18-100990 ' ►► PERMIT APPLICATION
CITY OF 11111^11Mrawee"
Federal Way a PERMIT CENTER+33325 8th Avenue South+Fe eral Wa WA 98003-6325 998003-6325
(� !a �/�/ay 253-835-2607+FAX 253-835-2609+permitcent � • 'F`11
EB
c� (0 �` 0 S� MAR 05 2018
PERMIT NUMBER- - _ - TARGET DATE
CITY OF FEDERAL WAY
SITE ADDRESS
COXIW pEVELOPMENT
31848 25TH AVE SW
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL
$ 16,538.58 1 9 3 8 4 0 _ 0 4 2 0
TYPE OF PERMIT IjBUILDING EIPLumBING❑MECHANICAL ❑DEMOLITION ❑ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT APA LIS #97338
PROJECT DESCRIPTION
Detailed description of work to Replacing 30.3 squares of comp and 5 squares/sheets of decking;
be included on this permit only 1/2"CDX,6/12 nail pattern,4'staggered,24"OC.
NAME PRIMARY PHONE
JOSEFINA APALIS/ISMAEL APALIS 510-734-5447
PROPERTY OWNER MAILING ADDRESS I-MAD.
31848 25TH AVE SW IJAPALIS@GMAIL.CO61
CITY STATE ZIP
FEDERAL WAY WA 98023
NAME PHONE
HOME DEPOT USA, INC 800-381-5699
MAI DIG ADDRESS s-MAD.
CONTRACTOR 2455 PACES FERRY RD HD@NWPERMIT.COM
CITY STATE ZIP FAX
ATLANTA GA 30339
WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY NOSINESS LICENSE•
HOMED**088RH 7/17i2018,
NAME PRIMARY PHONE
NW PERMIT, INC 360-945-2787
APPLICANT MAILING ADDRESS EMAIL
9808 31ST AVE SE HD@NWPERMIT.COM
CITY STATE ZIP FAX
EVERETT WA 98208
NAME PRIMARY PHONE
PROJECT CONTACT CHLOE BARKER 360-945-2787
(The individual t0 receive and MAILING ADDRESS EMAIL
respond to all correspondence 9808 31ST AVE SE HD@NWPERMIT.COM
concerning this application) CITY STATE ZIP FAX
EVERETT WA 98208
NAME
PROJECT FINANCING B 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 authorised 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.
Chloe Barker Digitally signed by Chloe Barker
SIGNATURE: Date:2018.03.05 09:29.09-08'00' DATE 03/05/2018
PRINT NAME: CHLOE BARKER
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Pennit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $N/A
Indicate how many of each type offixture 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(commered)
BOILERS FURNACES HOT WATER TANKS(GOO(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ N/A
Indicate how many of each type offrxture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(fundsmko) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(weohen/ubhry( WATER HEATERS(nee r.4
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NONE $
EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
SINGLE FAMILY ❑Yes❑ No ['Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE 0 CARPORT 0
EnSTINO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Groups) Construction M of Additional Information
Square Feet Type Stories
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction i«of Additional Information
Square Feet Type Stories
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TENANT AREA ONLY
I $ 0IfL7. '; •
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