20-103093-Building Permit Applicatoin-08-17-20-V1Bulletin #100 – February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
PERMIT CENTER 33325 8th Avenue South Federal Way, WA 98003-6325
253-835-2607 FAX 253-835-2609 permitcenter@cityoffederalway.com
PERMIT NUMBER 20 - 103093-
TARGET DATE _______________________________
SITE ADDRESS
1408 SW 296th St
SUITE/UNIT #
PROJECT VALUATION
$200,000.00
ZONING
RS 15.0 ASSESSOR’S TAX/PARCEL #
0621049036
TYPE OF PERMIT X BUILDING X PLUMBING X MECHANICAL □ DEMOLITION □ ENGINEERING □ FIRE PREVENTION
NAME OF PROJECT
Nelson Interior Remodel
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Single family residence remodel includes relocating the existing kitchen on the main floor,
finish upgrades and plumbing fixture upgrades. Basement level adding a small kitchen,
bathroom, and bedroom for future care-giver. The home owner will not rent/advertise
the extended living area as a second dwelling unit and there will not be lockable
doors/wall separating the extended area from the main house; there is an existing
pocket door that has no lock. There is no new windows or doors on the exterior. There is
no exterior work.
NAME
Susan Nelson
MAILING ADDRESS
1600B SW Dash Point Rd – PMB 277
CITY
Federal Way
PROPERTY OWNER
NAME
JB McHugh
PRIMARY PHONE
443-631-2311
MAILING ADDRESS
6121 Bayview DR NE
E-MAIL
susan.nelson@dlapiper.com
CITY
Tacoma
STATE
WA
ZIP
98023
CONTRACTOR
WA STATE CONTRACTOR’S LICENSE #
CC JBMCHI*21105
PHONE
206-730-1109
NAME
David Pool, AIA – David Pool Architecture PLLC
E-MAIL
bld4u87479@aol.com
MAILING ADDRESS
6716 East Side Dr NE Suite 1 – PMB 500
STATE
WA
ZIP
98422
FAX
CITY
Tacoma
EXPIRATION DATE
2/28/2022
UBI #
600-285-053
APPLICANT
NAME
David Pool, AIA – David Pool Architecture PLLC
PRIMARY PHONE
253-651-4077
MAILING ADDRESS
6716 East Side Dr NE Suite 1 – PMB 500
E-MAIL
dpool@davidpoolarchitecture.com
CITY
Tacoma
STATE
WA
ZIP
98422
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
NA
PRIMARY PHONE
253-651-4077
MAILING ADDRESS, CITY, STATE, ZIP E-MAIL
dpool@davidpoolarchitecture.com
STATE
WA
ZIP
98422
FAX
PROJECT FINANCING
When value is $5,000 or more
(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.
PERMIT APPLICATION
Bulletin #100 – February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application
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 8/17/2020 - REV 2
PRINT NAME: _______David Pool
Bulletin #100 – February 19, 2020 Page 3 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
$14,298
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
__X____ OTHER (Describe)
______ AIR CONDITIONER ___1___ FIREPLACE INSERTS ______ HOODS (Commercial) Mitsubishi Ductless
HVAC system_
______ BOILERS ______ FURNACES ___1___ HOT WATER TANKS (Gas) _____________________
______ COMPRESSORS ______ GAS LOG SETS ______ REFRIGERATION SYST
______ DUCTING ______ GAS PIPING ______ WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$15,250
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.
___2___ BATHTUBS (or Tub/Shower
Combo) ___3___ LAVS (Hand Sinks) ___3___ TOILETS ______ WATER PIPING
__2____ DISHWASHERS ______ RAINWATER SYSTEMS ______ URINALS ______ OTHER (Describe)
______ DRAINS __1____ SHOWERS ______ VACUUM BREAKERS _____________________
______ DRINKING FOUNTAINS __2____ SINKS (Kitchen/Utility) __1____ WATER HEATERS
(Electric) _____________________
______ HOSE BIBBS ______ SUMPS __1____ WASHING MACHINES __15____ TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
Yes,
WATER PURVEYOR
Lake Haven Water District
SEWER PURVEYOR
Lake Haven Sewer District
VALUE OF EXISTING IMPROVEMENTS
$___424,000.00
EXISTING/PREVIOUS USE
Single Family Residence
LOT SIZE (In Square Feet)
24,355 sf
EXISTING FIRE SPRINKLER SYSTEM?
Yes X No
PROPOSED FIRE SUPPRESSION SYSTEM?
Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT 875 875
FIRST FLOOR (or Mobile Home) 2,065 2,065
SECOND FLOOR 0 0
COVERED ENTRY 53 53
DECK 246 246
GARAGE CARPORT 285 285
OTHER (describe)
Area Totals EXISTING
PROPOSED
TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $_________________________ # OF BEDROOMS ___________
COMMERCIAL – NEW/ADDITION
AREA DESCRIPTION Area in
Square Feet Occupancy Group(s) Construction
Type
# of
Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL – REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in
Square Feet Occupancy Group(s) Construction
Type
# of
Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY