12-103656k !
City of Federal Way
Community & Econ. Dev. Services
E
33325 8th Ave S p
Federal Way, WA 98003 = LPh: (253) 835-2607 Fax: (253) 835-2609
Project Name: COMFORT TOUCH ADULT FAMILY HOME
Project Address: 32020 11TH AVE SW
*ilding - Single -Family
Permit #: 12 -103656 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 926493 0040
Project Description: ADD - Construct 56 square foot ramp to existing Adult Family Home
Owner
Applican
Contractor
Lender
MARIJANA DUMINICA-MORROW
ANTHONY SARUNI
COMFORT TOUCH ADULT
EVERGREEN PARK
COMFORT TOUCH ADULT
FAMILY HOME
3202011TH AVE SW
FAMILY HOME
3202011TH AVE SW
FEDERAL WAY WA 98023
3202011TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 433 - Residential altladd - increase in number of units
Includes. #1 #2 #3 #4
Occupancy Class:
Construction
Occupancy Load
Floor Areas . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet -1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Deck.........................56
Mechanical to be Included?...................................No
Plumbing to be Included?......................................No
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total .......................... 56
No Fixtures Associated With This Permit If
CONDITIONS:
***PER LEE BAILEY, BUILDING OFFICIAL OK TO ISSUE STFI***
PERMIT EXPIRES Tuesday, February 5, 2013
Permit Issued on Thursday, August 9, 2012
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
d the City of Federal Way.
Owner or agent: Date: C1 f 2,
RNAL0 g/zf/iz
-Federal Way
.� PERMIT #:
12 -103656 -00 -SF
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 32020 11 TH AVE SW
Project: MARIJANA DUMINICA-MORROW FEDERAL WAY, WA 98023-5548
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.
❑
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
Footings/hetback (41
Slab/Concrete Floor (4255)
Approved
I
I
To be done prior to breaking ground
Approved to backfill
Approved to place concrete
By
Date
By
Date
By
Date
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved to place concrete
F1
Approved to backfill
Approved❑
Approved to place concrete
By
Date
By
Date
By
Date
By
Date
By
Date
Shear Walls (4245)
Floor Sheathing (4105)
0
Underfloor Framing (4285)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
w- Date
-By
Date
By
'Date
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Roof Sheathing (4220)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
❑Insulation
(4150)
0
Framing (4120)
Prior Framing inspection;
to scheduling a
Approved to insulate
Approved to install wallboard
Electrical, Plumbing & Mechanical Rough -in and
Fire0raft Stop inspections must be signed -off and
By
Date
By
Date
approved. IBC 109.3.4
❑ Gypsum Wallboard Nailing (4130)
Final - Building (4050)
Final Erosion Control (4375)
Approved to install mud & tape
Approved
Approved
By
Date
By
Date
By
ler- Date V 7-12
❑
Right of Way
Approved
Final Electrical
F1
Rough Electrical
Approved❑
Approved
By
Date
By
Date
By
Date
RECEIVE
Federal Way PERMIT
COMMUMY DEV&OPMW SER"609 201APPLICATION
253.835-2607- FAX 253-835-2609
www. dfuo_[federalwag. com
CITY OF FEDERAL WAY
rn-q
l 2-- f o �62_5�
*MF CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
'�>2.0 -N Av6- SL4 )'VC -me- wAy PvA- (7'W02.3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
A N f/T bhl .- (f 1)e
/ ,
/'d--i-
PROJECT DESCRIPTION
Detailed description of work to
GO t_o..IS -f - 6 XJU4, 6
be included on this permit only
PROPERTY OWNER
NAME `/
ry7Ae t�'1A--JA -J.. 0 2204
PRIMARY PHONE
Z_06 _ C60- 27
MAILING ADDRESS
&-MAIL
CITY
STATE
ZIP
NAME �-.,�! '�
PHONIC
NAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
C co, -4 v2 1�&v c& 42v A/t7, l
PHONE
3c2 -
MAILING ADDRESS
z -c2 1/ H AV& -5h/
EMAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAM
PHONE
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
IC-MAM
concerning this application)
CITY
STATS
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONIC
S -MAIL
PROJECT FINANCING
NAME
0 OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 cartifi, f 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: DATE 2
PRINT NAME- 'r -A eJu q O �IJE/7t/
Bulletin #100 –January 1, 2011 Page I of 3 k:\Handouts\Permit Application
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CRITICAL AREAS ON PROPERTY? WATER PURVMTOR svwM PURVEYOR vAum or =s=G ncrRov=vcNTs
EXISTING/PREVIOUS USE LOT 8= (in square Fact) M9r1NG FIRE SPRINKLER SYSTEM? I PROPOSED FIRM SUPPRESSION SYSTEM?
I I o Yes o No Ei Yes o No
-Q
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71K-111 1;_"
AREA DESCRIPTION
VALVE OF M8CZ4MCAL WORK $
AREA DESCRIPTION (in square feet) EXISTING
(a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIRHANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
.3,
N
41;•, X .
CRITICAL AREAS ON PROPERTY? WATER PURVMTOR svwM PURVEYOR vAum or =s=G ncrRov=vcNTs
EXISTING/PREVIOUS USE LOT 8= (in square Fact) M9r1NG FIRE SPRINKLER SYSTEM? I PROPOSED FIRM SUPPRESSION SYSTEM?
I I o Yes o No Ei Yes o No
-Q
`4
�_'
w.
71K-111 1;_"
AREA DESCRIPTION
Area
AREA DESCRIPTION (in square feet) EXISTING
kO
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.
M I (—
BATHTUBS (.r Tub/Sh-- —) ^4 y LAVS (Hwd Sinks)
TOILETS
;T/Z; WATER PIPING
141(,
DISHWASHERS
rJ11, RAINWATER SYSTEMS
iult, URINALS
_&JL- OTHER (Describe)
/Vj t»
DRAINS
AUG- SHOWERS
VACUUM BREAKERS
t4lt,
DRINKING FOUNTAINS
Al (- SINKS xth./utaity)
WATER HEATERS
HOSE BIBBS
-6kL- SUMPS
C. WASHING MACHINES
.3,
N
41;•, X .
CRITICAL AREAS ON PROPERTY? WATER PURVMTOR svwM PURVEYOR vAum or =s=G ncrRov=vcNTs
EXISTING/PREVIOUS USE LOT 8= (in square Fact) M9r1NG FIRE SPRINKLER SYSTEM? I PROPOSED FIRM SUPPRESSION SYSTEM?
I I o Yes o No Ei Yes o No
-Q
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AREA DESCRIPTION
Area
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
r4 Iff "e"', "77 Tx
74
010
in Square Feet
!
FIRST FLOOR (or Mobile Home)
W�
COVERED ENTRY
M Z" 1,4
f rye'4R
AREA DESCRIPTION
Area
A
Construction # of
Additional Information
GARAGE 0 CARPORT 0
Type Stories
Z
77,77".7
00N
Area Totals x3asma
Psorcow
TOTAL
ESTIMATED SELLING PRICE S #OF BEDROOMS
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Perrnit Application
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MR M
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Stories
�' Ref
ADDITION
A
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction # of
Additional Information
In Square act
Type Stories
77,77".7
00N
TENANT AREA ONLY
41 $k"I t A"
N
PIN
f"v Z Rr
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Perrnit Application