22-100743-Building Permit Application-01-00-1900-V1DocuSign Envelope ID: E724B2B2-2FBA-4019-ACEA-2DB717B10981
ANN
CITY OF 4✓
Federal Way
PERMIT NUMBER 22 - 100743- SF
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 2 / 30 / 22
SITE ADDRESS
SUITE/UNIT #
31005 39th Ave SW
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$20000.00
Residential
7582000140
TYPE OF PERMIT
X BUILDING ❑ PLUMBING X MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Kitchen and Living Room Remodel. Remove non load -bearing walls
and frame new walls for cabinet design. Remove exterior windows
PROJECT DESCRIPTION
Detailed description of work to
and replace with sliding
door.
be included on this permit only
NAME
PRIMARY PHONE
Jeremy and Kim Howard
253-391-8119
253-391-2688
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
31005 39th Ave SW
kimctmh@comcast.net
CITY
STATE
ZIP
Federal Way
WA
98023
NAME
PHONE
Matthew Kendrick Renovations
405-596-9296
MAILING ADDRESS
E-MAIL
3516 Nassau Ave NE
matt@mkrwa.com
CONTRACTOR
CITY
STATE
ZIP
FAX
Tacoma
WA
98422
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #604-181-455
MATTHKR830PU
0813112022
NAME
PRIMARY PHONE
Matthew Kendrick Renovations
405-596-9296
APPLICANT
MAILING ADDRESS
3516 Nassau Ave NE
E-MAIL
matt@mkrwa.com
CITY
STATE
ZIP
FAX
Tacoma
WA
98422
NAME
PRIMARY PHONE
Matthew Kendrick
405-596-9296
PROJECT CONTACT
MAILING ADDRESS
3516 Nassau Ave NE
E-MAIL
matt(&_mkrwa.com
(The individual to receive and
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
Tacoma
WA
98422
NAME
PROJECT FINANCING
Jeremy and Kim Howard
X OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
When uaiue is $'5,000 or more
(RCW 19.27.095)
31005 39th Ave SW
253-391-8119
Bulletin #100 —February 19, 2020
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k:AHandouts\Permit Application
DocuSign Envelope ID: E724B2B2-2FBA-4019-ACEA-2DB717B10981
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.
/,— DocuSigned by:
SIGNATURE:
PRINT NAME: '�—EFFFEC57952B48B... MattheW Kendrick
2/17/2022
Bulletin #100 —February 19, 2020 Page 2 of 2 k:AHandouts\Permit Application
DocuSign Envelope ID: E724B2B2-2FBA-4019-ACEA-2DB717B10981
MECHANICAL PERMIT
$1000.00
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS 1 FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 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 fhb/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
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
—Yes - No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s)
Square Feet
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 4100 —February 19, 2020 Page 3 of 2 k:\Handouts\Permit Application