18-102074 To: Community Development Page 2 of 3 2018-05-14 20:31:10(GMT) 18884000383 From: Northwest Permit Inc.
��' ,� RECEIVEDCITY
Federal Way
.IF MAY 15 2018 PERMIT , COF ME EL PL DE EN >E+P
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.rAX 253 .2FCCffY OF FEDERARPLICATION
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS 32032 43rd PI SW SUITE/UNIT*
ASSESSOR'S TAX/PARCEL N 8732020870 - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Ar.tth wyxu d.•puege,k+r le.”10:v ifviVidrrn,vein.
PROJECT INFORMATION
TYPE OF PERMIT x BUILDING PLUMBING 0 MECHANICAL
DEMOLITION U ELECTRICAL U ENGINEERING U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
RESIDENTIAL RE-SIDING. REPLACE 29 SQUARES OF SIDING REPLACE 20 SQUARES PLYWOOD.
NO STRUCTURAL CHANGES. REPLACES PERMIT 1610284400SF WHICH EXPIRED WITHOUT INSPECTION.
PROJECT NAME(Name of Business or Owner Last Nome) Cathie and Patrick Rohieder
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Marek Wojtowicz ( ) 2063714519
MAILING ADDRESS crtY,STATE,ZIP E-MAIL ADDRESS
32032 43rd PI SW Federal Way, WA 98023
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 MAIL ADDRESS
HOMED**088RH 7/17/2018
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PRONE
Northwest Permit Inc. Naida Khan ( 360 ) 945-278-7
MAILING ADDRESS CITY,STATE,ZIP all.PHONE
9808 31st St SE Everett WA 98208 ( ) -
RE,'LATIONSI TIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant R1 Agent ❑ Other (888 ) 400-0383
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Naida Khan/ Northwest Permit (360 ) 945-2787 naida@nwpermit,com
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CrrY,STATE,ZIF' I'IIONE
S DETAILED BUILDING INFORMATION
EXISTING USE Residential PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 26750.00
SPRINKLERED BUILDING? C YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C YES C NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE C TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN C HIGHLINE C PRIVATE(SEPTIC)
To: Community Development Page 3 of 3 2018-05-14 20:31:10(GMT) 18884000383 From: Northwest Permit Inc.
a PROJECT FLOOR AREAS
4
• 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
EEISTIRO PROPOSSD TOTAL TOTAL EXISTING er TOTAL PROPOSED Sr TOTAL SJ
NUMBER OF FLOORS
*'NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE S
• 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$ --(A COPY OF DID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANHUNG UNITS EVAPORATIVE COOLERS (IAS PIPE OUTLETS w00DSTOVI?S
DUOS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS Commer,,5
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS RENRIO. SYSTEMS
PLUMBING
I3ATIITUIIS(orTab;Showr.combo) LAVS(Nrth oomSinko) URINALS MISC(Describe)
!HSI MASIIERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(n.),n
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS 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. ,/f
SIGNATURE: ! /LaJ?i DATE MAY 14,2018
Property Owner and/o;Authorized Agent
\*OgOrtet Oat Mit
i NEW n ADDITION r ALTERATION n REPAIR r TENANT IMPROVEMENT
BUILDING SHELL ONLY? 3 YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? r i YES i NO UP/SEPA/SU? i i YES (i NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin it]00 January 1,2008 Page 2 of 4 k'3landouts\Permit Application