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06-100197 IIF a E. • l . �. EC � Federal Wa D 6 — ( 0 i q to 7 2006 iERI- "-'- - COMWIINTYDEVELOPMEM'SSF MF CO ME EL PL DE FP 33325 AVENUE LWY,SOUTH•k BOX 9718 p p�I C TIO N FEDERAL WAY,WA p�15-2 Iq„ h D 253-835-2607. 21481,8815-2 y` FEDERAL AL W p /' / www.dtgoffderafwau.c`R CILDiNG DEPT., / :`�'' G The ollowt • is re•uired in ormation-an Inco •fete Iication will not be acce•ted. Please •rtnt le•ibi (in or •e. •. ■ PROPERTY INFORMATION S SITE ADDRESS ` eiC,/; i(, / 4,/ c cilli/r g SUITE/UNIT if ASSESSOR'S TAX/PARCEL�M - _ ._ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate 1.6.f.,kmgthil*id desaip ion) t ■ PROJECT INFORRIATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed des ' tion of �i wor duded on this permit only) lit l aaC GUhheY� rt 1^P Q �t.� r'r1( j y. S?E'.?) Tom" i) CC,t" c,'Q�-� T'e n.et' DeKaitr etc, -I;r Zvtre .447-i'axaT _gon Al t clef ...- 5- • ' e v,c9 LA,ci II Ste;- PROJECT NAME(Name of Bu.mess or Owner Last Name) Y Gi 7 I G... , ...,/t'j" r N a7ti`O n et j g('Q v) k - - • PEOPLE INFORMATION PROPERTY NAMEiti ,T PRIMARY PHONE OWNER �`SG iL_ 11 (yl 2r(?` ( . ) - MAILING ADDIFESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME ['/ APPLICANTi- NAME f OFFICE PHONE iTi r „ LLC':GT�i�cc I n 4' \1 (9�. t,rt (Cps)7ya - yam L:NG AD RESS CITY, ATE,ZIP CELL PHONE 5/ GO I iL �t�4� s � �1a�" cyas) ©� 1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBED EXPIRATION DATE FAX NUMBER d- 0 - 1 e � � � k-BL i � 3r %,6 (ya5� 39 CONTRALTO 'S ISTRAT NN NUMBER(copy o[eard;egnlred with each appUcatloa) EXPIRATION DATE ry r_ K. 'G � o < � 45 OF o"7 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE \..... C'Cit rac-rte v- ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER 0 Architect a Tenant ❑Agent 0 Other(Describe) ( ) _ CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ER . . _ _ _ ( ) y ,a / "''X''''.041' ("4101427 1ffiA;�. 'c.f."; n NAME kU ? ` 460.1<,;i1 it.0,vkx•y t ,pt.0 x'4,4ait f,!Iky. 'f A V`^� MAILING ADDRESS CITY,STATE,ZIP \ntLiCt ■ DETAILED BITZLDING INFO*CATION. r ' ' ' EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ � 3. - SPRINKLERED BUILDING? o YES ❑ NO FIRE SI;?PRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLLNE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLE!E 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST ....S-65---° SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT❑ EXISTING /PROPOSED TOTAL - p SYSL',.' , ry r>:oroSED erg& #. Sr 4r�' �� NUMBER OF FLOORS ( . �'�. �� : .. ., x�. "•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. MECI&AZ CAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRiG.SYSTEMS BBQS FANS HOODS(commesc;.q WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEAT:ileRS0 DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/snowerCombo) SHOWERS WATER CLOSETS MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(sibmom VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,tha:al I am authorized by the owner of the above premises; remises to perforin 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,incl •ing the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reit• co of the city,inch its o 'cern and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE �� ii/igr, DATE J / G (g... (Title) RELATIONSHIP TO PRO y ❑ .�wner ❑Agent a Contractor ❑ Architect ❑ Other IAB Q f9C�r'C �{ er?$�` y .17,17:34",-,,82,j,-.;,L, � e8t 31v .A.�.`.6 /:•:(25'.'"W'• r �., Ha' I 091 1: et( 1 ij � t ._ Q1i J a Ah= t"� ,� rf .RJ7(;4k� '-;-:-,-7:7 -5W..",,"'ie il-1,.' i tt ,r �.+ gp c,o, ate.- ,-„,..„-:-,..,--7. , rie �.. �' ,---,76�B€ ,;t"�j1 -61S} } �f ). ca :(c.gf z'_ #�T41 'ff f' 7`�LIF`kg„ � _ --':--:-''i.;,,,,> ."� �� zt Gti"w3i jr4.1 L e.lr aJ'3k�) .ick'--i-i: :""` `� tt: i�E!; 3� ',.�f I..x f> r,E� ✓�,e� 8 1 .,.,. ;�i-,12:.- -- ,,..%.� .. _Lk.:d ....,_..�..,u........_..., v..._.. ._�.. _ ,._,.....T...,d _ ......._. �......._....s ..��.._� ,t a a „,,.:.,i...,_o.- .. au .gam..... _....... .a..a.v�...uy Bulletin#100—January 7 9(1(lt D....v')..r 6 tr\ITnnAnntc\Dn�+nit dnnlirotinn