22-103083-Permit Application-7-13-202241k
CITY OF
Federal Way
PERMIT 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 8/15/2022
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 15000
5151800020 _
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Steppe Bathroom
Reformatting room to build larger shower. Remodel of existing bathroom to expand shower and
PROJECT DESCRIPTION
Detailed description of work to
closet
be included on this permit only
NAME
PRIMARY PHONE
Christian and Vanessa Steppe
PROPERTY OWNER
MAILING ADDRESS
29505 11TH PLACE SOUTH, FEDERAL WAY, WASHINGTON, 98003,
E-MAIL
UNITED STATES
CITY
STATE
ZIP
NAME
PHONE
Broussard Home Services
3605090280
MAILING ADDRESS
E-MAIL
CONTRACTOR
9909 Canyon Road E
phillip@broussard-homes.com
CITY
STATE
ZIP
FAX
Puyallup
WA
98373
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
07 15 2023
UBI #
603032608
NAME Same as contractor
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME Same as Contractor
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
NAME
PROJECT FINANCING
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 a part of this application.
SIGNATURE: G!�GlG� G/f/v DATE 4�f ,4,nn
� -1U7Z
PRINT NAME: — Ph'11'r) Broussard
Bulletin #100 -February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each hipe o Lxture to be installed or relocated as part of this project. Do not include existinqfimtures 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 existin fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
1 DRAINS
1 SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
2 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
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
Yes 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 $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# 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\Pennit Application