18-105917 Building - Single Family
CommunityDeve) u. Permit #:18-105917-00-SF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CONE ADULT FAMILY HOME
Project Address: 454 S 316TH PL Parcel Number:794170 0020
Project Description: REM-Remodel to include removing(1)non-load bearing wall next to fire place.No Plumbing
or Mechanical.
Owner Applicant Contractor Lender
EDNA B BALDE-TAN EDNA B BALDE-TAN OWNER
PO BOX 27042 ANDRE PO BOX 27042 ANDRE
FEDERAL WAY WA 98093 FEDERAL WAY WA 98093
Census Category:434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit information
Mechanical to be Included9 No Is this an Online or O.T.C.akplication7 No
Plumbing to be Included? No
Total Valuation:500.00
' �. ..
p
. .. ..
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, 15 June,2019
Permit Issued on Monday,December 17,2018
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: 0 -/?1-1"
c—t 0
1 .40&
• THIS CARD IS TO REMAIN ON-SITE '
r� Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 105917 00 Address: 454 S 316TH PL
•
Project: EDNA B BALDE-TAN FEDERAL WAY WA 98003-5215
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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Q Final-Building(4050)
Approved
Apik)\'/ '
C� Date \II\
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date , By Date
RECEIVED
CITY OF 1s DEC 17 2018
PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenteloacityoffederalway.com
COMMUNITY DEVELOPMENT S T F.
PERMIT NUMBER l _ I O ✓ q ' -/ - s F TARGET DATE N/A-
SITE ADDRESS SUITE/UNIT#
e/0 O' 3/6 �°G �����d-� Gei , u„4 9Poog
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 45-0° 9 [-( 1 1 0 _ v 2 a
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 6/I CO E —
PROJECT DESCRIPTION
Detailed description of work to -
( ACA 1/J0-'U I e
be included on this permit only F t' -
NAME _ PRIMARY PHONE
166/14 6CO2,1-12_ aAA.
PROPERTY OWNER MAILING ADDRESS E-MAIL
d0 6.0 4'2
CITY STATE ZIP
_ _ Fa °Dv _ WA _ grog 3
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1
NAME PRIMARY PHONE - - -
d AH ,)c Ow/t K 0%3. 391 - 57O
APPLICANT-
MAILING ADDRESS Col T Gf ^ Aye-co/4`^W,"-4
CITY STATE ZIP FAX '
NAME _ - PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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.I certify that I 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 as a part of this application.
SIGNATURE: 4" •DATE �9 /• `���
PRINT N : /tom T- (264,0170
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application