17-103616 ► PERMIT APP CATION
CITY OF
Federal Way PERMIT CENTER+33325 8th Avenue South IV 08003-6325
y253-835-2607 + FAX 253-835-2609 +permitcenter@cityo e eralway.com
�.� JUL 2 7 2017
PERMIT NUMBER I _ _ 3T _ DR1'OF FEDERg1 yygy
TARGET DATICOMMUNny DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
33 9.- KO 13tf ac( Si
PROJECT VALUATION ZONING
ASSESSORf'J�,TA�fPARCJ# , 67 0 0
0
z� /^)
S _ 5 D U - —
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING G t IRE PREVENTION
NAME OF PROJECT (eIt at r a-
f:,s)LL 1 J A/G,„ /'r,c A-A, 'yl Sys.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Ll we Gam'
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
-. NAME - ( PHONE
() 1-t-1Ak. 5C �•rI`h7 of �! S( .vc) 3_-,53 fftG'TJ [r_ f
/
MAILING ADDRESS . E-MAIL La Q/I"y ti)4 Ask#-C
CONTRACTOR 77"O 53rc( St C11 t1vt � Sea.vri�7 ct/c19Uih/ ,(OA,
CITY STATE ZIP FAX.
U14;V e-s,17 Pt - 14/4-- q t 5'3
WA S 1EC0� � ��LICENSEEXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(J
NAME �j PRIMARY PHONE
:V L 511,4 l` I '25-.v— g' o —urei ( J/
APPLICANT MAILING /
ADDRESS{�= E-MAIL /,L @ f,0,,0,,,..,,J.0,,,..,,J..k
. l..;i
71505 uJ4rA( Or, /1/i. G Yf4 5,..0"...1 /c
CITY STATE ZIP FAX
PI /IAA in-/4- '7 f50-53
NAME r. PRIMARY PHONE
PROJECT CONTACT4'I (4- A-ppl•
(The individual to receive and MAILING ADDRESS r E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 asap of this application. -1 �/
4SIGNATURE: DATE / —2/ /
PRINT NAME: ry✓, L SI^I� '
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 fixture 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
I Vw",UE OF PLUMBING WORK 1
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
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' //f r.rrr• fr;>. rreot F /�• „.0.4, �,/f%r
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
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EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
I
Area In .'s;4/4044:45w Construction #of DESCRIPTION Occupancy Group(s)
I I
Additional I
nforrF..
matIo
nSnuare Feet Type„ Stae
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4 / r;' r
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group's) a• Stories Additional Information
S.uare Feet
✓fir%+ ,,,sr:
TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application