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15-100346 CITY of PER PPLICATION Federal Way JAN 2 3 2015 PERMIT NUMBER / - / 6 0 3 - S F OF FEDERAL WAY / �� 3 ((( 4 CRGET DATE l� SITE ADDRESS SUITE/UNIT# P/ 01 9 i co I - ...., PROJECT VALUATION 1 ZONING ASSESSOR'S TAX/PARCEL# $ to/ / 5 0 g (7G - L7 VC' TYPE OF PERMIT yI BUILDING .a PLUMBING X MECHANICAL KDEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT 0 5-1-k t.1 f r PROJECT DESCRIPTION Av"o✓f * Let,14,..,_ R.F+a (joe.un,� ) Ail - 16-('`4a-, WI/,pow)C/ecp i*AEA Detailed description of work to ws..A./Lv hpCrctt_ c'.- W:.vl ..5 aN J 5(7,1ccJ(k.,} dc04-pee..-e,en cool i /Lc C) be included on this permit only 02ro.0d-I (G.'tc.i tnI1 iteJ.w✓e. pop- 1jew.p.,-,S w4-t( PP W( Yju..,..b• V/4s�r 43/et ,'ce a,44et. r)i5 ht. I.nA-s l rL ) / l -.- / 6-( De.- -t [ku'_1�4Jo✓�eta rtAU.+r� 'i�.i.riGe_ NAME -r� PRIMARY PHONE e PROPERTY OWNER ' j�., (J S A.4.)1' 14_6_. 0-roil?' Yo U-1 --74'.. MAILING ADDRESS E-MAIL 3a-'ilto 10-Ek. PLS a iNr-00.5454 se ,ej, CITY STATE �.� e I IA/ ..5 t,, $ pc) 3 NAM PHONE KA- C) >J s- -fA '►J .P",---5 -Gino -01-4.1 MAILI� ER AIL AIpL CONTRACTOR CITY STATE ZI _ FAX I0 Vv 4- b s-3 0 WA STATE CO TRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# RK UN-K*,©v U 1-5- y i t o i 15" NAME PRIMARY PHONE S h S 1.4 1-in '(tom - 1i-a_ APPLICANT MAILING ADDRESS E-MAIL `i 0 5 . t'b -€k 5--- 51-Li 12o `1'N.$C0050 5'eAfnceS.C.) CITY STATE ZIP FAX Sec-14c. (A.& 98 18`� _ 391--4'(.1. - 7�3 a NAME t/ PRIMARY PHONE o PROJECT CONTACT 1 , �vt..t C, l�C)VA-C-4 C :auto 435- (5(o 5-'1 (The individual to receive and ING ADDRESS E-MAIL respond to all correspondence s 5• ( �b'�(AC Si- 1- Z Z U 040t.e n+u7,45ti P 0.14,s4M ,CO concerning this application) TYSTATE ZIP FAX e�iQc L4 9e it6 35f1-`fa- Pf3-. PROJECT FINANCING NA!A S n 0 OWNER-FINANCED Required value of$5,000 or more MAIILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I O l S. ( 7J1 lylit S"5-1- 5.7-.- 1:2-e) t-i z' .-Ito:- q-a, 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 aappart of this application. SIGNATURE: --' a^«+%-*-4--t `" DATE 1— ,2•3 49-0 f--- SIGNATURE: (S� PRINT NAME: 'et s,•%-t-c ti R- /C-No+!^-c`t_.. Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application 0 • 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(commorcial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST I 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) I LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS I SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON ROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF STING IMPROVEMENTS pr /(./A- 0 $ /, EXISTING/ EVIOU 'USE LOT SIZE(In quare Feet) EXISTING FIRE SPZI.I7KLER SYSTEM? PROPOSED FIRE SUPP ESS N SYSTEM? 0 Yes 0 Yes RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE / / =rs1/;;;Ori/0 f!,-,Fl 4(1 /7f,rf r' � mo>%g", 1/ ...'4,,,,,,,, . /✓ r.iVi% ,, / � / . r ,,P / ,r" ._...__.......................__...—_._..._.__ ...—_.—..__.....__—...__.__._.__..._.._....__. 75,fFIRST FLOOR(or Mobile Home) tis5Zfr!'J`�F///f !`r>,,Wf� �rf//,J�Jsfi' r.'% r,/ /' k/y/✓ ”:;';:•"/M:;:,1411"4,7 '�,/fii/, `'� r :rff!� ,;/'`//� ''''-V;/ ,'"44; 1,-1'r Pr f e a 4 ' !, <f ,F,r/�/ gid 4' ,/ / j `>` 7 4, / ',/ ... 1,", rjrr,4so-'/f%, f'; .fir/r„ /4. ,4` r.`r :f!' /fr, ,C,�OVERED ENTRY ��/' %,/n ri.�'i' Fr`,,r`f'1 /,'f'r ,fes. f'�� r,r.'y�/.