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03-104640 . � �. � . . . . r � . ; , � . , ��,r,�ofred�i•alp an Services Building - Single Family Permit #:03 - 104640 - 00'- SF � � Community Develo 33530 lst Way S Federal Way,.WA 9R(�3-6210 Yh:253.661.40W Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: RODRIQLTEZ FIRE DAMAGE Project Address: 29818 20TH AVE S Parcel Number: 550760 0010 Project Description: ALT-Restoration of fire damage: insulation,wallboard and painting. Owner Applicant Contractor Lender ' Carlos Rodriguez KNS CONSTRUCTION SERVICES KNS CONSTRUCTION SERVICES NONE 29818 20TH AVE S 1016 S 30TH ST KNSCOS*972Ni (06-24-04) FEDERAL WAY WA TACOMA WA 98409 1016 S 30TH ST 98003-4204 TACOMA WA 98409 NONE Includes: Census category: 434-Reside #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Type V-N Occupancy L;oad: Floor Area(Sq.Ft.j: Census Category....:...........,.........................:�:....434-Residential aldadd-no c Mechanical.................................!'.............. Nu OccupAncyGroup�l...:...............................:.......R-3 Plumbing .....::.;.............. ....;!........... No Total Building Sq.Feet........................................1022 Piumbing Fixtures � '; ".,,�,L`��Ct?}�1At'� :_..,,. ', ' �±G�:��1#t�, °` ,'��.. f�E:��C ��.... ��U�ritt. ;, ''.�, �,��,G ,tipC1, ,�N�� QU„��f x Dishwashers 1 j Bathtubs 1 Laundry Washer Outlets 1� Water Closets � Lavatories � Sinks �� Mechanical Fixtures M � . . .." . .'ae��n�tti�r-t � �� r. .. „_::��. . ... �� 3 ,,; �7�s�� ,t�4�,_ , . .x�f�u�n#� �� .....Qescrr��l�t�., ��, �Qu��ti Ducts 1 Furnaces 1 PERMIT EXPIRES Apri17,2004. Permit issued on October 10,2003 t hereby certify that the above information is conect 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:�i��i��""",% Date: /�`�� r ��Z� � . . , � - � � . POST�'--IS CA1tD ON THE FRONT OF BUILDINf ' • ��i��''CI7Y'-0F , • � F��era� wa BUIL�,iNG DIVISION � INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-104640-00-SF OWNER'S NAME: Carlos Rodriguez SITE ADDRESS: 29818 20TH S � ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL �.�� ,3 ��.' ��.� ,� �,...,w,'.' .��.��I)�1'��`_P€�TlR�4'��C�ETE�T��"�E-�AB(,�VEIS�PPR��'��.�... 3�� ,`��`�� ( ) DRAINAGE: Line ( ) Connection _,��: �� <;.,��° ��. ;llC�,IY+C�T I'�E��L��1'T��'I�F.��UVE TS,A,IfFRQ��7�� ,``��..��,',, , .,.��,,�� ( ) UNDERFLOOR FRAMING ( ) ROUGH PLIJMBING: DWV — O '�C.� �' �.�-�J Water piping �/ ~ Z.O —O� �.t.� O ROUGH MECHANICAL /�-' Z.c�— v 3 G� Gas piping ( ) SHEATHING :Roof Floor ( ) SHEAR WALLS ( ) ELECTRTCAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS -;� � ��y y�� "ALfL'CB��`�fJ�E��T=BE��FR�'S�I��P`12�;OR��(��,�AMII�G INSPEG�i�iV.��„��.� .�,: �� a,,, �`,��ae,�.,..�.�,_m, ..�.� ,�. _, �..�.., � ..._.�.,�3.. : � .____... _. �.r ( ) FRAMING/FIRESTOPPING ��- Z� �'U 3 ��,.� �� ' ,��''�,'��$(�'V�+ MLIST BE�PnRQVF�}�'R�4R,T0 IN5�1I�A�NG(7�P�S�� I�ING �� ..,,,,.«�� „, ..� ,�. . .. �...._ _.._.._� _._...., ___.. ._� ,.. , ..a �_.._._... ._,.��,..,,� ,��t. .. _ _ ._..� __.,_� _„ �� ( ) INSULA'I'ION: Floors Walls � •.Zc� � Attic � � � ,� :: ��.��_�'��r��.'... �'�'��,. ��'R�i�R'�f.��P,C�TG.SH��TRU ' ��"� ;� , �� _... �,�� . ,. �;�� ,. ��. ,� ��.. , , 9��r � WALLBOARD NAILING �� ZU' �..> �-" ( ) 1 � U�� ( ) SUSPENDED CEILING . � , ��3�� U�M�S��,��I��}""�,�;� t�.; TUT�P.YNG=UTt�I�TSTAT�LIlwTG�E�LT��",,`r�TI�E--��,..`.. .�`.��,�� .:.,, �,,.z � �.�� M,,�.. �� ,.,.... ... . �,, , M ,,, , � O ELECTRICAL FiNAL 'Z•� �!�• � �, T`S ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL �� u��H��A�U�'E M`C�ST��E 41P�'RO�'ED P d�TC'l BLtILTI�'��,',,�'�'MENT�NAL�f��'��'� ._.. ... ._.: ,._.,M.,r ..�� .._.__��_��..A_H� _.. _ ,.�__��.,,�,.. ...