21-105382-Building Permit Application-12-28-2021-V1PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
31653 36TH AVE SW, FEDERAL WAY, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$100,000
RS7.2
s 3 1 9 8 - o s 6 0
TYPE OF PERMIT
td BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
CHENEY ADDITION
PROJECT DESCRIPTION
460 SF addition to existing single family residence
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Kristin Cheney
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
31653 36TH AVE SW
kcheney(i),seattleu.edu
CITY
STATE
ZIP
Federal Way
WA
98023
NAME
PHONE
TBD
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Jacob Strobl
206-661-3622
APPLICANT
MAILING ADDRESS
E-MAIL
1122 N J ST
jacob(astrobldesign.com
CITY
STATE
ZIP
FAX
Tacoma
WA
98403
NAME
PRIMARY PHONE
PROJECT CONTACT
Jacob Strobl
206-661-3622
MAILING ADDRESS
1122 N J ST
E-MAIL
jacob(a.strobldesign.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Tacoma
WA
98403
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 suppi this application.
SIGNATURE: _ _ _ DATE 12/23/2021
PRINT NAME: Jacob Strobl
Bulletin #100 -February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL ANICAL E IT
$8,000
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
X OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
Heat pump_
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
Indicate how many of each type offix re to be installed or relocated as part of this project. Do not include existing fixtures 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 (ei—nic)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
NO
$500,000
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER
PROPOSED FIRE SUPPRESSION SYSTEM?
Single Family House
8,000
SYSTEM?
❑ Yes ❑X No
o Yes a No
COMMERCIAL — NEWADDITION
Area in
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
Square Feet
Type
Stories
NEW BUILDING
ADDITION
COMMERCIAL — REMODEUTENANT 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\Permit Application