Loading...
12-104312srrr OF `��' Rde 'a"ECEIVE ®•PERMIT CObIlYDEL SER V ES 25"35-2607• FAX 2&5.8 852609 APPLICATION wwu.d&VffMffa1WW. P 2 0 2012 Ate- (0 �� 3�A2— SjWF CO ME EL PL DE E P :,.:,;:{;. Y{ r:::{:. t. n.:.:.. .:r..:.rr..: :r.:r::rn•::::::::: r . ...i,...r...n :r ... .. .. fr.::r:: r?:•::. i:•3;} zi; ij$$ i:. }:::.;Yr:::�:.::. }.::::;.;.; ?.: : ?,, .:.... .: .:.:.: :.:r:i::t$; ?'�::$: %:;::.....�.: ..,..:�..: ..... +.:::: ... :r.. .. .... .r. n:.Y.nt: ..k. :...... ...:r:.:rrrr :.... .:..::.. : ::::.:::... - +• -- ._..:... :r..:.....:.. ::.v... r'. it ............ r..... ... ..r .. :.: r:r. n.n...+i. rn.......- : ??::s�•� ' :: .:•::::::: r.....,,...•:::: ri:. ii:.? �: v: C. i?:.: ..:••:•Y {•: ? ?:.Y;rr ? : ? {;: ? {.v ?: {; :: :::.::::::::::::::: n•:: SITE ADDRESB .. .:..:....................:.:.:. r:r..::..:::..�i: {• }>:: :; ©s Zo 3, r SmTE/UxIT # ZOxINCL ASSESS0 S TAX /PARCEL,# 2 Dv::: : r:i$»::v ?;$.':•'Y•jj'`:'r+::i: <: iix::.w ir: .»::}»�j ":.:� `r••: ? ??:�'h,'nyv }..y::,v:: •: ::• ?:v'r?'i }:• } ?x:.n...n.:: x r w+. Yr }«?}:.J «..v+ JSr:s .CiYi$. rr'f'«. •: Yl.Y • ;, ?f.• ;. {r; ::rirkh nhr$$ri$ isrvi• }•?.3't: »r xyf4e{ {{ f.v /. f:$$s :tjt•!f }.r .. +.kf{ - -•: n +•. {'rf:::r: x...: : /r.$'�'e:: :$ •. ::` /...: r.� n+fv's: 3::•Xir .'fr�iA ?: C' :r .. .+ cj, ::::v.,;.; ?; ?x :r:r: +...: :rf. ?i. . f: •r i r /r•;• r..... }n.«f::::n.., ..» .. :... +v : ... :.... ..: .. ••••• «er }i::Y } ?i'e.•:Y::•iifr ? ?YF : }i Y:i: }j } ?:Y:Yhv.YF.: v::. :v.•r .r{.:: « :3•: r rf• :. :•ir.,; ?i:c•+ .yir {.v ?r?:x »••:.•:«x:xv: r: iv: r• ?Yhrf.. lr•• .ilr. xrT.r. r.. ..r N.r $3 %`•. rr*::Y :,.r :h.. .r: :• •:rF, ?:;:Y:3:; :;Si • h• ri:i' :iN3jH :rvx:r ?:rx: ?`•`" Y!.• }$ r::.• ?Yr'.3. {r ... .«» ::::: ..: ....r ?. r.. ni$::: x:::::.v NAME OF PROJECT »:: ....• ty {�r r { +:; { {•:` {• «. ».. Wq� , r::n..:nt.$r }'b } ? }$$$i:•$ }$�i $$$$ N- :: nr:.•: •:. r. .. •:: x::x• s:: .. :•v:; ::: »::: nn:,:: .r. •rrx:: U::::s +ii'r'r .•ri:i:�::i;i:• }j:f ?. :rsyr r;r r.• (Tenant or Homeowner Name) y rt1 TYPE OF PERMIT L7 BUILDING ❑ PLUMBING p MECHANICAL./ ❑ DEMOLITION ❑ ELECTRICAL l] ENGINEERING AFIRE PREVENTION PROJECT DESCRIPTION Detailed desm4nion of work to rL be included on this permit only - ».v:rri'f. -' fi •••• r: of �'i i- } {+' Y- 'ix: {<: « « :f "+xr v:: :.•, :...:.: •v•... vnv: y::rn7fl..:} -------------- �r� '- : 1•:r. { {$ � Yx•f«f,' rvi•J' » ?n +i$$$`r f':': i'$�`:.j ,•.`!••: }dui '(! }i }:: ?i Y:'}Y :ir }kYfi:�ffri •. ; . i 3.r.... :...� . ;.,.r ..f ?• +:.. r . •: r:: ;.t{; f..C'' ?i�'"itnr•� rf �,vn: r J.lh a j: f�?} i' rr#.{:'•.. {jri`ji ^r- :•J$Yii +$r. {r `r !. ?r3�r3 « i i�x f.: {r ::3 /+rrl..Y::« :w} r .r �: }vl :rf.Fr "n .;: »x «ij}kir)•$$ {i }:;:fk; • rr���/// }t $3$' 3:}:. �.:: hx}::` if::: r« tYrr' :::r'$ }r:::£:}:�:9Sf}.! }�rii�.r : ?•i�ri. �r;Y rfi::$k ?:::rrYi::::r3i ff�;' `rGj; $;:rrr:r�,r',. ; rh ,f ff :!• % :,.•t:lr:�rrr'4:.r:: rtr�.+ m r i',�+�•-+' :. ,`{r /s r: }{x� r: xyr»...: }xir •n•.•:.v. ` » 'r� r '3 r{,?{,$r. lx:::?:, �r �'+.+i•`$i5 }i'rpiijiYiii`$rr .4. :.r. rrx. n:.,;F`� ?r�Yffi'rh...