10-102842City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GEMCARE AFH, LLC
Project Address: 30440 11TH AVE S
Building - Single Family
Permit #: 10 -102842 -00 -SF
Inspection Request Line: (253) 835050
Parcel Number: 091900 0215
Project Description: Installation of 100 sqft ramp for adult family home **ADD - guardrail for existing
concrete ramp @ front of home**
Ownr
Applicant
Contractor
Lender
BEVERLY ANN FIGUERAS
BEVERLY ANN FIGUERAS
30440 11TH AVE S
30440 11TH AVE S
30440 11TH AVE S
FEDERAL WAY WA 98003-4120
FEDERAL WAY WA 98003-4120
FEDERAL WAY WA 98003-4120
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
New / Additional Sq. Feet - 1 st Floor ....................
0
New / Additional Sq. Feet - 3rd Floor....................0
BasicPlan?............................................................
No
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total ..........................
New / Additional Sq. Feet - 2nd Floor .................0'
New/ Additional Sq. Feet -.Basement ................0
New / Additional Sq. Feet - Deck ..........................100
Mechanical to be Included?...................................No
Plumbing to be Included?.......................................No
100 Zoning Designation................................................RS 7.2
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 10) and must comply with FWRC
Chapter 19.185 and fill out a Hazardous Materials Inventory Statement, if applicable.
PERMIT EXPIRES Wednesday, January 12, 2011
Permit Issued on Friday, July 16, 2010
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
andth City of a eral Way.
Owner or agent: Date: 7 c
r
Applicant
Contractor
Lender
BEVERLY ANN FIGUERAS
BEVERLY ANN FIGUERAS
City of Federal Way
Basic Plan?...........................................................
30440 11TH AVE S
Community Development Services
P.O. Box 9718
FEDERAL WAY WA 98003-4120
raw
Federal Way, WA 98063-9718
F19LU
No
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: GEMCARE AFH, LLC
Project Address: 30440 11TH AVE S
Building'- Single Vainify
Permit #: 10 -102842 -00 -SF
Project Description: Installation of 100 sqft ramp for adult family home
Inspection Request Line: (253) 835-3050
Parcel Number: 091900 0215
Owner
Applicant
Contractor
Lender
BEVERLY ANN FIGUERAS
BEVERLY ANN FIGUERAS
30440 11TH AVE S
Basic Plan?...........................................................
30440 11TH AVE S
30440 11TH AVE S
FEDERAL WAY WA 98003-4120
New / Additional Sq. Feet - Garage.......................0
FEDERAL WAY WA 98003-4120
FEDERAL WAY WA 98003-4120
No
New / Additional Sq. Feet - Other ..........................0
Census Category: 434 - Residential altladd - no change in number of units
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
New / Additional Sq. Feet - 1 st 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....: .................100
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 ..........................
100
Zoning Designation ................................................
IRS 7.2
CONDITIONS:
This parcel is located within a Wellhead Protection Area (Capture Zone 10) and must comply with FWRC
Chapter 19.185 and fill out a Hazardous Materials Inventory Statement, if applicable.
PERMIT EXPIRES Wednesday, January 12, 2011
Permit Issued on Friday, July 16, 2010
1 hereby certify that the above information is oorrect 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: t�'�'L -C �(/'� Date: 7 r
THIS CARD IS TO REMAIN ON-SITE
�r<Y of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -102842 -00 -SF Address: 30440 11 TH AVE S
Owner: BEVERLY ANN FIGUERAS FEDERAL WAY, WA 98003-4120
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.
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
SWM Precon Site Mtg (4400)
Final Erosion Control (4375)
Initial Erosion Control ( 365)
Drainage/Downspout (4040)
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
Foundation Wall (4115)
Final Erosion Control (4375)
Drainage/Downspout (4040)
Final - Building (4050)
Slab/Concrete Floor (4255)
By
Approved
Approved to place concrete
By
Approved
Approved to backfill
By Date
By
Approved to place concrete
By
Date
By
Date
By
Date
❑
Underfloor Framing (4285)
Floor Sheathing (4105)11
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Roof Sheathing (4220)
Fire/Draft Stops (4095)11
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
Rough Electrical
Approved
Final Erosion Control (4375)
Final Electrical
Approved
Final - Building (4050)
Approved to install mud & tape
By
Approved
By
Approved
By Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
CORRECTION NOTICE
ADDRESS: '5pV1111p —//'LR Qv,-,
0
Building Division
33325 Eighth Avenue South
PO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
PERMIT#: AO -/,OzB41Z - ZZ -9F
0A1 .�sl1•�� / /2 �d°- 3% .� R,3/! • �- / -
SAf 42r pry/ lirrfL ori � •�t-c_ fid'/ �R3�r � �_
mel", "4- f%,tir rG s6i ,, 5c 2r/ 3Y "�- 3e ", 661!"_ 'r- 3) -
IF YOU HAVE ANY QUESTIONS CALL � ,,00 %2'i�-i�i.�it VV2-(253) 835- ?,& 2-3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
_f/p/0 &6
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page f of—L
OL i 0 2 _?_z
x CINE ERMIT
�AL
CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERI jAf k}S O 6� 0 4 A P P L I C A T I O N %� t/.3 //d
25:3-835-2607• FAX 253-835-2 1_ !_ bj !