�. . _�,�. �....... ( ) BUILDING F1NAL 2.- �-• O � �.. � �� `;�f)�;1'��►'�'�fJ+�+��F�7:� �I�DTl��U�1��LDT.�Ir��F�:l��-�Ap,l.'�C�►�I��.� � �,r� �� A. �_ sb�.�_.,�a ns� _�.�.,. . . .�� ;. .� „ ,.� . . � , ' , . � . � , , , INSPECTION LOG DATE INSPECTOR OK CORR/REJ ' AREA AND TYPE 4F �NSPECTION ' - o S� c..�� '-- �/'C 7� a. c.�c. � � � � , �� , R�C�IV�D �, CONSTRUCTION PERMIT APPLICATION cirvt�F �� OCT 1 0 2003 PLICATION NUMBER: - 1' �'{ �� PPLICATION NUMBER: ,_ — - — — — — — — CITY OF FEDERAL Wqy pp��pTION NUMBER: - - BUILDING DEPT. — — — — — —"— — - **The following is required information—Please print(in ink)or type** i _nk� ��'.1i7' Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. . � . � . � SITEADDRESS: ��S �� " 2A��"/��JE• �J`'�� ASSESSOR'STAX/PARCEL#: �SA 7 � O��`�_ _ LEGAL DESCRIPTION OF SUB7ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): � • • • • TYPE OF PROJECT(This application): �i BUILDING ❑ PLUMBING ❑ MECHANICAL �DEMOLITION o ELECTRICAL o ENGINEERING a FIRE PREVENTION SYSTEM PROJECT DESCR�PTION(Provide detailed description):__�//2.� L�S�i '—" I�/�s Tv/2/gJ/0�1/ T /�/1L �2�- . CL1/lf��v iv PRO7ECTNAME: �Dl�/II�YI.l.G 2- "� �`a^''Z-'q-LF_2- � • • • • PROPERTY OWNER' NAME: DAYIIME PHONE: G/�-2Gv5 .t��1�4�Gtr�z.- G��•z�t.�s, (L43) l�f! - MAILING ADDRESS(STREET ADDRESS;CIfY,STATE,ZI�): ZY 8 e 8 zv� ,�� S� f�1,E.2�r� w GJ� 8�j CONTRACTOR: NAME: � DAY7'IME PHONE: /r/ S Canrs�ct ylU•�v S��li�S (�,' ) 383- S� 27 MAILING ADDRE55(STREET ADDRESS;CITY,STATE,IIP): EVENING PHONE: `o/� 3� � 5!� ''��o �� `�8'�f0 (zS3) - CIfY OF FEDERAL WAY BUSINE55 LICENSE NUMBER: FAX NUMBER: — — ' — — — — — — ' — — (ZS�3)�z7 - 27a� CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (�PY of card required) — —^,— � � Z N D��Z-Z �� APPLICANT: NAME: � DAYTIME PHONE: - .� �J-S .�t�� ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: � � - RELATIONSHIP TO PROIECT: FAX NUMBER: ❑ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): � � - E-MAIL ADDRE55: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT q-CONTRACTOR • • • • • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION � � �-y��/'� S— PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: ;iZ.�'�W SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • • • • • FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACEINSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) � FURNACE(S) � DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑GAS PLUMBING � BATHTUB(S) � LAVATORY(S) URINAL(S) WATER HEATER(S) _y� DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑GAS DRINKING FOUNTAIN(S) SHOWER(S) � WASH MACHINE OUTLET GAS PIPE OUTLET(S) � SINK(S) WATER CLOSET(S) MISC.(1 INTERCEPTOR(S) SUMP(S) � • I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim(including costs,eacpenses,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 of Federal Way,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 a part of this application. NAME/TITLE: �f��'�" �/ �'� DATE: l U'�— !� - � � ❑ PROPERTY OWNER ❑APPLICANT �CONTRACTOR FOR OFFICE USE ONLY: '''' ❑ NEW' ❑ADDITION ` ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: ` BUILDING SHELL ONLY? ❑YES ❑'NO COMP PLAN DESIGNATION BASIC PLAN? �YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS RE UIRED? O YES ❑ NO PLATTED LOT? ❑YES o NO CHANGE OF USE? ❑YES ❑ NO' COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederelway.com Construction Permit Fee Calculation Sheet � *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR �i)�i.00 co;soo.00 (i);ao.00 (2)$501.00 to$2,000.00 (2);30.00 for the first;500.00 plus$4.00foreach additiona/SIOO.OIOor fradion thereof,to and including #2,000.00 (3)$2,001.00 to$25,000.00 (3)�90.00 for the firet#2,000.00 plus 31B.00 for each