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10-102941 Os ERMITEllik S'P"as / O 2 94 (. MF CO ME PL DE EN !� Federal COhA41r7TYDEVELOPMENT SERVICE SJU 1 2 2APPLICATION APPROVED 2.5.;-R4SQL7LFAX253-i.cerr 9v`Iru:r-r:;itr;r„�rjxr;a:ri�c:i.mrr CITY OF FEDERAL WAY SITE ADDRESS Cus SUITE/UNIT# C 146/14,1) 31 Z.a<-1 %PA c i fi e, w. s, 1)61A-L wh-1 (A44 VAS PROJECT VALUATION ZONING ASSE ORO'S TAX PARCEL# 4 - APQ /G/eij / 0 I l TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING '' FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) Ch4e.v/ // ) le.--)001-1 PROJECT DESCRIPTION 2 �� U1%y /1;"..,4 ,i--e4-4, Detailed description of work to .y' 7>3— S be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER C/90.01-4%)N 2 5-3- !siL - 1683 MAILING ADDRESS - E-MAIL 3/2041( "A-Ce) c him S ' CITY S ATE ZIP - IA4k7 04• 1,1203 NAMEf,Ic 3 't uT7a�S LLG PHONE 572-3&22. MAILING ADDRESS E-MAIL • NTRACTOR 2 302 4 sr Gi R FAX ,y G (10 CITY a/KiA WA- WA Seem- ZIP ryaz 753- 672-V 17r WA STATE CONTRACTOR'S LICENSE# 1/� EXPIRATION DATE rEDFRALLeY$U Ij�jiLICENSE 9 SNes©l-i 4/35-c Ft / / Yn T3 �.7j.'�/J NAME PHONE ,s/416- Soc o'•w,5 4‘e.,. 253'''72-ar2z APPLICANT MAILING ADDRESS E-MAIL 2)02- k 51- 'c 560srtecvrp-Cori CITY STATE ZIP FAx TA-Car,hk v4c 9t t01-_ 253- 5-72-0gZr PROJECT CONTACT NAME V ie Sl�-YT iferi z 53- 572. 3k 21-- (The individual to receive and respond to all correspondence MAILING ADDRESS - E-MAIL...., concerning this application) 2302 A 5r` s 1 444-s @ SMLeO,e•COi c CITY STATE ZIP. Fix itOrCOM mss' 40110 2_, 253- 5-72-ocr7S” ALTERNATE CONTACT NAME: PHONE E-MAIL 705 if It0Qe3 ?53-SM 3U- josLk 6' .SMcarp-0064 PROJECT FINANCING NAME cheer/1'2o") ' OWNER-FINANCED Required value of$5,000 or more /7 (RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE 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 authorized 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 accuracy of the information supplied to the city as a part of this application. SIGNATURE: DATE 7./2+ 1° PRINT NAME: " /V 5/-/' Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Pernrit Application • ....................................................................................... N..... : :•:...:•:•:...:•:::•:•: :•?•: ::•:•:•:•:•:.......:.........•::: .............................................. VALUE OF MECHANICAL WORK $". (a copy of bid or estimate must be provided) 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(commerciaq BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST • DUCTING GAS PIPING WOODSTOVES :::is�::�::}}:•>:•:i:iiii:�:;%�::::�::�::5:}:: ::::?%r.�.: ;I.: :::f?�::�s::�:}:�::::::?::�?�:::•}}:::�?4?