18-104202AL
CITY OF " RECEIVE®
Federal Way
SEP 10 2018
PERMIT APPLICATION
PERmn CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter ad ityoffederalway.com
PERNUT Nvn' m WA
— i P — f�Je TARGET DATE
SITE ADDRESS
SUITE/UNIT #
3633 S 334th Street
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 3,900.00
-6 -A- JLX 3L
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING A FIRE PREVENTION
NAME OF PROJECT
Karnafel Residence
PROJECT DESCRIPTION
Design and installation of a fire sprinkler system per NFPA 13D in a newly constructed single family home.
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM
Dima Kamafel
PRIZAARY PHONE
(253) 736-5256
KAD,1AG ADDRESS
801 11th Street NE
E-EIA>L
dmltrly_2004@hotmail.com
°" Aubum waw ZIP 98002
NAND
Glacier Fire Protection, LLC
PRONE
(253) 501-7558
MAB.DTG ADDRESS
PO Box 7980
E ffiAH
jakeb@glacierfp.com
CONTRACTOR
CITY
Bonney Lake
STATE
WA
ZIP
98391
FAR
N/A
WA STATE CONTRACTOR'S LICENSE #
GLACIFP834MJ
EXPIRATION DATE
12J31/2018
FEDERAL WAY BUSINESS LICENSE #
NAME
Jake Box
PRIBARY PHONE
(307) 251-1701
MAILING ADDRESS
PO Box 7980
E-MAIL
jakeb@giacierfp.com
APPLICANT
CITY STATE ZIP
Bonney Lake IWA 98391
FAX
N/A
PROJECT CONTACT
NAM
Jake Box
PRD ARY PHONE
307) 251-1701
MAMING ADDRESS
PO Box 7980
E-MAIL
jakeb@glacierfp.com
(The individual to receive and
respond to all correspondence
CITY
Bonney Lake
8TATE
WA
ZIP
98391
FAX
N/A
Concerning this application)
PROJECT FINANCING
NAM
Jake Box
B OWNER -FINANCED
When value is $5, 000 or more
(?CW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PO Box 7980 Bonney Lake, WA 98391
PHONE
(307) 251-1701
Z cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. Z certgV that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(& that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. Z understand that the
issuance 4f this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Z 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 -tied 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 apart of this application.
SIGNATURE: DATE 9/6/2018
PRINT NAME: Jake OX
Bulletin # 100 — January 29, 2016 Page I of 2 k:\Handouts\Permit Application
y
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how Many of each gVe offixture to 6e installed or relocated as part of this project. Do not include wds!'2gfktures to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS p—)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
Lakehaven
Additional Information
2,158
2,158
FIRST FLOOR (or Mobile Home)
$
EIUSTn G/PREVIOW UM
Indicate how MMV of each type offixture
to be installed or relocated as
part of this project. Do not include existingfixtures
to remain.
BATHTUBS (o Tb/shower combo)
LAVS (HaadSW.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kft�,on/Urauy)
WATER HEATERS (nedric)
862
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EffiS=G UMnWVZA[MffS
FOR OFFICE USE
Lakehaven
Additional Information
2,158
2,158
FIRST FLOOR (or Mobile Home)
$
EIUSTn G/PREVIOW UM
LOT SIZE (In Sq -ere Peet)
M2MS G FIRE SPR>SEI.ER SYSTEMA
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes a No
® Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTINO
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional Information
2,158
2,158
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
COVERED ENTRY
in
acres t
109
109
#offAdditional
stories
DECK
TOTAL BUILDING
GARAGE B CARPORT ❑
862
862
OTHER (desaibe) covered patio
196
196
Totals
ExismArea
P°°''�
3,325
'"T'
3,325
**NEW HOMMS OALY**
ESTIMATED SELLING PRICE $
# OF BEDROOMS a
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area is
Hare Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BIJE DING
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
in
acres t
O�pancy Group(s)
Construction Type
#offAdditional
stories
Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application