06-100560 a II -.
Community
City Of Deve Federal
Way
Services Building - Single Family Permit #: 06-100560-00-SF
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
�+
.3
Project Name: ACUNA
c..„..cnt,
Project Address: 29043 19TH AVE S Parcel Number: 422300 0120
Project Description: ADD- Construct 2nd story addition to single family residence and remodel 1st floor
beneath. Includes plumbing& mechanical for new bathroom.
Owner Applicant Contractor Lender
CESAR&SHELBY ACUNA TERRY SMITH 29043 19TH AVE S BANK OF AMERICA
29043 I9TH AVE S TDSA ARCHITECTURE FEDERAL WAY WA 98003-3872 PO BOX 650569
FEDERAL WAY WA 98003-3872 29607 4TH AVE S DALLAS TX 75265-0569
FEDERAL WAY WA
98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3 U
Construction Type: Type V-B Type V-B
Occupancy Load:
Floor Area(sq. ft.) 2,583 467 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 706
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1 -Area(Sq.Feet) 2583
Occupancy#2-Area(Sq.Feet) 467 New/Additional Sq.Feet-Basement 0
Occupancy#1 -Construction Type Type V-B Occupancy#2-Construction Type Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? Yes Occupancy#1 -Class R-3
Occupancy#2-Class U New/Additional Sq.Feet-Other 0
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 706
Occupancy#1 -Use Residence(1 or 2 Occupancy#2-Use Private Garage
family)
Zoning Designation RS 7.2
Mechanical Fixtures
Fans 1
Plumbing Fixtures
Bathtubs 1 Lavatories 1 Water Closets 1
CONDITIONS:
W
,/ t a 7 *, r a r
PEWIT EXPIRES Monday, March 1008
I • rmit Issued on Friday, March 10, 20
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
-N d the City of Federal Way.
Owner or agent: C 3J-- G4 Si- Date: ) ‘, j
K • .t
A Al f
! A • Y ' •
DATE -`INSPECTOR ' AREA AND TYPE OP INSPECT ON
S. - 04- c_c..-%,) )/2" Q.€4/// ..e e-e-z./z '..v`c,A,.4-__
_A d 1 SPO ,,. / vl "L'--X (S+( 3ave.��qt., (Aid_ 1 I
4 1 4 r , 4.-1
THIS CARD IS TO•MAIN ON-SITE
CITY OF r
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100560-00-SF
Owner: CESAR & SHELBY ACUNA
Address: 29043 19TH AVE S
FEDERAL WAY, WA 98003-3872
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) ❑ Footings/Setback(4110) 0 Foundation Wall (4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By - Date 3 •id/64. By G Date 442.6 . UG By C. c...J Date • fc, .
•❑ Drainage/Downspout(4040) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to cover Approved to place concrete
By Date0* 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 ".E 4"f Date 41/46 By ie/C-' Date �j/<�j y By FZIC Date 4A/4.
•
0 Roof Sheathing(4220) 0 Rough Plumbing(4230) ❑ Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By jrDate ( ( (oC. By G (..„ZDate 7►2_4/ p fe By L Date •
•
GPi4125 Fire/Draft Stops 4095
❑ as Pm g( ) ❑ to P ( ) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By /� v/ Date /� signed-off and approved. IBC 109 3.4/UBC 108.5.4
•
® •
Framing(4120) ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approvedvto install wallboard Approved to install mud&tape
By ( ' 1 Date a ((o. OG By C,,, 4J Date 8- at. 0( By G Date 9/1/04
•❑ •Final- SWM(4375) 0 Final-Mechanical (4065) �❑ Final Plumbing(4075)
Approved Approved Approved
By41 Date Z..2 7 B• y G Dates.-8. �'7 By G Date e —b 7•
❑ Final-Building(4050) ❑Temp. Erosion Maintenance(4370)
Approved Approved
` By G e.., Date„ 8 �7 By Date
itOP
RECEIVED
clrr of 34, 0 (40 - i O 6 __s16
Federal way FEB 0 6 2jRMIT
COMMUNITY DEVELOPMENT SERVICES •MF CO ME E 9 DE EN FP
33325 8mD AVENUE SOUTH•PO BOX 9718 O ^ � L C AT I O N
FEDERAL WAY,FAX
98063-9718-260CITY
/Ta'Lw�kl�C / S /
'153-835-2607•FAX 253-835-2609 V T F �c7.�� 9
www.cituoffederaiwau.corn BUILDING DEPT,
The ollowin• is re•uired in ormation-an incom.lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or .
