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22-102824-Permit Application-6-20-2241k CITY OF Federal Way PERMIT NUMBER _ PERMIT APPLICATION PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com TARGET DATE SITE ADDRESS SUITE/UNIT # 28944 11 th PI S PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 25,000 720570-0080 TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Bathroom remodel Remodel two bathrooms on main floor, add door in existing interior wall, add pony wall. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE Diane Webb and John Willmore 253-529-7853 PROPERTY OWNER MAILING ADDRESS E-MAIL 28944 11 th PI S m mt bizint.com CITY STATE ZIP Federal Way IWA 98003 NAME PHONE John Willmore (OWNER) 949-295-8248 MAILING ADDRESS E-MAIL CONTRACTOR 28944 11 th PI S jaws@bizcharts.com CITY STATE ZIP FAX Federal way WA 98003 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI # OWNER NAME PRIMARY PHONE John Willmore 253-529-7853 APPLICANT MAILING ADDRESS 28944 11 th PI S E-MAIL mgmt@bizint.com CITY STATE ZIP FAX Federal Way WA 98003 NAME PRIMARY PHONE PROJECT CONTACT John Willmore 949-295-8248 MAILING ADDRESS 28944 11 th PI S E-MAIL mgmt@bizint.com (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) Federal Way WA 98003 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. � r SIGNATURE: DATE 6/20/2022 PRINT NAME: John Willmore Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application MECHANICAL PERMIT Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiggfixtures 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 Indicate how many of each type offixture 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 (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS Lakehaven Septic $ EXISTING/PREVIOUS USE LOT SIZE (In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Residential 13259 ❑ Yes V No ❑ Yes v No RESIDENTIAL -NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ............................................................................................................................... BASEMENT ............................................................................................................................... FIRST FLOOR (or Mobile Home) ............................................................................................................................... SECOND FLOOR ............................................................................................................................... COVERED ENTRY ............................................................................................................................... DECK ............................................................................................................................... GARAGE ❑ CARPORT ❑ ............................................................................................................................... OTHER (describe) ............................................................................................................................... Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) 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 TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application