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•
BUILDING DIVISION
Cf;OF 6 I . 1ca. t O l S bco 33530 Fust Way South
�� II—<L EO l Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
(VI
etia
APPLICATION FOR BUILD! G PERMIT
PLEASE PRINT APPLICATION# i i 9 7- Y' 4
Address 3 700 PacificI-3"w
. So .
Suite V
Federal Way W
Tenant(if known) Available Personnel , Inc Lot # 162104-9024 Assessor's Tax# 162104-9024
Building Owner's Name H y u n Address 1216 S .W. 331st Street
City Federal Way State W • Zip 98003 Phone ( 2 5 3 ) 661-3697
Nature of Work T . I ./ Build H . C. unisex Rest Room
Name (F,M,L)
Mark W. Freitas (Agent)
Address
33516 9th Ave So . , Bld 45
City Federal Way State W a • Zip 98003
Contact Person Mark Freitas Day Phone 253-338-8327 Other Phone Fax same
Company Name Hashagen Home Improvements , Inc .
Address 17725 N. E . 65th, 4A-135
City Redmond State 6"�a Zip 93052
Contact Person Phone
Chris Hashagen 206-609-033F�"
Contractor's # (card must be presented) on file HASHAHI 088CP•1 Expiration Date Verified 0 Yes 0 No
ARCHITECT.::: ::: :::::;:.::.:.;:;.;;;.;:
Name L1/A
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Attached Exhibit
Please Complete Reverse Side
ExistingUse
d Use
Proposed Service
Permit includes: M Building ❑ Plumbing ❑ Mechanical 0 Other
Type of Work: 0 Residential ❑ New 0 Remodel ❑ Number of Units 0 Deck
in Commercial 0 Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 1080 sq ft
Area Basement sq ft Decks sq_ft Gara�c a sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation $ $1 0 , 0 0 0 . 0 0
Zoning B C Lot Size 1 . 26 AC Existing Bldg Valuation $ 1 , 000 , 000
:LEN €iii :>:?:i:»i<i':<€:<:€€€M< `:><>i<€ ::ii::€:>«:g:€:€:i`
Name None Address
City State Zip
Contractor Name Address
None
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Contractor Name to apply for .
Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
:>:»:>::;::>>:>:>:>:>::>:>»::>::::
Water Closets 1 Sinks 2 Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters 1 Sumps
.............................................................
Lavatories Washing Machine DrainsToia1 fiztrrre Count ''" ''
i iii;:: : . 'i ii::::::: :: ::i?3i;:: :i:'. ::: >`:
•• MECHANICAL EVALUATION ONLY $LMy :�. 1, )1TfU1a [» ` :: ;;..;:;; +: ; ;
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans 1 Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
...............................................................
..............................................................
...............................................................
BBQ's Wood Stoves 3-15 Tons TGta6 Unit Count 1
DISCLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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 th- , eluding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: /l7/�J Date: / 2
BUILDING.APP
REVISED 8/28/97
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