21-105025-Building Permit Application-12-02-2021-V1PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentergacityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
4155 South 332nd Place
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 105,000
RS9.6
6 1 8 1 4 0_ 0 7 6 0
TYPE OF PERMIT
V BUILDING V PLUMBING V MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Rogers Residential Addition
Add 535 SF of conditioned living space to the 1 st floor including a guest suite and sunroom.
PROJECT DESCRIPTION
Detailed description of work to
Add 129 SF of covered deck space. Remodel existing kitchen and laundry room on 1 st fl.
(Remove approximately 138 SF of existing deck)
be included on this permit only
NAME
PRIMARY PHONE
Brenda and Jeremy Rogers
PROPERTY OWNER
MAILING ADDRESS
4155 South 332nd Place
E-MAIL
jhrogers206@gmail.com
CITY
STATE
ZIP
Federal Way
WA
98001
NAME
PHONE
Master Builders Construction NW
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY 77STATE7
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
The Keimig Associates
253-939-3232
APPLICANT
MAILING ADDRESS
307 D Street SE
E-MAIL
ackeimig@msn.com
CITY
STATE
ZIP
FAX
Auburn
WA
98002
253-735-1309
NAME
PRIMARY PHONE
PROJECT CONTACT
Neil Eugenio, The Keimig Associates
253-939-3232
MAILING ADDRESS
307 D Street SE
E-MAIL
neil.e@comcast.net
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Auburn
WA
98002
253-735-1309
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.
SIGNATURE: DATE 12-01-2021
PRINT NAME: Neil Eugenio
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Pennit Application
MECHANICAL PERMIT $ 1,888
Indicate how many of each type o fixture to be installed or relocated as part of this r*ct. Do not include existinq fixtures to remain.
AIR HANDLING UNITS �® FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) Dual zone mini -split system
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
I
Indicate how many of each tqpe offixture
to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Flood sinks)
TOILETS WATER PIPING
1
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
1
HOSE BIBBS
SUMPS
WASHING MACHINES 5 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
None
Lakehaven Utility Dist.
Federal Way
$ 343,000
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
5,717
❑ Yes v No
❑ Yes ® No
COMMERCIAL - NEWADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
a
Stories
NEW BUILDING,
ADDITION
COMMERCIAL - E EL/ ENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Type
Stories
TENANT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:AHandouts\Pennit Application