22-103483-Application-7-30-22RECEIVED
r
JUL 2 9 2022 V
CITY Of, �•- �? CITY OF FEDERAL WAY PERMIT APPLICATION
� r u j ��� � � COMMUNITY DEVELOPA IT CENTER # 3.3325 S'l, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835=22609 pei7:utc:rrltcl�u,it�;nifpeEerahr,rv.ct4an3
PERMIT NUMBER A(� _ ) / / -3_ 11A E
TARGET DATE
SITE AD DRESS SUITE/UNIT H
34815 1st Ave S. Federal Way, Washington 98003 Building 8
PROJECT VALUATION ZONING ASSESSORS TAX/PARCEL N
BC 9 1 2 9 4 0_ 0 0 1 0
TYPE OF PERMIT R1 BUILMNc M PIA NIBIN0, 9 Wf `,C :ANICAL -3 DVNIIJLITRIN, ❑ ❑ Frier PRBVIsNT10N
NAME OF PROJECT Federal Way Mixed Use
PROJECT DESCRIPTION New construction of an approximately 13,392 square foot, 3-story "walk-up" for -rent residential apartment
Detailed desciVtlon of lvorlc to building — PMtjpdM -a-1
be included on this perrnir only
NAME
X Marks the Spot LLC
PRIMARY PHONE
253-333-6789
PROPERTY OWNER
MAILING ADDRESS
2711 W. Valley Hwy N #200
E-MAIL
b'acobsen fnw-inc.com
CITY
Auburn
STATE
WA
ZIP
98001
NAME
FNW, Inc,
PHONE
253-333-6789
E-MAIL
bjacobsen@fnw-inc_com
CONTRACTOR
MAILING ADDRESS
2711 W. Valley H�vy N #200
FAX
CITY STATE ZIP
Auburn WA 98001
WA STATE CONTRACTOR'S LICENSE 4
FNWIN"984BZ
EXPIRATION DATE
/
Unt Y
601-087.607
NAME
Brett Jacobsen
PRIMARY PHO NE
253-333-6789
APPLICANT
WUMNO ADDRESS
2711 W. Vall Hwy N #200
E MAJL
bjacobsen fnw-inc.com
FAX
CITY STATE ZIP
Auburn WA 98001
PROJECT CONTACT
NAME
Ben Childs
PRIMARY PHONE
253-272-4214
lThe itidividual to recele,e and
respond to all corresporldeitce
NAILING ADDRESS
3110 Ruston Way, Suite E
E-nrALL
behilds@gravesassoc.com
FA.X
concerning this applicntiorl1 CITY STATE ZIP
Tacoma WA 98402
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is X.5,000 or more
iR4W 19) j7 C7n5)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that lam the property owner or authorized agent of the property owner. I cert(ftj 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 Federat 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 taws,
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 sugXc�aim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arise- out of the reliance of the city, Including its officers and employees, upon the accuracy of the
Information supplied the pity as a pat of this application.
SIGNATURE: v i)ATryi
PRINT NAME: Bfe
bsen
Bulletin; I100 - Fa-hn:ary 19, 202U P.r e l uk" k; lttuuluuts l'ennil 1pplicruimn
MECHANIC kL PERN,IIT
V,��� m Or,Ller_:-[Affi:Av Wnaic
Indicate how rnan o rlttch tr e A
tMre.to by installed or relocated -part A this Droiect. Donor include existina wtures to rernain.
2 AIR HANDUNI G UNITS
11
rAN'S
1q1A
GAS PfPL•' OUTLETS
1z OTHER (Describe)
30 AIV CONDITIONER
NIA
leIRCPLACr INSERTS
N/A
110ODSi,m, _14
ENERGY RECOVERY_
N/A EiOILLRS
N/A
TURNACLS
N/A
FIVi' WA'i RR TANKS Timul
VENTILATOR
N/A COMPRNSSORS
N/A
OAS LOG sETs
N/A
W-RI EPATION SYST
J DUCTING
N/A
QAS P[PINCr
NIA
w000s'rnvm
PLUMBING PERtiI1T
VAajr or PLwmr.Nc WowI
$ Ili ox
Indicate how mangomangof each A9Pe A L Ixture to be installed or relocated as o tilfS CR' [. DV flog frlcllNlel exrsilrtC wturw to rennin.
18 RA`fFlt'l p5 i�r uy/B nor nbnl 16 "V8 tw—'i {:itM 18 TOILETS
✓ WATGR PIPING
12 DISHWASHERS N/A RAwwATER sysTrws N/A Uli1NALS
OTHER (Dcecribc)
N/A DRAINS N/A SHowpRS ✓ VACUUNt B,REW(ERS
N/A DRINKING FOUNTAINS 12 sIKK9 r¢iuy�rruuniyv 12 WATER I]EATERS
x [LOSE BZ13DS NIA suMpS 12 WASHIN0 MACHIYrS
104 TOTAL rIXTURES
GENERAL hu'ORIVIATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR BLrWER PURVEYOR VALUE OF EXIST KG WROVEN ENTS
Wetlands Lakehaven Lakehaven
EXISTING/PREVIOUS USE LOT SIZE (In Sgtmrn r..0 EXISTING FIRE SPRINKLER SYST£\I^ PROPOSED PtRtf SUPPRESSION 5YOTSM7
Undeveloped 362,576 SF ❑ Yes s� No
Yea Ll No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRSTFWOR (or Wbbiln Horne)
—
SECOND FLOOR
COVERED ENTRY —
DECK
GARAGE ❑ CARPORT ❑
OMER (describe)
&WeT[Ii0 p[2bPnY6D TOTAL
Area Totals
"A'EW HOMES ONLY -
ESTIMATED SM1,W40 PRICE S _ _ J # OF BOOROC)MS
COMME, RCLkL —• NEWADDMON
AREA DESCRIPTION Area in Occupancy Group(s) s Construction 11 of
5 uare Feet p y F]) Type Stories Additional Information
NEW BUILDINGI 13,392 R•2 VB 3
ADDITION
CONME, RCIAL — REItiiODEUTENAN'C INIPROVI IEINTS
AREA DESCRIPTION Area in Construction # of
square Feet Occupancy Group(s) Typa Stories Additional Information
TOTAL BUILDING
TuNANT NREA ONLY
PR03ECT AREA ONLY
1
Bulletin #100 - Pebrw.iry 19, 2020 Page 2 of 2 01landoutsTerniit Application