HomeMy WebLinkAbout15-106256 • epuilding - Multi Family
City of FederalWay Permit #: 15-106256-00-M F
Community&Econ.
Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: THAO
Project Address: 33045 22ND PL S Parcel Number: 241260 0080
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
Owner Applicant Contractor Lender
THAO TRAN MICHAEL BRAMHALL
12 WALNUT FARMS PKWY 23109 55TH AVE W
FREDERICKSBURG VA 22405 MOUNTLAKE TERRACE WA 9804:
Census Category: 434 - Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories 2
Permit for Building Shell Only? No Plumbing to be Included? No
Proposed Structure Valuation 0 New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, June 7, 2016
Permit Issued on Thursday, December 10, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
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Owner or agent: ..,.,,,,,,c..„,....,,,,,.
� %�'�'°" � Date:
1 (1.0v\a
A-4 12/0.1
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MOtRi343A AO AlID'A PERMII'APPLICATION
CITY of
Federal Way SLOZ 0 t 33a �16)P
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PERMIT NUMBER S _ V !L�' _ 1111 V
TARGET DATE `
SITE ADDRESS SUITE/UNIT#
33 c'4 2 y41) 3)(__
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
AA
$ 'F I'++'`?lc 2 4" I Z C, C - 6 n s r:_'
TYPE OF PERMIT g BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT "Fl t 1 i-/' i E12---
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PROJECT DESCRIPTION A6-(4 l Al.5�6� e.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ' 2
MAILING ADDRESS�i� /� `..1 +.Iy� E-MAIL
3045 '2 � V S L 3
CITY_ STAT ZIP
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NAME OR—, P gt - Oti PHONE
l..7
MAILING ADDRESS Li i��
l E-MAIL
CONTRACTOR (sr �` kL
CITY STATS ZIP FAX
WAS ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
` Lra()(il 95 e 3 / /
NAME PRIMARY PHONE
h�tLt€(.. L - 7c 5E. 4)/c 5.„
CIT7)8, 0 y
APPLICANT MAILING ADDRESS E-MAIL
3 IC) 5 kiLam: ADMik c Ci4,4(. OM
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CIT STA ^ ZIPJ �-1O C� r5 X 77-5-o 76o
PROJECT CONTACT t6. jI-5PAI—L---
NT
-N � PRIMARY PHONE
(The individual to receive and MAILING ADDRESS AA 7 t� E-MAIL
respond to all correspondence -5(N/Le 7t 5 kr it
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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
eccity
yas a part of this application.N /j
SIGNATURE: ,i%” Gj .. //Xi/ DATE 1-/ ! CI/
PRINT NAME: V. e L.- A. '5p...141-44 M Ni��U— !!!
Bulletin#100—January 1,2013 Page I of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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 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 $
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.
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/Uwity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑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)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet _ Type Stories
ANEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
