20-101603-Building Permit Application-05-06-2020-V1Authentisign ID: B 5F4411B99A38B36B5F3F=3C5
CITY OF PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal ay 253-835-2607 + FAX 253-835-2609 + permitcenter(a)citvoffederalway.com
PERMIT NUMBER _Z0_ _ - —1— 0_ 1— 6_ 0_ 3_ - S_ F_ T ARGET DATE 05/10/2020
SITE ADDRESS
SUITE/UNIT #
2014 SW 306th Ln, Federal Way WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 210,000
SFR
1 2 2 1 0 3- 9 1 5 4
TYPE OF PERMIT
12� BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Fortney at Federal Way
To reconstruct an existing burned house using the existing foundation.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Addai Investment Group LLC
206-979-0166
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
P O Box 25
ajacks777@gmail.com
CITY
STATE
ZIP
Kirkland
WA
98083-0025
NAME
PHONE
Fortney Homes LLC
206-979-0166
MAILING ADDRESS
E-MAIL
CONTRACTOR
P O Box 25
ajacks777@gmail.com
CITY
STATE
ZIP
FAX
Kirkland
WA
98083-0025
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
Same as Contractor
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Sam Addai
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
Same as owner's address
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
Addai Investment Group LLC
CR OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
(RCW 19.27.095)
P O Box 25, Kirkland WA 98083-0025
206-979-016P6IONE
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.
Authenli 04/15/2020
FW1
SIGNATURE: F 4RWDATE
PRINT NAME: .19 Ald PDT
Bulletin #100 -January 29, 2016 Page 1 of 2 k:AHandouts\Permit Application
Authentisign ID: 7FB8CDCD-355F-4DBD-A85B-995F9E0244C5
Cr�
MECHANICAL PERMIT $ 4500
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 4 GAS PIPE OUTLETS OTHER (Describe)
1 AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS 1 FURNACES 1 HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING 1 GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type offtxture to be installed or relocated as part of this project. Do not include existing ixtures to remain.
BATHTUBS (or Tub/shower combo) 4 LAVS (I[and sinks) 4 TOILETS WATER PIPING
1 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 2 SINKS (Kitchen/utility) WATER HEATERS (Electric)
2 HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Lakehaven Water Dist
Lakehaven Sewer Dist
$ 0.00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
SFR
18730
❑ Yes X No
❑ Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
N/A
N/A
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
1145
1145
SECOND FLOOR
1110
1110
COVERED ENTRY
80
80
...............................................................................................................................
DECK
N/A
...............................................................................................................................
GARAGE C( CARPORT ❑
600
600
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals
EXISTING
NIA
PROPOSED
29352
TOTAL
...............................................................................................................................
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ 415,000
# OF BEDROOMS 3
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s)
Square Feet
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
PIN
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\-Iandouts\Permit Application