18-101736 To: Community Development Page 2 of 3 2018-04-20 16:02:35(GMT) 18884000383 From: Northwest Permit Inc.
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�l PERMIT
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:3:Fell.ix7SC..'r.:CRIPP•P:P 4'97:8 APPLICATION
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS 318 S 361st PI SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1137800140 _ LOT SIZE(s})
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1/
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■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
L DEMOLITION _.1 ELECTRICAL U ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
RESIDENTIAL REROOF. REPLACE 35 SQUARES OF ROOFING. REPLACE 35 SQUARES PLYWOOD.
NO STRUCTURAL CHANGES. REPLACES PERMIT 17-102378-00-SF WHICH EXPIRED WITHOUT INSPECTION.
PROJECT NAME(Name of Business or Owner Last Name) Cathie and Patrick Rohieder
■ PEOPLE INFORMATION
PROPERTY NAME PRIMARY P?IONE
OWNER Cathie and Patrick Rohieder ( ) 253-797-0086
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
318 S 361st PI Federal Way, WA 98003
CONTRACTOR COMPANY NAME THE HOME DEPOT USA APPLICANT NAME OFFICE PHONE
( 360 ) 945 -2787
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3600 Lind Ave SW#150 Renton 98057 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-03-101448-00-B 12/31/2018 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E MAI] ADDRESS
HOMED**088RH 7/17/2018
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-2787
MAILING ADDRESS Crt'v,STATE,ZIP Cl;il.PI IONE
9808 31st St SE Everett WA 98208 ( ) -
RELATIONS]TIP TO PROJECT FAX NUMBER
0 Architect J Tenant Cd Agent ❑ Other (888 ) 400-0383
PROJECT NAME PRIMARY PFIONE E MAIL ADORES'S
CONTACT Naida Khan/ Northwest Permit (360 ) 945-2787 naida@nwpermit.com
LENDER NAYIE Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PIIONE
■ DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTIIIG ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 20362.10
SPRINKLERED BUILDING? C YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C YES C NO
WATER SERVICE PROVIDER 0 LAKEHAVEN D HIGHLINE C TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN C HIGHLINE C PRIVATE(SEPTIC)
To: Community Development Page 3 of 3 2018-04-20 16:02:35(GMT) 18884000383 From: Northwest Permit Inc.
• PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(.. COVERED OR 0 UNCOVERED?)
GARAGE = CARPORT
NUMBER OF FLOORS EXISTING PROPOS= TOTAL TOTAL sXISTtNO SF 707.41.PROPOSED St TOTAL SF
**NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
NI FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work SI__ (A COPY OF[311)OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR I IAN)>11 NO UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS W00I)STOvES
13I3QS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODSrCommeremn
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
BATHTUBS(or Tab/ShmwcCombo) LAVS(Bo hroornSink) _,_ URINALS MISC(Describe)
1)151IWASIIF:RS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(n,i,))
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE 13113135 SUMPS
SIGNATURE
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: /✓L�GGG� / Vtc.L'1DATE APRIL 20,2018
Property Owner and/or Authorized Agent
-1 NEW n ADDITION r ALTERATION n REPAIR r TENANT IMPROVEMENT
BUILDING SHELL ONLY? 3 YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? r i YES r NO UP/SEPA/SU? u YES I NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin 1.100 January I,2008 Page 2 of 4 k'J landouts Permit Application