Loading...
08-103533 p / C3 353.3 Falieral Way TV . t RMIT . COMMUAmDEVELOPs�TSERVICEs SF MF CO ME EL PL DE EN P 33315dTMAVENUE 301.1771.LWAY,WA98Po 971s AppLICATION FEDERAL WAY, X 98063.9718 JUL 2 Q ID / / 253-835-2607o FAX 153435?609 Fnutu.dtuoNideral,m, (� FF n D The following is requires�if rh[ht}b> in >4e ' to application will not be accepted. Please print legibly(in ink)or type. a ' /I • PROPERTY_ INFORMATION SITE ADDRESS_`'1 H3J Par..-C-‘..-C.-C-‘..-C. bhA/y SUta-4'v� SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 0 if 'd l 0 - CI _LLOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Ev.ecyceei- (' c,, \c (Attach seParatePogeforIenethlf legal d V • • • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING ❑PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING KFIRHPREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) Ile ztv\' . Z4o ve./k Qr....r �ves'9v�.Q4- R�,� ,Re\b € A� f \e i.0 ks. , spv k-e/ 1-eco-�S PROJECTNAME(Name of Business or Owner Last Name) Qr( 2c) 3j jS .. PROPERTY �,, /�I • PEOPLE INFORMATION OWNER NAME /Cv. 1 0A) I GKN Ass-CciInS _ (`PRIMARY PHONE MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTR• ACTOR COM?ANY NAME APPLICANT NAME OFFICE PHONE U &des A m Imo, cue % (t )&55‘ =off MAI NO ADDRESSA` c ���jj /� ��A (0� ` (� NE C S S'1-cru"roe CJ«ATEMdn& Iol/A- (�)Mb - '1oaz J ! CITY F EDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Q-��t-- to( -1"1 b -00— 6L R.-31-2 Was)8Fs‘ - 3030 co CO' RACTO ' STRATTON R EXPIRATION DATE E-MAIL ADDRESS .� eeM lvl NUMBv;tea A I(1NT CO PANY/SAME r � AP NT NAME OFFICE(� PHONE 1 `,� Cl. s Al NO ADDRESS s`-. `es mn "�( ( PRS) ars‘ -O XJo CITY ATE,ZIP CELL PHONE C < •'h NE(5'`- `� �E � WA ' O (iia s)73 b -ei63Z E I SHIPT PROJECT © 1 FAX NUMBER m o CO chitect 0 Tenant 0 Agent Rtt Other Pre..-\.( scc r(- (1.-0E,) \ _ -O .0 as -20 j'N A E � 1 PRIMARY HONE - {`,�, l / E-MAIL ADDRESS C(iliTA N1) t�� ® mIPer RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) •. DETAILED BUILDING INFORMATION • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ C1;-5rC C . SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) PR s JECT FLOOR AREAS AREA D i PTION •EXIS PROPOSED TOTAL SQ FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD • ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 =7 rn NUMBER OF FLOORS w IMO PROPOIZD TOTAL TOTAL azrssr TOTAL PROPOSED SP TOTAL d? "NEW HOMES ONLY" . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ■ 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 for Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE ... _. ...... ....... I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I 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 environmental laws. 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, but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracyof the information supplied to the city as apart of this aappplication. SIGNATURE: s<� - t.--- DATE 7-714" z,nf) Property Owner and/or Authorized Agent . a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO• • Bulletin#100—August 16,2007 Page 2 of 4 . k\Handouts\Permit Application