13-101720City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 L _-71
Ph: (253) 835-2607 Fax. (253) 835-2609
LJ 4 _ <3 _.:.9
Project Name: GUILAO
Project Address: 31704 42ND AVE SW
*wilding - Single Family
Permit #: 13 -101720 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number. 873198 2730
Project Description: REP - Inspection only of fire damage. No construction work incuded on this permit.
Owner
THELMA K GUILAO
Annlicant
DAMIAN GUILAO
Contractor
Lender
31704 42ND AVE SW
605 SW 312TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential altladd - no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type.
Occupancy Load-
Floor
oadFloor Area . ft. 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement ................... 0
Mechanical to be Included?...................................No Plumbing to be Included? ...................................... No
No Fb tms Associated With This Permit 11
PERMIT EXPIRES Tuesday, October 15, 2013
Permit Issued on Thursday, April 18, 2013
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
y
�ndCity of Federal Way.
Owner or agent: Date:
PERMIT %PPLICATION
Federal Way APR 1 S 2013
/ C? OF FEDERA
PERMIT NUMBER 1 _ 6 9 / 2 o_ S
TARGET DATE
SITE ADDRESS
SUITE/UNIT !
31.704 41-n-4 AVE N
PROJECT VALUATI
ZONIIQG
ASSESSOTAR�AR � Ii / q F _
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(:i V
LAc - '
PROJECT DESCRIPTION
1j U
Detailed description of work to
be included on this permit only
OPERTY OWNER
NAME �Yl�t pl C'x V J cto
PFJ2L4RT PHONE
MAH.II'iG ADDRESS / o S
V
F -MAIL
crrY+ec�4�al WG,
STATE
���023
NAME
PHONE
MAILMG ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STA NTRACTOR'S LICENSE N
E30MUTION DATE
FEDERAL WAY BUSINESS LICENSE N
NAffiS0LV� I Q ✓1 CTV � I aw
PRIMARY PHO 6
-7 2 _
HIIf
MAGADDRE88 0o5 SW ��� 5i r
EMAII
APPLICANT
CITY teaura l Wa
STATE
W
Q X023
FAX
NAME
PRDiAIRY PHONE
PROJECT CONTACT
PIAIL mG ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
I ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
IRCW 19.27.095/
mAnmic
xA6DRzss, CITY, STATE, ZIP
PHONE
1 certify under penalty of perjury that J am the property owner or authorised 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 authorised 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 sup to the city of this application.
q/lw/I
SIGNATURE: DATE J
` I
PRINT NAME: DCA ►^ i t a ✓t Gu •11, 4 b
Bulletin #100 -January 1, 2013 Page I of 3 k.\Handouts\Permit Application