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13-101127 M1 e i0l / a ` Federal • PERMIT • MF CO ME PL DE EN FP � C�IVE® COMMUNITY DEVELOPMENT SERVICES APPLICATION 253-835-2607•FAX 253-835-2609 2013 u,unu..ciYyoffPrleraEu_a AR •SITE ADDRESS CII Or EDE�' WAY SUITE/UNIT# 39 52 S C9 . A u so. relcajwot, a. 8003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# YJ TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING X FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) �; C t n 1.2.- ©�se PROJECT DESCRIPTION l-ko� O^f 'ex)9;e efcd �-\s 'R.-(D Z Detailed description ofwork to J ' � \ C P �� WAG. (1)4. C... JtAG �l"•�. c��..Q��sinV) Si,5 �..t/vl be included on this permit only 1 b Q_ e ! ` p€ � ©�d` ` ` _ NAME V �- p C. CC�� PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME PHONE o aAa2.51-4S C '1) Seitce.117 MAI ING ADD E-MAII1 2(0 ,N;r r ) St> • 6eX ti.Q 61f 5a.R. •Chit1 0 CONTRACTOR (��`� CITY TE ZIP FAX 4.) � ( g� (3y 21)6-341b` `1361 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 6 4}N 01.55 241c & G 2613 NAME PHONE Car lAalvtr4r) 2A4-34)p '�13O° APPLICANT MAILING AD E-MAILS 24.0b I rpbe Way Sec.}�ie-@Sc4hS�re..oym CITY �-•n.a ` _ -__ STATE ZIP _ZI `it ' j / tb .-34/o-413,6 1 PROJECT CONTACT Elf-y t 1 b 1 PHONE A� 1WI ? C 36 0 (The individual to receive and w✓ 1 respond to all thiscoapplication) �G Oi�D 't`P 0 4 � . Sol se I f k- ���7wl t� Cpm concerning application) Q,. V1/ "[� U �,f � CITYC�.K/ )€ LAXX, ZIP 1 ?O' 2b .• 390- !30 I ALTERNATECONTACT NAME:Ia __. 2O*P 3 /6-Ve)t VIo'- e @Zel7/ ..C0t1 PROJECT FINANCING NAME / 0 OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE 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 4110 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 •art •f this ' cation. SIGNATURE: / y/ /,11111DATE 3/11 PRINT NAME: CIA y tier �' I Bulletin#100—January 1,2011 / Page 1 of 3 k:\Handouts\Permit Application �s "s. : ' i .e st .- = a t);7'�'b :;:; "2 ,. 2'',. '<," ;;;F ;g, c'." � iu �.r»° S' - ,✓:r:77.�7"7:,`:#�E.<73`1; y fn �' :.�.�`�,.rs'��:'k',•"�„t • �5-�,« ;� �. .€ ,+.3'' ;���'i•<-:.,,�;•s?� _ a�'a's`w�gs q :'t ' �. ��'4 Y"s>z:' '�t:' '�'`' `' , < T:x m£r �; ,... if: !, 3 '.jp -S, ` . •z'; ^-',, ,4:"�-.' �”�� I .iht"r §;_-. , dsv..':.'�.,., ,S_'ks>.Sa' ..,�» �ck..uk.'''t� ,....�,•4` .t:�:dvs•<h 3.�eu':.,sxt. �.`�x=:==�.1: ,.,.", .F...•c.._.'�.a�r�..c<.,., <t�a-t.,�.>,,,:«..."..r,+i':5<.a ..;.��..<w..+':..•:' '�> ° �ai=��.�..4.... VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type offuture to be installed or relocated as part of this project. Do not inclu. -. ting fvctures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) - BOILERS FURNACES HOT WATER TANKS(Gas) zie' = 1, COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES `. . .. > 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. 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 ," q;: ::-yf/'%;,�:. , ,.' :�[;:'> '.:•'.J '�-':�„' �,; is .� Y. 4`�� 'f+ << 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 4i Yes ❑ No AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE . - 3 Gs FIRST FLOOR(or Mobile Home) COVERED ENTRY M1 s ” GARAGE 0 CARPORT 0 _._..._......_.__.._...' ..._.........._..... – __ — EXISTING PROPOSED TOTAL Area Totals , r. .- .:, _..., v..<�.. .'• • ESTIMATED SELLING PRICE$ #OF BEDROOMS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in S.uare Feet .e Stories ::' "T•3•; t.r.._ ,:x; s, .,.<7;:YY�e; zr ,,sr ,., .. ,.'r� ,.„.�, 3,xr<g;; ;rx „ .,. ,.,,, ,::sem, ..;,,... <. ,. .• � i�': x,..i.;..'X..G:,:'.....',.'r”..-u(',�:w a,>��,,,✓.x. ..�:5� 'e&" ;:s,:M .w.,:.s w'.,1»�.im;!.;:; „A_;. "„":.di1x.'".,iG a:�'' ADDITION _. AREA DESCRIPTION MENUOccupancyGroup(s) Construction Stories Additional Information -k� .r "?.;r •M:r:,ry x 3;,s`?.;; c;.zc�.s;,°-",`.:;?4S,rP, ;.y. ., .';i>.s: '' .r"y4�a rx ,� 's ..y;}: ,.r,.e";si`'�;j;; l;,se a•2'; .1;:.. 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