19-102372City or Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax, (253) 835-2609
Project Name: A BEST CHOICE CARE LLC
Project Address: 30621 4TH PL S
Project Description: ADD- Construction of a new ADA ramp at exit door,
Building - Single Family
Permit #:19-102372-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 241330 0800
Owner
Applicant
Contractor
Lender
SULTANU CHECKOLE
SULTANU CHECKOLE
OWNER IS CONTRACTOR
OWNER IS LENDER
30621 4TH PL S
30621 4TH PL S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
# 1
#2
443
44
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
- Wrw 1,
'Ad a Permit Info01611
dr1
Mechanical to be Included?..................................� Nilmtones.................... 0
Is this an Online or 0. '.61ppli
n ie�li?.................. NO Plumbing to be Included? ...................... ......._......... No
Total Valuation: 1.Uf1U.0
No Fixtures noated With This Permit H
1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, 11 November, 2019
Permit Issued on Wednesday, May 15, 2019
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 a � Date:
O agent: g
_4%� THIS CA11D IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PUI MIT #: 19 102372 00 Address: 30621 4TH PL S
Project: ALEMACH MOGES DESI FEDERAL WAY WA 98003-4043
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. lnspeetiaus arc 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 inspeciion scquence. On -going inspections are logged on the back of this card.
IT
Footings/Setback (4110)
Approved to place concrete
By
Date
Q
Final - Building (4050)
Approved
By
Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in
and Fire/Draft Stop inspections must be signed -
off and approved. 113C 109.3.4
0 Framing (4120)
Approved to insulate
By Z�O Date
Final Electrical
Right Way
Apprroo ved
Rough Electrical
Approved
Approved
BY
Date
lid Date
By
Date
V;Z�L
Federal Way
1%
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 30,Lz PERMIT#: 2- b -no
D►�'a •t
1A % 1 ! / { i le J Ara /k A /a' j_
._ I n S �Or'r•. �I �
IF YOU HAVE QUESTIONS CALL Zy"O'qa'ld
(253) 835- �
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
RECEIVE[
CITY OF 'A
Federal Way
MAY 15 2019 PERMIT APPLICATION
CITY OF FEUEPAL WAY PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
COMMUNI`Y DEVELOPMENT 253-835-2607 + FAX 253-835-2609 + permitccnterac_tyn(FCderalwzy_com
PERMIT NUMBER I 9 _ I
3 3 2- S T TARGET DATE
SITE ADDRESS SVITE(UNIT d
0,6p ( 4 0
PROJECT VALUATION ZONING ASSESSOR'S TAXIPARCEL #
19-0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5, 000 or more
(RCW 19.27.095)
NAME
T�Lilf[iADt>•6E88��
., Si '
CITY p
NAME �"j
MAILING ADDRESS �i�
CITY
WA STATE CONTRACTOR'S LICENSE #
NAME I
cA ►,� LA
MAILING ADDRESS
�>a61y�t 4
CITY
I
NAME
MAILING ADDRESS
CITY
NAME
MAILING ADDRESS, CITY, STATE, ZIP
STATE I ZIP
STATE
ZIP
EXPIRATION DATE
STATE ZIP
` Lvf�
�?3
STATE l ZIP
PRIMARY PHONE
-2ts,? 4 7
E-MAIL
PHONE
E-MAIL
FAX
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
FAX
PRIMARY PHONE
E-MAIL
FAX
OWNER -FINANCED
PHONE
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 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. /'T�p
SIGNATURE: +•— (:: _�4 6- DATE
PRINT NAME: J tC. f'U-j C \��
Bulletin #100 —January 29, 2016 Page I of 2 k:\Handouts\Permit Application