01-102861City of Federal Way
Community Development Services Building - Single Family Permit #: 01 - 102861 - 00 - SF
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: MOTA
Project Address: 134 SW 305TH ST
Parcel Number: 556000 0240
Project Description: RES ADD - Adding 254 living space addition to eristing single family residence (previously approved
under permit 99 -102240 -00 -SF).
Owner
Applicant
Contractor
Lender
Guadalupe & Gloria Mota
GUADALUPE MOTA
GUADALUPE MOTA
NONE
134 SW 305TH ST
134 SW 305TH ST
FEDERAL WAY WA
FEDERAL WAY WA 98023
134 SW 305TH ST
98023-3948
FEDERAL WAY WA 98023
NONE
Includes:
Census category: 434 - Reside
#1 #2
#3
#4
Occupancy Group:
R-3
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
BasicPlan .................................................
No Census Category ................................................. 434 - Residential alt/add - no'
Garage Proposed Sq. Feet....................................254 Mechanical................................................. No
Occupancy Group#1...........................................R-3 Plumbing ................................................. No
Total Proposed Sq. Feet.......................................254 Zoning Designation ............................................. RS 7.2
PERMIT EXPIRES January 16, 2002, IF NO WORK IS STARTED.
Permit issued on July 20, 2001
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: t71 l A0 R L 1 P A1% fi g Date: 7 6Z Q��
POWHIS CARD ON THE FRONT OF BUILD -
cmaG � ,
EOEIZ�it_ ING DIVISION
R AY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01 -102861 -00 -SF
OWNER'S NAME: Guadalupe & Gloria Mota
- SITE ADDRESS: 134 SW 305TH
() FOOTINGS/SETBACKS J// /® A/OUNDATION WALL
()
ti _DO NOT POjTR;CON�RETE UNTIL TSE A$OV I$ ApPRp YES►
O DRAINAGE: Line O Connection
DO NOT POUR. STAB UNTIL THE "d VE IS APPROVED mT
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL -Gas pipin
/'" -Zg
() SHEATHING O77- �Roof
z' 3 ! d 2. C -4J Floor
() SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIREIDRAFTSTOPS
Ditch Cover
-
()INSULATION:
() WALLBOARD NAILING_4 C. -J( ) SUSPENDED CEILING
" (i ZLI1SL.� i_
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS
( ) FIRE FINAL
INSPECTION LOG
DATE INSPECTOR 'OK CORRIREJ AREA AND TYPE OF INSPECTION
- Carr✓ Cs V p-
kGC
A. L -
:)NSTRUAON PERMIT APPLICATION
'LIGATION NUMBER:
LICATION NUMBER:
LIGATION NUMBER: - -
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: % 3 61 S W S \
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL �'❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): (4-�r����� iKZP�
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON I
NAME:
DAYTIME PHONE:
Q
-
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
(
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
( -
E-MAIL ADDRESS:
:OR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? El YES 11"0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ElNO
WATER SERVICE PROVIDER:LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ^ ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 11 HIGHLINE PRIVATE (SEPTIC)
0
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
0
ESTIMATED SELLING PRICE:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. ( )
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 employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: "A) LS A4;z DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
rum urra%.c uac wiNa 1.
❑ NEW ❑ ADDITION ❑ ALTERATION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
FLOOR
BASEMENT
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? El YES El NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
-
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAINS)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. ( )
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 employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: "A) LS A4;z DATE:
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
rum urra%.c uac wiNa 1.
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? El YES El NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMI IN1TY DFVFLOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 2ST-661-4129