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17-102577 4.,...._A. RECEIVED PERMIT APPLICATION CITY OF Federal Way MAY 3 0 2119RMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com CITY OF FEDERAL WAY tip, MU DEVELOPMENT ) 1 PERMIT NUMBER __ 0 � - TARGET DATE /45/1p SITE ADDRESS SUITE/UNIT# 06 5 2 6j-r 5u/°T'( /4° --fe Derctc, C4/11-(1 W11-1 9 $ PROJECT TIS 1 ZONINGP ASSESSOR'S TAX/PARCEL#4 Q - O a 0 TYPE OF PERMIT 0 BUILDING 0 PLUMBING !❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING AFIRE PREVENTION NAME OF PROJECT We ST G4-niQWS spor f S (t-Ol /7,EO la , ±. 1 PROJECT DESCRIPTION i��5i �JC'�,�c nnfi 5 pfMk KO 3 �6g IcC�9 Detailed description of work to 14-.5 2 2 /? (9/"(21/A,99' '�/c�U ' 2 9G) 7 V>7 be included on this permit only D V o„Q_ © t-�' 2 j, -- 2-5--24'-2 7 NAME PRIMARY PHONE t?oSen Prc)p 1 5' PROPERTY OWNER MAILING ADDRESS l0C7r2 ( !27/ ill- le, Sv'31E Pitt 'i.iP Ne6ew CI Y STATE ZIP 0466?i'Ue 144 • n'CX) L3- / /)ei / ,"Cv— NAME PHONE j QI Zc/v. fi- -FI'r St" p f ri Se -� 1"�, ) /'rc4 rvt. i.c. - C� -7!`'1--74-79 MAILING ADDRESS 9,15 -111 �r ' 9 c E-MAIL CON CTOR t C9'2)2- !� T/ V J CITY STATE ZIP,..:4 0_^ /Z c . FAX W STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 4 It '6(2 . - 2 50 -' 6 / / NAME PRIMARY PHONE 12A vS I,t.eGte/' (Ac. (4'25 -77c--14-0-e) ,.,��, 1, MAILING ADDRESS MAIL !r„+., 14-640/ 1 0/ 4./F v� ce tr/-T fie c/.i1,,, .i4 20 istc P trtyerr flivtny-it-4 �_ \ r i /'L�( CITY STATE ZIP FAX 1"h�A��CIY,(/��v ln/' 4-9---.27- / tom, NAME PRIMARY PHONE PROJECT CONTACT oplain 704#7 56j0 - 7?ii- 1.i-> (The individual to receive and MAILING ADDRESS 1214-Mit �p ! Ili respond to all correspondence l 01/ 2 2.0 S+ 4_1,e , S& I//T/I"9`!•C gnosehie/v["rr,C°f concerning this application) CITY iSTATE ZIP FAX ` (0, 111"-.:-'--- q el, ifv,�' j 1..-4- 28'2-70 NAME PROJECT FINANCINGR O5` ,j r p`71 .f f e�^ OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP / Ai PHONE (RCW 19.27.095) +.`Q,,,,,v Y .. n/✓j rI 1N1. /1 j t,e 144- I ' I certify under penalty of perjury that I am(the property]owner Vo`rr(lauthorized 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. / -7 SIGNATURE: -42,�` --_..�'r" DATE �f 3!9 r` / PRINT NAME: 1/ 14 a1 j j c - ,,,) Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type of future 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(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING 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. 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) / ....._............._........................................_...........................__...................._....._..................................__. r r/ m ✓r' .._....._. r `+t` Isr rr r r fl r f/ r / r�lr 's'r�r `9/� ,fir,• r`.;r::, f''ti' ," '' y j. COVERED ENTRY r < rri f/rrri/�Yrr ,,f/r,!rr,, `3''' .%r i ,xr, rr., r r sr r r - .r f PA"............