21-105273-Building Permit Application-02-08-2022-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 1 / 04 / 22
SITE ADDRESS
SUITE/UNIT #
1114 SW 296th St. Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 10,000
1196004790 _
TYPE OF PERMIT
D%UILDING ❑PLUMBING ❑ M ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Davies - Basement Wall
Remove load bearing wall and install beam to open room in
PROJECT DESCRIPTION
Basement. Relocate doorway to existing room.
Detailed description of work to
be included on this permit only
NAME Jennifer Davies
PRIMARY PHONE
310-955-8974
PROPERTY OWNER
MAII`iNf.�1D, ISM 296th Street
E-MAIL
nydavies03@gmail.co
CITY
WWay
STATE
SWA
Z1P98023
NAME
Angell Construction
PHONE
2O6-227-1958
MAILING ADDRESS
E-MAIL
5939 34th Ave SW
jeffersonangell@gmail.co
CONTRACTOR
CITY
Seattle
�/
ZIP 98126
FAX
WA STATE CONTRACTOR'S LICENSE #
ANGELCL851BE
EXPIRATION DATE
UBI # 603-462-532
NAME Glee Nelson /Angell Construction
j -1855
APPLICANT
MAILING ADDRESS
5939 34th Ave SW
E-MAIL
gleemnelson@gmail.com
CITYSeattle
STATE
ZIP
FAX
WA
98126
NAME Glee Nelson
"TT-MT1855
PROJECT CONTACT
MAILING ADDRESS
5939 34th Ave SW
MAIL
gemnelson@gmail.com
e
(The individual t0 YCCellle and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
seattle
WA
98126
PROJECT FINANCING
NAME
EX 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.
12/13/21
SIGNATURE: DATE
Glee Nelson
PRINT NAME:
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Pennit Application
VALUE OF MECHANICAL WORK
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
PLUMBING PERMIT
VALUE OF PLUMBING WORK
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)
—
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
0 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ 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