02-102995City unity Development Services Federal Way
CoimnunBuilding - Single Family Permit #: 02 -102995 - 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: MEDINA
Project Address: 31026 26TH AVE S Parcel Number: 798440 0145
Project Description: SF - Cementing existing patio; building ramp and railings; building shade for main door entry.
Owner
Applicant
Contractor
Lender
FELICISIMO & ARSENIA MEDINA
FELICISIMO & ARSENIA MEDINA
FELICISIMO & ARSENIA MEDINA
NONE
31026 26TH AVE S
31026 26TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
31026 26TH AVE S
FEDERAL WAY WA 98003
NONE
Includes:
Census category: 434 - Reside #1 #2 #3 #4
Occupancy Group: R-3
Construction Type: Type V - One -HR
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 434 - Residential alt/add - no, Mechanical................................................. No
Occupancy Group#1...........................................R-3 Other Proposed Sq. Feet...................................... 104.92
Plumbing................................................. No
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to
the subject proposal.
PERMIT EXPIRES January 14, 2003, IF NO WORK IS STARTED.
Permit issued on July 18, 2002
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: 7--1 t e) ?✓
POSTWS CARD ON THE FRONT OF BUILDIN
a ff OF BUIANG DIVISION'
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -102995 -00 -SF
OWNER'S NAME: FELICISIMO & ARSENIA MEDINA
SITE ADDRESS: 31026 26TH S
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL.
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV.
ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) Connection,
211-12111 - �Ri
OR
Water piping
Gas piping
Roof Floor.
( ) ELECTRICAL ROUGH -IN Ditch Cover.
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors Walls,
( ) WALLBOARD NAILING,
M
': ��
mild, ift-to P,
- P)l
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL,
( ) FIRE
( ) BUILDING FINAL 65 — 7 — 0
Attic
( ) SUSPENDED CEILING.
a"OF G #EIVED BY
EpMUNITY DEVELOPMENT DEARTMENi
uv � 9
AL � MOP,
CONSTRPCTION PERMIT APPLICATION
APPLICATION NUMBER: 1 QGZ-
PPLICATION NUMBER:
APPLICATION NUMBER: - -
**The following is required information — Please print (in ink) or type** n
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. 1' -
ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PRO3ECT INFORMATION".
TYPE OF PROJECT (This application): UILDING El PLUMBING 11 MECHANICAL El DEMOLITION
X1.1
LECTRICAL ❑ ENGINEERING [j] FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): L �- b, 9 - 1-&"
PROJECT NAME:rIe�
PROPERTY OWNER:
CONTRACTOR:
UAT I1Mt rmNt:
P,aIC/SfKO >' SEN14- F IWDIVA— ( ) % /-/P/S
MAILING ADDRESS (STREET AD • CTTY, STATE, ZIP):
OIL
al Ul
NAME:
DAYTIME PHONE:
)
MAILING ADDRESS (STPEErADDREss, QTY, STATE, ZIP):
EVENING PHONE:
)
CTfY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
— — — — — — — —
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(CPV of Card reWked)
APPLICANT: NAME: DAYTIME PHONE:
l�iA� e�,c M�01 VA c ) y i - v o/s—
MAILING ADDRESS (STREET ADDR QTY, STATE, ZIPp�): ^^ / EVENING PHONE:
_ 0
RELATIONSHIP TO PROJECT:
❑ ARCHITECT 11TENANT 11OTHER( DESCRIBE): 0Wn64- 14qlt o�C- I - 10j
1 E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT. 11 PROPERTY OWNER lid APPLICANT 11CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: Pa4-L;0' // EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
//
PROPOSED USE: _ '%L¢.L� t c:K.a�N 20-PAy4P/ PROPOSED VALUATION FOR IMPROVEMENTS: MI
SPRINKLERED BUILDING? 11 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 11 YES LTJ NO
WATER SERVICE PROVIDER: GKLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: VLLAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
t
r
t
r
Ask
**NEW RESIDENTIAL CONSTRUCTIO LY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
Co
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
imr-fATMER/SIGNATURE BLC
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: "rned2jns� DATE: 7I `&/ D o`2
❑ PROPERTY OWNER 'A APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
WWWctVoffederaiway Drn