23-100692-Permit Application-3.1.2341k
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 #
123 S 363rd PI
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 6,825
RS15.0
1 1 3 7 8 0- 0 0 6 0
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
123 S 363rd PI
Foundation Repair
PROJECT DESCRIPTION
Detailed description of work to
Crew will install 3" Helical Piles and lift home to maximum practical recovery.
be included on this permit only
NAME
PRIMARY PHONE
Tod Byquist
425-760-5077
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
123 S 363rd PI
Permits@rrspecialist.net
CITY
Fesderal Way
STATE
WA
ZIP
98003
NAME
PHONE
R&R Foundation Specialist
425-293-3460
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 #
EXPIRATION DATE
UBI #
RRFOUFS829DA
3 1 / 24
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
PROJECT CONTACT
NAME
Ty -Lynn Hespe
PRIMARY PHONE
425-293-3460
MAILING ADDRESS
1611 E Marine View Dr Everett, WA 98201
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
roof this application.
information supplied to the city as apart
SIGNATURE: /�—%/ — DATE 2/25/23
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
Water District
Public
No
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Residential
34,691
❑ 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 ❑
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ 1 # 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