22-104457-Application-01.06.23CITY 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 _ -I- _LL __4_ _-4- ___5 _Z _ & _F_ TARGET DATE
SITE ADDRESS
SUITE/UNIT #
33913 12th PI Sw Federal Way
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ $14,000
9 5 7 8 1 4- 0 1 4 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Patio Roof
Construct roof for back pation
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Tim Nemethy
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
33913 12TH PL SW
tnemethy@msn.com
CITY
STATE
ZIP
Federal Way
Wa.
98023
NAME
PHONE
Construction Kings
253-263-3384
MAILING ADDRESS
E-MAIL
CONTRACTOR
8002 211TH Ave East
boneyyardbbq@gmail.com
CITY
STATE
ZIP
FAX
Bonney Lake
Wa.
98023
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
CC CONSTK781 LB
604-922-103
NAME
PRIMARY PHONE
Pacific Northwest Design and Build
253 466 3862
MAILING ADDRESS
15209 84th Ave Ct E.
E-MAIL
bpeck@pnwdb.com
APPLICANT
CITY
STATE
ZIP
FAX
Puyalluip
Wa
98375
NAME
PRIMARY PHONE
PROJECT CONTACT
Brenda Peck
541-243-3862
MAILING ADDRESS
Same as above
E-MAIL
bpeck@pnwdb.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
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.
SIGNATURE: �� %'OC/P� DATE 01.06.2023
PRINT NAME: Brenda D Peck
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
No
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes v No
❑ Yes v No
2 558sf
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
1,070
...............................................................................................................................
SECOND FLOOR
1,488
COVERED ENTRY
150
DECK
...............................................................................................................................
GARAGE ❑ CARPORT ❑
500
...............................................................................................................................
OTHER (describe) Patio Roof
374
Area Totals
EXISTING
3,208
PROPOSED
374
TOTAL
3,582
...............................................................................................................................
**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