10-103908 City of Federal Way40 F 43uilding - Single Family
Community Development Services Permit #: 10-103908-00-SF
P.O.Box 9718 ILE
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
: .
Project Name: ALMA ADULT FAMILY HOME
Project Address: 29933 2ND PL SW Parcel Number: 720530 0180
Project Description: Lowering(3) bedroom windows from 47" off ground to 43" off ground; fill in upper gap
with appropriate window reframers.
Owner Applicant Contractor Lender
ADMASSU WOLDEHAWARIAT ADMASSU WOLDEHAWARIAT 29933 2ND PL SW
29933 2ND PL SW 29933 2ND PL SW FEDERAL WAY WA 98023
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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.) 0 0 0 0
ltional tiermiinfotatatInformation 3 '
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
r A Fiat d With This Permit I!
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, March 14, 2011
Permit Issued on Wednesday, September 15, 2010
I hereby certify that the -hove information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: d A Date: /
FlNM)J 1D/Zt /b
`rTHIS CARD IS TO AIN ON-SITE -t
CITY OF -"""` S Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-103908-00-SF Address: 29933 2ND PL SW
Owner: ADMASSU WOLDEHAWARIAT FEDERAL WAY, WA 98023-3571
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.
0 SWM Precon Site Mtg(4400) ' ❑ Initial Erosion Control(4365) El Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) El Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
0 Fire/Draft Stops(4095) ❑ Interim Erosion Control (4370 `
Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved IBC 109.3.4
0 Framing(4120) El Insulation (4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By /' j--- Date/0/2 ji
CI Rough ElectricalEl Final Electrical Right of Way
Approved AppredwApproved
BN Date By Date By Date
+e. ,!„. vEt .PERMIT
il,AF CO ME PL DE EN FP
Federal Way Ei
comvir'NIT)”DBVELOtMENT SERVICES APPLICATION p re/-c-
25J-835-2607. -T"E f
FAX 25.3-R.',5-2609.:,:,.,,:::v: rf;.):,..a:,e Ep 15 2010
SITE ADDREffy OF f-EDERAL WAY SUITE/UNIT#
06,33 211e1 FL sit), Federa G. w-y , Wh a'd'd `
tOJECT VALUATION...)
1 ZONING ASSESSOR'S TAX/PARCEL#
$ (/ - 'o.oosl�WW rt. q_ . _; - .. - 0 L r 0
TYPE OF PERMIT IL-ILDING CIPLUMBING CIMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Nome/Homeowner Last Name) rHA-�/� ). /l I
cv LC' �x AI(.- 7h ree (.dMil 1 tJ(Ji6147W
747:7711--
�ter., 4
PROJECT DESCRIPTION /��� / J
Detailed description of work to ej# fr/; -c .i 4-3// [., `� jlrv74flP . t Zt(2/be included on this permit only / r ,! G�'
G -iii) a 'all (,�,i 6fi, ',lip.a?r �,+witiotl ynixeiT-
NAME PRIMARY PHONE
PROPERTY OWNER n ��fQ L rl LA td cA�"�-' 206- LIZ_ 6 3 V3
�1�1'�G'� C5' t.l WO U �
MAILING ADDRESS E-MAIL
(77°133 ,.nct pi_ ,SGtil rta Asuwwc „y- , ''
CITY STATE ZIP
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NPS PHONE. a- t; '3
MAILING ADDRESS E-MAIL •
CONTRACTOR 2C/Ci 3 3 2n- P . S eitj
CITY STATE ZIP FAX
-r0(ie 1fl CcV aA) CSA 1to,2 3 206- (3- --?1//S"
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NE
NAME ,rARCS U VV Q td / .a cj Vl.,0 C a & PHOC 66 21 2.- (3(23
APPLICANT MAILING ADDRESS E-MAIL
3.`3 2 Yid Pi- .5 W • a 'nt ti s 1 m w F ,G141(4-77j
CITY STATE ZIPFAX
- c(e r c% L- �,c.,a�c� WA %c�C 1 .,_ 024 C - 6.5 2 /f
PROJECT CONTACT NAME ,�n ��� p P, /, PHONE
(The individual to receive and ' " ,'taR(I Vc,)0L x,Acf,476 7 ccJ2e C y 2\
respond to all correspondence MAILING AD
�DR7ESS E-MAIL
concerning this application) / 3 4 �"� � �[�.� ad wea S a m pt) El 547 �7t (c
7.4
CITY YY LL �r STATElZIP FAX F
NAME: (x/ PHONE 7e " 2
2E-MAIL4 6 6 S-3 ^7�I'-
ALTERNATE `
/a-L-Ync 2 &ef-iLef U 6---212.4 ( ; A60-v-, .
PROJECT FINANCING
Required value of$5.000 or more N
.S o , jf dehovArair( Ef% OWNER-FINANCED
PHONE
(RCW 19.27095) MAILING
--`9(% 3-2, �I P s - Zj t ct { Gte�-Cte c 9,9 A' 2 6'-2/z 430 `
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.
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 c .im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t./the city .s a part of this application. e
SIGNATURE: /°a , DATE Llt'J/1,c PO
PRINT NAME: % AA L /- � it e`,il ,64A G >, re
Bulletin#100-April 14,2010 Page 1 of 3 k:AHandouts\Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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 PANS GAS PIPE OUTLETS r OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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Indicate
ndicate how many of each type of fixture to be installed or relocated as part of this project./Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUU BREAKERS
DRINKING FOUNTAINS SINKS(kitchen/Utility) WAT HEATERS(Ek:ctric)
HOSE BIBBS SUMPS W HING MACHINES ?:>':%E ` 3# URZS•Ez>E»><E
...............................................................................................................................................................................
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
. ❑ Yes❑ No ❑ Yes ❑ No
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