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22-100390 Permit application41k CITY OF Federal Way PERMIT 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 1 /22/2022 SITE ADDRESS SUITE/UNIT # 32624 39th pl federal way wa 98023 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 7,000 8 7 3 1 9 5 _ 1 6 7 0 TYPE OF PERMIT] BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT robert house project we will convert dining room and add a wall to divides ace and convert to bedroom PROJECT DESCRIPTION Detailed description of work to walk way with hand railings be included on this permit only NAME PRIMARY PHONE robert PROPERTY OWNER MAILING ADDRESS E-MAIL 32624 39th pl federal way wa 98023 CITY STATE ZIP federal way wa 98023 NAME PHONE luis 2532245102 MAILING ADDRESS E-MAIL CONTRACTOR 4428 country club dr joseacosta588Rgmail.com CITY STATE ZIP FAX tacoma wa 98422 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI # 9 / 31 / 22 604148898 NAME luis PRIMARY PHONE 2532245102 APPLICANT MAILING ADDRESS 4428 count club dr E-MAIL joseacosta588@gmail.com CITY STATE ZIP FAX tacoma wa 98422 PROJECT CONTACT NAME lugs PRIMARY PHONE 2532245102 MAILING ADDRESS 4428 country club dr E-MAIL joseacosta588@gmail.com (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) tacoma wa 98422 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 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 a part of this application. SIGNATURE: 'J O 5DATE 2/ 24/ 22 PRINT NAME: _Jose Acosta Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiggfixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) no mechanical work 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 offixture to be installed or relocated as part of this project. Do not include existin fixtures to remain. BATHTUBS (or Tub/shower combo) LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS no pluming work 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 lake heaven lake heaven 7,000 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) ............................................................................................................................... SECOND FLOOR ............................................................................................................................... COVERED ENTRY ............................................................................................................................... DECK ............................................................................................................................... GARAGE ❑ CARPORT ❑ ............................................................................................................................... OTHER (describe) ............................................................................................................................... Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application