20-104267-SF - Permit Application41k
CITY OF
Federal Way
PERMIT NUMBER 20-104267-SF
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
SITE ADDRESS 33233 36TH AVE SW FEDERAL WAY WA 98023
SUITE/UNIT #
PROJECT VALUATION
ZONING
1099611270
ASSESSOR'S TAX/PARCEL #
$4, 000
TYPE OF PERMIT
❑—> BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
RE -PURPOSED GARAGE
PARTITIONING THE GARAGE TO PUT A LOUNGE
PROJECT DESCRIPTION
WITH A 5X5 SHOWER/BATHROOM
Detailed description of work to
be included on this permit only
USING EXISTING ELECTRICAL & PLUMBING HOOK UPS
LYDIAH GATHARA
PRIMARY PHONE
NAME
206-261-8924
MAILING ADDRESS 33233 36TH AVE SW
E-MAIL
PROPERTY OWNER
LYDIAHG2128@YAHOO. COM
CITY FEDERAL WAY
STATE
ZIP
WA
98023
NAME SELF
PHONE
206-261-8924
MAILING ADDRESS
E-MAIL LYDIAHG2128@YAHOO.COM
CONTRACTOR
CITY STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
LYDIAH GATHARA
PRIMARY PHONE
NAME
206-261-8924
33233 36TH AVE SW
E-MAIL
APPLICANT
MAILING ADDRESS
CITY FEDERAL WAY
STATE
ZIP
FAX
WA
98023
LYDIAH GATHARA
PRIMARY PHONE
PROJECT CONTACT
NAME
206-261-8924
MAILING ADDRESS 33233 36TH AVE SW
E-MAIL
(The individual to receive and
respond to all correspondence
CITY a FEDERAL WAY
STATE
ZIP
FAX
concerning this application)
WA
98023
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 apart of this application.
1ydiaJVathcwa, 11119120
SIGNATURE: DATE
LYDIAH GATHARA
PRINT NAME:
Bulletin #100 —February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type o ixture to be installed or relocated as part of this project. Do not include existin 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
PLUMBING PERMIT
Indicate how many of each type offixture 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) I TOILETS I WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS (kitchen/Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES 4 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ 4,000
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
REGULAR GARAGE
1,740
❑ Yes X NO
❑ Yes ❑ X 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