22-103869-SF41k
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 #
29609 18TH AVE S, Federal Way, WA. 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 90,000
RS7.2
3 6 7 4 4 0 _ 0 0 1 5
TYPE OF PERMIT
x❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Carcamo Pena Residence
Adding two sleeping rooms and office, increasing kitchen and dining areas to accomodate
PROJECT DESCRIPTION
Detailed description of work to
family, adding one bathroom.
be included on this permit only
NAME
Eleodoro Pena
PRIMARY PHONE
206.708.9427
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
29609 18TH AVE S
celina78b@gmail.com
CITY
Federal Way
STATE
WA
ZIP
98003
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Eleodoro Pena
APPLICANT
MAILING ADDRESS
29609 18TH AVE S
E-MAIL
CITY
Federal Way
STATE
WA
ZIP
98003
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Nohemi Soto
425.306.2122
MAILING ADDRESS
17742 112th ave se
E-MAIL
nohemis@soje-designs.com
(The individual t0 r2C21U2 and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Renton
WA
98055
425.749.7710
PROJECT FINANCING
NAMESelf
❑ 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: �btd DATE 08.19.22
PRINT NAME: Nohemi Soto
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type of fixture 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.
1 BATHTUBS (or Tub/Shower combo) LAVS (Hand Sinks) 1 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 1 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
None
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes d( No
❑ Yes ❑ No
10,440
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
n/a
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
510
665
1,175
...............................................................................................................................
SECOND FLOOR
n/a
COVERED ENTRY
DECK
340
0
0
...............................................................................................................................
GARAGE ❑ CARPORT ❑
290
0
290
...............................................................................................................................
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