18-10551940k
CITY OF
Federal Way
PERMIT NUMBER I S _
RECEIVED
Nov 2 0 20%
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
1C)5519_
PERMIT APPLICATION
PERMIT CENTER + 33323 811' Avenue South + Federal Wav, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteriicityoffederalway com
T
TARGET DATE /"//Jl-
SITE ADDRESS SUITE/UNIT 0
r ,
2it3�S24atl; St.Et 1L}3-"�V�L2ii>_tI; �- �-/
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL 0
$ 125,000.00
6 1 4 2 6 0 _ 3 0 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT
Khalsa Gurmat Center Fireline
New 4" C-900 fire service from ROW to existing building including DDCVA, PIV, FDC. Overhead fire protection sprinklers
PROJECT DESCRIPTION
Detailed description of work to
under separate permit 18 -10314800 -FP by others.
be included on this permit only
NAME
PRIMARY PHONE
Jasmit Singh
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
2835 South 244th Street
CITY
STATE
ZIP
Federal Way
WA
98003
NAME
PHONE
Archer Construction
253-872-7222
MAILING ADDRESS
E-MAIL
CONTRACTOR
7855 South 206th
scordovataarcherconstruction.com
CITY
STATE
ZIP
FAX
Kent
WA
98032
253-872-7277
WA STATE CONTRACTOR'S LICENSE A
EXPIRATION
ACIENSE M
ARCHEI'219DR
4 1 19
20 -00 -101463 -00 -BL "
NAME
PRIMARY PHONE
Contractor above
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Steve Cordova
253-872-7222
MAILING ADDRESS
7855 South 206th
E-MAIL
scordova@archerconstruction.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Kent
WA
98032
253-872-7277
PROJECT FINANCING
NAME
® 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 authorised 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 authorised 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 claing, 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 cit as apart of this application.
SIGNATURE: DATE 11/19/18
PRINT NAME: Steve Cordova
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
..4 S
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PUR YOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
11aw Bunnayd
EXISTING/PREVIOUS USE
LOT SIZE (In Square eet)
R SYSTEM?
EXISTING FIRE S�7�No
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITI
n Ye
n Yes n No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING ROPOS
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR y V�SN
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (descrd)o
ERI8TIN0 PROPOSED
Area Totals
ESTIMATED SELLING PRICE
# OF BEDROOMS
TOTAL FOR OFFICE USE
TOTAL
COMMERCIAL — NE /ADDITION
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
11aw Bunnayd
ADDITI
COMMER IAL — REMODEL/TENANT IMPROVEMENTS
AREA3CRIPTION
Area m
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional formation
TOrALXUMDM
TENANT AREA ONLY
PROJWr AREA ONLY
1.
Bulletin #100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application