22-102870-PERMIT APPLICATION-08-08-2222-102870
RESUBMITTED
CITE` `8-8-22
1 — wCITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMr'T Numm 22-102870
SITE "DIMS — _,v Si7aTaulT3ty IT # #
PROJECT VALUATION ZONING A6SESSOR'S«�TAX/iARCEL g
a$r 2(0,000 ^�'G. . . 0-0050
TYPE OF PERMIT BUILDING [�) PLUMBING FA Mt'. AIANICAL Ll DEMOI.I-HON Li ENGINEERING 0 FIRE PREVEYrION
NAME OF PROJECT
Proposed corn e c.onverban
Convert Carta e +o Fwo bedrooms d Fa toa+h.
PROJECT DESCRIPTION
Detailed: description of i rk to
be included on this penult only
NAME J&A 1 EMODELINGa LLG
PRIMARYPHONE
32
PROPERTY OWNER
MAILING ADDRESS 2315 5 292nd 5+
E-MAIL
�ei4"k�iL�talCi7re el8"�i�:CJYi1
CITY Federal Way
WIC E
ZIP 96003
PPOPEkTY OWNED.
:.
AILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX.
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
UBI
f
NAME:..
JOEY DESIGN LLG
PRiareos. xsunxs"
20(,22407DOG
APPLICANT
MAILINGS ADDRESS
1921 7 TH AVE 5E
EMAIL
10eYct&,54iLLG& 1C, rn
CITY LAKE :STEVENS
STATE
Wit
ZIP
98258
FAX
PROJECT CONTACT
JOEY DESIGN LLG:204070
MAILINGADDRESS 1921 7GTH PAVE SE
x �savT.
�oeydeSiaLLC ai4.C.orra
The individual to receive and
respond to all correspondence
concerning this application)
CITY LAKE STEVENS S W ZIP
FAX
bTiPti4L �M^^crarRWl`54'A7'r'_:
NAME
�Y fR "9%T�':.`'TATRAT"G*Y"!
When value is $5,000 or more MAILING ADDRESS,
(RCW 19.27,095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certt¢y that to the beat
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 Pederal 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
i.:Y(4S4Y...uo" Vi UI! Ui, 0./([Yf6Vi .-t u..—
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 claimj, which may 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 .e city as rprt f this application:
SIGNATURE: DATES � � � �f �z" �✓a
PRINT NAME:;
Bulletin #100 — February 19. 2020 11age I of 2 k:\11andoutsTermil Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 2000
Indicate how many of each type of, fixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS —2_ FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
2 DUCTING GAS PIPING WOODSTOVES
BATHTUBS (or Tub/Shower Combo)
_� _ LAVS (Hand Sinks)
1 TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
2 SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
4
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL NF ATI N
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
no
no
no
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Cwr6i9e/SFK
9 21�,
❑ Yes X No
❑ Yes EX No
COMMERCIAL — NEWADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
a
Stories
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area in Construction
# of
AREA DESCRIPTION cam.."e G oe+ Occupancy Group(s) «tee
c*�r1ec Additional Information
TENANT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:AHandouts\Pennit Application