2
111 PROPERTY INFORMATION
SITE ADDRESS 26104 IQ 0✓ I(-it w Av • . SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# * Z e Q-� D I 2 �Q 11 J LOT SIZE NJ) b-/
0 2-
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) L a lel r e) r(,/0o PJ lite,61 I A d Lot 1 2-
(Attach separate pagefor lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT YBUILDING E PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO (Provide detailed description of work included on this permit onto)
.
1.�
L_.01 # r. v. ...t _. . 2 w A �C�s HCl I770
a.- A 6 _- •..._ r mot-INV d. l in) = .► !LAW 1s :_
Al
PROJECT NAME(Name of Business or Owner Last Name) t C(iLV-c'
M'PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE J ^�
OWNER G — e-cA fd (:)5S)
RI';) %`-1 - ACV
MAILING ADDRESS CITY,STATE,ZIP
za D4 ' (q4-L, . r e.a.L . r, tdo6v 9bce),�
CONTRACTOR COMPANY NAME er APPLICANT NAME OFFICE PHONE
U� ? Ai di"
( )
MAILING ADD CITY,STA CELL PHONE
CITY OF FEDERAL WAY BUSINESS LIC n)6 YIBER //9 E0111:v> .
FAX NUMBER
- - - , 1 ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applic EXPIRATION DATE
/ /
APPLICANT COMPANY NAME '— APPLICANT NAME II OFFICE PHONE
—ri e Acl '/rTE-C1Thae �Y LT-- I- (Z53) q4 - (C6)16.
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
0616,01 --L Ave s t7Eg4 1,JA)-( V�3) Zoo ( 742-
REL TIONSHIP TO PROJECT \ FAX NUMBER
Architect 0 Tenant o Agent ❑ Other(Describe) ( )
CONTACT NAME I PRIMARY PHONE E-MAIL ADDRESS
�(z l E= ,•c (TT---- ( ?4(o-adv 1 to 4 sM MI cs TetS A PciterEcrJA
LENDER Per RCW 19.27.095: Lender information is ,^^nd^
N
required if project value exceeds$5,000 G f\I r�, ! (:(--
MAILING AD
(_MAILI DR fb-avk 4(4.)c)(i261 i 12t,t &S iX'5- `meq/
■ DETAILED BUILDING INFORMATION
EXISTING USE c jCP, PROPOSED USE S-11Z
EXISTING ASSESSED/APPRAISED VALUE $ bC) VALUE OF PROPOSED WORK $ 6'D Ca3U
SPRINKLERED BUILDING? c YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 2j,NO
WATER SERVICE PROVIDER A LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER sd LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
4
•
III
.#
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sg.FT. sg.FT. sg.FT.
BASEMENT
FIRST I, 7 i _e-- ( 2DSECOND Ti/
THIRD V
FOURTH 4*
ADDITIONAL FLOORS(DESCRIBE) I'
c
DECK(COVERED?) N /'
GARAGE CARPORT❑ 4(01 0-
4(0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL IN SF TOTAL PROPOSED SF TOT SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number ofeach type o ixture to be installed or relocated asp..._...o .. Do not xstingfi res to
yp offixture' part of this project. not include existing fixtures remain.
MECHANICAL
Value of Mechanical Work $_, ,V_
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS I FANS HOODS(Comrnermaj WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PURTING
I BATHTUBS(orTob/Shower Combo) SHOWERS / WATER CLOSETS troileu MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
I LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information 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 by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and em. oyees,upon the accuracy of the information supplied to the city as a part of
this application. .
��yr
NAME/TITLE /��. �/ AP C DATE „ , ✓ '-Qb
(Sign. ure) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor XArchitect 0 Other
FOR OFFICE USE ONLY
a NEW ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application