21-101294-SF-Building Permit Application-06-01-2021-V2PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE 04/ 15/2021
SITE ADDRESS 2614 S 275th PL , Federal Way WA-98003
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$25,500
RS7.2
7 9 6 a 2 0- 0 1 $ o
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
2614 S 275th PL Garage Conversion
PROJECT DESCRIPTION
Converting garage to additional living space
Detailed description of work to
be included on this permit only
NAME Mesfin Tessema
PRIMARY PHONE
2064345451
PROPERTY OWNER
MAILING ADDRESS 2614 S 275th Pl,
E-MAIL mes3kid(agmail.com
CITY Federal Way
STATE
ZIP 98003
WA
NAME Owner
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME Mesfin Tessema
PRIMARY PHONE 206-434-5451.
APPLICANT
MAILING ADDRESS 2614 S 275th Pl,
E-MAIL
CITY Federal Way
STATE
ZIP 98003
FAX
WA
NAME Owner
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME Owner
♦ 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.
1 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 a part of this application.
SIGNATURE: DATE 06/01/2021
PRINT NAME: Mesfin Tessema
Bulletin #100 -February 19, 2020 Page 1 of 2 k:\Handouts\Pennit Application
Indicate how many of each type o fixture to be installed or relocated as part of this ro'ect. Do not include existing fixtures to remain.
4 AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
4 t ,
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo) I LAVS (Hand sinks) I TOILETS 2 WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS I SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES 4 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
No
Highline Water District
Lake haven Sewer District
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
primary residence
7316
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEWADDITION
Area in Construction # of
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories Additional Information
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type I Stories
TENANT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Pennit Application