20-101813-Building Permit Application-05-05-2020-V1_� PERMIT APPLICATION
CITY OF �'
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
PERMIT NUMBER 20- 101813 -
— — — — TARGET DATE
SITE ADDRESS
SUITE/UNIT #
28XX SW 302ND PLACE (ADDRESS NOT YET ASSIGNED)
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$1,300,000.00
RS7.2
4 1 6 6 6 O - O 4 4 1
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
STRANDBERG RESIDENCE
CONSTRUCT NEW SFR AND SITE WORK ON UNDEVELOPED LOT,
PROJECT DESCRIPTION
Detailed description of work to
FOR USE AS PRIMARY RESIDENCE BY PROPERTY OWNER
be included on this permit only
NAME
PRIMARY PHONE
SCOTT & SUSAN STRANDBERG
206-459-4669
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
6509 SOUTH HAZEL STREET
scottstrandberg66(iicomcast.net
CITY
STATE
ZIP
SEATTLE
WA
98178
NAME
PHONE
AXIOM DESIGN BUILD
206-283-9535
MAILING ADDRESS
E-MAIL
CONTRACTOR
5424 BALLARD AVE NW, SUITE 204
CMILLER(WAXIOMDESIGNBUILD.COM
CITY
STATE
ZIP
FAX
SEATTLE
WA
98107
206
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
AXIOMCLO02MO
8/22/2021
602-041-210
NAME
PRIMARY PHONE
COLIN MILLER
206-283-9535
APPLICANT
MAILING ADDRESS
E-MAIL
5424 BALLARD AVE NW, SUITE 204
CMILLER(&,AXIOMDESIGNBUILD.COM
CITY
STATE
ZIP
FAX
SEATTLE
WA
98107
NAME
PRIMARY PHONE
PROJECT CONTACT
COLIN MILLER
206-283-9535
MAILING ADDRESS
5424 BALLARD AVE NW, SUITE 204
E-MAIL
CMILLER(WAXIOMDESIGNBUILD.COM
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
SEATTLE
WA
98107
PROJECT FINANCING
NAME
X 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
othe�city as a�%paa�rt of this application.
W4&11'
SIGNATURE: � ^"ey`tht'DATE 5/5/2020
PRINT NAME: COLIN MILLER
Bulletin #100 - February 19, 2020 Page] 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 existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (cmarai,d)
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 existing ftxtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Fi,,t,i,,)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
YES - STEEP SLOPE >40%
TACOMA
LAKERAVEN
$_0
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
VACANT
32,827 SF
Ei Yes Eix No
E: Yes Eix No
COMMERCIAL - NEWADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Type
Stories
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area in
Construction
# of
AREA DESCRIPTION
Square Feet
Occupancy Group(s)
I Tvve
Stories
Additional Information
I
TENANT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Pen-nit Application