21-100593-SF-Building Permit Application-02-17-2021-V141k
CITY OF
Federal Way
PERMIT NUMBER 2 1
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterLcityoffederalway.com
_ 1 0 0 5 9 3_ S F
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
30440 28th Ave S, Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$196,655.75
0 9 2 1 0 4_ 9 2 5 9
TYPE OF PERMIT
ffBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Kalepo Fire
Remove and replace interior finishes & fixtures at main & attic, ceiling at basement.
PROJECT DESCRIPTION
Detailed description of work to
Interior remodel at master bathroom. Reframed damaged exterior/interior walls
Structural upgrades as required per plans.
be included on this permit only
NAME
Togamau Kalepo
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
30440 28th Ave S
E-MAIL
CITY
STATE
ZIP
Federal Wa
IWA
98003
NAME RestorX of Washington
PHONE 253-249-0040
MAILING ADDRESS
1307 West Valley Hwy N, Ste 107
E-MAIL
david@restorxdki.com
CONTRACTOR
CITY
Auburn
STATE
WA
ZIP
98001
FAX 253-249-0046
WA STATE CONTRACTOR'S LICENSE #
RESTOW*916LK
EXPIRATION DATE
10 / 14 / 21
UBI #
600 385 739
NAME
Jesse Binford
PRIMARY PHONE
253-833-5557
APPLICANT
MAILING ADDRESS
3605 C St NE
E-MAIL
jbinford@bcie.net
CITY
STATE
ZIP
FAX
Auburn
�WA
98002
PROJECT CONTACT
NAME
See appliant
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAMEn/a - insured loss
❑ 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.
Digitally signed by Jesse Binford
Jesse Binford DN cn=Jesse Binford, Investigative Engineers, ou,
t, c
email=jbinford@bcie.net=U6 02-27-2 1
SIGNATURE: Date: mzi.oz.i 7 i t a Ba e-os'oo' DATE
7
PRINT NAME: Jesse Binford
Bulletin # 100 —February 19, 2020 Pagel of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type of Lxture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS 4 FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS —� FURNACES 1 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.
2 BATHTUBS (or Tub/shower combo) 2 LAVS (Hand sinks) 2 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
Lakehaven
Lakehaven
$249,000
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
SFR
8,320
❑ Yes EXNo
❑ Yes XNo
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
360
360
FIRST FLOOR (or Mobile Home)
1,620
1,620
SECOND FLOOR
420
420
COVERED ENTRY
DECK
GARAGE X CARPORT ❑
400
400
OTHER (describe)
Area Totals
EXISTING
2,800
PROPOSED
TOTAL
2,800
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $
# 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