22-100424-Building Permit Application-01-28-22-V1CITY OF "�
PERMIT APPLICATION
PERMIT CENTER + 33325 81' Avenue South + Federal Way, WA 98003 -6325
Federal Way j ay 253 -835--2607 + FAX 253-835-2609 + permiteente rr cityof ederalway.com
PERMIT NIYMBER z _ O E TARGET BATE
SITE ADDRESS
SUITEIUNIT #
a1420 23rd Ave S, Federal Way WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICA4 ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Meridian Court Repairs
PROJECT DESCRIPTIONCosmetic
Detailed description ofwork to
repairs for damage resulting from a flood. Drywall (some
double layer assemblies), paint, and base.
be included on this permit only
NAME Fairfield Meridian Court LP
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS 5355 Mira Sorrento PI 0100
E-MAIL N/A
CITY San Diego
STATE
ZIP 92121-3812
G
NAME
PHONE 562.505.1651
-Blusky
MAILING ADDRESS
E-MAIL Gunner.engerggobiusky.com
CONTRACTOR
1000 SW 34th St
CITY Renton
STATE
ZIP 98057
FAX N/A
A
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UHI # 603-082-75I
CCBLUSKRC3543E
612012023
NAME Gunner Engen
PRIMARY PHONE 562.505.1651
APPLICANT
MAILING ADDRESS 1000 SW 34th St
E-MAIL gunner.engenCagoblusky.com
CITY Renton
STATE
ZIP 98657
FAX N/A
ilv
NAME Jorge Hernandez
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS 5355 Mira Sorrento PI
E-MAIL jhornandaires.aom
(The individual to receive and
respond to all correspondence
CITY Sao Diego STATE
ZIP 92121
FAX N/A
concerning this application)
A
NAME Fairfield Meridian Court LP
PROJECT FINANCING OWNER -FINANCED
When value is $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE
(RCW 19.27.095) 5356 Mira Sorrento PI, Sao Diego, CA, 92121
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 Iaws regulating
construction or environmental Taws.
I further agree to hold harml s the City of Feder ay as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense such claim), whit ay be made by any person, including the undersigned, and filed against the city,
but only where such claim rises out of the r ante of the city, including its officers and employees, upon the accuracy of the
irgformation supplied to th city as a part oft s application. �J
SIGNATURE: DATE
PRINT NAME:
rsuntun 1I 100 — r eoruary 19, 2026 rage i of L K:\HanaoutslYerma Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how mono of each type of fixture to be installed or relocated as parl of this project, Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercuc)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
_ BATHTUBS )oTab/sEourci comLo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE HIBBS
_ LAVS �xm,a sws)
RAINWATER SYSTEMS
SHOWERS
SINKS )wnbea/uwny)
SUMPS
TOILETS
URINALS
VACUUM BREAKERS
_ WATER HEATERS (Eieeme)
WASHING MACHINES
VALUE OF PLUMBING WORK
_ WATEA PIPING
OTHER (Describe)
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Public
Public
Ua
�
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Apartment
1612361
A Yes ❑ No
❑ Yes X 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
EwSTmO
PROPOSED
TOTAL
**MWHOMES
ONLY**
ESTIMATED SELLING PRICE
1 # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION
Area in
square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
OccuancGrou(S)
py p
Construction
a
# of
Stones
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — Febmary 19, 2020 Page 2 of 2 k:�FIandouts�Permit Application