16-100018 111116 .
CITY of
• PERMIT‘PPLICATION
Federal Way RECEIVED
O r - JAN 05 2016
PERMIT NUMBER 1 1 O I
_ TARGET DATE CITY OF FEDERAL WAY
SITE ADDRESS SUITE(UNIT C ik D s
/900 S. Crn' S DC travbaAa.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4 cc L3Z [ Dom _ 91 03_
TYPE OF PERMIT ❑BUILDING ❑PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT ?AV ( L•1 0 _ - cA ` NL
PROJECT DESCRIPTION add..rC\ (Ail .4F---f> i c 0 i-\"11, X1 S �J
Detailed description of work to i4`t $1dQJ "t\el,e. A)l) \ ki is vl
be included on this permit only
T
NAME. ,. PRIMARY PHONE
PROPERTY OWNER % c\i\k.A- Wel -5q ZcoC
MAILING ADDRESS E-MAIL
PHONE
MAILING ADDRESS E
tr AAw! ,..ncli.,.t.,.si-e,,,,, '+LG�+-`
CONTRACTOR •
FAX
WA STATE CONTRACTOR'S LICENSE# E.• • DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
Tlt .-S't;?t,\S•t•• trim—ZS—C', `-1ICI
APPLICANT MAILING ADDRESS E-MAIL
lCie'Z 1CdC-e, 'i
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture 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(commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
_ _ COMPRESSORS GAS LOG SETS _ REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS 4 RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DI2INKiNG FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
r�
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
•
BASEMENT .
- b
FIRST FLOOR(or Mobile Home)
SEGO D I•LOOR
COVERED ENTRY
DECD
GARAGE ❑ CARPORT ❑
OTHER(describe)
OPOSED TOTAL
Area Totals
',"NEW HOMES ONLY'"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEIii-BvILAiNo
t
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING x; rt
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application