06-100702 (2)PlECElVEE
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SITE ADDRESS 2107 South 320th -----------SUITE/UNIT it -----
ASSESSOR'S TAX/PARCEL # 7 6 2 2 4 0 - 0 0 1 0
LOT SIZE (sf} 4,600
LEGAL DESCRIPTION (e.g. Acme Estates, Lot l) ___ Attached. _____________________ _
(Attach :sepOTole pQ(Je for len(flhy legt;1l de:Jm"pnonj
• PROJECT INFORMATION
TYPE OF PERMIT )1 BUlLDING D PLUMBING D MECHANICAL
0 DEMOLITION D ELECTRICAL D ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this pennit only)
Panera's Grading Permit SQ O O\
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME
Steadfast Commons
MAJUNO ADDRESS
4343 Von Karman Ave Suite 300 I CITY. STATE, ZIP
Newport Beach, CA 92660
COMPANY NAME APPLICANT NAME
SD Deacon Jim Erickson
MAILING ADDRESS CITY, STATE, ZIP
2375 130th Ave NE Suite 200 Bellevue, WA 98005
CITY OF FEDERAL WAY, BUSINESS LICENSE NUMBER EXPIRATION DATE
---I I --B L
CONTRACTOR'S REOIS1'RA'l'ION NUMBER (copy of cud required with ..acb appUeationl
COMPANY NAME APPLICANT NAME
Steadfast Companies Lance Emery
MAILING ADDRESS CITY, STATE, ZIP
4343 Von Karman Ave Suite 300 Newport Beach, CA 92660
RELATIOl'ISHIP TO PROJECT
o Architect o Tenant D Agent D Other (Describe)
I PRIMARY PHONE
( 949 I 852-0700
OFFICE PHONE
( 206) 850 -1760
CELLPHONE
( } -
FAX NUMBER
( ) -
EXPIRATION DATE
I I
OFFICE PHONE
( 949 ) 852-0700
CELLPHONE
( 714) 337-0067
FAX NUMBER
( 949 ) 777-8278
CONTACT I NAME I PRIMARY PHONE I E-MAI~ ADDRESS
Lance Emerv 949 852 0700 lemerv@steadfastcompanies.com
LENDER PerRCW 19./27;095: under tiiformo.tton ls NAME
nqufred if project value exceed.ti $5,000
MAIUNO ADDRESS CITY, STATE. ZlP
· • DETAILED BUILDING INFORMATION
EXISTING USE ~P.;!!ar~k~l:!a!nilig..!L~o~t ____________ PROPOSED USE Restaurant
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $. ______ _
SPRINKLERED BUD,DlNG? DYES ONO
WATER SERVICE PROVIDER o LAKEHAVEN
SEWER SERVICE PROVIDER o LAK.EHAVEN
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES
o HIGHLINE
D WGHLINE
o TACOMA o PRIVATE (WELL)
D PRIVATE ISEPTIC)
' PROJECT FLOOR AREAS
o NO
\ ) -
~ AREA DESCRIP'nON EXISTING PROPOSED TOTAL
SQ.FT. SO. FT. SO. FT . .
BASEMEN'Tr .
FIRST 4,600
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGED CARPORTO
NUMBER OF FLOORS I ltXIB'l'IRO I PROPOSZO I T<Yl'AL 'J'OTAI. SlaSfll<~ ~ 'l'OTAL IPllCPOSSO ff TOTAl,5F
•*NEW HOMES ONLY0 NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fvcture to be installed or relocated as part of this project. Do not include existing fvctures to remain.
MECHAMCAL
Value of Mechanical Work $
AJR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO. SYSTEMS
BBQS FANS HOODS !Commorciall WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC {Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (or Tub/Shower Cua,l») SHOWERS WATER CLOSETS l'f•il•Q MISC (Describe)
DISHWASHERS SINKS DRINKlNG FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LA VS ffinlhroom Sink•' VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/ SIGNATURE BLOCK
I certify under penalty of perjury that the iriformation furnished by me Is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of ths above· premises to perform the work for 1vhfch the p,irmit application ts made. 1 further agree to hold
harmless the City of Federal Way as to any claim (Including costs, expenses, and attorneys' fees incurred tn the tnvestlgatfon and defense of
such claim}, which may be made by any person, including the undersigned, and filed against the Ctty of Federal Way, but only where such claim
arises out of t .h13 reliance of the ctty, inclu g tts officers and employees, upon the accuracy of the information supplied to the city as a part of
tMs application.
NAME/TITLE ___ c;__ __ ....::::,-J..--"-..?---1-----------------DATE ------------(Tille)
RELATIONSIDP TO o Contractor o Architect o Other ______________ _
FOR OFFICE U$E ONLY l
oNEW o ADDITION D ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? oYES oNO BASIC PJ;.AN? oYES a NO
ZONING DESIGNATION CHANGE OF USE? oYES oNO
NEW ADDRESS REQUIRED? oYES oNO UP/SEPA/SU? oYES oNO
PLATTED LOT? oYES oNO .DEMO PERMIT REQUIRED? oYES oNO
Bulletin# I 00-August 19, 2004 Page 2 of 4 k\Handouts\Permit Application