�:�::::�>:�::�:::�::�::�::f:Yt :::...:.....::...:::•:r::::.:.�::..n.:::::.�::.�..n.:..n..:?.•:vi:::•::v::Y:'.•:•}?}}}:-}:i'•.r.......x.....r....... .. .. ....;.......;.....;.. ........ r..... .... .::................:......n.:.:.:.......x....n:.:.....nn,.r.n...........r........: ::�i}i:•x}:+}:}>}Y::-. .:•}:•:• - .. :• :• :•: :• ..Fi.n..... .. .:.?;•+.;:•::b:ren:.. r:.:J.{•i}%{.:;?•i%{:fi rr}i:4:r?.{{.,'.;:?i h•%iii::ii:•}};:?.,'.,: :::.{:•,:.v:n;;;;:.:;::vl::::vn::•:::v;:;iiE:i::0:::: i s i???tii::titi:i:i:::tii}.::::ti:i i:::i: Indicate how many of each type offixture 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(Ekctric) HOSE BIBBS SUMPS WASHING MACHINES `•L` •••••••�"i4• i • ->is ���: 1;'•.E�'�:C�k � •kY:•'•'��:�:��%�s:::>:::'r�r.:::::r::::"•::::?:::::::::`•:::`•:::::�:+:i?cY::: :::::£:::::::i::; :::::i�`::::i: :::::::::'tri:: CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) STING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ YesD No ❑ Yes ❑ No ::f :.f::.:r:.:::.;;::. -:,y�r?{...;;•,:r:rare+:;::•.f:{;.:•+•+•v r:•.r.{.:{?:r?:.:.:xr::•}:•}:•>••>:•}:•}:??.}:;•}}::i ?'FF.a::.;::.�r :}'F^i:•}i:+?::Y .f :+?•Y+4Y+'• f ::.;.,.;.,,,:.fifi /•:r:r•: f.;//,.;/;/!.?{/;,.r.,.,;.r,yf/. ?.,::;' ....r. .rrrrr.r{{.. ... ..•.:•.:: ?... :;:.. ....... :..•.,{., .{.;{.,.;»,{1} r:rf.,ri{Y.,f{ : ••:r+:::r.?•r?f:•:::•:::•:r:: ..{/.•j}••,':>;'•:+'•:;:'•+•:; ..i.r{/�fr :r„:,r,:.} !r},:•}::rrlr..rf r;.{ .,?Ff�{:;...?i r;F .;/.{:•::••:::..r::::::riii ? ...r..r}fi. :i+•{,,,..:.F.:f...:.::r}:rrf::: r.r:J. ...•f fn}/>t x:3. .�r.•. n, T,.f :}•,f.?:,;rr•..f.. /,. !, L }�k :�r?•'':::;'?;?i •o `>.': y i-. {r/•:F%r. G:.r rr�:.:r..:.%:}��; .:f:?f..{�<}%i^.•}:;?/,..?r:•: Yk'•?{^F..u,.:n:{nF•?/•,::.r.::�..•f.•:.:•x/v.%f+r 'r%'•:r?r .F x• for ..�.A.k:.r. +r.. ..),? .. .Yt :x:F r:.f., .:.:.F`rFr :.i,..r.. ..TF'•f.{xvv::i?':: / .::}:r..:+.:fir:.::::?.F!:?r:/.•+r:.::.ter.. .,f: �r, ?f}r?•}•f. ,?� '¢� _a..rfi...........r...:. r .....?. .....r:..:}.r..�:h• : .�., • AREA DESCRIPTION insquare feet) �i... :::•%..r...?.r.{/.�....' /r •r::F..::.f./r.r.:.:.r.rr�.Y,..,.:.:.:r::::.:...+.:.:.:..�..r:u f,.;.,,.,:.::.{r.:� :.5. PROPOSED TOTAL FOR OFFICE USE 111110111j:: JfiQFasj:ni1.s.i ^. ii :S.. nf : iix 0 . :nr.:..:>.»r.n>i. y».r;;•:;}.•: :>iiiii;• - — FIRST FLOOR(or Mobile Home) :<#: rr<r:..:,•..r:..r,.•:::�}}:,::.}:•}};;}s;:•};}} } :•}}ir}}}}s}:}:•}}}}:?.}:•:•}:?.}}}:}:•}}:•}:::::,r}:i.:,r.• n;},?;{nrr{tiN{?:n:•}.\v:•?;tt{?r{?r{?{r:.e.}::]:'r:;i;:ii,}}}•:{r.}:???•}:?:ti??ti:?ti?•}:L?-:}:?}:+::�•}:?:r_.;nY.ti iiF :��-:��.�'-i-.'.�::�:::}i'::i:?:i::iii::::i+::iii�•:tn:i�i$::i:•:ir�i:•$:vv... COVERED ENTRY a111211110 BEISSURE::� :r:.