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33530 F=T WAY SOU7N • PO 80R 9718
FEDERAL WAY, WA 98063-9718
Fec�eal way
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APPLICATIOI
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PROPERTY.-t
SITE ADDRESS:
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IIITE/APT # ' 1
ASSESSOR'S TAX/PARCEL
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Z L O SQUARE FOOTAGE OF LOT:
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LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): Iff BUILDING 37MBING MECHANICAL DEMOLITION
AL GINMERINJ C21= PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this it onl
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PROJECT NAME (Name of
PROPERTY
OWNER
CONTRACTOR:
LENDER
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APPLICANT.
NAME:
PRIMARY PHONE:
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MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, Z1P
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NAME
COMPANY
OFFICE PHONE-
CrrY, STATE, ZIP
CELL PHONE:
MAJUNG ADDRESS (STREET ADDRE5S�1:
Pa,
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE;
FAX NUMBER;
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE,.
(e Py of eard required with —ch appli--- —
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADD(tE55;): CrIY, SPATE. Z1P
NAME:
COMPANY -
OFFICE PHONE:
MAIL)NG ADDRESS (STREET AD0RESSI:
CITY, STATE, ZIP
-
EVENING PHONE:
( i
REIATIONSHIPTO PROJECT:
FAX NUMBER
❑ Architect ❑ Tenant ❑ Other {Describer
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor Iff Applicant EMAIL ADDRESS:
DETAILED 13UILDING INFORMATION
EXISTIIiG USE: L+��+�L�I�'F PROPOSED USE--_ `�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: Zd CX�0
SPRUOMERED BUILDING? ❑ YES jQ NO FIIZE-SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES i( NO
WATER SERVICE PROVIDER! ❑ LAKEHAVEN ❑ HIGHLOM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAICEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTICI
low
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EwSrING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
•ANEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixW re that is to be installed or relocated as part of this project. Do not include e�dsting fixtures to remain.
JERCH4MCAL Value of Mechanical Work $ 6{ p O
Ld o
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQSFANS_ HOODSirr' WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS _ GAS PIPE OUTLETS
PLU MING
BATHTUBS (mTub/sho—rcombo)
SHOWERS
S WATER CLOSETS Ironed MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
_ 3 LAVS (Bathroom sink
VACUUM BREAKERS
_ ELECTRIC WATER HEATERS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,
and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is
made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees
incurred in the investigatto and fense suc claim), which may be made by any person, including the undersigned, and
flied against the City of ay, Ty such claim arises out of the reliance of the city, including its officers
oft on supplied to the city as apart of this application.
and employees, upon the�
NAME/TITLE-
RELATIONSHIP TO
[TiQuc
❑ Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
q 6 OLY
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION:
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
•-------------------------------__-E
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S:279TH .... . ............■,■■■.......�
ST.
1
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1 211
27902
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4
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COURITS
160x70 3 STORY
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CENTER HALL WAY EXIT
AND STANDPIPE SYSTEM
838
27914
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1808
CRESTVIEW WEST a 4
27912 PACIFIC HWY S Phone: 839-8222
0 50 100 Feet Q
Type: Apartments Units: 222 l 1 N =_
22
Kroll Page: 366 Patrol District: FW3 Tile: 5 Scale: 1 inch =109 feet