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22-104893-Application-10-25-2241k 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 SITE ADDRESS SUITE/UNIT # 4129 SW 321 st St Federal Way WA 98023 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 17,325 RS7.2 8 7 3 1 9 6- 0 4 9 0 TYPE OF PERMIT V BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 4129 SW 321 st St PROJECT DESCRIPTION Detailed description of work to Foundation Repair Crew will install 9 helical piles to stabilize only. Crew will patch interior wall crack with be included on this permit only carbon fiber indicated on repair plan NAME PRIMARY PHONE Devinder Singh 425-595-6719 PROPERTY OWNER MAILING ADDRESS E-MAIL 4129 SW 321 st St Permts rrs ecialist.net CITY STATE ZIP Federal Way WA 98023 NAME PHONE R&R Foundation Specialist LLC 425-760-5077 MAILING ADDRESS E-MAIL CONTRACTOR 1611 E Marine View Drive ty-lynn@rrspecialist.net CITY STATE ZIP FAX Everett WA 98201 WA STATE CONTRACTOR'S LICENSE # RRFOUFS829DA EXPIRATION DATE 3 / 1 / 24 UBI # 604 196 960 NAME PRIMARY PHONE Ty -Lynn Hespe 425-293-3460 MAILING ADDRESS 1611 E Marine View Drive E-MAIL ty-lynn@rrspecialist.net APPLICANT CITY STATE ZIP FAX Everett �wa 98201 NAME PRIMARY PHONE PROJECT CONTACT Ty -Lynn Hespe 425-293-3460 MAILING ADDRESS 1611 E Marine View Drive E-MAIL ty-lynn@rrspecialist.net (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) Everett �wa 98201 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 a pa(rttof this application. SIGNATURE: /i{' �/ // DATE 10/25/22 PRINT NAME: Ty -Lynn Hespe 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 None $ EXISTING/PREVIOUS USE LOT SIZE (In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Residential 8,835 sqft ❑ Yes v No ❑ Yes v No RESIDENTIAL -NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT 800 ............................................................................................................................... FIRST FLOOR (or Mobile Home) 1,460 ............................................................................................................................... SECOND FLOOR ............................................................................................................................... COVERED ENTRY ............................................................................................................................... DECK 140 ............................................................................................................................... GARAGE ® CARPORT ❑ 480 ............................................................................................................................... OTHER (describe) Area Totals EXISTING 1780 PROPOSED TOTAL ............................................................................................................................... **NEW HOMES ONLY** ESTIMATED SELLING PRICE $ # 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