21-100278-Building Permit Application updated-01-28-2021-V141k
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 #
Lot 1 Lakota XXXXX 30th Av. SW Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 420,000
RS7.2
4 1 6 6 6 0_ 0 4 7 4
TYPE OF PERMIT
V BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
MYJAK RESIDENCE
Construction of a new 2 story approx. 3,349 SF Single family resdidence
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Melanie Myjak
810-515-0684
PROPERTY OWNER
MAILING ADDRESS
1336 Griggs Street
E-MAIL
melanie.myjak@gmail.com
CITY STATE
Dupont WA
ZIP
F98327
NAME
PHONE
Ram Cutoms Builders LLC
206-899-7555
MAILING ADDRESS
E-MAIL
CONTRACTOR
1336 Griggs St
ramcustombuilders001@gmail.com
CITY
STATE
ZIP
FAX
Dupont
WA
98327
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
CCRAMCUCB804R9
12 / 28 /2022
604-666-899
NAME
PRIMARY PHONE
Adam Doubass
APPLICANT
MAILING ADDRESS
2100 S 260th St
E-MAIL
fkconsulting0108@gmail.com
CITY
STATE
ZIP
FAX
Desmoines
WA
98198
NAME
PRIMARY PHONE
PROJECT CONTACT
Adam Doubass
206-899-7555
MAILING ADDRESS
2100 S 260th St
E-MAIL
fkconsulting0108@gmail.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Desmoines
WA
�98198
PROJECT FINANCING
NAME
Mountain Marican Credit Union
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
7181 S Campus View Dr. West Jordan, UT 84084
801-325-0154
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: DATE 01 /27/2021
PRINT NAME: Melanie Myjak
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 9 FANS 5 GAS PIPE OUTLETS N/A OTHER (Describe)
AIR CONDITIONER 1 FIREPLACE INSERTS HOODS (commercial)
0 BOILERS 1 FURNACES HOT WATER TANKS (Gas)
1 COMPRESSORS n_ GAS LOG SETS 1 REFRIGERATION SYST
16_ DUCTING r GAS PIPING 0 WOODSTOVES
PLUMBING
Indicate how many of each type offixture
to be installed or relocated as part of this project. Do not include existiRq fixtures to remain.
2
BATHTUBS (or Tub/shower combo)
4
LAVS (Hand Sinks)
2
TOILETS 0 WATER PIPING
DISHWASHERS
0
RAINWATER SYSTEMS
0
URINALS 0 OTHER (Describe)
DRAINS
2
SHOWERS
0
VACUUM BREAKERS
0
DRINKING FOUNTAINS
2
SINKS (Kitchen/Utility)
1
WATER HEATERS (Electric)
HOSE BIBBS
-()—
SUMPS
�_
WASHING MACHINES 14 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Yes
Tacoma Water
Lakehaven Sewer
Vacant lot no improvement $00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Vacant lot
10,360 SF
❑ Yes v No
NA ❑ 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 $ 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