22-105699CITY OFVZN�61 PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
PERMIT NUMBER 2 2- 1 0 5 6 9 9- S F
TARGET DATE
SITE ADDRESS
1247 SW 296TH ST 98023
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 30,975
RS 15.0
5 1 5 3 2 0_ 0 0 3 0
TYPE OF PERMIT
® BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Taylor Deck Project
We are contracted to build a 350 SF ground level deck and a 224 SF
PROJECT DESCRIPTION
Detailed description of work to
Pergola attached to the back of the residence.
be included on this permit only
NAME
Bruce Taylor
PRIMARY PHONE
702-285-8250
PROPERTY OWNER
MAILING ADDRESS 1247 SW 296ty ST
(1 11 1
E-MAIL
bta oleunl o@ mail.co
CITY Federal Way
U I
STATE
WA
ZIP
98023
NAME Masterdecks LLC
PHONE
MAILING ADDRESS 16910 59th AVE NE #215
permit@proadminservlces.net
CONTRACTOR
CITY
Arlington
STATE
WA
ZIP
98223
FAX
WA STATE CONTRACTOR'S LICENSE #
MASTEL*836BZ
EXPIRATION DATE
1 / 17 23
UBI #
604-042-104
NAME
Tara Kaddoura
PRIMARY PHONE
425-919-8416
APPLICANT
MAILING ADDRESS 16910 59th AVE NE #215
E-MAIL
permit@proadminservices.net
CITY
Arlington
STATE
WA
ZIP
98223
FAX
PROJECT CONTACT
NAME Tara Kaddoura
PRIMARY PHONE
425-919-8416
MAILING ADDRESS 16910 59th AVE NE #215
E-MAIL
permit@proadminservices.net
(The individual to receive and
respond to all correspondence
CITY Arlin ton
g
STATE
WA
ZIP
98223
FAX
concerning this application)
PROJECT FINANCING
NAME
❑x 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.
SIGNATURE: �G�� / IGGiiBU/2�ti DATE 12/ 12/22
PRINT NAME: —Tara Kaddoura
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT N/A $
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 N/A $
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
NO
Lakehaven Water
Lakehaven Water
and Sewer District
and Sewer District
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
SFR
15000
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
820
820
FIRST FLOOR (or Mobile Home)
1870
�7
1870
0
SECOND FLOOR
...............................................................................................................................
COVERED ENTRY
0
...............................................................................................................................
DECK
540
350
350
...............................................................................................................................
GARAGE EX CARPORT ❑
730
730
...............................................................................................................................
OTHER (describe)
220
220
...............................................................................................................................
Area Totals
3E�G
P570
TOTAL
3990
...............................................................................................................................
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
# 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