22-101815-BOD Remodel Permit Application-4-29-2244k
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: 5/ 1 /2022
SITE ADDRESS
SUITE/UNIT #
37520 19th Way S, Federal Way, WA. 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$5,000
7 2 1 2 6 5 - 1 0 6 0
TYPE OF PERMIT
X BUILDING X PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Bod Residence Basement Bath Remodel
Remodel of existing basement bath (target start date 5/ 1/22):
• Reconfigure existing Basement Bathroom and adjacent storage
PROJECT DESCRIPTION
Detailed description of work to
area, installing all new plumbing according to layout configuration.
Remove exterior wall drywall/insulation and replace with new.
be included on this permit only
NAME
PRIMARY PHONE
Bruce and Tamara Bod
253-740-9354
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
Same as Site Address
bodb2@comcast.net
CITY STATE
ZIP
NAME
PHONE
Self
MAILING ADDRESS
E-MAIL
CONTRACTOR
Same as Site Address
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Bruce Bod
253-740-9354
APPLICANT
MAILING ADDRESS
E-MAIL
Same as Site Address
bodb2(&_comcast.net
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Bruce Bod
253-740-9354
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
Same as Site Address
bodb2@comcast.net
concerning this application)
CITY
STATE
ZIP
FAX
PROJECT FINANCING
NAME
XX 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 a part of this application.
SIGNATURE: DATE 4/29/2022
PRINT NAME: Bruce L Bod
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 existin fixtures 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 offtxture to be installed or relocated as part of this project. Do not include existin rxtures to remain.
BATHTUBS (or Tub/shower combo) 1 LAVS (Hand sinks) 1 TOILETS X WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES 3 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 X No
-Yes X No
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:AHandouts\Permit Application