>JF�/j y`J '/ +/,7. l/i" i" ri s,. 'lJ/!J f 014,Aix, _.-.._.._.__..___.__...__.._._...__._...__._._.__. _...._.._.._._._.._.__.._..__—_ y l.r/.�/fr rlr''/>/9 ,rFf r• f`r%r ,''7 flf%' f /; , ,J`���/,`/ fir',' f/ % , z//'i/„r,., /l• '`J/r'%f o fJ�� J``f`., � f y %,,,,"/,'✓ /r%,,`, % . %/rr GARAGE 0 CARPORT 0 �✓/' "n'''' '''/aB�'1' 5 ; ./ er r , /'r Y >' h0 ,Sf ,,,,,e :W• rr?6-5P 'aa e �4.7/,/r< , / � ,r :ifl . jrrg fy rrh/o9,fl ¢r/ df! f/,, % rff . r > ,,,i,/ ,,,,/ . , / � sr .—__—.__...._.-........_u_— .— .__._.—...—__.. EXISTING PROPOSED TOTAL Area Totals "%4.'l,'M, i.,r , f:;,.?%t1f`.,,* ,., '!001# . I /./A r'N //,fi.+�W/YAG r„',!Y '``f`rjgg ESTIMATED SELLING PRICE$ I #OF BEDROOMS COMMERCIAL-NEW/ADDITION Area Construction #of AREA DESCRIPTION Occupancy Group(s) Ad ditional Information Type Stories c.�¢/ "fif /, f�/« r„ � �v>,rin S:((w$a�re / ��r�� 1r��'r f��:// ,� / rr,,�:C/ , l/ . r�/ rr ,yT!�,4,”. '''''' ,./..:00'04 t f � -; r , � ,� 1fr', /?r� fmo/ �� r/�„i .r'/.�� ���f % Fr , r�"r<�� :�f „� rf �r ,1+J� r ADDITION COMMERCIAL-REMODEL/TENAfT'IMPROVEMENTS AREA DESCRIPTION Area Construction #of Occupancy Group(s) Additional Information in Squ Feet Type Stories fF gr/.//„l :: �!f��,f1oo g; r /, fio „/lf r,,., .:,✓ r /%l ' fr��, '1gif / flffw,.•!,'o v ,, � ; r/ye**,,,,,,Y.,),'..„,•-,400. ,-r r/ : f/7// /,.f/ .i,-,..7.77:74.,e '.7',/c / , � / r . r/ / /r Wr! 7�/ ,/''',,,"-',$%//7A":407/,'7,7.:,, r7; �; ,� -? ,..20%,,,,4 r ,. ? . lr, r,, ; � /, !,:7. / ; rr ; TENANT AREA ON ;r„ % . : xrr F/ r l`i, ' 1r/!r/<//r F.„,. 41�/ , f, ' '; ,, �'r r�/ f;:'r /,�.fF/.� //. .r > /�'F'f „>i / / / ,/ :%:4P;"4'f / �r/ / .Jr: , :> ,fr `� '�� / � „ r✓:/;; //„'-a . 4,4 r, ri//,:^r`��/,/%�� 4.� � ,ri,a�41,2`444',„r ; fi: ,;,r> �% , ��� ''',=,,'',./� , / �>� v/ // ,, ;r,/,.rc'r,r / /;.>/� ,y ,erv!fri ,//r� / , � / / , 5i, .!, r� ?,,,, , -','-'5.',/ � , r„r ! „-'5.---': r , , Bulletin #100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application rilding - Single Family City of Federal Way Community&Econ.Dev.Services 333258th Ave S FILE Permit #: 15-100346-00-SF Federal Way,WA 98003 Inspection Request Line: 253 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q ( 1 Project Name: OSTANT Project Address: 32416 10TH PL S Parcel Number: 150240 0140 Project Description: REM-Interior remodel work to include removal of non-bearing walls,window& slider replacement,close off bathroom window and reroof. Plumbing and Mechanical included.***REVISED 2/20/15 TO INCLUDE GAS FURNACE*** Owner Applicant Contractor Lender VERNA OSTANT LLC SASH R&R CONSTRUCTION OWNER IS LENDER 84017 5 259TH ST UNIT 101 4800 S 188TH ST SUITE 220 RRCON**00075(4/16/15) KENT WA 98030 SEATAC WA 98188 PO BOX 294 ST S ROY WA 98580 Census Category: 434 - Residential alt/add- no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Mechanical to be Included? Yes Plumbing Work Valuation? 1149.75 Plumbing to be Included? Yes Zoning Designation RS 7.2 Mechanical Fixtures Ducting 1 Furnaces 1 Plumbing Fixtures Lavatories 1 Sinks 1 PERMIT EXPIRES Wednesday, July 22, 2015 Permit Issued on Friday, January 23, 2015 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-----\ -- _ t Date: )- U 'a o i 5 c _' • Auilding,- Single'Famiiy City&Eof cd .Dev.Seral Way • Permit #: 15-100346-00-SF Community&Econ.Dev.Services 33325 8th Ave S Federal way, 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax