20-101995-Building Permit Application-05-21-2020-V1PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentergacityoffederalway.com
TARGET DATE 6/1 /20
SITE ADDRESS
SUITE/UNIT #
296xx 24th Ave S. Federal Way. 980C
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 230000
9414800130 _
TYPE OF PERMIT
N BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
W-13 Triple Star Propertie:
PROJECT DESCRIPTION
New house build from dirt
Detailed description of work to
be included on this permit only
NAME
Triple Star Properties LLC
PRIMARY PHONE
2532614562
PROPERTY OWNER
MAILING ADDRESS
718 S 50th St Tri
E-MAIL
lestar ro ertiesllc
CITY Renton
a
ZIP 98055
NAME Paul Moore
PHONE 2532614562
MAILING ADDRESS 718 S 50th St
E-MAIL
Tri lestar ro ertiesll
CONTRACTOR
CITY Renton
7TW
ZIP 98055
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME Paul Moore
PRIMARYM2614562
1
MAILING ADDRESS 718 S 50th St
r
E-MAIL
DlestarDropertmeslic
APPLICANT
CITY Renton
a
ZIP 98055
FAX
NAME Paul Moore
PRIMARY PHONE 25326145
PROJECT CONTACT
MAILING ADDRESS 718 S 50th St
E-MAIL
ri lestar ro ertiesllc
(The individual to receive and
respond to all correspondence
CITY Rentona
ZIP 98055
FAX
concerning this application)
PROJECT FINANCING
NAME
® OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 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.
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 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 city as a part o this application.
SIGNATURE: DATE
PRINT NAME: Paul Moore 5/19/20
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Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Pennit Application
113 nrdT• s
Indicate how many of each typ
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
I
,Indicate how many of each ttyp
BATHTUBS (or Tub/shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
°fixture to be installed or relocated as
FANS
FIREPLACE INSERTS
FURNACES _
GAS LOG SETS _
GAS PIPING
inure to be installed or relocated as
art of this project. Do not in
LAVS (Hand sinks)
TOILETS
RAINWATER SYSTEMS
URINALS
SHOWERS
VACUUM BREAKERS
SINKS (Kitchen/utility)
WATER EATERS (Electric)
SUMPS
WASHIN4 MACHINES
g fixtures to remain.
OTHER (Describe)
15 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
No
Lakehaven
Lakehaven
$2000
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Vacant
9000
❑ Yes N No
❑ Yes K No
COMMERCIAL — NEWADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
a
Stories
NEW BUILDING,
ADDITION
COMMERCIAL — E EL/ ENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Type
Stories
TENANT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:AHandouts\Pennit Application