additiona/SI,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)#504.00 for the first;25,000.00 plus 51.3.00 foreach additiona/31,00O.00or fraction thereof,to and fncluding$50,000.00 (5)$50,001.00 to$100,000.00 (5)5829.00 for the first;50,000.00 plus 59.00 for each additiona/SI,OOO.00or fradion thereof,to and including$300,000.00 (6)$100,001.00 to$500,000.00 (6);1,279.00 for the first�100,000.00 plus 57.00 for each additiona/31,000.00 or hadion thereof,to and includin9$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)#4,079.00 for the Rst;500,000.00 plus 56.00 fnr each additiona/SI,OOO.DOor fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (8);7,079.00 for the first f 1,000,000.00 plus 54.50 for each additional.S1.ODO.00or fradion thereof. Bold number is the base fee for the specified increment Ita/Idzed.undeilfned number Is the fee ner add/tiona/scecvfled Increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of tlie base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** PROPOSED VALUATION: , FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONL`n y om PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee.�._ (b)Additionai Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) PROPOSED VALUATION: • FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) Base Fee Number of Fixtures $26.00+{ X$9.00/fixture}_ (8)Estimated Permit Fee Estimated Permit Fee X .65 = (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) SUI�TOtdI (Page One): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)_ (11) z�(�Eyy RESIUE(�tTIAL CONSTRUGTION (** (�tUMBER OF BEDROOMS: ESTIMATEO SEIlING PRICE.� $ ' • . . . - - FLOOR EXISTING S .FT. ` PROPOSED S .FT. TOTAI - BASEMEPlT . � FIRST SECONO THIRD FOURTH OTNER FLOORS(�ESCRIBE) OECK GARAGE HOW MANY FIOORS? TOTAL: � _ i Indicate numbe�of each type of fixtu�e - MECHANICAL�'� AIR NANDLING UNIT(S) EVAPORA E COO ER S)/ GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) : � NOOD{S) WOODSTOVE(S) � BOILER(S) FIREPLACE IN ERT(Sy)� RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUGT(S) GAS PIPE OUTL (S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS ', PL MBING ' BATHTUB(S) LAVAT Y(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAI ATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS ORINIQNG FOUNTAIN(S) S WER(S) WASH MACHINE OUTLEf GAS PIPE OUTLET(S) NK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) I certify unde�penalty of perjury that tfie iaforn�ation furnished by me is true and cocrect to the best of my knowledge,a�d furtfie�,tfiat I am autho�zed by the owner of tfie above premises to perfocm the work fo�which the permit application is made. I futther ag�ee to hold hacmless the City of Federal Way as to any daim(induding oosts,expenses,a�d attomeys'fees incurred i�tfie iavestigatiort and defense of such daim),which may be made by any perso�,induding the u�dersigned,a�d filed against the City of Federal Way,but o�ly where sucfi daim arises out of the�elia�ce of the dty,i�duding its officer-s a�d employees,upon the accuracy of the infortna6o�supplied to the dty as a part of this application. NAME/7ITl.E: ��(� ( • (� ��L� DATE: < � �S ' �� PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR -FOR OFFiCE,USE ONLY: ' :_� NEW . :I.� A00 ALTERATION ; I�';REPAIR � TENANTIMPROVEMENT ;'CENSUS CODE: ' `LOT SIZE: ZONING DESIGNATIO,_ : � '!BUICDIIYG SHELL ONLY? ❑ YES Q�NO `-COMP_PLAN DESIGNATION BASIC PLAN? ° ❑ YES ClYNO � i SECTION_. . , TOWIYSHIP RANGE IVEW ADDRESS':#LEQUIRED? ❑ YES' O/FIO `PLATTED lOT? ❑ YES NO ` CHANGE OF USE? YES ❑ NO' COMMUN[TY DEVELOPMENT S[RVIQS-33530 F[fLS�WAY SOUTN-PO 60X 9718-FE�ERAI WAY,WA 980G3-9718-253 G61-4000•FNC:253 GG L-4129 www.citvo(�edera Iway.com