05-105196 c
f a
Community Development Services
City of Federal Way Building - Single Family Permit #: 05 - 105196 - 00 - SY
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax:(253)835-2609 h Q
Project Name: MEDINA
Project Address: 33732 32ND AVE SW Parcel Number:954280 1390
Project Description: ALT-Remodel existing garage into habitable space.
Owner Applicant Contractor Lender
LILIA MEDINA LILIA MEDINA LILIA MEDINA LILIA MEDINA
33732 32ND AVE SW 33732 32ND AVE SW 33732 32ND AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 33732 32ND AVE SW FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Includes:
Census category: 434-Reside #1
l— #2 #3 #4
Occupancy Group: R-3 !
Construction Type: Type V-B
Occupancy Load: 1
Tr
Floor Area(Sq.Ft:): .[
Census Category 434'-Residential alt/add-no, Mechanical Yes
Occupancy#1 -Class R-3 Plumbing No
„ 11,- , Mechanical Fixtures
Description Quantity Description -*entity'( Description Quantit9
Ducts 1
PERMIT EXPIRES April 5,2006.
Permit issued on October 7,2005
I hereby certify that the abo e}nf rmation is correct and tha he construction on the above described property and
the occupancy and the us wil' e in c rdance with the���%s,rules and regulations of the State of Washington and
the City of Federal Wax! /.% `� —y
Owner or agent:
a,,,,, /�, Date: /(J 0 / _ 0,
/
DATE INSPECTOR L_ AREA AND TYPE OF INSPECT ON ' '`"s`
•
THIS CARD IS TO MAIN ON-SITE
CITYOt^ . kommunit Developnt Inspection
n Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105196-00-SF
Owner: LILIA MEDINA
Address: 33732 32ND AVE SW
FEDERAL WAY, WA 98023-7723
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.
0 Temp.Erosion Control(4365) 0 Plumbing Groundwork(4190) 0 Underfloor Framing(4285)
To be done prior to breaking ground Approved to cover Approved to sheath floor
By Date By Date By C"-7/ Date . '_. -
❑ Floor Sheathing(4105) 0 Shear Walls (4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By G c.7 Date to -7.t _.<2s-- By Date By Date
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Fire/Draft Stops(4095)
Approved Approved to release test Approved
By erC-7 Date (U zg-Os By Date Bye S Date %-ZfvC---
NOTE: Prior to scheduling a Framing(4120) 1 0 Framing(4120) Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By/ Date(0-2-0--r-4.--- Bye \4r.0._ Date 1 1.tba,'b-5
,❑ ,
Gypsum Wallboard Nailing(4130) ❑ Final- SWM (4375) ❑ Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
`By R/P Date , 1( 1 lag By Date By Date
Final-Building(4050) ['Temp. Erosion Maintenance(4370)
Approved Approved
By ,,,, Date 3 , C1t0 By Date
EL n ofA AECE1, Ilk • _
Federal Wayqt ...S � � --
PERMIT
COMMflNrrYDEVELOPMENT SERVICES ' o� o® SF F C LPL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718' P L I C AT I O N
FEDERAL WAY,WA 98063-9718 p /
253-835-2607•FAX 253-835-2609 . FEDERAA ((7
I Utt,DING DEPT,
The ollowin, is re•uired in ormation-an i • or •lete a.•lication will not be acce'ted. Please •rint le.ibl (in in or .e.
y \\ PROPERTY INFORMATION
SITE ADDRESS l _ )_ i `
1
G� _�/ (y O- - .,'t . * SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / S T A C 13 ,0 LOT SIZE(sJ7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descriph'on)
. 05 PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of workincludedon this permit only)
-4.1'\e f4440f)e i`�.' )6i'V . z \.1c$21(fc. S. .
PROJECT NAME(Name of Business or Owner Last Name) 1\A(\Nu
1�� PEOPLE INFORMATION
PROPERTY NAME II ����� ( �� PRIMARY PHONE 7 0
rr���/
6
OWNER �'\C1 VqC.:\ ) ) - 3
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COi.MPANY NAME 1 APPLICANT NAME OFFICE PHONE
r MAILING AEDRE6� � \p e�- -1 O 1`c, (CITY,STATE,ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - �AX NUMBER -
/ / ( ) _
—BL
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME
(�',�Y /� ( APPLICANT NAME OFFICE PHONE
MAILINGADDRESS V f oL�S �,I Oti3 N L i
1 _ CITY,STATE,ZIP — CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant o Agent ❑ Other(Describe) ( ) _
CONTACT NAME PRIMARY PHONE
5 r11.,,A 4 et- )4-1)e.y a - E-MAIL ADDRESS
�wtv�i )
LENDER .A o,. e on , NAME
MAILING ADDRESS CITY,STATE,ZIP
. - . . ►' DETAILED BUILDING INFORMATION •
EXISTING USE I_ ' ,��'�PROPOSED USE " lJ
EXISTING ASSESSED/APPRAISED VALUE $ L -),CL:(-) VALUE OF PROPOSED WORK $ 1 1-,66
r
SPRINKLERED BUILDING? 0 YES �`/S NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? XYES 0 NO
WATER SERVICE PROVIDER LAKEHA VEN ❑ HIGHLINE
a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROPOSED TOTAL
- r- t PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE CARPORT 0
EXISTING PROPOSED TOTAL a TOTAL DP(1 F `a` ' OTAL PROPOSED$r Al.6r �-
NUMBER OF FLOORS '� � • . , s.. >. s �'
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or r •sated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
•
l Work $
Value of Mechanicao20GAS LOGS
AIR HANDLING UNITS EVAPORATIVE COOLERS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOOD STOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
i DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/shovarcombo( SHOWERS WATER CLOSETS(ropey MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
i
I certify under penalty of perjury that the informaltion furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 b any person,including the ndersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of [te , including its officers employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE it Ct 4e/ifia DATE �l �G C�
(Signature) (Title) /
RELATIONSHIP TO PROJECT (Owner ❑ Agent 0 Contractor 0 Architect ❑ Other
ria1 / A -:—.?",r—'";771%4241.1. 4-,‘„,;---°:,
- QR R .v ' ,u. . .,&.aa �I, i 5.� '�n `4 n y. V''' ® a 4
s
D ,,,s • 1• D a( r- e ! EP U? .YES ATO
,,. h„ t:. ... ® s O< ® .� s®FURED <'.... t °r �z'�, i
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application