09-101817City of Federal Way
Community Oevelopment Services
P.O. Sox 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MEDINA
Project Address: 803 SW 312TH Unit 3
wilding - Multi -Family
'Z1?jb Permit #: 09 -101817 -00 -MF
Inspection Request Line: (253) 835-3050
4pyc s�r.;t Marks -
Project Description: Remove and replace sliding glass door.
Parcel Number: 072104 9125
Owner
Applicant
Contractor
Lender
ANDREW MEDINA
ANDREW MEDINA
Q
803 SW 312TH ST
803 SW 312TH ST
803 SW 312TH ST
FEDERAL WAY WA 98063
FEDERAL WAY WA 98063
FEDERAL WAY WA 98063
Census Category: 434 - Residential alt/add - no change in number of units
Includes: 41 #2 43 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
. fr Additiq 6—rmit Information ,
Mechanical to be Included?....................................No
Permit for Building Shell Only? .............................No
Number of Stories..................................................2
Plumbing to be Included?.......................................No
No Ei ures'Associated With :T;hls,P6rrri t 11
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, November 14, 2009
Permit Issued on Monday, May 18, 2009
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
,nd the City of Federal Way.
Owner or agent: Date: C/—
t-1NA6W0D &A/09
THIS CARD IS TO REMAIN ON-SITE
CITY OF kommunity DeveloprOnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -101817 -00 -MF
Owner: ANDREW MEDINA
Address: 803 SW 312TH Unit 3
FEDERAL WAY, WA 98023
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.
Approved to install mud & tape
Approved to drop tile
By
❑ Footings/Setback (4110)
❑
Foundation Wall (4115)
Date
❑
Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By Date
By
Date
By
Date
_
❑ Re -steel (4215)
❑
Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
Approved to place concrete or grout
Approved to place concrete
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
By
Date
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) ❑ Framing (4120)
Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 By Date Z
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By Date
By
Date
❑ Final - Fire Department (4060) ❑ Final - Building (4050)
Approved Approved
By Date By Date
Yi4
For inspector_reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
nrr osFederal Way PERMIT 28
COMMUNITY DEVELOPMENT SERVICES' a "oV �� ME EL PL DE EN FP
33325 8^E AVENUE SOUTH • PO BOX 9r71
FEDERAL WAY, WA 98063-9718
253-835-2X253-835-2609Eq) FP
LI C AT I O N
uaue�.dtrrotl-ederutwaa.rnm `
n!7— r I
The,following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
ASSESSOR'S TAR/PARCEL # — — _ — _ _ - -- — — LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT•- •
TYPE OF PERMIT Q,BUILDING ❑ PLUMBING ❑ MECHANICAL
I'
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
PEOPLE INFORMATION
NAME
PRIMARY PHONE
MAILING ADDRESS
STATE, Z�QIP
CITY, /
Tcvh// l.,
E-MAIL ADDRESS
COMPANY AME
APPLICANT NAME
OFFICE PHONE
( ) _
MAILING -ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NU FR EXPIRATION DATE
E-MAIL ADDRESS
COMPANY ME
AZ A
APPLICANT NAME
OFFICE PHONE
-IA
MAILING -ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
NAM
Per RCW 19.27.095:
Lender information is ufrd if project value exceeds $5,000
M�JNG ADENW
CITY, STATE, ZIP r
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $_ VALUE OF PROPOSED WORK $T '
SPRINEL BUILDING? - _ P
I�RF,,D �, ❑ YE3.�`D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ -a—NO-
WATER
NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
EXISTING
SO. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
FIRST
❑ YES ❑ NO
BASIC PLAN?
❑ YES
SECOND
.a
ZONING DESIGNATION
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
0 YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
s�usrQo
rnOros=
`OTN
TOT"L Azmro1O sr
TOTS vaovaeM sr
7on�t sr
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
(A COPY OF BID OR ESTLUATE MUST BE'INCLUDED WITH AppLICATIONJ
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS CTAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTSol HOODS (9
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS \jeZREFRIG. SYSTEMS
BATHTUBS 1=n,b/Sho rComboj LAVE laatbcoomSi URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Ir,;lq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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- 1 certify that 1 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 apart of VFis application. r . `-
SIGNATURE:
Ci NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
0 YES
❑ NO
Bulletin #100 -January 1, 2009 Page 2 of 4 MandoutsTemiit Application