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15-100508 "co. RECEIVED. PERMIT • F@deral Way F CO ME EL PL DE EN qi COMIWINITPDEVELOPMENT SEIf 03 2015APPLICATION I 253-835-2607.FAX 253-835-2609 ... ....... www.cittoffederalwag.com ..Cr YAFFEDERAL WAY :✓yrr :: :» ✓.»}: ; : i::h ::: hhrhnYO >� wFrvw % ?) n1 { : ::. i ^ i SITE ADDRESSa(0,O5.33 S`', leAlrciwccl cx•` 16023 SUITE/UNIT 8 ZONING ASS OR'S .{» : :r{/PARCEL 8 Ilf- Cr T - 49- 0 0 _ 0{{$. 1 0 ... r 0 :::.::. .. -%:•:•:{;: .;:•{...::.{.::., ::. ::{.} , : yyIY „x•.h+rr,.xr.{+.r{:{}:hrrhr/ � r :��'r5r:. F ;.L .:::::*$ r.{.M::::r /::+: hrrr:•••c�Yf{ '{,.44.•:0:0.,.*::::-Z:.:::r:r:::.•{•::+ {:{:; 3:: 3: :$:.;. 3:2;;:?#fiS+:an ::t✓(0,1::,$ r{+r.r$$:...^ t: rS:r #�1 #Y.:•r::: y:::•••„„•:r:r:}r•::,•:h#:f::$r' < frf:::$.•rr :ir:r:,,7:-..w„.::::$:: ....,{•m. t{...hrrrr .„ /: S .w.r.r{:.�. :•:::#.{:...;:.{:. r{:;{{{.. . " � ltt t$ g ra":rt i$: #S }� O .;hh:.:: fr :.r::. t � �r1. :/:,t:��rf:}{ rf �:.:. r}.r . ::f}r.•.,;<�h :, „ r.,.•:: c�:### a ?.h.>.>;r. i%: NAME OF PRO (Tenant or Homeowner Name) Z")C' t4t ( VYN{Alq- A�OuS(A 51)A ❑BUILDING 0 PLU%BING 0 MECHANICAL. C TYPE OF PERMIT ❑ DEMOLITIO/N 0 ELECTRICAL 0 ENGINEERING FIRE PREVENTION PROJECT DESCRIPTIONn _ 7 ,id, C p wt WtGteirr t 14_.l c�ev1" c . Detailed description of work to T p C be included on this permit only .r .r:: : :r:.33:.. . .r:::}f {}3}:ax.N$....r .!. .:r$ srr:r•f ::n :.....:..,.+}}}•r.<t?•:?: r ,r : : ..;......r�t?.;.. « rs:. :{ , .}:...r: : r::..x:. :r ........:r,{• :+ .t•:r .:;.r:{r.f.{:.: 3.}Yn:f..{v . .•^•.:{ v{:::::•: } }; {r :ux � . . . :. .3 •?r ; : + : : :: r:r: :{ : :...S... : :r:: : . :::... $.: . ✓ ?r ..: r✓/ $ : }.f:.: r:::r:::: :: : : ? NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS,CITY,STATE,ZIP E-MAIL OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT NAME f@O r) lY ( )PRIMARY PHONE MING ADDRESS,/CITY,STATE,Z ` / FAX CONTRACTOR 2_6©CONTRACTOR'S LICENSE8 ` €4-11:6 u4, WA STATE DATEFEDERALAY BUSINESS LICENSE 8 5A�U bt55 2LID1ZD c 6 itc 1/-(171 - (b(0002-0cc-BL N V o 146-1'6n PRIMARY PHONE 7�Y^ APPLICANT /� (2 ° )39C - 93 MAILING ADDRESS,CITY, ATE,ZIP FAX m e c,.5 �,�cave- (24. )3`I0 - L1 30 ( PROJECT CONTACT NANM PRIMARY PHONE (The individual to receive and Lo..x'y (A)Co f 1 V Q� (2b ) 3 SIO - C/360 respond to all correspondence MAILING AzIDRESS,CITY,STATE,ZIP FAX concerning this application) (2b6 ) 3q6 - '130 ALTERNATE COAT ACTAME: PRIMARY PHONE E-MAIL 10 J 1C�.-l•'T5€n (2Db )3410 -V300 Secs' '14.0504,5& ocoiM PROJECT FINANCING NAME 0 OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) _ I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. /further agree to hold harmless the City of,Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim); which may be made by any person, including the undersigned, and filed against the city, but only where such claim a .es • of the reliance of the city, including its officers and employees, upon the accuracy of the information suppl to the city -,•p• T., application. 2/2/Z6 1 5 SIGNATIIRE: � DATE PRINT NAME: Y /W 6 it./ ri e51 Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application : ...... . ....... . . 0-0 Value of Mechanical Work$TrgIBNMSMN.IllgitMtgittiggl!IMSMECIENICAtifrDt6i' 17 0' ' • (A COPY OF BIDOR ESTIMATE MUST BE PROVIDED) Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include a ''i,ting fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS N Rag, (Describe)_ AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) ICY 'i-)ki BOILERS FURNACES HOT WATER TANKS Ioml S'Life 114,%t i 1' COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING" GAS PIPING WOODSTOVES • iii'i i i#Et _•.:.»:: Nd,>:x. ttiti:_r:;: ?:`? <i =i'af i`isi'i'ii?il ii''ssi i E i E i''i`is i i ??'i`''i rig:''r i 3 ?3?''' Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS Ior•nb/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS Vatdien/uta WATER HEATERS(ulectad HOSE BIBBS SUMPS WASHING MACHINES 'El' ERAL I F 3RMATION . PROJECT VALUATION) WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS _7©C) , EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? • ❑Yes❑ No {Yes o No ';:::::iii> i ' 'IDE i..` . :.N:,'<.111111111 11,11i.111`1111iiisii[i asi11111'asii!asisisi111: 2 _ ' ' __' _ ...::... AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) • COVERED ENTRY GARAGE 0 CARPORT ❑ axTETao PROPOSED TOTAL - Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS :..:....:........:...::....:.... :::..::i?.i.<..<.i...:i...<.;>.:.::::<:.:::<::i:t::::t.............M.._,...�..'�.i..................,...............,......�.;E.:..;.,.:W�.,.:.,.�..:.:./...,.D:...�.:�.:...>.;:.D�.>.�-...I..�.T..�_�.I. O: : ,:g..; i H.....i............E?.....`...r.......:....i..i.............. AREA DESCRIPTION Area .;.. Construction #of in Square Feet Occupancy Grow s Type Stories Additional Information ADDITION .::. ..::.: •: ::`:::..:.:;Si::; :::^arc-: �'Es" E:i%:i ?>:E:':^ '':.':. :::::` .: 'i:'''.i :::i AREA DESCRIPTION Area •Occupancy Groups) Construction , #of Additional Information in Square Feet Type Stories TENANT AREA ONLY PRQ31tisChRA tI1.Y... .::.:. Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application