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12-104278errtr aF '4^'±M FederalvMCEIVED APPLICA'T'ION 0 PERMIT COMMUMIY DME SERVICES 253-835-26(8 s ^0 Awww.diL L A -1. 0 _'y MF CO ME ELPL DE EN FP o 1 44.1-11 77777 SITE ADDRESS CDS 3643710th Ct. SW SUITE/UNIT # ZONING ASSESSOR'S TAR/PARCEL # RS9.6 1 1 1 2 6 3_ 0 1 8 0 NAME OF PROJECT Brighton Park Lot #18 (Tenant or Homeowner Name) )(X BUILDING )0( PLUMBING )04 MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION New Contruction of a 2545 sgft. single family residence with attached 579 sgft garage, and 44 sgft covered porch, built from basic. PROJECT DESCRIPTION Detailed description of work to be included on this permit only Basic Plan # / —10 V / '7 0 "ROCKPORT° c _ - NAME PRIMARY PHONE PROPERTY OWNER Norris Homes Inc. ( 206) 275 - 1907 MAILING ADDRESS, CITY, STATE, ZIP E-MAU. 2053 Faben Drive Mercer Island, WA 98040 damian@norrishomesinc.com OWNER IS ALSO: a CONTRACTOR KI APPLICANT Ig PROJECT CONTACT NAME PRIMARY PHONE Norris Homes Inc. 206 275 - 1901 MAILING ADDRESS, CITY, STATE, ZIP FAX CONTRACTOR 2053 Faben Drive Mercer Island, WA 98040 206 275 - 1910 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NORRIH109LC 5 / 22 /2013 20 -06 -102905 -BL NAME PRIMARY PHONE Same ( ) - APPLICANT MAILING ADDRESS, CITY, STATE, ZIP FAX PROJECT CONTACT NAME PRIMARY PHONE Damian Norris 206 423 - 2124 (The individual to receive and MAILING ADDRESS, CITY, STATE, ZIP FAX respond to all correspondence concerning this application) 2053 Faben Drive Mercer Island, WA 98040 206 275 - 1910 ALTERNATE CONTACT NAME:PRIIKARY PHONE E-MAIL Courtney Norris ( 206) 275 - 1906 damian@norrishomesinc.com PROJECT FINANCING NAME ❑ OWNER -FINANCED Required for projects with Bank of America MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE value of $5,000 or more (RCW 19.27.095) 10500 NE 8th St, Suite 400 425 467 - 9785 I certib under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of this application. SIGNATURE: DATE 9'18'12 PRINT NAME: Damian Norris Bulletin #100 — 9/15/2009 Page 1 of 4 k:\Handouts\Permit Application U I Ah M1 — NEW ADDITION MECI3ANICAL.FIkT P`I,IX I$'ING Value of Mechanical Work $ A COPY OF BID OR ESTIMATE MUST BE PROVIDED Indicate number of each type of fxture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS 6 FANS 4 GAS PIPE OUTLETS 0 OTHER (Describe) 0 AIR CONDITIONER 0 FIREPLACE INSERTS 0 HOODS (commercial) 0 BOILERS 1 FURNACES 1 HOT WATER TANKS p.) 0 COMPRESSORS 1 GAS LOG SETS O REFRIGERATION SYST 1 DUCTING 1 GAS PIPING 0 WOODSTOVES GENERAL .INFORMATION — NEW ADDITION PROJECT VALUATION $ 340,000 P`I,IX I$'ING FIXTURES SEWER PIIRVSYOR Lake Haven # of Stories Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain. 2 BATHTUBS (or Tub/shower combo) 4 I.AVS (fund sinks) 3 TOILETS 1 WATER PIPING 1 DISHWASHERS 0 RAINWATER SYSTEMS 0 URINALS 0 OTHER (Describe) 0 DRAINS 1 SHOWERS 0 VACUUM BREAKERS BASEMENT 0 DRINKING FOUNTAINS 2 SINKS (kitchen/utility) 0 WATER HEATERS (Fiectrio) 1077 146$. 2 HOSE BIBBS 0 SUMPS 1 WASHING MACHINES 17 Tom � GENERAL .INFORMATION — NEW ADDITION PROJECT VALUATION $ 340,000 WATER lURVEYOR Lake Haven Occupancy Group(s) SEWER PIIRVSYOR Lake Haven # of Stories VALUE OF ERISTING IMPROVEMENTS $ N/A rZISTING/PREVIOUS USE VACANT LOT SIZE (In Square Feet) 5405 wasiING FIRE SPRINKLER SYSTEM? ❑ Yes X No PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes X No ADDITION -RESIDENTIAL AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE — -- — -- - - ----- - � _ — _-- BASEMENT 0 0 0 FIRST FLOOR (or Mobile Home) SECOND FLOOR- 0 0 1077 146$. 1077 1468 COVERED ENTRY 0 44 44 DECK 0 PRU.tEG7' ARM ONIM 0 '0 GARAGE XX CARPORT ❑ 0 579 579 OTHER -(describe) 0 0 0 Area Totals susrnro 0 rimy . 3168 TMAL 3168 *•xrw goners OA%Y" ESTIMATED SELLING PRICE $ 350,000 # OF BEDROOMS 4 COMMERCUL — NEW ADDITION AREA DESCRIPTION Area In Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW suzolso ADDITION COMMERC-_ RE ODIKLfTENANT M'PRO"VEMENT AREA DESCRIPTION Area in Psmare Feet Occupancy Group(s) Construction TUC # of Stories Additional Information TOTAL, UILDING TENANT AREA ONLY PRU.tEG7' ARM ONIM Bulletin #100 — 9/15/2009 Page 2 of 4 kAHandouts\Permit Application x O7E5 oz zo o n tooi m� v a LU •`= ° —� � i O V h P .-, �� V .. 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