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09-101871
City of Federal Way . ii, wilding - Single Family Community Development Services Permit #: O(Q�BJ-101871 -00-SF P.O.Box 9718 Federal way,WA 98063-9718 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 ,. d Project Name: OPEN ARMS SENIOR HOME Project Address: 3237 SW 325TH ST Parcel Number: 873190 1970 Project Description: NEW-Verification of Occupancy.No construction work allowed under this permit. Owner Applicant Contractor Lender MICHAEL AQUINO MARIA ALMA AQUINO 3235 SW 325TH ST OPEN ARMS SENIOR HOME FEDERAL WAY WA 98023 4852 19TH AVE S SEATTLE WA 98108 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 Additional Permitinforl Information; New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor........... ... '..0 New/Additional Sq.Feet-3rd Floor 0 New!Additional Sq.Feet-Basement 0 Basic Plan? No New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No New/Additional Sq.Feet-Other 0 Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Zoning Designation RS 7.2 No Fixtures AssociatedWith This Permit rl r% , PERMIT EXPIRES Wednesday, November 18, 2009 Permit Issued on Friday, May 22, 2009 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: L(_, t -_�— Date: )- - - CC" t N "f a/4..9 4 city of Federal Way S • ; Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: OPEN ARMS SENIOR HOME Permit#: 09-101871-00-SF Address: 3237 SW 325TH ST Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 MICHAEL AQUINO Owner Name: MICHAEL AQUINO Owner Name: Owner Address: 3235 SW 325TH ST FEDERAL WAY WA 98023 (C7 Ci"1- Building • i ial Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. J • THIS CARD IS TO AMAIN ON-SITE 1 CITY OF ommunity Developm nt Inspection Record - Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 - PERMIT#: 09-101871-00-SF Owner: MICHAEL AQUINO Address: 3237 SW 325TH ST FEDERAL WAY, WA 98023-2500 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 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040) ❑ Slab/Concrete Floor(4255) Approved to place concrete Approved to backfill Approved to place concrete By Date By • Date By Date ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding • By Date By Date By Date ElRoof Sheathing(4220) ElFire/Draft Stops(4095) ,❑ Interim Erosion Control(4370) Approved to install roofing Approved Approved , By Date By Date By Date NOTE: Prior to scheduling a Framing(4120) i El Framing(4120) El Insulation (4150) • inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be t signed-off and approved. IBC 109.3.4/UBC 108.5.4 j : By Date By Date - 0 Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control (4375) ❑ Final-Building(4050) Approved to install mud&tape Approved Approved By Date By Date • By z,j Date (p-eg..e • For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved • By Date By Date 4A . CITY OF R (ao'-) ECET IPr.„ . ' LO.'7, _ 10 Z_ k 71 , Federal Way , PERMIT COMMUNIYDEVELOPMENTSERVICEs lY SF F CO ME EL PL DE EN FP 33325 D A L AE,0A7N•63-971 9718 2 APPLICATION ,`r////// ,�//(�\(/'� FEDERAL WAY,FAX 53435.718 / I `'V V`-� 253-835-2607•FAX 253-835-2609 y� `/ uwnv.atrptTederalwan.rnm a 6'R h �a Lr54( IATA The following is required information-an incomplete application will not be accepted. Please print legibly(1 ink)or type. III PROPERTY INFORMATION SITE ADDRESS_ 3 2 -7 5. . C41 ,3,?„S '4'� +r�- SUITE/UNIT# ASSESSOR'S TAX/PARCEL# J / .3_z__ Lo / L - l / 0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separatepeg.for lengthy legal deaaipeon) • PROJECT INFORMATION TYPE OF PERMIT G3`BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit milt!) rtLLi. •, t._,_,i #cis ,rJ`C S6 4r4--e s PROJECT NAME(Name of Business or Owner Last Name) 5 J i O e. -tilu ri PEOPLE INFORMATION PROPERTY NAME / PRIMARY PHONE OWNER 7,v / e / / "Lir-t 0 (706 ) 7-29 - 7/4 MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 3.5- ---7-2 - 9Z10,61 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) _ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ( ) - CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS APPLICANT �COMPANY NAME/ APPLICANT NAME // OFFICE PHONE 1 Oet0 %fc r Ep+1OR_. 16,7< 14,9E..ricr i6-09 ,.f- /VA/f/4 v/ 7--a -© CI'Db MAILING ADDRESS CITY STATE,ZIP CELL PHONE '11 S --/ igve S. c3-.,v 6 l/lik 9-1/0(5? ( 4,,) .207-2- -090 Co RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant ❑Agent 0 Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT -7-{ke i7/ � �r....)Lt.. ( ) l rl vl- ()'-7 0 4 , LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILINGLADDRESS /� ,, CITY,STATE,ZIP /n PHONE 1 d" - !/%e/ 5. c?E 6c,f�_r '., .ouiV 'e-/q} (9_1;6) 7'.72, -- 096& _,+ • DETAILED BUILDING INFORMATION EXISTING USE / ''L/ "-no G�j 1 r-r, PROPOSED USE —2 y" Yy rc t , f i'`'--- EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) _ PROJECT FLOOR AREAS. AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ.FT. SQ.FT. SQ.FT. FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 =sum PROPOSED TOTAL TOTAL�•'' AT TOTAL PaoP646o SF TOTAL NUMBER OF FLOORS "NEW HOMES ONLY"- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • •'FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain. MECITAMCAL 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(Describe) BOILERS FIREPLACE INSERTS HOODS(comm.LA COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roses ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS _SIGNA_T_URE . 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: ___1(fr /17.4.--/---/----"' DATE _ = Property Owner and/or Authorized Agent , V111111111111111111____ ---- a NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a.NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO .._ ,_ �_,�. .,...._. �._._..._...___.__.._.....� Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Pemrit Application