20-104528 • ,- . •
Building - Single Family
City ofFederal Way Permit #:20-104528-00-SF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: KALEPO
Project Address: 30440 28TH AVE S Parcel Number:092104 9259
Project Description: Fire damage inspection. **No construction work approved under this permit**
Owner Applicant Contractor Lender
TOGAMAU KALEPO JESSE BINFORDBC
30440 28TH AVE S INVESTIGATIVE ENGINEERS
FEDERAL WAY WA 98003 3605"C"ST NE
AUBURN WA 98002
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 Included? No Is this an Online or O.T.C.application Yes
Plumbing to be Included? No
.,...,,< . .,t�... ,.,-a .,it�,a ,�';»:,I,9>, .�. ....
PERMIT EXPIRES Sunday, 16 May,2021
Permit Issued on Tuesday,November 17,2020
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: F I L_ E Date:
a * q .
THIS CARD IS TO REMAIN ON-SITE
� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 104528 00 Address: 30440 28TH AVE S
Project: TOGAMAU KALEPO FEDERAL WAY WA 98003-4801
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.
Final-Building(4050)
jet' I;4^ 411 Approved
By (.......Job?.? Date �1'�a- 0 •
•
•
•
•
Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By : Date I By Date By Date
•
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
CITY OF PO Box 9718
Federal Way WA 98063-9718
Fed e ra I JJa
y 253-835-2607;Fax 253-835-2609
www.cityoffederalway.com
INCIDENT DAMAGE CHECKLIST
Case# 2 J o'yS.z
Owner's Name: Phone: _
Date of Incident: Date of Inspection: /�/?.2,/.d.Z p
Site Address: 30VV0 0�6 �� rft) S
Nature of Incident/Scope of Damage: k-'/c- ,y 76,-
(If the value of the damage is greater than 75 percent of the assessed value of the structure, a site plan is required.)
Building Posted:
❑NO OCCUPANCY ❑ DANGEROUS BUILDING ❑ OTHER /O NOT POSTED
Permits Required:
)UILDING PLUMBING ArMECHANICAL ELECTRICAL l❑DEMOLITION
Plans Required: ( Yes CI No Plans to Show: (0/47/ph/ ff ,A-e/ �art/r��
/�'.e.v1A'`5 VVG(7r7,/'f C G(.;11o % /7 'p7 j' /
Engineering Required: 10 Yes ❑ No Specifically: alD/_ 19�/ /c i
Demolition Complete:AYes ❑No ❑N/A 2°d Inspection Required: ❑ Yes ,No
Permit Application Information Provided to Applicant:
❑ Demolition Permit Application ❑Building Permit Application
❑ Submittal Checklist ❑Electrical Permit Application
❑Other
(253) 835- 26 C
Inspector / Phone Number
**APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS**
RECEIVED
Nov 13 2020 PERMIT APPLICATION
CITY OF
Federal Wa CITY OF FEDERALWAY PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
Y COMMUNITY DEVELOPMENT 253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederalway.com
cityoffederalway.com
PERMIT NUMBER_ /] l_ a Lift5 AiTARGET DATE- 5F "
SITE ADDRESS SUITE/UNIT#
30440 28th Ave S,Federal Way,WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
0 9 2 1 0 4 _ 9 2 5 9
TYPE OF PERMIT IIIBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT Kalepo Fire Damage
Damage inspection needed for fire damaged residence
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Togamau Kalepo
PROPERTY OWNER MAILING ADDRESS E-MAIL
30440 28th Ave S
CITY STATE ZIP
Federal Way WA 98003
NAME RestorX of Washington PHOS 253-249-0040
MAILING ADDRESS E-MAIL
1307 West Valley Hwy N, Ste 107 david@restorxdki.com
CONTRACTOR
CITY STATE ZIP FAX253-249-0046
Auburn WA 98001
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE UBI#
RESTOW*916LK 10 14 21 600 385 739
_
NAME
PRIMARY PHONE
Jesse Binford 253-833-5557
APPLICANT MAILING ADDRESS E-MAIL
3605 C St NE jbinford@bcie.net
CITY STATE ZIP FAX
Auburn WA 98002
NAME PRIMARY PHONE
PROJECT CONTACT See appliant
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING n/a- insured loss ❑ 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 cllaini(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made y-any person,including the undersigned,and filed against the city,
but only where such claim arises out f l r Iiance of the.-dity, including its officers and employees, upon the accuracy of the
information supplied to the city asapart of this applicatiyrC.'�
SIGNATURE: ,� f ( r "thL PA -DATE 11-10-20
PRINT NAME: Jesse Binford
Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT n/a $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(com,s isl)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT n/a $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing factures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(K@ehen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Lakehaven Lakehaven $ $249,000
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
SFR 8,320 ❑Yes a No ❑Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT 360 360
FIRST FLOOR(or Mobile Home) 1,620 1,620
SECOND FLOOR 420 420
COVERED ENTRY
DECK
GARAGE X CARPORT D 400 400
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals 2,800 2,800
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION -,
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 19,2020 Page 2 of 2 k:\Handouts\Permit Application