ecQ :(253)835-2609 p Project Name: OSTANT Project Address: 32416 10TH PL S Parcel Number: 150240 0140 Project Description: REM-Interior remodel work to include removal of non-bearing walls,window& slider replacement,close off bathroom window and reroof. Plumbing and Mechanical included. Owner Applicant Contractor Lender VERNA OSTANT LLC SASH R&R CONSTRUCTION OWNER IS LENDER 84017 S 259TH ST UNIT 101 4800 S 188TH ST SUITE 220 RRCON**00075(4/16/15) KENT WA 98030 SEATAC WA 98188 PO BOX 294 ST S ROY WA 98580 Census Category: 434 - Residential alt/add- no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq.ft.) 0 0 0 0 Additional Permit Information New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Mechanical to be Included? Yes Plumbing Work Valuation? 1149.75 Plumbing to be Included? Yes Zoning Designation RS 7.2 Mechanical Fixtures Ducting 1 Plumbing Fixtures Lavatories 1 Sinks 1 PERMIT EXPIRES Wednesday, July 22, 2015 Permit Issued on Friday, January 23, 2015 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: T--)Ci-1,-.A.42.S4---K4NYA4.-4-49:- Date: /`c-3 — u/5— Cit of Federal Way1y City Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: OSTANT Permit#: 15-100346-00-SF Address: 32416 10TH PL S Includes: #1 #2 #3 #4 Occupancy Class: • Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Owner Name: VERNA OSTANT LLC Owner Address: 84017 S 259TH ST UNIT 101 KENT WA 98030 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. 1/ • itDATE INSPECTOR, AREA AND TYPE V INSPECTION „4. a , 3- lc — I ) I 3 S ! - L ""i 01a THIS CARD IS TO M .AIN ON-SITE . CITY OF ` ` �� • Construction Infection Record • Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-100346-00-SF Address: 32416 10TH PL S Project: VERNA OSTANT LLC FEDERAL WAY, WA 98003-5939 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Plumbing Groundwork(4190) Approved To be done prior to breaking ground Approved to cover By Date By Date By Date 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) El Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By No, Date ` -3 0 _i 5' By Date By Date El Roof Sheathing(4220) El Rough Plumbing(4230) ❑ Mechanical Rough-in(4165) Approved to install roofing Approved Approved By ' A By FM.- Date 2 . i . I c By MG_ Date Z ,r 3 IS''— • Gas Piping(4125) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Approved to release test Approved Approved By 5at( c By pP1r v Date Z , .2. - 15 By Date • Prior to scheduling a Framing inspection; Framing(4120) Insulation (4150) Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed-off and p approved. IBC 10934 By f: 1.- Date Z 2,. 1 ..1— By P%tip— Date °z = 1—„ f S ❑Gypsum Wallboard Nailing(4130) ❑ Final Erosion Control(4375) ElFinal-Mechanical(4065) Approved to install mud&tape Approved Approved i By FN.,. Date ( ,S By Date By I Date • El Final-Plumbing(4075) ❑ Final-Building(4050) Approved Approved I f By C-- ti Date 3 i ,..t„ `3- - By I Date 324. (c•- teo\ uhJQ( -Mbar 4aii5 0 k -}o Cow( , ,2 -2o—lS f'AL-- CI Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ' • • RECEIVED PERMIT APPLICATION CITY OF as' „""'.*,..+w'F"' Federal Way JAN 2 3 201 ,�2p CITY OF FEDERAL n73 WAY� JR _ � 0T-C,`PERMIT NUMBER , _ ti ' / TARGET DATE SITE ADDRESS W C'� SUITE/UNIT# : �� 1 It-14 �� q PROJECT VALUATION ZONING ASSESS() 'S TAX/PARCEL# fitiy r CH 2_ TYPE OF PERMIT 'Wi BUILDING A PLUMBING iti<MECHANICAL %DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION NAME OF PROJECT j {� --r A_ � &vv.)),0.... r ie r he . A•r#e—d (":J4a.4.