06-106497 trror•""``°' RE V ED /n - / O 4 � G .7—
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. • Federal Way DEC 2 9 2OOERM IT \ol1 SF MF CO ME EL PL DE EN E
COMMUNITY DEVELOPMENT SERVICES
3332F8DH AVENUE SOUTH• BOX 9718 TD
pmCATION /. /
FEDERAL WAY,WA 98063-9718 CITY OF F
253-835-2607•FAX 253-835-2609 BUILD E
www.cit,offederalwau_com
The following is required information-an incomplete application will not be accepted., Please print legibly(in ink)or type.
IN PROPERTY INFORMATION
SITE ADDRESS 17.0 1 C(3'0/� / /.. 2- ' q -`5T/, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL # / c9-- / 0 - i L% 1�t___ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
"FI2 M4 14—Nl
PROJECT NAME (Name of Business or Owner Last Name) C-1"i Ilk I i 612-A/yt i 1 e
I♦ PEOPLE INFORMATION
PROPERTY NAME 'n PRIMARY PHONE
OWNER CjrA &V'- r ,U T_ ���JJJJ�jjjj 1 ( )
MAILING ADDRESS 0 1-- . ,3��.-/'4-J c/ CITY,STATE, —� 4� E-MAIL ADDRESS
CONTRACT COMPANY NAME /� APPLICANT NAME - OFFICE PHONE
a -13t1 441 Co Wil e,wmi . _ . -
MAL`- :DDRESS CI N,S • - - CE'rL PHONE
b 67" . - U>2-tA 11,./1}- q00/(0 55) 2h/ -9 .3
t CITY OF FEDERAL WAY BUSINE `is... : . EXPIRATION DA E FAX NUMBER
— 6DO22- o0 - 6L t )•, .a•CTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of h.ppliretred 4113 1 O
with each application
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE X io8
�, (, C R5 C-A 7 4 L- 1-taM I 1114 C 4 ) ( 7(o)7? -50w
0 1 MAILING ADDRESS
�p✓��}( CITY STATE,ZIP CELL PHONE -
RELATIONSHIPS PROJECT-7 ) �) �� � �AX NUMBER Ciffic(bL ❑ Architect ❑Tenant ❑Agent ❑ Other 613 (2s &3J -zieSl
PROJECT NAM E.�,,, PRIMARY PHONE E-MAIL ADDRESS
CONTACT \1�J1..+ ��� 1 � / 1621 -7 _ j 3
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS , CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE ROPOSED USE (n[jy�/�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ (✓ 1 C/`�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESS SYSTEM PROPOSED/REQUI D? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
U PROJECT FLOOR AREAS .-4
• AREA DESCR ION EXISTIN PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK(0 COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SI TOTAL PROPOSED Sr TOTAL SI
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroiiet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 investigation and defense of
such claim),which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
IP 11 /�
NAME/TITLE ,� IT--) ajS,lt/Vw• --111011 DATE Mt 7-91°Co
(Signatur I (Title)
RELATIONSHIP TO PROJECT • Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
❑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? o YES ❑ NO
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