12-102145 I2 - 10 ( -----
• Federal W9ECEIVE S PERMIT 4 MF CO ME PL DE EN FD
COMMU35-260 DEVELOPMENT SERVICES APPLICATION (
253-835-2607•FAX 253-835-2609 Iy`
ura�w.aluof(edemlu�rsu.mVAY 15 2012 a'
SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT 8
- CDS 22�' _
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 8
$ ' tzCa4Co - 1. 3 & O
TYPE OF PERMIT l9 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) X )\..) • - Dew)
PROJECT DESCRIPTION
1��i r e * c(awl 18es ca.USP(
Detailed description of work to )4 } V' Q(CL 1/10(
be included on this permit only J
NAME PRIMARY PHONE
U.
PROPERTY OWNERDevi -
MAILING ADDRESS22
2 2 v,/t c� E-MAIL
CITY STA ZIP v
FeC7- C \ I , l , _i _,1
NAMEPHONE
\I1c1vv. °& 25-1-d-t,)4)
MAILING ADDRESS E-MAIL
CONTRACTOR 391 U .' 0),211 V1 --- S"-t
CITY, r','\ STATE ZIP .I I n FAX
WA STATE CONTRACTOR'S LICENSE A /l EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C
W t i^1- LL. r ,,A (r) a F ' / /
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT
NAMEPHONE/
(The individual to receive and �r� �� ��I q
MAILING ADDRESS E-MAIL
respond to all correspondence �" (` t
concerning this application) __ S'.__ S'.`k'IY1 �1 e I}1 {� w 4i 1/\ 2 �CItQa On
CITY ot, � �, {ATE ZIP 1, it ,
" FAX
,•f
ALTERNATE,CONTACT NAME, PHONE., '�(j) E-MAIL
i- Q C-:haV( C ')73SI3`13�
PROJECT FINANCING NAME
)•e� ",12„, OWNER-FINANCED
Required value of$5,000 or more \ 1 t-•
(RCW 79.27.095) MAILING ADDRESS,CITY,STATE,ZIP H6 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
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.
SIGNATURE: i' , J--,,. . DATE 0-31/57/
/
PRINT NAME: W',"l 1�1 �fGl h
Bulletin#100-January 1,2011 Page I of 3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(commerciaq
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
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 NEWS OR ADDITION x �
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT re ._. _...-----------------...-- --
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS._
g 4. COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT ARi.:A ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of3 k:\Handouts\Permit Application
A N ..`• x
• wilding - Single Family
City of Federal ay
Community&Econ.Dev.Services Permit #: 12-102145-00-SF
33325 8th Ave S
Federal Way,WA 98003 253 1 835-3050
Inspection Request Line: (/
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DENG a 9.)SQ
Project Address: 422 SW 322ND ST Parcel Number: 926490 1360
Project Description: REP-Inspection of fire damage. **NO construction work approved under this permit**
Owner Applicant Contractor Lender
XIUHUI DENG WILL CONSTRUCTION INC WILL CONSTRUCTION INC
422 SW 322ND ST 3548 S BENNETT ST WILLCCI896QP(11/17/13)
FEDERAL WAY WA SEATTLE WA 98118 3548 S BENNETT ST
SEATTLE WA 98118
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? No Plumbing to be Included? No
No Fixtures Associated With This Permit 1!
PERMIT EXPIRES Sunday, November 11, 2012
Permit Issued on Tuesday, May 15, 2012
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
anthe City of Federal Way.
Owner or agent: -,2 ?'`:--- Date: 03/ 1_5/ 12-
rim/141.1.5(1:P
-
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