19-105500RECEIVE®
CITY OF
Federal Way
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterCcityoffederal,.vay.com
WC11-Y OF MMUN" DEV DEVELOPMENT
PERMIT NUMBER I - 1 _ _ I C)-5,5 _
SITE ADDRESS
3400e
- VIe
NOV 15 2019
S
PROJECT VALUATION ZONING
$ %8, D(O CE
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description ofwork to
be included on this permit only
I ASSESSOR'S TAX/PARCEL 4
!Ij 926480-0110
TARGET DATE / `I 13 I I 1
SUITE/UNIT i
BLDG. B
Ial BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
1-1 "--A0_6-I'a-4ii14e,r-,�
Demolition of existing exterior walls, doors and windows4�Yodification of
existing landscape areas, concrete walkways as required for the installation
of new roll -up doors, ramps and service doors per plan.
NAME
BKM Management Company
PROPERTY OWNER MAILING ADDRESS
1701 Quail Street, Suite 100
CITY STATE ZIP
Newport Beach CA 92660
— NAME
MAILING ADDRESS
CONTRACTOR
CITY STATE ZIP
%VA STATE CONTRACTOR'S L] ENSE B EXPIRATION DATE
APPLICANT,
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5,000 or more
lady 19.2ZO9s.)
PRIMARY PHONE
949-301-9261
E-MAIL
PHONE
E;MAH.
irR (r
61-0 It Coif-_
FEDERAL WAY BUSINESS LICENSE 6
NAME
PRIMARY PHONE
PM DESIGN GROUP, INC
949-315-7489
MAILING ADDRESS
E-MAIL
38 Executive Park, Suite 310
CITY
STATE
ZIP
FAX
Irvine
CA I
92614
_
NAME
PRISIARY PHONE
PM Design Group, Inc. (Attn: Javier Ochs)
949-315-7489
MAILING ADDRESS
E-MAIL
38 Executive Park, Suite 310
jochs@pmdginc.com
CITY STATE
ZIP
FAX
Irvine CA
I 92614
NAh1E
❑ OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 (ircluding costs, expenses, and attorneys' fees incurred in
the investigation and d ense of suciL claim.), which may be made by any person, including the undersigned, and filed against the city,
but only where f ch rn arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp ad o city as apart of this application. G�
SIGNATURE: F w DATE , i - 4/ /
PRINT NAME:
Bulletin #100 -January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type off+xture to be installed or relocated as part of this prajecL Do not include existingfwWres to remain.
AIR HANDLING UNITS FANS
AIR CONDITIONER FIREPLACE INSERTS
BOILERS FURNACES
COMPRESSORS GAS LOG SETS
DUCTING GAS PIPING
GAS PIPE OUTLETS OTHER (Describe)
HOODS Icommemw)
HOT WATER TANKS (ce,)
REFRIGERATION SYST
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how manjv o each t1 pe offWure
to be installed or relocated as
part o this project. Do not include existing LYtures to remain.
BATHTUBS (or Tub/shover Combo)
LAVS (HmdSink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Ut;tay)
WATER HEATERS (Electric)
HOSE HIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INTORMATION
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (Iu Square Feet) EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
+I JI ❑ 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)
Area Totals
SXISTIHO
PROPOSED
TOTAL
**AE, W HOMES ONLY"
ESTIMATED SELLING PRICE, 1
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
sqArea in
uare Feet
Occupancy Group(s)
NEW BUILDING
ADDITION
COMMERCIAL - REmODEL/TE, NANT IMPROVEMENTS
AREA DESCRIPTION
Area InSquareFeet
Occupancy Group(a)
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Construction # of Additional Information
Type _ Stories _
Construction I # of I Additional Information
Tvne Stories
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Pennit Application