22-101377 (2)6/21/22
,,,.,I1:y,7'1 nF.'FI.Ui•,lF'.,'r PERMIT APPLICATION
CITY OF
Federal Way
PERMIT NUMBER 2 2
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
101377-SF _
TARGET DATE
3/25/2022
SITE ADDRESS SUITE/UNIT #
2645 SW 347th Place, federal way, WA
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ 15,000 5029450300
TYPE OF PERMIT
E+PSLDiNG El PLUMBING ❑ MECHANICAL ❑ DEMOLITION El ENGINEERING ❑ FIRE PREVENTION
1
NAME OF PROJECT
CONSTRUCTION 2ND FLOOR ON THE EXISTING GARAGE
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
JOSE ZELAYA
PROPERTY OWNER
MAILING ADDRESS
2645 SW 347th Place
E-MAIL
CITY
FEDERA WAY
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
JORGE MENDOZA
F PRIMARY PHONE
206-501-0320
APPLICANT
MAILING ADDRESS
800 29TH SE G-9
E-MAIL
jcc121862@gmail.com
CITY
AUBURN STATE ZIP 98002
FAX
PROJECT CONTACT
NAME
JOSE ZELAYA
PRIMARY PHONE
206-429-0854
MAILING ADDRESS
2645 SW 347th Place
E-MAIL
josezelaya1982@gmail.com
(The individual to receive and
respond to all correspondence
concerning this application)
CITY FEDERAL WAY STATE, ZIP
ZELAYA VV VV
NAME
FAX
PROJECT FINANCING
ITEOWNER-FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
2645 SW 347Th Place, FEDERAL WAY, WA
2063-429-�Z5�4
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 certlfy that I will comply ivith
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: JMC DATE 3/25/2022
PRINT NAME: JORGE MENDOZA
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 200
Indicate how many of each ttipe of fLxture to be installed or relocated as part of this project. Do not include existirlLqjixtures 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ 3,000
Indicate how magy of each We offLxture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
1 BATHTUBS (or Tab/shower combo)
I LAVS (Hand sinks)
TOILETS
WATERTIPING
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 Squaze Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
[]Yes ❑ No
❑ 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 ❑
SI
OTHER (describe)
Area Totals
EXISTING
1,330
PROPOSED
560
TOTAL
1.890
"NEW HOMES ONLY"*
ESTIMATED SELLING PRICE $ J
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# 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