22-101261-Application-4-11-22PERMIT APPLICATION
PERMIT CENTER .33325 81I' Avenue South Pereral Way, WIC 98003-6325
253- 33 2 07 + 1,-A 253 83 2609 + per-1'rtitcell lerla°corn
TARGET DATE
SITE ADDRESS SUITEIUNIT ar
PROJECT VALUATION ZONING ASSESSOWS TAXIPARCEL #d
TYPE OF PERMIT BuIL9 ING El PLUMBING' 0 Mr`WHAraICM, El D€',N,10 .t'rll7N 0 ENGIN]"l�,"PINrt 0 I`ll*" P1lt,' 1,-N'rJ0N
NAME OF PROJECT
PROJECT E C I Ids
Detailed derscriplion o u)or„k to
be irrc°te ded on this per -alit t n4t
NAME
PROPERTY OWNER PRIMARY ,
MAILING ADDRESS E-MAIL
CITY STATE ZIP
0
NAME PHONE
MAILING ADDRESS -_. E,_ .....IL
CONTRACTOR
CITY STATE ZIP PAX
WA STATE CONTRACTOR'S LICENSE ar EXPIRATION DATE UB1 N
1 NAME PRIMARY PHONE
APPLICANT CMAILING ADDRESS E- .IL
CITY STATE ZIP FAX
CT NAME PRIMARY PHONEPROJECT IA
f"° hei irr.rtivulual to r rs eve arai MAILING ADD s E-MAIL
r•esporral to all correspondence
ra'7nc rl ing this applieC7tion7 CITY STATE :e.:.:IP FAX
PROJECT FINANCING NAME _ OWNER -FINANCED
tilh =v' v ahw is ` 5 000 or rnove, MAILING ADDRESS, CITY„ STATE„ ZIP PHONE
(R('W 19 �`rl^}.Sy 'tl ..
I cortify under penalty ofperjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information cation submitted to support of this permit application is true and Correct. I certify that I will comply with
all applicable City ofFederaat Way regulations pertaining to the work authorized e by the issuance of is permit. 1 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 aattornets' joes incurred to
the investigation and defense of such claim), which rn..ar„_{ be made by any person, including the undersigned, atridfil d 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 city as aprart of this application.
SIGNATURE:�^DATE
PRINT NAME: --rotpp-o-
Bulletin it 100 - 1-chrlaa ry laln 2020 Rage i of-2 k:11 landyltirs\P runt Applicakon
------------- -- --- - -- -- -
I �t.rta. cat• ti9r:d Ir t V+`c ; G-ir`O x'x
relocated, i r 1 s° r azsti lgure s t2 reaTt 11"
"life CONDITIONER I REPLAAC 1, INSERTS HOODSltr:rn�a €�U tiz i tC�l �� t tC? l
3IR HANDLING UNITS � TANS h GAS PIP LE`°7'S (iTI1Cst� qT,Y anrilxel
irl rrcet Flee axrl (re _ tt Bey ca r tT r to dry trtsi IiP Ii nr r l rlrTtt ri rat rr tlri4 !2 r ct. -
k
BOII,.I:J16 FURNA C'S HOT tRa`r1TER TANKS
COMPRESSORS SSORS GAS L,0G SE,rs REat RIGEIRKMON SYST
DUCTING INt GAS PIPING Ll OODSTOVE'.S
G`.ALNE OF h'd.tlMBfAlt r litr>r~NK
11TUNIBING PERMIT
hrtClicate ow am o ea ha ype o �.kh rU to be ivist(illerd or rel6rclte d ens taeir~t oj`I�t= iarrsperf„ idea rr at Irsc°tue1 eye tiaac axGezr 5 to ra rrrax 11
_ --
. -r.mmm� ��Tm
t3A"9"1=I"TLiE4S i�,'�,ts, In x4FrC_<u ::,f LAV TOILETS WATPEA PIRING
DISHWASHERS RAINWtl'PER Sl'S"1"EM'o � URINALS C)"['ESER (Ur:*wr lw)
DRAINS SHOWERS VACUUM RREAKERS
SEING FOUNTAINS S[1�—WATER IE3 (4E=rtra<
I [OSE
BIB3S SUMPS WASHING MACHINES � TOTALFIXTURES
-
---_ - CRITICAL AREAS .AREA"S OR PROPERTY? WATER PURVEYOR __. SEWER PURVEYOR VALUE OF =STING IMPROVEMENTS _
EXISTING/PREVIOUS USE --_---------- LOT SIZE (In Square Feet)- EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
I: s IIAL -'NEW oAWATION
--------------
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
I !Mrg ENT
SECOND FLOOR
t'Olr'21RED ENTRY
DECK
£XIST1110 PROPOSED TOTAL
iArea Totals
"NEW iiOAM -
IxE,5TI 1ATED SIs LING PRICE _ tf OF I3I+sT7I;OOMS
-- —
`I iIF I Ir AI,.— ADI ` 'IO
AREArea in Construction of
Tt F;UI`iG)FI cenlp�rlc� CxrttuP�s} Additional Informationqu re Feet e Stories
Nzw;guiwwo
ADDITION
AREA Area in Construction # of
Additional7 Itliil Occupancy Group(s) Additional Information
— glx�re Feet 'T�° a terries
TENANT AREA ONLY
PROJUCT AREA ONLY
BLIHOils "000 F&I-Liars le), ° 020 31age 2 ol" . k:11ajldoUtsIl'rt Uit App icatioii