if_G1't •_ell'r; e(Isrl_!t_uwj_('r�r:i
CITY OF FEDERAL WAY
SITE ADDRESS
SUITE/UNIT #
3() 00 1/ P�?'Ave S
PROJECT�
ZONING
ASSESSORTS TAX/PARCEL #
r
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION FIRE PREVENTION
ENGIN/EEERIN/G'
NAME OF PROJECT
'❑ /❑
'�.�C l /�` 1`I �i7 Z—
( nmm
Teant Nae/Homeowner Last Nae)
i —I�
PROJECT DESCRIPTION
Detailed description of work to
COY
be included on this permit only
PROPERTY OWNERj�
NAME
fA)
PRIMARY PHONE
MAILING ADDRESS yry _
E-MAIL
CITY
STATE,
�
ZIP
NAME
PHONE
MAILING ADDRESS +
E-MAIL
CONTRACTOR
!
CITY
!A!4
ZIP
FAX
A STATE CONTRA 'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
Ni l c/ V ✓ /"�/ vJ , �L�Vi Li�
PHONE
\
APPLICANT
MAILING ADDRESS 7i/l ` , l _
�L�' �-.
E-MAIL,
CITY
-t (/R/ V /'vim.. - 3
STATE STATE
�/L. %
ZIP ('%'/y/
�1 '.) ✓ V s�
FAX
PROJECT CONTACT
NAME
/700 6r,a � �
PHONE (�
�- " t l q
(The individual to receive and
/
MAILING ADDRESS I /1� ,VNj �
%T
E-MAIL
respond to all correspondence
concerning this application)
CI'I`�
STATE
Z
FAX
(/l/�
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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 apart of this application.
SIGNATURE: DATE
/
PRINT NAME: ' C
Bulletin #100 — Aplil 14, 2010 Page 1 of 3 k:\Handouts\Pern-it Application
71d
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
.. .........
. ..........
...........
..........
.............
.... ......
.. .... .......
.... ........ .. ..........
.. . .... . .....
...........
. ..... . .
VALUE WORK
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not iJude existing fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLET OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (Com
BOILERS
R T
FURNACES HOT W R TANKS
COMPRESSORS
GAS LOG SETS `A R IGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
.... ........... ...... . . ..
...... ....
...... . ............
.... .
........... .....
. ...
....
......
......
X.
X. . ... ..
... ...... ..........
.... ...............
1. .. . ....
Indicate how many of each type of fixture to be installed gr relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/sh—r combo)
LAVS(H— TOILETS WATER PIPING
DISHWASHERS
RAIN TER SYSTEMS — URINALS OTHER (Describe)
DRAINS
OWERS — VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (mtd./vb" WATER HEATERS (meadc)
HOSE BIBBS
SUMPS SUMPS WASHING MACHINES
Area Totals
EMSTMG
71d
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
.... ......
.. .... .......
.... ........ .. ..........
.. . .... . .....
...........
.
FIRST FLOOR (or Mobile Home)
.
.......... ---
........ ...... .............. ...... ...
..... .......
. . ...... . .
. . ...... . ......
... .........
.... . .. . .........
COVERED ENTRY
.... ........... ...... . . ..
...... ....
...... . ............
.... .
........... .....
. ...
....
......
......
GARAGE 0 CARPORT E
Area Totals
EMSTMG
PROPOSED
TOTAL
ESTIMATED SELLING PRICE $
it OF BEDROOMS
FOR OFFICE USE
AREA DESCRIPTION .. .... Area occupancy Group(s) Construction I # of Additional Information
I in Sauaxe Feet I I Type I Stories. ............ - I
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\Handouts\Perrnit Application