22-100143RECEIVED
CITY OF '• -- -
JAN 10 2022 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way COMMUNITY REVE OPMEW 253-835-2607 + FAX 253-835-2609 + permitcenter a cityoffederalway.com
PERMIT NUMBER _ —0 a ` _Y_ 3— _ TARGET DATE �1 OI2022
SITE ADDRESS
SUITE/UNIT #
852 S 318th Street Federal Way, WA 98003
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
$
RS7.2 _6 0 9 4 0 0 _ 0 1 8 0
TYPE OF PERMIT
&� BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
MAGSANOC WABO
PROJECT DESCRIPTION
Adult Family Home WABO inspection
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Mharjurie & Jeremias Magsanoc
253-929-4064
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
28026 151 st PI SE
mdmagsanoc@hotmail.com
CITY
Kent
STATE
WA
ZIP
98042
NAME
PHONE
property owner
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Mharjurie Magsanoc
253-929-4064
APPLICANT
MAILING ADDRESS
28026 151 st PI SE
E-MAIL
mdmagsanoc@hotmail.com
CITY
STATE
ZIP
FAX
Kent
WA
98042
253-736-9818
NAME
PRIMARY PHONE
PROJECT CONTACT
Mharjurie Magsanoc
253-929-4064
MAMING ADDRESS
28026 151 st PI SE
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
Kent WA 98042
PROJECT FINANCING
NAME
Mharjurie Magsanoc
® OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
28026 151 st PI SE Kent, WA 98042
PHONE
253-929-4064
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: DATE 01 /07/2022
PRINT NAMEhar urle ❑ Magsanoc
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$ 0.00
Indicate how many of each type offixture
to be installed or relocated as
paft o this project bo not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ 0.00
Indicate how many of each ttjpe o
ixture to be installed or relocated as
part of this project. Do not include existing {xtures to remain.
BATHTUBS (ornb/shower combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
no
Lake Haven
Lake Haven
$
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
11,125
❑ Yes vi No
❑ Yes 0 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 $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groups)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application