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21-102233-Building Permit ApplicationCITY OfVA�441 PERMIT APPLICATION PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 Federal Way 253-835-2607 + FAX 253-835-2609 + permitcenteri cityoffederalway.com PERMIT NUMBER _ _ TARGET DATE SITE ADDRESS SUITE/UNIT M 6th Lane SW, Federal Way, WA 98023 Lot #` �] PROJE ALUATION ZONING ASSESSOR'S TAX/PARCEL 0 $ 139,180-00 Cottage Housing 5 5 5 _7 _ 9 _ 0 _ 0 A,*�,� o TYPE OF PERMIT P9 BUILDING 91 PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ENGINEERING N FIRE PREVENTION NAME OF PROJECT Mirror Lake Highland Build a single family residence'ust like one built on Lot ) Z PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME Mirror Lake Highland LLC PRIMARY PHONE 253-709-8747 PROPERTY OWNER MAILING ADDRESS 30929 37th PL SW E•MAI bill@thenexusstudio C1TS7Federal Way SWA ZIP98023 Com NAME PHONE The Nexus Studio Inc. same MAILING ADDRESS E-MAIL (same as above) Same CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE N NEXUSSI839M6 EXPIRATION DATE 7 24 /22 UBI M NAME PRIMARY PHONE The Nexus Studio Inc. same MAILING ADDRESS (same as above) r MAd Same APPLICANT CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT Bill McCaffrey Same MAILING ADDRESS same as above E-MISI same (The individual to receive and respond to all correspondence CITY STATE ZIP FAX conceming this application) PROJECT FINANCING NAME � OWNER -FINANCED When value is $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 cert(fy 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 relia ce of the city, including its offlcers and employees, upon the accuracy of the Wormation supplied to the city as a part of this app i ' Hon. SIGNATURE: DATE I AA PRINT NAME: V`i 1 Bulletin #100 — Februwy 19, 2020 Page I of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT I e, 4000.00 AIR HANDLING UNITS _3 FANS GAS PIPE OUTLETS I OTHER (Describe( AIR CONDITIONER FIREPLACE INSERTS HOODS Gase Stove BOILERS _ FURNACES HOT WATER TANKS ]G.+) �Heater COMPRESSORS GAS LOG SETS REFRIGERATION SYST _ DUCTING GAS PIPING WOODSTOVES VALUE OF PLUAMING WORK PLUMBING PERMIT $ 5000.00 Indicate how mwny o each type ofrLxtum to be installed or relocated as part of this ro'ect. Do not include exLstuW flxtures to remain. ,1 BATHTUBS(- Tmn/Sh .c W) 3 tAVS/H�dsj 9_ TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS _ DRINKING FOUNTAINS r SINKS In,mm/umsn WATER HEATERS (O o ) 13 _ HOSE 13MBS SUMPS 1_ WASHING MACHINES TOTAL FD=RBS GENERAL INFORMATION CRrTICAL ARBAB OR PROPSRTYP WATHRPURVEYOR SHIVER PURVEYOR VALUE OF FRIBTa1Ti INPROVEnENTS NA Lakehaven Lakehaven NA $ ERwTIRO/PREVIOUS USE WT SSE 9. S� Fe ) MUSTRIa PIKE SPRRi®.ER SYSTEIN? PROPOSED FIRE SUPPRESSION SYSTEiei Vacant Land 1976sf ❑ Yes X No X ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) ERISTING PROPOSED TOTAL FOR OFFICE USE _ ...... ..................................... ............................... BASEMENT ............................................... FIRST FLOOR (or Mobile Horne) 684 684 ............................................................................................._....._.............___ ...............................................................................................- ......................... SECOND FLOOR 440 440 COVERED ENTRY 134 134 .............................. ......................_...................................................................... DECK 35 35 _ GARAGE ❑ CARPORT ❑ .......................................................................................................................... OTHER (describe) ............................................................................................................................ ............................................................... .... Area Totals mosTING pmmsm 1253 TOTAL 1253 .__._..._ ......................................... - "NEW HOMES ONLY** ESTIMATED SELLING PRICE $ 425,000 # OF BEDROOMS 3 COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in S are Feet Occupancy Group(s) Construction Type # of Stories Additioml Information NEW Butimmo ADDITION COMMERCIAL— REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area is Square Feet Occupancy Group(.) Construction It of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PRO.TSCT AREA ONLY Bulletin # 100 - February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application