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15-106256 • epuilding - Multi Family City of FederalWay Permit #: 15-106256-00-M F Community&Econ. Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: THAO Project Address: 33045 22ND PL S Parcel Number: 241260 0080 Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit*** Owner Applicant Contractor Lender THAO TRAN MICHAEL BRAMHALL 12 WALNUT FARMS PKWY 23109 55TH AVE W FREDERICKSBURG VA 22405 MOUNTLAKE TERRACE WA 9804: 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 Mechanical to be Included? No Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? No Proposed Structure Valuation 0 New/Additional Sq.Feet-Total 0 No Fixtures Associated With This Permit !! PERMIT EXPIRES Tuesday, June 7, 2016 Permit Issued on Thursday, December 10, 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. -7-3---"‘:- � rte%' .z� / /��b�'/5— Owner or agent: ..,.,,,,,,c..„,....,,,,,. � %�'�'°" � Date: 1 (1.0v\a A-4 12/0.1 SaD MOtRi343A AO AlID'A PERMII'APPLICATION CITY of Federal Way SLOZ 0 t 33a �16)P a n1J�� Pt G PERMIT NUMBER S _ V !L�' _ 1111 V TARGET DATE ` SITE ADDRESS SUITE/UNIT# 33 c'4 2 y41) 3)(__ PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# AA $ 'F I'++'`?lc 2 4" I Z C, C - 6 n s r:_' TYPE OF PERMIT g BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT "Fl t 1 i-/' i E12--- l ^ ( PROJECT DESCRIPTION A6-(4 l Al.5�6� e. Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ' 2 MAILING ADDRESS�i� /� `..1 +.Iy� E-MAIL 3045 '2 � V S L 3 CITY_ STAT ZIP �t-VDEP--33i_-. L-<— Y c49 r�3 NAME OR—, P gt - Oti PHONE l..7 MAILING ADDRESS Li i�� l E-MAIL CONTRACTOR (sr �` kL CITY STATS ZIP FAX WAS ATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ` Lra()(il 95 e 3 / / NAME PRIMARY PHONE h�tLt€(.. L - 7c 5E. 4)/c 5.„ CIT7)8, 0 y APPLICANT MAILING ADDRESS E-MAIL 3 IC) 5 kiLam: ADMik c Ci4,4(. OM <- CIT STA ^ ZIPJ �-1O C� r5 X 77-5-o 76o PROJECT CONTACT t6. jI-5PAI—L--- NT -N � PRIMARY PHONE (The individual to receive and MAILING ADDRESS AA 7 t� E-MAIL respond to all correspondence -5(N/Le 7t 5 kr it concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING 0 OWNER-FINANCED Required value of$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 eccity yas a part of this application.N /j SIGNATURE: ,i%” Gj .. //Xi/ DATE 1-/ ! CI/ PRINT NAME: V. e L.- A. '5p...141-44 M Ni��U— !!! Bulletin#100—January 1,2013 Page I 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. 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/Uwity) 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 BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet _ Type Stories ANEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application