20-101083 Mr i
Building - Single Family
City ofFederal Way Permit #:20-101083-00-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: LOURDES LOVING CARE ADULT FAMILY HOME LLC
Project Address: 30442 8TH AVE S Parcel Number: 091800 0030
Project Description: Add wall,window and closet to create additional bedroom for adult family home.
Owner Applicant Contractor Lender
LOURDES SAMPAYAN LOURDES SAMPAYAN OWNER IS CONTRACTOR
30442 8TH AVE S 30442 8TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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 Number of Stories 1
Is this an Online or O.T.C.application? Yes Plumbing to be Included" No
Total Valuation: 1,000.00
PERMIT EXPIRES Saturday,5 September,2020
Permit Issued on Monday,March 9,2020
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.
J0M0`/Owner or agent: w Date: 0 3//0 /zr, J
•
y THISCARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 101083 00 Address: 30442 8TH AVE S
Project: LOURDES SAMPAYAN FEDERAL WAY WA 98003-4113
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.
® Underfloor Framing(4285) Z❑ Floor Sheathing(4105) ; ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
;
By Date ; By• Date By Date
El Roof Sheathing(4220) 0 Fire/Draft Stops(4095) Prior to scheduling a Framing inspection;
Approved to install roofing Approved Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
By Date By Date off and approved. IBC 1093.4
•
#r,_.
Framing(4120) ,/0 Insulation(4150) •• $ Gypsum Wallboard Nailing
❑ rn (4130)
oved to insulate Approved to install wallboard Appr ved to install mud&tape
,der rt.i,, Qv AM>w„�a
_By i.. Date 3-19'al By Date ,By L iA)S Date 3•.)3-JO .
® A Final-Building(4050)
c w, >.,j), ved
By �pk'0 Date s-s-a D
•
❑ Rough Electrical ❑ Final Electrical
0 Right of Way
Approved Approved Approved
By Date By Date By Date
,,,,,4.,,,, RECEIVED PERMIT APPLICATION
CITY OF
PERMIT.CENTER+33325 8thAvenue South + Federal Way,WA 98003-6325
Federal Way MAR 10 2020 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY /D f 30
�� /- MI�UN ENT )�,
PERMIT NUMBER !/' j _ / f ( ( I TARGET DATE O TC -1 o
SITE ADDRESS SUITE/UNIT#
30 LW Z S 4 A Oa-0 u s ' -e-Cie.'z(-0/ C'i y (s/ V0123
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ v®00 . DO -
TYPE OF PERMIT liq BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT '
(,u-.t_-, .SQA Y)'`-1'3q/Ai- (Ln1yd � / 2Vi,14 iee AFW)
PROJECT DESCRIPTION
Detailed description of work to -41) ,p1 �,/� n„k - �` ( V "/' M/ik tit/Al i c
be included on this permit only
NAME PRIMARY PHONE
0,E. Sp r PA/i ( 06) 3 / 3 — //c)-1--
PROPERTY OWNER MAILING ADDRESS E-MAIL
3a U Li 2 Aka 0 U t- S ' `ales fid,--(,) 6,frio
°r-e-OP Lv A i Stdd TA AZ19 g 003
NAME 0 (/'�f PHONE
U1/4 i #,
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE UBI#
NAMESh 1 5 D PRIMARY PHONE
APPLICANT MAILING ADDRESS (� Il/N 1 j E-MAIL
CITY STATE ZIP FAX
NAMEf ss !!,, PRIMARY PHONE
PROJECT CONTACT D ( A Uk e if
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 1 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 city as apart of this application.
SIGNATURE: Cy d C""" % 'r DATE 3 a ,
PRINT NAME: i-0 cZ Def--- I' P�VA
Bulletin#100—February 19,2020 Page 1 of 2 k:\l-Iandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(commercial)
BOILERS FURNACES —_9/HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS / REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be stalled or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LA (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR t SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L - ( F.
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No 0 Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
'711 e'r ` "if .76`, ,- 3'z
,'� 7�` � �9�,�� ��i,e'p, ,h,✓`Fs.",'' ".�. -.i: 1. r'r ',fF � ?,.�F'4'/it %i`�f.�%% .�•d'f`rt",Jf//�"�� _ ....
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
Y 7f f (rsw, .f 2�'.
,,,,;�`.. , 4/.4„4„,
y
GARAGE ❑ CARPORT ❑ ,
69: rte. "s, b€s` �nY4A' ',"�,44 .,... ,444'Y44,44- "
ING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW I DITION
Area in Construction #of Additional Information
AREA DESCRIPTION Occupancy Group(s)
Square Feet Type Stories
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f'
1 :N fir" r„
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%': 414 -1 �< �,, f`',,; f . "SFr,' r>,t, r'fi !'` , "",f:_",..,. „i„ ,,
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s)
S.uare Feet ,e Stories Additional Information
•r"" r,' ," i ?' ',!,' 1/ ' f„< r
, ,7
T' 6LINt . lY"
TENANT AREA ONLY
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Poi CfLa fif 'f., r ii „orFri s
Bulletin#100–February 19,2020 Page 2 of 2 k:\Handouts\Permit Application