22-101517-SF- Permit Application- 04-07-2022PERMIT 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 6/2022
SITE ADDRESS
SUITE/UNIT #
833 S Dash Point Rd. Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 34,820.00
0521049169 -
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
022-106 833 S Dash Point Rd
Voluntary repair to existing foundation
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Jeffery Morris
425-496-9942
PROPERTY OWNER
MAILING ADDRESS
833 S Dash Point Rd.
E-MAIL
jcraigmorris@gmail.com
CITY
STATE
ZIP
Federal Way
IWA
98003
NAME
PHONE
RAM Jack West
541-520-3690
MAILING ADDRESS
E-MAIL
CONTRACTOR
Po box 11701
nikkie@ramjackwest.com
CITY
STATE
ZIP
FAX
Eugene
�OR
97440
541-520-3690
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
RAMJAW*852PW
04/ 30 /29
603499720
NAME
PRIMARY PHONE
Nikkie Grissom
541-520-3690
APPLICANT
MAILING ADDRESS
Po Box 11701
E-MAIL
nikkie@ramjackwest.com
CITY
STATE
ZIP
FAX
Eugene
OR
97440
541-688-4991
NAME
PRIMARY PHONE
PROJECT CONTACT
Nikkie Grissom
541-520-3690
MAILING ADDRESS
Same
E-MAIL
(The individual to receive and
respond to all correspondence
CITY 77STATE
ZIP
FAX
concerning this application)
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: Nlkkle Grissom DATE 4/7/2022
PRINT NAME: Nikkie Grissom
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Pennit Application
MECHANICAL ANICAL E IT
Indicate how many of each type o fixture to be installed or relocated as part of this r*ct. Do not include existing 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
I
Indicate how many of each (tjpe offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Fund sinks)
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
Foundation
Public
Public
$ sa,820.00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Residental
0,2j
❑ Yes v No
❑ Yes v 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