16-102196City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
Project Name: MESHESHA
Project Address: 28211 28TH AVE S
Building - Single Family
Permit #: 16 -102196 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 111700 0150
Project Description: REM - Convert existing garage into habitable space which consists of adding walls to create
a hallway, bedroom w/closet, utility room, converting powder room to bathroom with (2)
sinks and a bathtub. In the main portion of home the remodel consist of altering existing
powder room by relocating and adding a sink, relocating toilets, adding a walk-in shower.
Convert existing SFR to an Adult Familiy Home.(SEPARATE PERMIT REQUIRED FOR
THE AFH)
Owner
Al2ulicant
Contractor
Lender
MESSAY A MESHESHA
CARMELO N LAVISTE
ALPHA GENERAL
SHEGEN EL MESHESHA
216 NE 175TH ST
CONTRACTING INC
28211 28TH AVE S
SHORELINE WA 98155
ALPHAGC849JK (4/18q
FEDERAL WAY WA 98003
13910 AS WV
LYNNWO 980 7s--]
Census Category: 434 - Residential alt/ A ch e in number of units
Includes: #1 #2<. ' #3 #4
Occupancy Class: R-3
Construction Type: Type V -
Occupancy Load k"LOA
Floor Area . ft. 0 J&w 0 0
X'V 'V A tional Permit Inf ationNew / Additional Sq. Feet - 3rd ....... New / Additional Sq. Feet - Basement...................0
Calculated Structure Valuation .... ......35000.00 Occupancy # 1 - Construction Type........................Type V - B
Mechanical to be In ed?....Yes t Plumbing Work Valuation?....................................1$00
Mechanical WorkValu ............600 Occupancy # 1-Class.............................................R-3
Plumbing to be Included? ..................... Yes Occupancy # 1 - Use ............................................... Residence (1 or 2
family)
"'tq Alumbing Fixtures
L or ji ........... ... ...............` .. 4 Chowers.......................................... 2 Water Closets................................. 2
CONDITIONS:
***SEP TE PERMIIAEQUIRED FOR AFH INSPECTION***
PERMIT EXPIRES Sunday, December 11, 2016
Permit Issued on Tuesday, June 14, 2016
I 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 Washington
and the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
t�ml Way Construction INS ECTION REQnUSESTS: (21O 835-3o�s0�rd
PERMIT #: 16 -102196 -00 -SF Address: 28211 28TH AVE S
Project: MESSAY A MESHESHA FEDERAL WAY, WA 98003-3309
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.
SWM
recon Site tgInitial
Final Erosion Control (4375)
rasionon
Floor Sheathing (4105)
Plumbing Groundwork
Shear Walls (4245)
Approved
Approved to sheath floor
To be done prior to breaking ground
7
rBY
A0proved to cover
By
Date
By
Date
By
Date
0
Underfloor Framing (4285)
Final Erosion Control (4375)
0
Floor Sheathing (4105)
Final - Mechanical (4065)
Shear Walls (4245)
Right of Way _^
Approved
Approved to sheath floor
Approved
By
Approved to install flooring
By Date
Approved to install siding
By
Date
By
By
Date
By
Date
0
Roof Sheathing (4220)
Rough Plumbing (4230) pop
Mecham o gb-in (4165)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
Gas Piping (4125)
Fire/Draft Stops (4095)13
Interim Erosion Control (4370)
Approved to release test
Approved
Approved
By
Date
By
Date
By
Date
E
scbedulieg a Framing inspection;
Plumbing& Mechanical Reug`-in and
top inspections meat be signed -off and
approved. IBC 1®93.4
0 Framing (4120)
Approved to insulate
By Date
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
0
Final Erosion Control (4375)
0
0
Final - Mechanical (4065)
Approved to install mud &tape
Right of Way _^
Approved
Approved
Approved
By
Approved
By Date
By
Date
Date
By
Date
0
Final - Plumbing (4075)
0
Final - Building (4050)
Approved
Right of Way _^
Approved
By
Approved
By
Date
Date
By
Date
Rough pEl Electrical
Final Electrical
Approved
Right of Way _^
Approved
By
Date
By
Date
By
Date
M454t(
wCEIVED
- ►► PERM IPAPPLICATION
CITY OF MAY 0 9 2016
Fe
CENTER + 33325 8'h Avenue South + Federal Way, WA 98003-6325
£ r l
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenteiidcitvoffederalway.com
CDS
PERMIT NUMBER _ I C 2- l l lQ _ S r' („ I
TARGET DATE
SITE ADDRESS SUITE/UNIT#
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
K BUILDING M PLUMBING CvYjV1ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Q& -A.)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME 11 e-S�,�� �+ r _ _ /�y� O -
PRIMARY HONE ry—
PROPERTY OWNER
MAILING ADDRESS
-MAIL
CITY` e J _
I��=►v��0 �/Ft
ST,A-A
ZIP
60
NAME k
L
PHONE
MAI NG AD S rn
-6 • `
E- L
'n X21 ..
CONTRACTOR
CITY� w 11 O
STATE
ZIP
FAIL
WA ST T C CTOR'S LICENSE
EX!PIRATIOk DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
2
6{p PH 3 Z 3 1 s
MAILING AD REs3
ZI /vE
MAIL
APPLICANT
CIT � rL �(�
STATE
ZIP ^ � �
7
FAX
NAMEw
Sa k%-2 a Gi-
PRIMARY PHONE
PROJECT CONTACT
-S Z
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
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 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 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 flied 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.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
PLUMBING PERMIT
Indicate how many of each type offtxture
to be installed or relocated as
part of this project. Do not include existin Ixtures to remain.
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
TOILETS WATER PIPING
DISHWASHERS
$ 66(2-6-0
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing uctures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (caa)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type offtxture
to be installed or relocated as
part of this project. Do not include existin Ixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
y SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kimhen/utility)
WATER HEATERS (Eieea;e)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Jj v ki -e-
LAA D
�- U `]
$ D
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPR EER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
f "�v�C
Q D
❑ Yes No
❑ Yes Y' No
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application