«1x. s$ }i: ,n.. r:n.r :.•: .::: :: nv: «::::: xr: mv..::... h..:... J... ...nom »:r::. n.:.+.rxe:xl «r:::: v: l$: :.•$:::.;e:$f`». $r'�fS }$ j "3:'ji i } llFr:• .. /.•J. xA7n PREKARr PROPERTY OWNER � % , STATE, ZIP Z_KslL OWNER IS ALSO: ❑ CONTRACTOR ❑ APPLICANT ❑ PROJECT CONTACT IFAItd � � �� PRDYART P80xE CONTRA �j e�IU,Y\ "nmst, CITY, f(ylX,r ZlP �i Sc� �v % PAS �a� ,3 Y6 -X7'3 WA STATE COxTRACTOWS LUZaaj # SA TIOx DATE FEDERAL WAT xUSUnWS LICExSE # DtSS 2-96 t 0 x414 c 1 PRDYART P180®II APPLICANT , 'L s S e ( 20v OLI C - � 3G 6 WAIL Mi ADIMMS, Mn, STATE, ZIP " ^ i jw {�. i( l FAX o ( -ZD�)3yo PROJECT CONTACT (Tile individual to receive and RAW f Ca.A-6en PFaxART PEONS respond to all correspondence concerning this application) n a ae wDP`, rrY 2 0 � , SeA_ U. ` ?613 FAx (ZD(.)3Yb -9361 ALTERItATE x P PHOxE t20G 3wd - kI 300 E -1tAD. �-��� PROJECT FINANCING SAW Required for projects with ❑ OWNER - FINANCED value of A 000 or more MAILM ADDRESS, CWT, STATE, ZIP PR[KARY PEMM WCW 19.27.095) I cert(jy render penally of psrjrcry that T am the property owner or authorised agent of the property owner. I certjjy that to the best Of my knowledge, the lr brmat£on.submitted in support of this permit application is true and correct I certify that T will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. T 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 envirmunental laws. I further agree to hold harmless the City oflrederai Way as to any claim (inelutiitlg cuts, eVens g, and atWrltWyS' feGf ftwu e 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 arise out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppled to the city as p application SIGNATURE: L 1 l / 2 DATE / /� PRM NAME: C L'l. �/ a J 1� �� Bulletin #100 — January 1, 2010 Page I of 4 kAHandouts\Peimit Application a 2 9�0 Value of Mechanical Work $ i o A COPY OF BID OR ESTIMATE MUST BE PROVIDED Indicate number of each type of fi -dure to be installed or relocated as part of this project. Do not include existing fixtures to remain, AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commeminp N U S SO4 BOILERS FURNACES HOT WATER TANKS (G-) 3ICZ —r COMPRESSORS GAS LOG SETS REFRIGERATION SYST ��RC— CI�(IJG Q DUCMG GAS PIPING WOODSTOVES &I wl t�OLl� Ind6cate number of each type of jb:ture to be installed or relocated as part of this project Do not &'dude existing jbduras to remain. BATHTUBS (o 71.b /BboaerCombo) LAVS Vj dsmj.) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (t wh— /ubW WATER HEATERS (m..wo HOSE BIBBS SUMPS WASHING MACHINES TQTiRZ:Pi7Cili1w3 E71s=G /PF4r4wus usr, VATERFURVLYOR LOT S=z an sgaam Fast) SEWER PURMOR FlaRrum FD's SFFJNIC=SYSTEM? ❑ Yes ❑ No VAUM OF E76STM nWROVEIO;IITB PROPOSED rm sDPPRSBnon SYSra1[? `gJ Yes ❑ No L AREA DESCRIPTION Area Occupancy Groups) Construction # of Additional Informmatioa is Sanare Feet Tbnib I Rte.ina ADDiTiox AREA DESCRIPTION Area Occupancy Group(s) Construction °a Stories Additional Information Lin, Square Feet TBxANT AREA oxLY Bulletin # 100 — January 1, 2010 Page 2 of 4 k:\HandoutslPermit Application