14-105275 CITY OF PERMIT APPLICA'T'ION
Federal Way ReC£TVED
OCT 1 0 2014P£R u(uce FA-RIDri D6
I
PERMIT NUMBER ` 4 - 10 :S. /5---- - 7 /A s n
I CITY brL W Y
SITE ADDRESS CDS SUITE/UNIT#
3ao& 1'Aacrc (y s
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ .2800 `/Q / Q q - 9 0 T
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Qq C. ( COLL(S1ON/BEST At ` 0 PR(NT B007)-1 5U9PRSS(DW
PROJECT DESCRIPTION WATERLESS FIRE S u PPR ES'S( O N I N STA LLATI O N /IQ
Detailed description of work to V1`.1-FI CLE PA INT 5 P R IIy boQTH
be included on this permit only
NAME ARTHUR -T.A r EV PRIMARY PHONE
PROPERTY OWNER M I N Kt..ER - FUN.) L L C V-2s 753 c:Z/S )
MAILING ADDRESS E-MAIL
33663 PNc_iciL Hwy 5 (lac/co111sicolerak. tom
CITY STATE ZIP bA
FV-rE�(RAL LOA / W 6
NAME AC--c£s5 rI RE P(o'T'EC'{I O N S iCS I XNC PHONEN
SHAmp'ONGA« G1- 9..t4 Ve2S y(3 -2(0 LIW
MAILING ADDRESS E-MAIL 11
CONTRACTOR Pc B X 7573 o cinl'i eAcce5Srli(`elra rdectb
CITY STATE ZIP FAX •COM
C-C i11. 6 M L.3ik 48'0(42 SVzS Y33 46 90
A STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C.c.ES FP c q 1 TE 9 /0 4 i/6 2005-10876700
NAME PRIMARY PHONE
51{A N)N ONi Gk-a_ CA-E-R.Na F F '/2.5 /if 3 e26) c/8"
APPLICANT MAILING ADDRESS E-MAIL
P b box '7573 ociNin@accesscro4rifted?on
CITY STATE ZIP FAX ,•C b M
CoA)t tJ G D N1 LcA `M)(1 a. 4/C2S 9336,69-2
NAME V
�1 PRIMARY PHONE t �y
PROJECT CONTACT S M A IO(`)61.)G-P-I L C.TTER.1Q 0 cF S 9i 3 .,2(o
(The individual to receive and MAILING DRESS E-MAIL ��;;
respond to all correspondence b ®d X 7573 ci:)M;n@ aCCeS5't't refrettehtio
concerning this application) cITCO t1 I NI G t,K1 STATE zIP 9 ib V^ FAX%. S1.3 3 (06 9
PROJECT FINANCING NAME N /6 'a VA
It OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) N /i
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: �� If c ;4.0 �. `-:= DATE /0AV/7
PRINT NAME: S ii h r3 ND G A I L CM- • • F
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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.
MR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
MR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
T ° f
VALDE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type o f fixture 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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
•rf r/ f
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✓ �^ * 4,4 SAA' ., - gi ,,/,�,r` %'i" '",�J`'% .,'/f":"`'r ' �F'"'
-��G'„r! Lv.e,. iEr ,-,'/f '!r i% :' %3' x•F//^ lr`/z.w./
COVERED ENTRY
GARAGE 0 CARPORT 0
iFF%/�r'dFry'F^�.ajE/r�F•. � ✓i�;/•�:A r1�/" r F/�f:/J�// r -/. ,,./1"7.i� ,%% /
,'�"' +`��•:Iv;,+.e+'�rv'�%X� jr � r ^'F`ff',%/ �%//`'/r/fir//,,' '` //! rsy'k., �r l
^.• ,•E.,'€,F`r F,wu�, ,il`,<`/'_✓F..3F1^'�f/�-,/„✓1„':.%',. rr .F/s�/z,r,�, 7 fi ,^ „mss, :P ,:..__..____....._.__—._._.._..—..._.._._....__...—.._.�__...__—_._...____—_.
EXISTING PROPOSED TOTAL
Area Totals
f4;rr /fir!''.'"rl' a/'s'%/s,X'`'r`ii F / //� ' //!,'fir'/,%r` r'e'f//r ,/G,fxc�r�`,^, ,''/fr!`!`''`''
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Construction #of
AREA DESCRIPTION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
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r/ r r (. 401,: /� �,f/� ;.Fr':; / / �^/ r>:!, f"• ''�`� .:'�,�r''`'", G�0., rr�''3n' x� j`,r^
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
./o?sr J•f,,,v �r/ ��'/,� !/•:",v /,r .;.r/.^r r'i //rr, /,n`< '4 /��; , ; ”^ O r3"r/ �� / -� , r ; „ f,• .*
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r > ! ,, r"�''�;:
; -
TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Iandouts\Permit Application