19-101348r
City or Federal way
Community Development Dept
33315 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CARMONA
Project Address: 30104 17TH AVE SW
Building - Single Family
Permit #:19-101348-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 005070 0100
Project Description: ADD - Construction of a new ramp and install a dynadome pool enclosure.
Owner
Applicant
Contractor
Lender
SERGIO & NORMA CARMONA
S JOSHUA BRINCKO
OWNER IS CONTRACTOR
OWNER IS LENDER
30104 17TH AVE SW
5406 SW BEACH DRIVE TR
FEDERAL WAY WA 98023
SEATTLE WA 98116
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1
#2
43
44
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
IW 'v*
Additional r it Infarmation `
•
Mechanical to be included? ..................................... ° Num..............................................
ber 'St�'i 1 ..
Is this an Online or O.T.C. application?................. plur► be Included? —.— No
Total Valuation: 60,000.00
\IV i
V>Wres Assoc' to VJ& This Permit !!
PERMIT EICI Wednesday, 6 November, 2019
Permit Issued on Friday, May 10, 2019
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 accordan ith the laws, rules and regulations of the State of
Washington a ta}t tty of Federal Way.
Owner or agent: Date: L
A:k
riTY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19 101348 00 Address: 30104 17TH AVE SW
Project: ANTHONY CARMONA FEDERAL WAY WA 98023-3453
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOST: 'I'll IS 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.
0 SWM Precon Site Mtg (4400)
0 Initial Erosion Control (4365)
Footings/Setback (4110)
Approved
To be done PRIOR to breaking ground
Approved to place concrete
By Date
By Date
By Date
El Foundation Wall (4115)
Drainage/Downspout (4040)
0 Slab/Concrete Floor (4255)
Approved to place concrete
Approved to backfill
Approved to place concrete
By Date
By Date
By Date
0 Underfloor Framing (4285)
Floor Sheathing (4105)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By Date
By Date
By Date
0 Roof Sheathing (4220)
0 Fire/Draft Stops (4095)
E] Interim Erosion Control (4370)
Approved to install rooting
Approved
Approved
By Date
By Date
By Date
El Gypsum Wallboard Nailing (4130) 16 Final Erosion Control (4375) El Final - Building (4050)
Approved to install mud & tape Approved Approved
By Date By Date By Date
El
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY Oi f
Federal Way
RECEIVED
MAR 2 2 2019 PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
CITY OF FEDIyFIAL WAY 253-835-2607 + FAX 253-835-2609 + ermitccnte a. itvoffederalwa .eom
COMMUNITY DEVELOPMENT .
PERMIT NUMBER / I _ 1 C) / 5 '-f S — c./ F
TARGET DATE
q—/2 /,
SITE ADDRESS SUITE/UNIT #
30104 17th Ave SW__, Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL #
$ &-0) 00C RS 15.0 _0 _0_ _5_ _O_ 7_ 0_ — _0 _1 _O— 0_
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Carmona Trust
construct ramp, extend patio and install dynadome pool
PROJECT DESCRIPTION
enclosure
Detailed description of work to
included on this permit only
NAME
PRIMARY PHONE
MEMBERS TRUST COMPANY-TTEE OF ANTHONY I CARMONA -SPECIAL NEEDS TRUST & Sergio Carmona & Norma Carmona
253-709-4689
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
30104 17th Ave SW, Federal Way, WA 98023
carmonas939 mai1.com
CITY
STATE
ZIP
Federal Way
WA
98023
NAME
PHONE
Owner
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY STATE
ZIP
FAX I
I
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE It
PRIMARY PHONE
- ------ - -.J
NAME -�- --- - - --
S. Joshua Brincko
206-708-9933
APPLICANT
MAILING ADDRESS
5406 SW Beach Drive Terrace
E-MAIL
josh@josharch.com
CITY
STATE
ZIP
FAX
Seattle
WA
98116
---
-
r -
NAME
PRIMARY PHONE
PROJECT CONTACT
S. Joshua Brincko
206-708-9933
MAILING ADDRESS
5406 SW Beach Drive Terrace
E-MAIL
josh@josharch.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Seattle
WA
98116
PROJECT FINANCING
NAME
BECU Trust Services
El OWNER -FINANCED
When value is $S, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
12770 Gateway Drive South, Tukwila, WA 98168
253-439-5746
I certfy underpenalty of perjury that! 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 applicahle 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 -auto 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.
41 3/19/19
SIGNATURE: Jb DATE
PRINT NAME: S. Joshua Brincko
Bulletin 4100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offbdure
to be installed or relocated as
arf of this project. Do not include existing txdures to remain.
AIR HANDLING UNITS
3 FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
1- Range +vent fan
BOILERS
FURNACES
HOT WATER TANKS (cos)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT n/a
$
Indicate how pf each type o
re to be installed or relocated as
art o this ra'ect. Do not include existirt res to remairl.
BATHTUBS (or Tub/Sh—rCombo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kibbon/uuliry)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
No
Lake Haven Water Lake Haven Sewer
$ 100,000
EXISTING/PREVIOUS USE LOT SIZE (Iu Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Single Family 52,174 LiYes a NO ❑ Yes ❑ NO
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL FOR OFFICE USE
BASEMENT
2960
2960
FIRST FLOOR (or Mobile Home)
2960
2960
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE B CARPORT ❑
1,466
1,466
OT14ER (Pool, dive, wallmays, etc.)
7,183
7,183
Area Totals
EXISTING
14,569
PROPOSED
TOTAL
14,569
**MW IiO109-is
otay"
ESTIMATED SELLING PRICE
# OF
COMMERCIAL - NEW/ADDITION _
AREA DESCRIPTION Area in Occupancy Group(s)
Square Feet
N ,zw B►7ILDmo
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s)
Square Feet
wra BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Construction # of Additional Information
Tvne I Stories
Construction I # of Additional Information
I Tvne Stories
Bulletin # 100 - January 29, 2016 Page 2 of 2 k\Handouts\Permit Application