21-101700-Building Permit Application-04-29-2021-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 21-101700- SF TARGET DATE __5-5-21_
SITE ADDRESS SUITE/UNIT #
PROJECT VALUATION
$
ZONING ASSESSOR’S TAX/PARCEL #
TYPE OF PERMIT □BUILDING □ PLUMBING □ MECHANICAL □ DEMOLITION □ ENGINEERING □ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
CITY STATE ZIP
CONTRACTOR
NAME PHONE
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
WA STATE CONTRACTOR’S LICENSE # EXPIRATION DATE UBI #
APPLICANT
NAME PRIMARY PHONE
MAILING ADDRESS
CITY STATE ZIP FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME PRIMARY PHONE
MAILING ADDRESS
CITY STATE ZIP FAX
PROJECT FINANCING
When value is $5,000 or more
(RCW 19.27.095)
NAME OWNER-FINANCED
MAILING ADDRESS, CITY, STATE, ZIP PHONE
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.
DATE
PERMIT APPLICATION
3938 SW 337th St, Federal Way, WA 98023
10,054
x
RS9.6
Tanielu Handicap Shower Installation
We will be installing a shower drain and pre-fab fiberglass
handicap accessible shower as well as bathroom fan in a basement room that
has existing plumbing. Washer and dryer will be relocated to
the opposite wall.
Frances Tanielu 253-431-8921
3938 SW 337th St
Federal Way WA 98023
francestanielu@yahoo.com
Ethan Zecca (Habitat for Humanity Seattle-King County)
560 Naches Ave SW, Suite 110
Renton WA 98057
E-MAILethan.zecca@habitatskc.org
206-866-7624
Ethan Zecca
560 Naches Ave SW, Suite 110 E-MAILethan.zecca@habitatskc.org
206-769-9768
Renton WA 98057
Habitat for Humanity Seattle-King County
560 Naches Ave SW, Suite 110, Renton, WA 98057 206-769-9768
SIGNATURE:
PRINT NAME: ___________Ethan Zecca_________________________________________________________________
X
Hydrus Plumbing LLC.(206) 766-0599
104 NE 193rd St
Shoreline WA 98155
roberto@hydrusplumbing.com
603 178 564HYDRUPL881CP
921151-0590
2/28/2022
4/29/2021
Bulletin #100 – February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
$ 1,000
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 ______ GAS PIPE OUTLETS ______ OTHER (Describe)
______ AIR CONDITIONER ______ HOODS (Commercial) _____________________
______ BOILERS ______ HOT WATER TANKS (Gas) _____________________
______ COMPRESSORS ______ REFRIGERATION SYST
______ DUCTING
___1___ FANS
______ FIREPLACE INSERTS
______ FURNACES
______ GAS LOG SETS
______ GAS PIPING ______ WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$
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.
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$______229,000_________________
_LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM?
Yes No
PROPOSED FIRE SUPPRESSION SYSTEM?
Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE CARPORT
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
______ BATHTUBS (or Tub/Shower Combo)
______ DISHWASHERS
____1__ DRAINS
______ DRINKING FOUNTAINS
______ HOSE BIBBS
______ LAVS (Hand Sinks)
______ RAINWATER SYSTEMS
____1__ SHOWERS
______ SINKS (Kitchen/Utility)
______ SUMPS
______ TOILETS
______ URINALS
______ VACUUM BREAKERS
______ WATER HEATERS (Electric)
____1__ WASHING MACHINES
___ 3___ WATER PIPING
________OTHER (Describe)
_____________________
__6__ TOTAL FIXTURES
7,704 xx
EXISTING/PREVIOUS USE
Single Family (Res Use/
Zone)
No
9,054.35
Tacoma Public Utilities Lake Haven