20-104706-SF-Building Permit Application-12-02-2020-V1ciry or PERMIT APPLICATION
PERMIT CENTER + 33325 811t Avenue SOUL11 + PederEd Way� WA 98003-6325
Federal My 253-835-2607 + PAX-253-835-2609 + pertnitcenter@cit,3roffederaiwiv,com
PERMIT NUMBER
TARGET DATE
SITE ADDRESS
—
SUITSIUNIT #
Let#*
6th Lane SW,
Federal Way, WA 98023
PROJECT VALUATION
ZONING ASSESSOFVS TAXJPARCEL
5 5 5
#
_7 9 0
0 1 Ak 0
$ 139,180.00
Cottage Housing
—
TYPE OF PERMIT
BUILDING X PLUMBING IN MEXHANICAL
11 Diwour]ON 0 EN6=11RING IN FTRE. PREVENTION
NAME OF PROJECT
Mirror Lake Highland
Build a single 'A 67-
PROJECT DESCRIPTION
Detniled description oftoork to
be included cart this permit only
NAME
Mirror Lake Highland LLC
PRIMARY PHONE
253-709-8747
PROPERTY OWNER
MAILING "DRESS
30929 37th PL SW
F-MAIL
bill@thenexusstudio
C ITY STATE
Federal Way WA
MP
98023
com
RIVRE
PHONE
The Nexus Studio Inc.
same
E-MAIL
(same as above)
same
CONTRACTOR
CITY I STATE
ZIP
VAX
WA STATE CONTRACTORS LICENSE 0
NEXUSS1839M6
=PIRATION DATE
7 1 24 122
UM#
NAME
PRIMARY PHONE
The Nexus Studio Inc.
same
"PLICANT
MAMII90 "DRESS
(same as above)
F-MAM
same
CITY r
zip
FAX
SAME,
ONE
PROJECT CONTACT
Bill McCaffrey
same
(Vie individual to receive and
MAILING ADDRESS
Isame as above)
EMAIL
same
respand to alt correspondence
concerning this application)
CITY STfeTE
ZIP
FAX
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is S5,000 or Tnoro
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
fRCW19-21�095)
I cort(fy under penalty of,cedury that am the property owner or authorized agent of the property owner. r ccrWy that to the best
of mg knowledge, the information submitted in support of this permit application is true and correct I ccrtTy 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.
.'further agree to hold harmless the City of Pedera I Way as to any claim (including costs, expenses, and attorneys'joes incurred in
the investigation and defense of such claim), which maybe 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 ftccuracY of the
information supplied to the city as a part qfth a' lication. sjt z
A
SIGNATURE, /ryl
MEWEEM
Bulle tit) #100 — I-ebruary 19. 20,20 Page 1 of 2 U-fandOutortnit Application
MECHANICAL PERMIT
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
PLUMBING PERMIT
BATHTUBS §. ub/str w0mby
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBs
si FANS
FIREPLACE INSERTS
FURNACES
GAS LAG SETS
OAS PIPING
— IAVS tamdabet
RAINWATER SYSTEMS
SHOWERS
SINKS (I uh ludj
SUMPS
OAS PIPE OUTLSTS
HOODS pm=adaq
_1— HOT WATER TANKS (W
REMOSRATION SYST
-2— TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (swca"
WASHING MACHINES
TF 7 ',/. «
I f f i
OTHER (Describe)
Cam
Heater
WE OPPW E00 WORK
5000.00
I WATER MUG
OTHER (Describe)
13 TOTAI, V=TORBB
GENERAL INFORMATION
C 10" AMU ON PROP822W
WATER Postvssox
sasYstt Pi3AVSYOR
VAMS OF
NA
Lakehaven
Lakehaven
NA
$
amsnsoImmoraaDSs
tar Raft—"
smasTnmsmB sYLim"
PNt3PO88 '=stIPPR LONsYSTBw
Vacant Land
1976sf
o Yea X No
X ❑ Yes o No
REsIDENTIAL - NEW OR ADDITION
AR>f<ll DSSCIFISMON fin square rot)
sxtw tlltti
FROPOSw
TOTAL
FOR OFFICE Uss
FIRST FLOOR (or Mobite Horne)
684
684
COVERED ENTRY
134
134
GARAGE ❑ CARPORT ❑
Area Totals
axanm
1253
1253
ESrBMTED 9EUJNG PRICE $ 4W'000
a OF BEDROOMS 3
COMMERCIAL — NEW/ADDITION
AREA DSSCRiFTtON Asea Baum Feet OO°RF�oY Group(s)CO n # Of Additiouat I�:matton
Bulletin #100 — February 19, 2020 Page 2 of 2 kAHandoutatPermit Application