #:17-104251-00-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: GOMEZ
Project Address: 2201 S 292ND ST Parcel Number:422290 0180
Project Description: gpp_Remove existing shake roofing and replace with composition shingles
Owner Applicant Contractor Lender
MARIA GOMEZ • MARIA GOMEZ OWNER IS CONTRACTOR
2201 S 292ND ST 2201 S 292ND ST
FEDERAL WAY WA FEDERAL WAY WA
USA USA
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
•
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0.00
Additional Permit Information
Mechanical to be Included9 No Is this an Online or O.T.C.application? Yes
Plumbing to be Included9 No
Total Valuation:2,500.00
PERMIT EXPIRES Sunday,4 March,2018
Permit Issued on Tuesday,September 5,2017
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. ( 12o
Owner or agent ��0 Date: (9 1 5 19
.
•
.04 CITY THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104251 00 Address: 2201 S 292ND ST
Project: MARIA GOMEZ FEDERAL WAY WA 98003-3822
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.
® Roof Sheathing(4220) 0 Final-Building(4050)
Approved to install roofing Approved
By VW Date 'I'$[11 By a Date q,,9;q %--1
Rough Electrical El Final Electrical Right of Way
Approved Approved
Approved
By Date By Date
By Date
AA PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenle7;Q way.com
IlCU Id D
PERMIT NUMBER t7--._. 1 0 1 2 5 ( - SF SEP0 5 2017
SITE ADDRESS
TARGET DATE �p11+fU�yj�)-Vi�,�4
ELfEVELOPMENT
2201 s. 2.92 54. cedeyak lAcL- 11 ' btu3
$ PROJECTVALUATIONVV ZONING ASSESSORS TAX/PAR2.# 0 9 ^ _ 0 t El 0
TYPE OF PERMIT BUILDING ❑ PLUMBING l❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT a b lel G 2—
SkaK�S ± SrIArsb e-S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
N 1 f)1 A O„A E PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESSnd E-MAIL
2201 S. a'2 S�- 50MCZNnl000 yetkoo• .,
ceole.-&C (Ai ilt Wki- ZIP
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX.
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
0 t,v'ne-r
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME ^^+�,, PRIMARY PHONE
(D
UJ CONTACT ` W VI-A-4,-
(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 the city as a part of this application.
SIGNATURE: ter'? DATE 9i5 J0 I'i
PRINT NAME: `v Lt Pt GO4GZ
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each t.pe vffiu-lcu_E to be installed or relocated
as part of this project.Do not include existing fufizres 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
I , OF PLUMBING WORK
PERMIT i
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) LAYS(Hand sioI o) 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
Sr . +' ti s _.._...._.__._._...__._..... — ...
FIRST FLOOR(or Mobile Home)
ir" ;, '# c' -� s�r.; kis& w ,` 'z L"'s „x °I, z ri`a ,, :.,. s .._.___.................._..._..._.._.........__......_.._.____....._......_..._..._..__........__.__.....___._.......__........
r
COVERED ENTRY
_.._.......GARAGE ❑ CARPORT 0
'F.,v a, ue .y
.i°.r :=x" ..' 'r"` .�� � $', up ;'�i,..'e,'` ' -
I�
Area L��Q EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area inConstruction #of
AREA DESCRIPTION Occupancy Groups) I
Cnliarg Feet Occupancy Information
Tyr Stories
r n ,.,• ,;,.x" `�+•`�kfir� �%',.�'��,t a�� �'� s a`.�, , x�r. �x � ,,�.,,, a.��.. -c�- cre ;t.� s+ .iy�,s + a �^ r �,g� I'a"'s�*�K' � �x
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION S uare Feet Occupancy Group(s) pe Stories Additional Information
1V�f
TENANT AREA ONLY
s1a#� � �' r S kvp' 'I+. :�z - ,�..
t'. �;'t, o.I f °' ' ` 'h .. `” .* .' zp .w,4 : �` "`4 "'�`,4:4W 44: " :q`'sa"' ' '✓ '' '.� '.,� s
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application