18-103501City of Federal Way
Community Development Dept.
33325 8th Ave 5
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 635-2609
Project Name: MEMBERS TRUST COMPANY
Project Address: 30104 17TH AVE SW
Building - Single Family
Permit #:18-103501-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 005070 0100
Project Description: ADD- Remodel to include ADA upgrades that consist of adding a new ADA bathroom, demo
existing counter and hood, relocate range w/new hood to vent out east wall, relocate wall ovens,
demo window and replace with French doors in bedroom no. 3, demo door & window and
replace w/sliding glass door outside of rec room addition of (3) ramps, elevators and bathroom
retrofit. No plumbing. Mechanical included.
Owner
MEMBERS TRUST COMPANY
14025 RIVEREDGE DR
TAMPA FL 33637
USA
Applicant
S JOSHUA BRINCKO
5406 SW BEACH DR TR
SEATTLE WA 98116
Census Category: 434 - Residential
Includes: #1
occupancy Class:
Construction T e:
occupancy Load:
Contractor Lender
OWNER IS CONTRACTOR OWNER IS LENDER
dd - no cnge in number of units
AdlffionaT'Permit Information
Mechanical to be Included? ........................ Yes
Number of Stories .................................... ... I
Plumbing to be lnclu No
Zoning Designation...... .,,_. RS 15.0
Total Valuation: 50,000.0
#3
#4
MCC ical Work Valuation? .................................. 250
tl arl Online or O.T.C. application? .................. No
)C
omprehensive Plan Designation. .......................... SF - High -Density
Residential
No Fixtures Associated With This Permit H
PERMIT EXPIRES Wednesday,13 March, 2019
Permit Issued on Fridav, September 14, 2018
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
Wa hingto and t $ City of Federal Way.
Owner or agent: r l�� - date:
CITY OF.
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18103501 00 Address: 30104 17TH AVE SW
Project: MEMBERS TRUST COMPANY FEDERAL WAY WA 98023-3453
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.
Q SWM Precon Site Mtg (4400) ® Initial Erosion Control (4365) Footings/Setback (4110)
By
El
A
By
10
By
1l
E9
Approved
Date
Foundation Wall (4115)
Approved to place concrete
Date
Underfloor Framing (4285)
Approved to sheath floor
Date
Roof Sheathing (4220)
Approved to install roofing
Date
Fire/Draft Stops (4095)
Approved
Date
Framing (4120)
Approved to insulate
Date 0
1a Final Erosion Control (4375)
Approved
By Date
To be done PRIOR to breaking ground
Approved to place concrete
By
Date
By
rJf3 Date L4 I q
0
Drainage/Downspout (4040)
LEI
Slab/Concrete Floor (4255)
Approved to backfill
App! oved to place concrete
By
Date
By
Date
®
Floor Sheathing (4105)
®
Shear Walls (4245)
Approved to install flooring
Approved to install siding
By
Date
By
Date
El
Mechanical Rough -in (4165)
0
Gas Piping (4125)
Approved
Approved to release test
By
Date
By
Date
0
Interim Erosion Control (4370)
to scheduling a Framing inspection;
Approved
EElectrical,
Plumbing & Mechanical Rough -in
/Draft Stop inspections must be signed -
By
Date
off and approved. IBC 109.3.4
98
Insulation (4150)
17
Gypsum Wallboard Nailing (4130)
Approved to install wallboard
Approved to install mud & tape
By /, fit% Date,, '" " .: j
By
Date
9
Final - Mechanical (4065)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
VA I L [INSPECTOR AREAS. AND TYPE 6F INSPECTION -
CITY OF
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: D T� 6 PERMIT#: r ��3s �.01
a
so
�firoL i,'oil. 5
IF YOU HAVE QUESTIONS CALL /_{^'{
(253) 835-2t<,2 �?