____._................_._:.....:........__..........._......................................................._.._..........._.._�__..........._ 7=4, r f 1 r" r ? t'�,rrr/�/� ;�r ,,y / .,.,,,r.s,r;/J.r/Gi,vrus-Ayxs. ,ra2.r`s„rrr „✓,;,. ,,;r;�, r.,✓,rr.,r'.y;fr.Ji� �,l ,r///di4%.��� ,%�'m"y, GARAGE 0 CARPORT 0 ._........_......_.............._.__..._..._........ ....._....._........._......._............___._..._.___...._......_...___....._....._ O Hlertr g r jr ., a_:4.ur.u,?.irrr�� ,:�,�rrrrrrur„r!/�^,''.�,��,_,,.�..•. ..,rrr,a.,< .,:w� !�.., �. ��„�,f„ ,.., , EXISTING PROPOSED TOTAL Area Totals Ff r. f'r.,.:�. / /// ;rn r//r r/.,, ��. ,{{ r r/ ✓rr•r,�f./rrf"�ti',^n, r,,,rfrr/ r r ,/�.1:;r f,s,.,• /r.,l flr, „_r#0* 15/u!Sfr * r,,l �%l, •rrr �rr'''.,,,.,r ,l/r ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION Area in Construction #of AREA DESCRIPTION Occupancy Group(s) Additional Information Square FeetTyre Stories -✓>-•f f.�:., {,,.,,Y F >�,.r`r. f �,,.:,, r./�. ,.,flrr,.%',r.,, •ter r�rfrF, ,' F.,.�.'- fi F�.rrin�, i”` ,;.c, r' ../C r.:/5.r. /..,?,,.,,r., r-.rr/. ,r. .,.. :ri.,rrr,.„r'•.rf.., .r.. /, d. rs.r,�ra`r,' .: r ir'r%• rf r/r,f, ',' :? ,�yf r1 .fy-/ ,.r/� ,.,r ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Construction #of Occupancy Group(s) Additional Information Square Feet Type Stories :;'."r ,Y"„f,r fr ,/ r >ff' •rf ,,. ,„ ,:r,.,, r,'.r P40 -r, 4 ,,„, 'f„`>., rr„r •'y' .,r' r'% ,,:r ,,r r,..; �/� f fr„ l// f/ /� f /ffi� �i �� r %f /f /%o '%i, s; ;,.. ,.... �:�/r✓t,,cr'rf`.. ,; .rrr�"'r��y�'�'rrr✓ ;,�'c-,r?�,��r F::`` r.�/%�' ,f`{�rd rlf,/' r' r' ,r�r'` / ,�, :VO �:.,..,��. d1 r ,<,..� .!. , .'', ,,. /, r r / ? ,. �..� .,,:, r �1�� ✓pf, �� �,1�f,<.r r �r,.,rr / x - '/ '��rF ✓ „ ,,./ ✓ ,.,;' ;r > r r-. f. �Ysii'^f.%,'>`'f. 3%',r,.`rrr”, =t4 {rf r/r .% r frf, , f/: 1 '.� r - �f.�:�. r ��`�..;.� � " ”^,f- r„�y,.,.. .r:,,.,.,. 'r,rrf 1.:..r.�'f.,.,,'''�,r/�''�//'zr',•rr'`�!,r"E,;'`,r„rr,r,�� �,rr,%> ff� f,"`�'/r�' r'�, �1: rrrr`�V`;r,'..�'x'`,,, t../,�r.-,. TENANT AREA ONLY r.,::.;r xrfFrr';�r f,W. .r, ,�.,,....;;�: ..':r” f ,rr,;// -r rrr, 1. r r.gnfl rr r./..;.ra: r,/ 3/ r..r .,.. ,r fr.r,/s,.... r r ,?f r fir„ f.. i. r . s f/,. d r r.. r , v ,r„rYfi''''el/.;M,',r,ri`,f,. rr'.r._:::r..".ts,rr..,vf. > ,.rf�,r i r,F... rrrd /'.�'r, , .fr,✓: r �;Yrc. f rf : ,�.. -r r`,.s.; . .,,,r i,F,l'", :,' rr.r ;'rr 1�r. r'/r".,rr, / t r ,. ff / arrrf;;.���,,,rr.r�,,,p,r;��r/i',�'r��//';s /f .% / � r rf :., >✓r�•� s .r< �.f1r r � �;` l� ,= y ,I�I�•1°"�F`,'/i .,�' ff���ff� fr r.�'jp. r"�frlr r � G�,Yr� .r"l� ay r.F� f rr�3� �f,,' r..,"� /''� . ,.,;yr f,:F^T t, g::F 4 rrrf!f r'?l i;,, l r' ,,.` ,,% f .^ ,f., ```// l if . "y ..r f ;,rF- ;,f„..•> ,..:�E r U-.;�/�v. ../,/r'= ,r,,,., r,r>;-r?6�3i,. :k� � ��r/,;�"r..,, r•,. r�r•�✓:r; ,�/f;�. %r�;r�,�irr,'/u'rr�, Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application