21-105250A�
CITY OF -y'
Federal Way
DEC 13 2021 PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenteri cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER 6� 4 _ 1 0 -5 SA -S _Q _ M
_�L TARGET DATE
SITE ADDRESS
SUITE/UNIT #
2524 S 317th St Federal Way, WA 98003
304
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 18384.00
1 5 4 1 8 0- 0 0 0 Q
TYPE OF PERMIT
p[J BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Johnson- (4)Windows & (1)Patio door like for like replacement
We will be replacing (4) windows (1) Patio Door in a like for like sizing manner, no structural modifications to be made. Windows will be installed as a
PROJECT DESCRIPTION
Detailed description of work to
nail flange application and to be plumb, level and square. Flanges to be covered with roll tape flashing and head flashing required. All exterior trim to be
caulked to siding and windows using exterior grade caulking. Sealed to exterior. New windows and door to be OF 0.29 or better
be included on this permit only
NAME
PRIMARY PHONE
Keyaunna Johnson
206-965-0055
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
2524 S 317th St
AUNNAK GMAIL.COM
CITY
Federal Way
STATE ZIP
WA 98003
NAME
PHONE
NW Extreme Installers INC
MAILING ADDRESS
E-MAIL
CONTRACTOR
8800 SE Sunnyside Rd Suite 315 S
CITY
STATE
ZIP
FAX
Clackamas
IOR
97015
WA STATE CONTRACTOR'S LICENSE #
NWEXTE1882NL
EXPIRATION DATE
08/13 ,2022
UBI #
603 229 148
NAME
PRIMARY PHONE
Megan Champagne
971-348-3058
APPLICANT
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315 S
E-MAIL
permitting@premierservicegrp.com
CITY
STATE
ZIP
FAX
Clackamas
OR
97015
NAME
PRIMARY PHONE
PROJECT CONTACT
Megan Champagne
971-348-3058
MAILING ADDRESS
8800 SE Sunnyside Rd Suite 315 S
E-MAIL
permitting@premierservicegrp.c
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Clackamas
IOR
97015
PROJECT FINANCING
NAME
NSA
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
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.
SIGNATURE: _ DATE 12/13/2021
rT%
PRINT NAME: Megan Champagne
M
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Randouts\Permit Application