15-102050 ' ` REOVPD
il CITY OF 4016 PERMIT t% PLICATION
Federal Way APR 2 8 2015
• CITY OF FEDERAL WAY
(- _J
PERMIT NUMBER // 5 _ / OD O s 0 /�//�
TARGET DATE
SITE ADDRESS SUITE/UNIT#
/OO . ( / rs 5,,,A....... ..„ 6
PROJECT VALU TION ZONING ASSESSOR'S TAX/PARCEL#
105040 0 - - - - - -
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING xi FIRE PREVENTION
NAME OF PROJECT 5 G k.kys
PROJECT DESCRIPTION " QQ U(T o C ek. c e - E nc I in e`P i d / r -S uA r-•r t S�R re s s o o
Detailed description of work to sy 54e� \ [n C.. 1 ce•- ` 1 p e_C� �(1 ofd.e
be included on this permit only 1
NAME PRIMARY PHONE
PROPERTY OWNER C't114 ,47 ,<)
MAILING ADDRESS E-MAIL
CITY STATE ZIP
•
NAME 5�nae„S S b 2o�-340-y30o y
MAILINO ADDRESS /� ,.\ E-MAIL n
CONTRACTOR 2 0O I J t r j ��! W G �O. 5 e-e e l San SGT' .co1N1
CITY-)Q GM� ST EE , ZIP(I b t 3 ti
FAX
C "� �J D4-340-N3O1-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SAND LSS 2 10 R6 i
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT -OCS
Indicate how many of each type offixture 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 X OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commeccial) }��i}) S'ut('� 3
BOILERS FURNACES HOT WATER TANKS(Gas)
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 RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING 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 Xr Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
F}'-'mot i.1 �`m fr, p`T"er1l "'1'V"" _7? 5'71777, 3` �;�
0301 u } i'z 5% ry Yry, y Cr3 ‘,,,."-i.-1 -',.1 t „,,r,:,:;,-'''1
Jrm..�az. tn,.:=. k< e.. .,sz.�...;..,_L.....U._r.. ..a._..,!,,r :,-,5,--;',:-„',/.t,,:_, ..—,•L ...-..�.............d brs.• . __
- RST FLOOR(or Mobile Home)
...;e.. i. .. r. '. A...--.,..,1;-:,;:,;..1 #, 7' ° r
. Jvs a.14 S:,,,...4....:-.....13L..::�.,,,,..x.n:,..r..L li C•.,IAI J,_ ,.Xt.. _
{COVERED ENTRY yai ,• g
4 't i�rotra rcnr ia�"' 5 t A r 771 , k `ul ter
GARAGE ❑ CARPORT ❑
.,i' E4 r # , ,',.,,,$.77:17-.37,-,,f0,-;-, ,
. � £ . n3'•P OiH2 te 7 S S , ',_;?,m-4,,,4","r.r f',
;,.',,,,x134 ,,, �A v.w . '-'.: '1.,,„J.',.a ;�4, F . s:, (» r ° F --
EXISTING PROPOSED TOTAL
Area Totals
''4,4 X ,r4%n`it '. su,mma.'X°ZEW HOMES ONL.- .” OZW.,= ;
., . ,�zrrrfinr�zu"" J/�ss.:; -��w ;kx4
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet a Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Additional Information
Type Stories
^hat y ;.! y #.a: J. a j '"`'`'w f , 1'"P S# {•u t.� L:
•TOTAL BUILDIl °� . ? ro
, IA 'g3 ,w,'} f
a:
TENANT AREA ONLY
PROJECT AREA ONLY '-. —
Bulletin#100-January 1.2013 Pane)nfZ ,_,r= , ,r • • ••