20-103713-Building Permit Application-10-06-2020-V141k
CITY OF
Federal Way
PERMIT APPLICATION
PERMIT CENTER + 33325 8ei Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
PERMIT NUMBER _2 _O — _ I _O —3 _ / _ 1 _3 — _S _F TARGET DATE
SITE ADDRESS
SUITE/UNIT #
29833 12th Ave SW, Federal way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$10,000
RS15.0
5 1 5 3 2 0 - 0 1 0 6
TYPE OF PERMIT
❑X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Deck Expansion
PROJECT DESCRIPTION
Expand existing deck to add approximately additional 250 sf
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Fei Tang
253-335-7228
PROPERTY OWNER
MAILING ADDRESS
R-MAIL
29833 12th Ave SW,
myemail.feitang9gmail.com
CITY
STATE
ZIP
Federal Way
WA
98023
NAME
PHONE
TBD
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Same as owner
MAILING ADDRESS
E-MAIL
APPLICANT
Same as owner
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Same as owner
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
0 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 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.
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SIGNATURE: DATE iY�
PRINT NAME: f �,
Bulletin #100 - February 19, 2020 V Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
VALUE OF MECHANICAL WORK
Indicate how many yj. each Lype o Lixture to be It or relocated as part 2L this project, Do not include existing,ixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commemial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
VALUE OF PLUMBING WORK
Indicate how man o each e o
lure to be installed or relocated as
art o this ro'ect. Do not include
existin lures to remain.
BATHTUBS (or Tub/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?
No
WATER PURVEYOR
Lakehaven
SEWER PURVEYOR
Lakehaven
VALUE OF EXISTING IMPROVEMENTS
$ 5219000
EXISTING/PREVIOUS USE
Single family
LOT SIZE (In Square Feet)
15001
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes N No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes N 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
270 sf
250 sf
520 sf
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe) Basement
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
a
# 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
Bulletin #100 —February 19, 2020 Page 2 of 2 k:�liandouts�Permit Application