18-101023 1
„A, RECEIVED PERMIT APPLICATION
CITY OF
Federal Way MAR 07 2018 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenterlu;citvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT C
PERMIT NUMBER e - I 0 ,102,- 3 - 6 r TARGET DATE 'Kr/z/ /g
SITE ADDRESS SUITE/UNIT M
1430 S.W. 352nd Ct .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 200, 000 RS7 .2 5 0 2 8 6 0 - 0 4 6 0
TYPE OF PERMIT ® BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Mar Residence - Fire Damage Repair
Fire damage repair to an existing single family residence.
PROJECT DESCRIPTION Repairs include: Partial roof removal & replacement, Finish
Detailed description of work to P P
be included on this permit only removal & replacement and removal & replacement of windows
& doors per plan.
NAME PRIMARY PHONE
Bruce & Tamar Mar 206-724-2242
PROPERTY OWNER MAILING ADDRESS E-MAIL
1430 S .W. 352nd Ct.
CITY STATE ZIP
Federal Way WA 98023
NAME PHONE
Tom Canty-Belfor Property Restoration 206-632-0800
MAILING ADDRESS E-MAIL
CONTRACTOR 4320 S. 131st Pl., #100 tom.canty@us.belfor.com
CITY STATE ZIP FAX
Seattle WA 98168
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
BELFOUG99OBJ 12 / 20 / 18 20-01-103947-00-BL
NAME PRIMARY PHONE
Chris Bacus-Pacific Engineering Tech. 206-281-7500
APPLICANT 1700 WING estlake Ave. N. , #100 cbacus@pacengtech.com
CITY STATE ZIP FAX
Seattle WA 98168 206-281-4611
NAME PRIMARY PHONE
PROJECT CONTACT Chris Bacus-Pacific Engineering Tech. 206-281-7500
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1700 Westlake Ave. N. , #100 cbacus@pacengtech.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98168 206-281-4611
NAME
PROJECT FINANCING 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 part of this application.
SIGNATURE: DATE 3/6/18
PRINT NAME: Chris Bacus - Pacific Engineering Technologies
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 5, 100
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerc al)
BOILERS 1 FURNACES 1 HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
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(Knchen/Utmryl WATER HEATERS(Eteeme
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 181, 000
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Single Family 6,414 ❑Yes X No ❑Yes X No
Residence
RESIDENTIAL - NEW OR ADDITION Repair
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT 1,223
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE El CARPORT 0 422
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction Sof Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in Occupancy Group(s) Construction Sof Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application