04-101435 City of Federal Way 41111I
Community Development Services Building - Commercial Permit #:04 - 101435 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CHILDREN'S DREAM LEARNING CENTER
Project Address: 1122 S 322ND PL Parcel Number: 150260 0030
Project Description: Reroof; comp to comp
Owner Applicant Contractor Lender
MOON KIM HANARO GENERAL CONTRACTO- HANARO GENERAL CONTRACTO NONE
1122 322ND PL S HANARO GENERAL CONTRACTO: HANARGC065J7(8/8/02)
FEDERAL WAY WA 98003 34801 30TH AVE SE HANARO GENERAL CONTRACTO:
FEDERAL WAY WA 98003 34801 30TH AVE SE NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No
PERMIT EXPIRES October 16,2004.
Permit issued on April 19,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: -_ Date: * f'17' Oce-
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PERMIT
COMMUNITYDFVELOPMENTSERVICES
SF MF CO ME EL PL DE EN FP
33536-FIRST WAY SOUTH•PO BOX 9718 r°•t r
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FEDERAL WAY,WA 98063-9718 f I -APPLICATION
253-6614115 FAX 253b614129 /
www.altyal ederalwaU.com
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The oliowin. is re•uire(k3t .t ? 04t tin i c' •fete a.•lication will not be acce•ted. Please .rant le.lb/ (in ink)or
PROPERTY INFORMATION
SITE ADDRESS /1,2 3 2 /' - L p / .30 i-� /,q
' UITE/UNIT#
ASSESSOR'S TAX/PARCEL/ # _ - LOT SIZE(s.)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT B I DING ❑ PLUMBING ❑ MECHANICAL
EMOLITION 0 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
,'--c. --,z- 7' ,), row p 'fQ co/4
PROJECT NAME(Name of Business or Owner Last Name) / •( . .0e-1 ...,, 'i - i
PEOPLE INFORMATION
PROPERTY NAME
OWNER Gln PRIMARYe›,/1.1 PHONE 2MAILING ADDRESS / CITY,STA E,ZIP ( Ili ) 4
2- / P L A 3 - I c I ,,,„: cro .
CONTRACTOR COMPANY NAME
/�//J APPLICANT NAME l OFFICE PHONE /` /j{�
MAILING A DD RES$ CITY,STATE,ZIP �`�`V�CEL NE l�S�'�/
3, 8 d Y 4 -41 fr� 4 1=c=1 a cv ( [ d
Cl OF FEDE L WA USIINNESS/LICENSE NUMB EX IRATION DATE FAX NUMBER
v 4-_I Q- 3 / i 2_.x -- B L / / (
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application(
p ,4-4.-A /2_ b d z&- QEX%1RAT [ON D1e.
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP C ELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
D� STING USE
PRI ••SED USE —
ELi STING ASSESS' I/APPRAISED VAL.1
ALUE OF PROPOSE I WO• $ ) 1•
SP• NKLERE I :UILDING? ❑ YES c NO FIRE SUPP• :.+SION SYSTEM PROPOSE I RED
EQUIR ■ . .
WAT:• S 'VICE PROVIDER ❑ LAKEHAVEN ❑ HIGHL. ❑ TACOMA 0 PRIVA (V/EL
SEWER SERVICE PROVIDER 0 LAKEHAVEN ■ I INE 0 PRIVATE(SEPTIC)
ti.." i
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TO'
BASEMENT
FIRST
SECOND
77777V"....7"..-- _
THIRD ,
FOURTH
ADDITIONAL FLOORS(DE .' BE)
^DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
___w Indicate number of each type of fixtu -to be installed or relocated as part of th e oject. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNI EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESS' S FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
:ATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Silks) VACUUM BREAKERS ELECTRIC WATER HEATERS
i
• 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, 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.
NAME/TITL DATE c-1---/q.C' 5
/-- gnature) 40..
(Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent o Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
I
0 NEW, I]ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application