05-100438•
City of Federal Way
Cotmnomryi3evelopment Services Building 4 Smile Family Permit #: 05 -100438 - 00 - 5F
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050
Project Name: MEDINA
Project Address: 31026 26TH AVE S Parcel Number: 798440 0145
Project Description: Alt - Enclosing patio for storage space; existing patio already has roof structure
Owner
Applicant
Contractor
Lender
Felicisimo F Medina & Arsenia Medil
FELICISIMO & ARSENIA MEDINA
FELICISIMO & ARSENIA MEDINA
NONE
31026 26TH AVE S
31026 26TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA 98003
31026 26TH AVE S
98003-5002
FEDERAL WAY WA 98003
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.):
Census Category ............................................. 434 - Residential alt/add - no - Mechanical........................ No
Occupancy Group #I ........................................... R-3 Plumbing .......:.. .............. No
PERAM EXPIRES July 31, 2005.
Permit issued on February 1, 2005
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: — ® / — las
THIS CARD IS TO ON-SITE
CITY OF F, rommunity Deveigpm t Inspection Record
Federal Way IVR INSPECTION REQUEST PRONE # (253) 835-3050
PERMIT #: 05 -100438 -00 -SF
Owner: FELICISIMO F MEDINA
Address: 31026 26TH AVE S
FEDERAL WAY, WA 98003-5002
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.
❑
Temp. Erosion Control (4365)
❑ Plumbing Groundwork (4190)
❑
Underfloor Framing (4285)
To be done prior to breaking ground
Approved to cover
Approved to sheath floor
By
Date
By Date
By
Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date Z ? o
By
Date
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (]0)❑
Framing (4120)
Approved
inspection; Electrical, Plumbing & Mech
Approved to insulate
Rough -in and Fire/Draft Stop inspections
By
Date
sgned-off and approved. IBC 109.3.4/UBC
By
Date 2-/7/45-,
ko
Insulation (4150)
Wallboard Nailing (4130)
❑
Final -SWM (4375)
Approved to install wallboard
rGypsum
Approved to install mud & tape
Approved
B
Date �. �.
Date ...
By
Date
❑
Final - Building (4050)
❑Temp. Erosion Maintenance (4370)
Approved
Approved
By Date 2 2!
By Date
..,.A RECEIV 3
Federal Way SEB 0 1 2005 PERMIT
COMMUNYYDEVELOPMEM SF MF CO ME EL PL DE EN FP
333258TM AVENUE, WA 9 • POBOX 97i8FWEMPLICATION
53-"5-L 07- FAX 53-0 - OF.
F F E D E R
253-835.2607• FAX 253�35-
u,ww.dtgofjederd"U.osm BUILDING DAP
The.followinq is r fired i ormation - an Inco lete aveUcation will not be accei2tecL Please Tintle dbi or
PROPERTY•- •
SITE ADDRESS b e2 (e A�,e . 5, ;�&d A:),a. l SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ _ _ _ _ - _ _ LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaaaa sepwaWp g&f rk-jft 1e9d d id
PROJECT•- •
TYPE OF PERMIT Q BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlui
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLEt •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
/S
MAIUNG ADDRESS CITY, STATE, ZIP
31002 (P Awe - s . A
COMP NAME
( )(OMEP,
APPLICANT NAME
I
APPLICANT NAME
OFFICE PHONE
-
MAILINTAMIZESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
— — — — — — — — — --B L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COMPANY NAME
n Q t)a=
APPLICANT NAME
I
OFFICE PHONE
-
MAILINGVZDRMS
CRY, STATE, ZIP -
CELL PHONE
(
RELATIONSHIP TO PROJECT
❑ Architect o Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ci YES �NO
WATER SERVICE PROVIDER tLAWMAVEN
SEWER SERVICE PROVIDER LAIZHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $ 7 U VV
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? OYES AYNO
o HIGHLIRE o TACOMA o PRIVATE (WELL)
o HIGIHdNE o PRIVATE (SEPTIC)
PROJECT .. AREAS
-
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT.. SQ. FT. SQ. FT.
BASEMENT
FIRST f
SECOND
THIRD
FOURTH .;
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS MSraea PROPOSED TOTAL for w a sr star v eaorosw ar tar w sr
y
••NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
AIECUAWCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
B07EZR&— FIREPLACE INSERTS/
COMPRESSORS
DUCTS
BATHTUBS (Tums mno) SHOWERS
DISHWASHER SINKS
GAS P1PX1UTLETS SUMPS
>29ING, MACHINES URINALS
LAVS Patb. Skd.4 VACUUM BREAKERS
HOODS (commercial)
RANGES
GAS WATER HEATERS
WATER CLO
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 trVormation supplied to the city as a part of
this application.
NAME/TITLE a'S/,Lem� DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 kWandouts\Permit Application