15-104935 • building - Si>ilglc Family
cii && co Way Permit #: 15-104935-00-S F
-Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HERNANDEZ
Project Address: 2017 S 287TH PL Parcel Number: 422200 0030
Project Description: REM-Reconfigure existing bedroom and storage space to create(2) bedrooms. Includes
mechanical; no plumbing..
Owner Applicant Contractor Lender
CHACHA ANGEL HERNANDEZ CHACHA ANGEL HERNANDEZ OWNER IS CONTRACTOR
2017 S 287TH PL 2017 S 287TH PL
FEDERAL WAY WA 98003 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
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1 -Construction Type Type V-B Mechanical to be Included? Yes
Occupancy#1 -Class R-3 Plumbing to be Included? Yes
Occupancy#1 -Use Residence(1 or 2
family)
Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Sunday, March 27, 2016
Permit Issued on Tuesday, September 29, 2015
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: Date: 9(25 �r 5
THIS CARD IS TO ,MAIN ON-SITE
CITY,..:F 1'" C• onstruction In ction Record •
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-104935-00-SF Address: 2017 S 287TH PL
Project: CHACHA ANGEL HERNANDEZ FEDERAL WAY, WA 98003-3324
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) 0 Plumbing Groundwork(4190)
Approved To be done prior.tali Baking ground Approved to coy r
By Date By Date By Date
Underfloor FrF aming(4285) 0
Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sh oor Approved to inst ng Approved to ins
By ' Date By Date By Date
`
0 Roof Sheathing(4220) 0 Rough Plumbing(4230) 0 Mechanical Rough-in(4165)
Approved to inst fing Approve Approved
By Date By Date By 'I'-'!, Date to( t b( 1 c—"
❑ Gas Piping(4125) Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to rd test Approved Approved
By . Date By t Date 1 O ( l v(1g" By Date
��� Framing(4120) Insulation(4150)
Prior to scheduling a Framing inspection;
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.14 By (i-,, Date l 0 t((p I 1 c By v--s,, Date (O ( l(, I l 4`
0 Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375) Final-Mechanical(4065)
Approved to install mud&tape Approv Approved
By Date By Date By '7N tAvi Date,
0 Final-Plumbing(4933) El Final-Building(4050)
Approved Approved
By ^"" Date By ' Date ,
E Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
REC.ED
PERMI APPLICATION
Federal Way SEP 2 9 2015
CITY OF FEDERAL WAY
DS
C _
PERMIT NUMBER I _ / Y 7 .3s _ s TARGET DATE 0 � C
SITE ADDRESS )j X71 1 SUITE/UNIT#
t.7 /C--k $ 2• T'� C to ce 'FGJ GYctc GUtre 4 wo,
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
255
TYPE OF PERMIT ' BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1((( rAc.#v e ..L
5? t
PROJECT DESCRIPTION tt t h ! V A Q � C�L.LA @- v2--- b-.t d Y"ch7 1s-S
Detailed description of work to
be included on this permit only
NAME \ PRIMARY PHONE .t
PROPERTY OWNER fa a'?4`e-1 e V i'ti Gt V''a ' "' C �n G�LLA 'c i' o 9 s9,
i
MAILINGDRESS E-MAIL
20 \'A
yt ..: . v ?4
CITY }� STATE ZIP
NAMEPHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT
MAILING ADDRESS I E-MAIL
CITY C STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT e'i c+ ' a ''MAILING ADDRESS E-MAIL individual to receive and
respond to all correspondence � C
concerning this application) CITY STATE ZIP FAX
AME OWNER-FINANCED
PROJECT FINANCING
Required value of$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: ffij DATE ,
PRINT NAME: / r f e v' l'3 4,1 ralc'
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
S i
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas) _
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type o f fixture to be installed or relocated as part of thisproject. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitohen/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
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BuiLnING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application