✓}wr}:.vr::.::`::•.'•.i::t;.;,;.>;':( :.'•:+:t:••�i:�:r::cvi:?fi:�v::::'•.t''•'.2iri.^•.:'.rv..{}:....: •nvry :::i.•:rro:r::r::::::r::.::::::.:::.:::.•:m:::.::::::::•}:.•:...:.:,:r:.::i:::.vy::.•: i::i iiii:::{:..r. GARAGE 0 CARPORT 0 :•}iii :?:iiiiii?:'t:ii iii::: r.::•:.x•::::::::::::r:•?•:?i;+:ir:•}:+•:iiii•}:;?r•}:•:;,.,:...:•}:????•}:;;;:}:::::rr};{.,:.:•::rr. .:r. ?. :.......:.?.�:.ir?::.:.}•::;.:: s::>;::>i:::�<�=•�<•�<i%<:::>:<:: ........:.:.:.:..r..:...............r.:.....:..... :............:.,'s�'}•'t;;isii}: .:.................. .......:................ r:r...r..r:� �:: . ..:.r:.r.:. =STING PROPOSED TOTAL - __._...__._—_--•---.'__-- Area Totals ::jai• +:::::>:>::::::>::>::>:>::>::>::>::>::>::>:<:::>:<:::>:::<::::<:<:::::::<::::<:::>:<:>::::>::>:::«r: ESTIMATED SELLING PRICE$ ' #OF BEDROOMS .}"f..}i'???.}i}::?.}�:}F:::::?::.}i}i}:?f•}i}}}i}}}:i?.i}:•}'r':.ti?/•:+.:}}:•}Y::ii.... :;; ..... ::i ...mom.....;:aYi+?:?F+iii::?^::+ii:}:;riii4:i._}}'y'+•}}:tii??::i?ii?n}}:?J>•Ji{•:v:i:>i'r'»:}?ii:}}:ii?Yi�:ir-': ':+?f:•':;}}:;}};i; :......................................................r...rr..r....fi...ffr. ,.r :i:... ... r:...... •••-• ..+.::?•x:::::r.::::r:••;-•::::,:::. ............ ..............r................:..:.r... .N.r. .... f•.. ::....;:..n.:..:::•.}:+•};'x..... } lr..:.y.{{.��{?.;v:::.i..•f... •i}::•'•r:. ..i?';??�:::.::::::::{::.;::•??'{::.:{.::•}:•:• ::� l.:•v...ii:?r,?:'•::t::??..:..I.,isi}}n:::?{:r:::ii}::.?:i:?iiiiiiii::i:•:�:i ii:t.}lq:}}}:•: .......;r:...,....;?.}::ri:•i:?.}i}}:?.}'.?rF.r•:::.v::.y:.}�.�r .../..::r.../ .. : • .}i::• i'fiHF}• ' '• :.: rFfi,:r,:.}r:r::?l.•.:::r•::.................:.::r:::::::•} •:.:• ? :::.::::: ::::::.;;:?:$:i::;:::•}•?;.;•r.:}}}•.}.,,,:i,i•rr}}•::....:•.•.•:::.�.,..:::•::::::::.r.:.r?+?•}•+/'. .:'��.•:� ..: i •� f:+•:{?.}:}•-. :}•:�r ��:IC-Ik�'•`�-.`'•::;?.:{:,::'+•:::. Area Construction AREA DESCRIPTION a .a S uare Feet Occupancy Groupls) �Fe Additional Information :t: f� .;"='`%3iii'�:::%`%•`•.#<� •`•.`#�:'•'•%<(�^:�c�:s:•`•#�::?.E` : •aleft' ADDITION;' 111:::::?:::r:.::::: ?{?:ai•?{r••???::•i}'... ....::.......: :.:.:...: N .......:.....,r/•+r••i;•;:•}:•:?.}:??!vi:•i;}i:•>:u......... .............,......... EINEMISMEINSIMI Area Construction #of AREA D RIPTION Occupancy Group(s) Additional Information in Square Feet Type Stories ���Sc'£' '�# I;i':'#r�� ��:j:`:�:�:::':::':�`•?:':E::?::i::�•?:: %•.?: �� %�%' '=? %�'•?•:� ����:;:.?:��::::'•:::�::�'r::�� � :����� '?� u`�'r: �#� `:< %< �� �`�������� ���3:������::�'E�'•E����%��•.':-��:'•.•':j� �?�'� �����'�������:��:�� TENANT AREA ONLY Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Pennit Application A