-e ,. , A44,(2124-0,E.- i c-roiA-y i.+/I..o ,.e 1 4i•:, r.a /+a-4,,,,,.., PROJECT DESCRIPTION Detailed description of work to w w .o kze} r m ...,---(L ta3:.N+ 5 I,r„ ,/ (=='tz.(hr)c*>L pX- e,'� y e°,>4' 244. C) be included on this permit only ( Ll. jG,-tc-1.to.J7 fLe,l, u'e_ t-1o,-I- .'hr-,41.+'-.s W4-!' >,usi.N( +j .s,b,s-s 4;1_95-4,+? ale!. ,'ce w+ ecae.� s?isrt insrl� . ) rrc �l I _ _ ',,,;alar Ds,- 14. .,tA ,2,41.'11 t.4 r lana.+ ! },rc a., 1 -- NAME ,-* PRIMARY PHONE PROPERTY OWNER Veg-ti`{ 0 s 17tt-a-r Li_e-' Al-y '— yt>L'--3.,-rt. MAILING ADDRESS E-MAIL �-Z^j l lS-4 l7�. -o 2 A-544 f i:?-v,A,e_5.CDw1 CITY STATE Z (zr �:t-4,--, 'A1 tui 1 b 00 ^'� �y PHONE J -ry NAM .'0 ).�5-th.-4, L { ct)A� �y'I?��I.,J ”( i Jt "C.�J f 'r"/ MAILIN ADDRESS t� F,- c3` 0 eVL71. /Opp(r,I l 0 10)eds+rc4;t/vex- CONTRACTOR STATE ZI _ FAX CITY k 1L3S J1 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME �— PRIMARY PHONE MAILING ADDRESS E-MAIL APPLICANT 'Li C; 5 . I cJ v fk 5 i S-r1- Z-2t7 'T'v5EC).0 -5 54IIIc`�/EJ(!v�r't 5,Cf) \ CITY STATE P FAX ",y�j ( t3 3411--t-t( , . T 3 a- NAMEPRIMARY PHONE PROJECT CONTACT LING t.m e, C�` v' "C 5 �� ADDRESS E-MAIL The individual to receive and respond to all correspondence 5 ; 4 5-Y �? ! Z c"441-$1( -r1 i2 eu 5•'k5 h 11 s.J +,C+)ill concerning this application) c TY STATE I ZIP FAX , 7Ac._ , i.,LiA, 19eled e 3 (1-q a- 793 PROJECT FINANCING N nsp 1 AS k 0 OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 1:2-0 PHONE (RCW 19,27095) t3 t< "�, I � lvt 5T 3f' 1'3 b'6' -`tc,o" fi 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 thecityas a part of this application. r a�,,. a t°N�w% DATE /'-- ?3— c j s,...- SIGNATURE: } PRINT NAME: a..-✓ h '‘.c kJ (2- V-°.C1 v,1"t cc.,_. Bulletin/4100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application iIt • • 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 FIREPLACEINSERTS HOODS(commra cai) BOILERS I FURNACESVJJ HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST I DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT VALUE OF PLUMBING WORK $ I/'i`°!' , -- 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) 1 LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS I SINKS(xitclrm/Utility) WATER HEATERS(Etecuic) .^2 HOSE BIBBS SUMPS WASHING MACHINES 7 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE.OF EXISTING IMPROVEMENTS 4-i4 EXISTING/PRUS USE LOT SIZE(In Square Feet) EXISTING FIRE S•'II.ER SYSTEM? PROPOSED FIR$1SUPPRE�S iON SYSTEM? 71 i, ' Com] o Ye i, D Yes s klo RESIDENTIAL - NEW OR ADDITIO ARE*,DESCRIPTION(in square feet) iXISTA.G PROPOSED TOTAL A FOR OFFICE USE SEMENI` _IIRST FLOOR(or Mobile Home) SECOND FLOOR / -- -- A COVERED ENTR' / — _ k 7IG — ECK GARAGE ❑ CARP RT ❑ /DTHER(describe}, — — ... 44r'ea Tota is EXISTING PROPOSED TOTAL — ESTIMATED SE CE$ BEDROOMS COMMERCIAL—NEW/ADDITIO a, • - A DES - PTION Area Occupancy Group(s) Construction of Additio 1 Information in Squ..e FeetType Stor s 'NsW B' DING" ADDITION CO R IAL—REMODEL/TE ANT I i ['ROVEMENTS • - A DES PTION Area 0 cupancy Group(s) Co truetio #of Additional Infor ation In Square 'eetType Stories TOT BuiLDix - / TENANT ONLY PROJECT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\flandouts\Permit Application