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
i
/2I �
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
Buildinjs, Division
CITY OF 33325 Eighth Avenue South
Federal 1Nay Federal Way, 98-6325
n
Phone 253-835-2607 Faxx 253-83535-2609
%mm�
CORRECTION NOTICE
ADDRESS: � j %r� (J� PERMIT#: l �- l0
IF YOU HAVE QUESTIONS CALL t
(253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
26 _
ATE INSPECTOR
DO NOT REMOVE THIS NOTICE Page of
RECEIVED
AUG 0, 7 2018 PERMI`I`` APPLICATION
C►TY OF
Federal Way CITY CIF FEDERAL WAY PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
COMMUNITY DEVELOPMEM 253-835-2607 + FAX 253-835-2609 + �crmitretttcrrrciri'ofircleralwa'.rom
PERMIT NUMBER I _ ^ � � - � I
1 00,50 % - r-! 6 TARGET DATE / /
SITE ADDRESS SUITE/UNIT M
30104 17th Ave SW, Federal Way, WA 98023
PROJECT VALUATION �FR�
G ASSESSOR'S TAX/PARCEL 8
$ 50,000 15.0_O_ _O_ _5_ _0_ 7 _0_ - _0 _1_ _O_ _O_
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Carmona Trust
construct ADA upgrades to existing single family residence.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
—
NAME
PRIMARY PHONE
MEMBERS TRUST COMPANY -TTEE OF ANTHONY I CARMONA -SPECIAL NEEDS TRUST 8 Sergio Carona & Norma Carmona
253-709-4689
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
30104 17th Ave SW, Federal Way, WA 98023
carmonas939 c mail
CITY STATE ZIP
Federal Way WA 98023
NAME
PHONE
Owner
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 8 I EXPIRATION DATE I FEDERAL WAY BUSINESS LICENSE N
NAME
S. Joshua Brincko
APPLICANT MAILING ADDRESS
5406 SW Beach Drive Terrace
CITY STATE I ZIP
Seattle WA 98116
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5,000 or more
(RCW 1927.095)
PRIMARY PHONE
206-708-9933
E-MAIL
josh@josharch.com
FAX
NAME
PRIMARY PHONE
S. Joshua Brincko
206-708-9933
MAILING ADDRESS
E-MAIL
5406 SW Beach Drive Terrace
josh@josharch.com
CITY STATE ZIP
FAX
Seattle WA 98116
NAME
El OWNER -FINANCED
BECU Trust Services
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
12770 Gateway Drive South, Tukwila, WA 98168
253-439-5746
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best
of my knowledge, the informatton 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 authorised 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-ae-to any claim jincluding costs, expenses, and attorneys' fees incurred in
the investigation and defense q( 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 a part of this application.
SIGNATURE:
Jo DATE 7/17/18
-
PRINT NAME: S. Joshua Brincko
Bulletin 9100 - January 29, 2016 Page I of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how mstn of each i
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
rfxture to be installed or rel
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
GAS PIPING
Indicate how Mang of each type of re to be installed or rele
BATHTUBS (or Tub/showcrcumbo)
LAVS (Hand Sinks)
DISHWASHERS
RAINWATER SYSTEM:
DRAINS
SHOWERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
HOSE BIBBS
SUMPS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
NO
Lake Haven Water
EXISTING/PREVIOUS USE
LOT SIZE
(In Square Feet)
Single Family
�I
52,174 i
VALUE OF MECHANICAL WORK
$
as part of this project. Do not include existing ftLcWres to rerr,
GAS PIPE OUTLETS OTHER (Describe;
HOODS (commercial)
HOT WATER TANKS (cas(
REFRIGERATION SYST
WOODSTOVES
as part of this project, Do not in
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (electric)
WASHING MACHINES
VALUE OF PLUMBING WORK
WATER PIPING
OTHER (Describe)
TOTAL FIXTURES
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Lake Haven Sewer
$ 50,000
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ■ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
BASEMENT
2960
FIRST FLOOR (or Mobile Home)
2960
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 59 CARPORT ❑
1,466
OTHER (Pool, drive, walkways, etc.)
7,183
Area Totals
EXISTMC
14,5 99
PROPOSED
•'NEW HOMES
OM,Y""
# OF
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Groups)
Square Feet
NEW BUILDWO
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s)
Square Feet _
TOTAL BUmmm
TENANT AREA ONLY
PROJECT AREA ONLY
TOTAL FOR OFFICE USE
2960
2960
1,466
7,183
TOTAL
14,569
# of I Additional Information
Construction I# of I Additional Information
Bulletin #100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application
O�CITY OF
Federal Way
Building' Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS'. �d �a�I l TX S PERMIT#:_l
a Iay7f
G 7nQ,� -ro arc �� ]'rc �� O
d
IF YOU HAVE QUESTIONS CALL _ (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of