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07-101024 CITY of C7 - ' O ' 6 g, Federal Way FEB ' PERMIT — — 7) COMMUNIT}'DEVEIAPMEIVT SERVICES CFEOECPAPPLICATION Pp'(. SF MF CO ME EL PL DE EN FP 33325 8n�AVENUE WAYS.O •PD BOX �� c* ` `t.\ Tp52607X / 253-635-2G07•FAX 253-835-2609 www.ottioffederaltrau.com The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. 9 h• E wPROPERTY INFORMATION SITE ADDRESS 3 - L. ` .B A V U E S SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 315'40 9 Q)() I 5-4i LOT SIZE(sj) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page Jar lengthy legal descOptionl ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING •FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onitl) Jt616Ad Fi/2C A-tAQM S/STCM (24/zi,4-L cav gni e) PROJECT NAME(Name of Business or Owner Last Name) VILLA C S t9 Qi)/vz fA • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER V I L A S p E,e�N7,- e-(, (12D6 Lb 6 I - VP,g® MAILING ADDRESS COY,STATE,ZIP E-MAIL ADDRESS 38o8 S. /4,,J4ftieve' Si ScAT7LE 14)0 9S/ /$ CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 4V /—/46 _ (877) 209 -S5'/r ti.ING ADDRESS CI'W STATE ZIP C.IL DHOW o• Rai( 5-77 fIL6 J/f�/.,', 973..(7/ ciAzsT531. V207 _ CI 1 1 OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 20 - 07 - / 00835 - oo 'R1. , 2 31 . 1OO7 (zs-3 )&4O,-r57a CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESSCOpr of card required with eac application > ,4�� VFjAJ c4r3 2•P./ /& - P} • 0f7 Itry o Y -1-7 ge - coAi APPLICANT COMPANYNAME APPLICANT NAMEOFFICE PHONE Airfize: SCcu2tryfiaCcr2,c play NAME , OFFICE (077) Zoel - 55 '5 MAILING ADDRESS COY,STATE,ZIP CELL PHONE 2Sos /Ogot Ave E. E0c5Ewe “th 993z ( '.n ) 531 - 420 7 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT /I/J,DJ SrKOO/ (z/2s),551 - s1207 /9A/Uy6l4✓-Fa2E.e0m LENDER NAME Per RCW 19.27.095: Lender information is required(f 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 $ 5-060- a 0 SPRINKLERED BUILDING? I(YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) L • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL ERISTINO SF TOTAL PROPOSED SF TOTAL SF 2 2 (v, O z`i **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(Toilet) 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. �} r t�j �� 1/v NAME/TITLE DATE 02•/5•0 (Signature) VVV ('title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor 0 Architect %Other S u6 (OrirRAGT©R FOR OFFICE USE ONLY NEW o ADDITION c ALTERATION ❑REPAIR c TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES c NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application • • 411 ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 GI Detached outbuilding or garage U 101 200 amp 149.50 94.50 (Inspected with service) $47.00 U 201-400 amp 280.00 111.00 ❑ Detached outbuilding or garage CI 401 600 amp 327.00 131.00 (Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00 ❑ 8011000 amp 516.50 216.00 NEW MULTI-FAMILY(three units or more) U Over 1000 amp 563.00 300.00 Service Feeder U Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50 CI201 -400 amp 149.50 74.00 CI Mast or meter repair $102.00 ❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL U 601 -800 amp 262.00 140.50 ❑ Over 800 amp 375.50 280.50 Service or Feeders U 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50 ❑ 601 - 1000 amp 423.00 Service or Feeder L:1over 1000 amp 471.00 ❑ 0 to 200 amp $92.50 ❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits.$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $55.000 Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $74.00 U Service and feeder $120.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $65.00 ❑ #of service or feeders (First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity U 0- 100 amps $74.00 ❑ 101 200 amps 94.50 ❑ 201-400 amps 111.00 ❑ 401-600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats U #of Signs (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) U Low Voltage ❑ Swimming pool/hot tub $111.00 ware Feet to be served by system(s) _ (Includes additional circuit,if required) Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarm System ❑ Additional Plan Review ❑ Voice Cabling $111.00/hour (for modified submittals) ❑ Data Cabling U Automation Fee on all Permits .. $5.00 CI 1,,t 2500 ft2-$65.00; Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(%b)8&to Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Permit Application