21-102019r PECEIVED
cl� r �1= - -•--
PERMIT APPLICATION
Federal Way �� " PERNI T CENTER + 333'25 8 � Avenue SOirth + Federal Way, WA 9$003-6325
tij 253-835-2£ 07 + ICAX 253-835-2609 # permitcente�<.,cit}-O:fecieralte'.-y.corn
21-102019-00-ME
PERMIT NUMBER-2--
'TARGET DATE
SITE ADDRESS 27314 S 24Tki
AVE
SUITE/UNIT 0
jj
PROJECT VALUATION
ZONING
ASSE$,SOR'S TWPARCEL N
TYPE OF PERMIT
L BU-ILDING E. Pi'-: lk3ltiCl MECF1AN1CAL 0 DEmoix mN 0 ENGINEERING ❑ RRE) IPREWENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description o I-Vork- t0
���'�� i'� n /
� 1 1 • Lr ck;c-Q M
2,
+` LAI (2 F � j um ❑' Lit' "
+�
he included on thi.a permit ortly
NAME
PRIMARY PHONE
PROPERTY OWNER
E-MAIL
AS,EFILINGAUIpkE88 r�
CITY
STATE
ZIP
NAME &A � yl i�
�I L-��
MAILING ADDR/E5�5 }� rr
7�c. 2c'� CAc.RS��[.71L
%rMAlL
CONTRACTORi
CITY STAV d �'Y
fi
ZIP 7 -
FAX ' g
T
WA BTA CANT �CSOI{SfL�ne) i Z
yy�� Ly,IY
V EXPIRATION�DATE
�$w
(H. y - --? — - '
NAME
PRI7M�Acr , PHONE
MAULING ADOPM"
1� 0
g.MAll .
dc�►e l�r ,
APPLICANT
crTv z � °77-
NAME
C7 + XLf't
j;
PROJECT CONTACT
PRIMARY PHONE
1-42 `-3S-o - ]r41 ? f
(Z•tiC individual to receive and
WAILUtil ADDkWS
�3 Y� �'�.�1 7Q
�`E-�MAIL
respond t0 all correspondencF,
] ,3 L
[-3L Y1('�ise`5'� ud-,
CITY
rl
STATL
ZIP
FAX
concerning this application,)
PROJECT FINANCING
NAME — -
OWNER -FINANCED
When UUM" is '�;5, 000 or more
(RC6% J9,2Z045)
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 c9rtlfy that to the best
of my knowledge, the information
submitted in support of this permit application is true and correct. I certify th t I will comply with
all applicable City of Federal Way regulations pertaitzing to the work atathoriaed 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 ntay be made by any person, including the undersigned, and f [led 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 c as apart of this application.
SIGNATURE;
DATE
L,2 L4?J)�G
PRINT NAME:
N�
Bulletin WO February 19, 2020 Fags l 01 2 kamandout0erinit Application
r
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VALUE OFMECTIAl`ICAL tVORK
MLC'ILANICAL PERMIT
htdicrrie how MgM of ecu:)t Me af
irturrs to he ulsrvlled or rvloruters as
part a( this pro' • t. Do nor include exists✓✓ racttlres to remain.
Ark HANDL]NCk UNl'1'F.>
F.^,PIS
GAS PIPE OL�T"s E'IS
OTHF.F' IDcscribel
AIR CONDITIONER.
FIREPLACE: INS=_i-r" S
HOODS
BOILERS
FLIRNACI S
MOT WNr'G.R 'TANKS i,,
COMPRESSORS
CAS BOG SETS
REFRIGERATION, SYST
DUCT.I.NC;
GAS P1HNC;
WOODSTOVES
{%=ll,liF. (IF PI_.U,Fflitil'C �ti'L')^:K
PLUMBING PERMIT
� I
Wicate how many of each
type v IrWure to be installers or re located (is
pan or tits ro' I:. Do roof incdrde avisthq txtures to rernain.
BATHTUBS p:r r: :Sna •er :omrxq
LAYS
COILETS
NNA'tER PIPING
DISHWASHERS
I?Alh�l•"AT1:F2 51't�CER'LS
URIAI<aC.S
OTHER (De•scribe:I
DRAINS
SFI!)bti'i:.R.S
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS;k,i�-a.: t�. -;,I
WATER HF:A:IERS lelc.c�ol
]JOSE BIBBS
SL.NIFS
tVASIiING MACHINES
TOTAL FIXTURES
GENE zAL I)tiI 0RNI.� TIO
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (fu Square Fcet) i EXISTING FIRE SPRINKLER SYSTEM? PROPOSED F= SUPPRESSION SYSTEM?
- Yt s ; No -,i Yes No
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
BASEMENT I
FIRST FLOOR (or Wobise Horne)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT
4L)THER (dascIhO
Area Totals � IMW11N1, PRQV08Ep I 'MTAL
1
"NEW HOMES ONLY"
EST] iNnI'f"sI751sI.LENGE'I21CF.S - 4t)FE4EDRaoN1S.—__-
FOR OFiP`iCE USE
ONIN ERCI L -- NEW/Am)rrjON
{
AREA DESCRIPTION I Area F
Occupancy Group(s)
Construction
#
Additional Information
Square Feet
a
Stories
I
NEW BUILDING
ADDITION
COMMERCIAL - RE,M(3DEU E.NAN I' I NJPRO ' 1r1M EN I S
AREA DESCRIPTIONt
Area in
Occupancy Group(es)
Construction
# of
Additional Information
Square Feet
a
Stories
TOTAL ilil3ti. IKG
TENANT AREA ONLY
—
--�
ftcjv CT AREA ✓ONLY
Bulletin ;#I00 -- February 19, 2020 Page 2 of'2
k:.. turdouts.Pernvt Application