22-100963-CO-ApplicationPERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteroacityoffederalway.com
PERMIT NUMBER - — — TARGET DATE
SITE ADDRESS
SUITE/UNIT #
33130 Pacific Highway South
SITE 3
PROJECT VALUATION
ZONING
ASSESSOR'$ TAX/PARCEL #
$ 1,000
BC
797880-0260
TYPE OF PERMIT
IX BUILDING El PLUMBING 0 MECHANICAL El DEMOLITION El ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
Puppy Village T.I.
PROJECT DESCRIPTION
Construction of a non -bearing wall, approximately 31 feet long to create a storage room.
(No electrical, mechanical or plumbing)
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Brian Edward McMillin
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
33100 Pacific Highway South - Unit 12
CITY
STATE
ZIP
Federal Way
WA
98003
NAME
PHONE
(253) 838-4100
MAILING ADDRESS
EMAIL
CONTRACTOR
33919 Pacific Highway South, Suite 201
bpixton@pugetsoundcommercial.com
CITY
Federal Way
STATE
WA
ZIP
98003
FAX
(253) 815-1100
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
Ual #
602-2846885
07/ 31 /2022
602-284 6885
NAME
PRIMARY PHONE
Courtland Pixton
APPLICANT
MAILING ADDRESS
as Contractor)
EMAIL(Same
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Courtland Pixton
MAILING ADDRESS (Same as Contractor)
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZEP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
1 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.
Ifurther 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 cfty_,as art of this application.
SIGNATURE: ple- DATE 0310312022
10
PRINT NAME: Courtland Pixton
Bulletin #100 - February 19, 2020 Page I of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT N/A $ NIA
Indicate how many of each Le offixture to be installed or relocated as part of this project. Do not include existty h' lures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe.)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comma ii)
BOILERS FURNACES HOT WATER TANKS (c—)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
N/A
/A
Indicate how marl u of each tuve of
flxture to be installed or relocated as
vart of this proiect. Do not include existi remain.
BATHTUBS (.r Tub/Sh_ C..b.)
— LAVS (I—d ffi*s)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitlh../Utifity)
WATER HEATERS (pj_tiq
HOSE DIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF rmsTiNg, IMPROVEMENTS
NO LAKEHAVEN LAKEHAVEN $
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
NO CHANGE 30,240 ij Yes X No D Yes X No
I I I I
COMMERCIAL - NEW ADDITION
Area in
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
SSuare Feet
pe
Stories
02
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area in
Construction
# of
AREA DESCRIPTION
I Occupancy Group(s)
I
I
Additional Information
I
Sauare Feet
Tvue
Stories
I TENANT AREA ONLY 1 960 1 1 v I I I I
Bulletin #100 — February 19, 2020 Page 2 of 2 UHandoutsTermit Application