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22-100912-Building permit application-4-27-2022
PERMIT NUMBER a 91 - 0 p �L J_ x - - _ TARGET DATE / - SITE ADDRESS SUITE/ UNIT 0 3�6,0 5w 33 N 0 r*& 1 wxy 9,°;z3 PROJECT VALUATION ZONINGASSESSOR'S TAX/PARCEL # TYPE OF PERMIT BUILUINU M PLUMBING ❑ MF.0 HANICAL ❑ DE.MULITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT PROJECT DESCRIPTION ` R/7wc Detailed description of work to be included on this permit only MAKE PRIMARY PHONE � P/f.�cnet MAILING ADDRESS EMAIL PROPERTY OWNER CITY tr- 1 '.Wl STATE L If ZIP ?*",OAS NAME 9"'Ok L rCG PHONE 20S 717? J MAILING ADDRESS EMAIL RCfi7 ,r� CONTRACTOR J a O CITY ' STATE ZIP 9t3sy PAX WA STATE CONTRACTOR'S LICENSE N i?jg tON0Z' 8F EUIRATION DATE UBI 0 NAME PRIMARY PHONE ;W9 r39 �I MAILING ADDRESS © EMAIL. APPLICANT CITY / Y'��un`/' IS_ �R' If ZIP 77/ FA]L NAMEy X�tf S PRIMARY PHONE � s PROJECT CONTACT ' �` MAILING ADDR=8 rr1A6 WMAIL IThe individual to receive and respond to all correspondence CITY STATE ZIP RAX concerning this application) PROJECT FINANCING PAuTc OWNER -FINANCED When Value is $5,000 or more MAUJNG ADDRESS, CITY, STATE, ZIP PHONE (RCW 79.27,095) 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 Warmation submitted in support of this permit application is true and correct. I certify that f 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 Iocal, state, or federal laws regulating construction or environmental laws. [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 reliance of the city, including its officers and employees, upon the accuracy of the Wormation supplied to the city as a part of this application. 7 L 3- 7-X a SIGNATURE: / DATE PRINT NAME: Bulletin #lW - Febmary 19. 2020 Page I of 2 k:%Handouts\Permit Application Inatcate now many oj each type ot pxture to be trtSlallea or refoealea as parT ot inLS project. Ilo nor lncruae exming turures io remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describel AIR CONDITIONER FIREPLACE INSERTS HOODS iC�:li BOILERS FURNACES tiOT WATER TANKS w,.., COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVF.S VALUF OF PLUMBING WORK PLUMBING PER'VIIT $ Indicate how many o each type offixture to be wstalled or relocated as 2art o this r*ct. Do not include existirt Cures to remain. BATHTUBS i.,Tub.;Sh— C-1x1 LAYS H-d ti,Ak.i TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS iti,t,r -a c b i WATER BEATERS fra vni HOSE BIBBS SUMPS WASHING MACHINES 'TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF =STING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE IIn Square Feetl EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ;7 Yes _, No _ Yes _a No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ................................ ........... ................ BASEMENT FIRST FLOOR {or Mobile Horne) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER )describe] .. _........... ......... ....... spsTnrG raoro®En Toro. Area Totals Ne1YiMHOMES ONLY"• ESTIMATED SELLING PRICE $ ___ # OF COMMERCIAL -- NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction M of Stories Additional Information NNW BUILDING ADDITION COMMERCIAL -- REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Square Feet Occupancy Grou s PcY I Construction Y of Stories Additional Information TOTAL BUILDDIO TENANT AREA ONLY PROJECT AREA ONLY Bulletin #1(X) - Fehruary 19, 2020 Page 2 of 2 k:\Handouls\Permii Application