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20-104814-SF-Building Permit Application-12-14-2020-v11 CITY OF Federal Way PERMIT NUMBER PERMIT APPLICATION PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-335-2607 + FAX 253-835-2609 + pennitcentetru`cityoffe.de, alway.coln -- ^^ -W--- �— TARGET PATE •.••• A_, /".) � SUITE,/UMT L41 Re PROJECT VALUATION ZONING ASSESSOR'S TAX/PARC L # /�/ o ` TYPE OF PERMIT r�l $UiLDING ❑ PLUMING ❑ MECHANICAL, © DEMOLITION ❑ EKGINFF..RING ❑ FIRE PRFUENTION NAME OF PROJECT PROJECT DESCRIPTION Detailed description of ujork to be included on this permit only I �J NAME PRIMARY PHONE: SCO PROPERTY OWNER MAILING ADDRESS E-MAD. j+ CITY 7, sT�A�a¢ " a � 1 � � 'JAI ; h: '. �✓42°{/ � � , E:`% NAME PHONE MAILING ADDRF,SS E-MAIL CONTRACTORi' - CITY r } / STATE ZIPp FAX WA STATE CONTRACTOR'S LICENSE 8 EXPIItATION DATE UBI # NAME - 1 PRIMARY PIIDNE APPLICANT MAILING ADDRESS I E-MAIL CITY \�1 STATE ZIP FAA PROJECT CONTACT NAME PRIMARY PHONE (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STAT&. ZIP F. FAX PROJECT FINANCING NAME ❑ OWNER -FINANCED tVhen value is .$5,000 or more (RCN 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE I cerWy 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 certij4f 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 ]k 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: PRINT NAME: TE —.) Z /9 17,0 Bulletin #100 — February 19, 2020 Page 1 of 2 UliandoutsTerrnit Application Igo U U UU Indicate how man o each q0e o tvture to be installed or relocated as art o this ro ect. Do not ineltcde existin ixtu.res to reTnairL AIR HANDLING UNITS J— FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS jcomm BOILERS J_ FURNACES ) HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING �^ GAS PIPING WOODSPOVES PLUMBING PERMIT VALUE GFPLUMBING WORK s 9100 Indicate how many of each tUpe of fwture to be installed or relocated as part of this pl2ject Do not include existing tzhcres to rein in. BATHTUBS (or TubMownr combo) LAVS )Hand Sins) �_ TOILETS WATER PIPING T DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS �SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kite—juimtyl WATER HEATERS (Flacb c) HOSE B113BS SUMPS WASHING MACHINES f ✓ "TOTAL FLKTURES GENERAL INFORMATION CRITICAL AIMAS ON PROPERTY? 1v D WATER PURVEYOR Lq,_k(?, haven SEWER PURVEYOR L aloe �kojf c\ VALUE OF EXISTING IMPROVEMENTS $ EXIST GjPREVIOUS USE � N r " c,� LOT SIM (In Square Feet) } Q b 0\ EXISTING FIRE SPRINKLER SYSTEM? A Yes V% PROPOSEll PJRE SAPFRESXoN SYSTEM? c Yes M/NO RESIDENTIAL — NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSER TOTAL FOR OFFICE USE BASEMENT Q ............ -................................. .................................... FIRST FLOOR (or Mobile Home) 11 Z 9 I �� --------.................... -.----................................... ...... ..-.........---- ------ SECOND FLOOR COVERED ENTRY Q� DECK f f _--- --------- .- — ------------------------ ---- ------------ -...--------------.._...-------- .-...... GARAGE d CARPORT L `v lJ OTHER (describe) Area Totals (yQ EXts'1i14G 2c�� PROPOSED 33 3 U TI"AL S910 .............................- - ---............ ----- ................ .-.... .......-•--..... - ***NEW . OALES OiVLY** ESTIMATED SELLING PRICE $ { Q�019V # O�BF_DROOMS COMNIERCLAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Gs P' Group(s) P(} Canruction. s#—Type # of Additional Information Stories NEW BUILDING ADDMON COiVLi+IERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Construction # of Square Feet Occupancy Groxtg{sj Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PRO.iECT AREA ONLY Bulletin #100 — February 19, 2020 Page 2 of 2 k \HandoutsTermit Application