13-102358 *wilding = Single Family
City of FeWay Permit #: 13-102358-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FESEHA
Project Address: 28902 28TH PL S Parcel Number: 029450 0150
Project Description: REP-Inspection of fire damage. **NO construction work approved under this permit**
Owner Applicant Contractor Lender
ASEGID T FESEHA CROWN REMODEL LLC CROWN REMODEL LLC
28902 28TH PL S 18320 124TH AVE SE CROWNRL879DL(3/13/15)
FEDERAL WAY WA 98003 RENTON WA 98058 18320 124TH AVE SE
RENTON WA 98058
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
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, November 26, 2013
Permit Issued on Thursday, May 30, 2013
I hereby certify that the above inforMatipn is correct and that the construction on the above described property and
the occupancy and the usewi leji c rdance with the laws, rules and regulations of the State of Washington
d th-.City of Federal Way.
Owner or agent: Date: ._- (- )
0 THIS CARD IS TO MAIN ON-SITE •
` Construction In ection Record
Fedo
eral Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-102358-00-SF Address: 28902 28TH PL S
Project: ASEGID T FESEHA FEDERAL WAY, WA 98003-7902
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 Final-Building(4050)
Approved
By .i Date a )a_ t
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
ore Of PERMIT APPLICATION
Federal Way RECEIVED
1vo1
MAY 302013
PERMIT NUMBER _ 0 (SF�j 5 8-_ � TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
rG G G Z 29r VUX-C-2 S c,,,c4t. c - \ k&)0._ \N NI °I boo-13
-13
PROJECT VALUATION ZONING ASSESSOR'S TA /PARCEL#
$ z6' 'C)0 6 2 61Zt- 5- n _ O I -CCD
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT eSC-V0,s C-e- YNN.-0\\ \ i_,v -
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER � ._S f✓ 1.N C, A S"(� QAJ 1 t (auc) -') i\ 6(o \0
MAILING ADDRESS E-MAIL
\c6'320 \2436. V'sv-e. SE
CITY STATE ZIP
- r) Vv I\ C\(6 6 C 6NAME . PHONE
Q
MAILING ADDRESS n( 1� _ (� E-MAIL
7�y
CONTRACTOR \ j
2 U `7-N '`.r e € CC CA c(-1\7--2 1 m col ko,-1-,
CITY STATE ZIP FAX
V_CkAZ 1J VUR ck&)c-)' b
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CC, C,.Q--iJwNt-LCo1C\VL. '`' / l /\5
NAME r PRIMARY PHONE
C' Y1` - (,',4(-J5?)- -1(68.1
APPLICANT MAILING ADDRESS E-MAIL
\C-6-3W f12 `^ P -t S L A ZIP� Q Q CLct S e-3\2-2-k PrAtl_(cmc
CITY STAE OVVQ TQ1 UCS ? FAX
N PRIMARY PHONE..
PROJECT CONTACT -lid V'\ S C-ix S {'),(A0 b ry,-\.1Cacel
kv,(The individual to receive and MAILING ADDRESS (
•
respond to all correspondence \,b'))-1(-) \-2-4\ G E-MAILCi (,S t). 31 2.--2.lel rnck\\ LGyy,
concerning this application) CITY STATE FAX
NAME OWNER-FINANCED V9-;�
PROJECT FINANCING
Required value of$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 Iaws regulating
construction or environmental Iaws.
I further agree to hold harmless he City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense oft h clai which may be made by any person, including the undersigned, and filed against the city,
but only where such plaint es out -; the relian -of the city, including its officers and employees, upon the accuracy of the
information suppliedIo the •Pr as • . this -•plication.
SIGNATURE:( •
% DATE 54
PRINT NAME: -S
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• 41111
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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.
BATHTUBS(or Tub/Shower Combo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
O
COVERED ENTRY
•
GARAGE ❑ CARPORT 0
describe)
®STING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
b s BIIILDINCi r
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
T E a s x
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application