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18-101586
Building - Commercial City of Federal Way Permit #:18-101386200-CO Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: STARBUCKS @ PACIFIC DENTAL BUILDING Project Address: 164 SW CAMPUS DR Parcel Number:415920 0715 Project Description: TI-Initial,interior tenant improvement work to include new wall finishes,fixtures,equipment ,finishes and casework.Plumbing and Mechanical included.HVAC unit by shell permit and contractor. • Owner Applicant Contractor Lender FEDERAL WAY COVENANT CHARLIE CARROLLC R THE B J C GROUP OWNER IS LENDER GROUP LLC ARCHITECTURE&DESIGN PO BOX 2030 17000 RED HILL AVE 502 2ND AVE SUITE 2800 PORT ORCHARD WA 98366 IRVINE CA 92614 SEATTLE WA 98104 Census Category:437-Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: A-2 Construction Type: Type V-B Occupancy Load: 61.00 Floor Area(sq.ft.) 2,103.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 00 New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 2103 New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B New/Additional Sq.Feet-Deck. 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? Yes Plumbing Work Valuation 37500 Mechanical Work Valuation 27500 Number of Stories 1 New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No Permit for Building Shell Only? No Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0 Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Restaurant Comprehensive Plan Designation Community Business Zoning Designation BC Total Valuation:270,000.00 Ducting 3 Fans 1 Gas Piping 1 Gas Pipe Outlets 4 Hot Water Tanks 1 Refrigeration Systems 1 • Dishwashers 1 Drains 8 Lavatories 6 Vacuum Breakers 3 Water Closets 2 Hose Bibbs 2 i , v PERMIT EXPIRES Wednesday,15 May,2019 Permit Issued on Friday,November 16,2018 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: — Date: / / /(i"D/f City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is 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: STARBUCKS @ PACIFIC DENTAL BUILDING Permit# 18-101586-00-CO Address: 164 SW CAMPUS DR Unit 102 Includes: #1 #2 #3 #4 Occupancy Class: A-2 Construction Type: Type V-B Occupancy Load: 61.00 Floor Area(sq.ft.) 2,103.00 Owner Name: FEDERAL WAY COVENANT GROUP Owner Address: 17000 RED HILL AVE IRVINE CA 92614 6?/"/Itti X141 ,9 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 severely 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. V THIS CARD IS TO REMAIN ON-SITE °� Construction Federal WaInspection Record Y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 101586 00 Address: 164 SW CAMPUS DR Unit 102 Project: FEDERAL WAY COVENANT GROi FEDERAL WAY WA 98023 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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 Initial Erosion Control(4365) 0 Footings/Setback(4110) a❑ Re-steel(4215) To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout By Date By Date By Date 0 Plumbing Groundwork(4190) ® Slab/Concrete Floor(4255) © Underfloor Framing(4285) Approved to cover Approved to place concrete Approved to sheath floor By /4^) Date 1 t r By c Date I By Date O Floor Sheathing(4105) ® Rough Plumbing(4230) 0 Mechanical Rough-in(4165) Approved to install flooring Approved Approved By Date By 5t> Date , - By — Date 2- al al Gas Piping(4125) On Fire/Draft Stops(4095) M Interim Erosion Control(4370) Approved to release test Approved Approved By Date By Date By Date Prior to icbcdnYag a Bramig Z3 Framing(4120) M Insulation(4150) Electrical,Plombiag&Meeboakal Roagb-i `71 to insulate Approved to install wallboard asset Fire/Draft Stop ioapeetiaaa moat be Aimed- off sad approved. IBC 1013.4 BY Date By VS Date El Gypsum Wallboard Nailing(4130) an Suspended Ceiling Grid(4265) tI Final-S K F&R(4060) Approved to install mud&tape Approved to drop tile Approved By • Date .. - By _ _ Date 3_ _1 . By Date Final-Planning El Final Erosion Control(4375) M Final-Mechanical(4065) Approved Approved Approved By Date By Date By Date 3] Final-Plumbing(4075) 21 Final-Building(4050) Approved Approved By Date By :QA, Date Li 1 O Rough Electrical El Final Electrical 0 Right of Way Approved Approved Approved By Date By Date .By Date tib LLC. BACKFLOW PREVENTION ASSEMBLY TEST REPORT c• ' BACKFLOWS ONLY, LLC** CONT. LIC. # BACKFOL882AQ BONDED/INSURED 3139 SYLVAN DR. W. UNIVERSITY PLACE, WA. 98466 PH: 253-606-4104/FAX: 253-200-5637/CEL: 253-255-0616 ACCT/FILE # METER #: PERMIT #: PREMISE: STARBUCKS # 52055 n COMMERCIAL n RESIDENTIAL SERVICE ADDRESS: 164 SW CAMPUS DR. STE 102 CITY: FEDERAL WAY ZIp: 98023 CONTACT PERSON: PHONE: FAX ASSY. LOCATION: UNDER THREE COMPARTMENT SINK-KITCHEN HAZARD TYPE: DISHWASHER ❑DCVA a RPBA ❑ PVBA n OTHER NEW INSTALL:❑ EXISTING:n REPLACED:❑ OLD SN# PROPER INSTALL: YES N NO❑ MAKE ASSY: WATTS MODEL: LF009QT SER.#: 188805 SIZE: 0.5 INITIAL TEST DCVA/RPBA CHK#1 DCVA/RPBA CHK#2 RPBA RELIEF PVBA/SVBA LEAKED: ❑ LEAKED: ElOPENED AT: 3.0 PSID AIR INLET PASSED:n CLOSED TIGHT: ❑ CLOSED TIGHT: 1=1 FAILED TO OPEN: ❑ OPENED AT: PSID FAILED: n 7 3OK FAILED TO OPEN: ❑ PSID PSID AIR GAP: OK CLEAN/REPLACE PART CLEAN/REPLACE PART CLEAN/REPLACE PART PVBA/SVBA CHECK ❑ ❑ ❑ ❑ ❑ ❑ HELD AT: PSID NEW PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED: ❑ AND REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ CLEANED: ❑ ❑E ❑ ❑ ❑ ❑ REPAIRED: ❑ TEST AFTER REPAIRS CLOSED TIGHT: ❑ CLOSED TIGHT: n AIR INLET: PSID PASSED: n PSID PSID OPENED AT: PSID CHECK HELD AT: PSID AIR GAP INSPECT: SUPPLY DIA.: " SEPARATION: " PASS: n FAIL: n 10TH EDIT:C DETECTOR METER READING: WATER FOUND ON: Q • F: ❑ • Q OFF: n LINE PRESSURE: 70 PSI. I certify tha ' is repol; 1A 248-290-490 approved methods and test equipment. TESTER SIGNATURE: ,_'_I* • : -46 LLC. BACKFLOW PREVENTION ASSEMBLY TEST REPORT -.;. ' BACKFLOWS ONLY, LLC** CONT. LIC. # BACKFOL882AQ BONDED/INSURED 3139 SYLVAN DR. W. UNIVERSITY PLACE, WA. 98466 PH: 253-606-4104/FAX: 253-200-5637/CEL: 253-255-0616 ACCT/FILE # METER #: PERMIT #: PREMISE: STARBUCKS#52055 ❑■ COMMERCIAL ❑ RESIDENTIAL SERVICE ADDRESS: 164 SW CAMPUS DR. STE 102 CITY: FEDERAL WAY ZIP: 98023 CONTACT PERSON: PHONE: FAX ASSY. LOCATION: BEHIND ICE MAKER-KITCHEN HAZARD TYPE: ICE MAKER ❑DCVA 0 RPBA n PVBA in OTHER NEW INSTALL:❑ EXISTING:n REPLACED:❑ OLD SN# PROPER INSTALL: YES n NO n MAKE ASSY: WATTS MODEL: LF009QT SER.#: 188921 SIZE: 0.5 INITIAL TEST DCVA/RPBA CHK#1 DCVA/RPBA CHK#2 RPBA RELIEF PVBA/SVBA PASSED:n LEAKED: ❑ LEAKED: n OPENED AT: 3.7 PSID AIR INLET CLOSED TIGHT: a CLOSED TIGHT: El FAILED TO OPEN: n OPENED AT: PSID FAILED: n 7.5PSID PSID AIR GAP: OK OK FAILED TO OPEN: n CLEAN/REPLACE PART CLEAN/REPLACE PART CLEAN/REPLACE PART PVBA/SVBA CHECK ❑ ❑ ❑ ❑ ❑ ❑ HELD AT: PSID NEW PARTS ❑ n ❑ ❑ ❑ ❑ LEAKED: AND REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El ❑ CLEANED: ❑❑ ❑ ❑ ❑ ❑ REPAIRED: ❑ TEST AFTER REPAIRS CLOSED TIGHT: n CLOSED TIGHT: n AIR INLET: PSID PASSED: ❑ PSID PSID OPENED AT: PSID CHECK HELD AT: PSID AIR GAP INSPECT: SUPPLY DIA.: " SEPARATION: " PASS: n FAIL: n 10TH EDIT:C DETECTOR METER READING: WATER FOUND ON: EI F: ❑ • ,S 11 OFF: ❑ LINE PRESSURE: 70 PSI. I certify that . Is re. .. i WAC 248-290-490 approved methods and test equipment. TESTER SIGNATURE: MI RSA ' 'k.' . __ LIC.# B-3415 DATE: 26 MAR 19 PRINTED NAME: PAUL E. FREDERICK TEL. NO.: 253-606-4104 REPAIRED BY: PAUL E. FREDERICK DATE: FINAL TEST BY: LIC.# B-3415 DATE: TEST KIT CAL DATE: 7-10-18 MAKE &MODEL#: MIDWEST 835 SER.# 03123230 **BUDGET BACKFLOW TESTING IS OWNED BY BACKFLOWS ONLY,LLC a (ris LLC. BACKFLOW PREVENTION ASSEMBLY TEST REPORT `'. BACKFLOWS ONLY, LLC** CONT. LIC. # BACKFOL882AQ BONDED/INSURED 3139 SYLVAN DR. W. UNIVERSITY PLACE, WA. 98466 PH: 253-606-4104/FAX: 253-200-5637/CEL: 253-255-0616 ACCT/FILE # METER #: PERMIT #: PREMISE: STARBUCKS#52055 ❑COMMERCIAL in RESIDENTIAL SERVICE ADDRESS: 164 SW CAMPUS DR. STE 102 Cm: FEDERAL WAY ZIP: 98023 CONTACT PERSON: PHONE: FAX ASSY. LOCATION: UNDER S FRONT COUNTER HAZARD TYPE: ESPRESSO MACHINE n DCVA n RPBA n PVBA ❑ OTHER NEW INSTALL:n EXISTING:[] REPLACED:❑ OLD SN# PROPER INSTALL: YES ri NO❑ MAKE ASSY: WATTS MODEL: LF009QT SER.#: 188787 SIZE: 0.5 INITIAL TEST DCVA/RPBA CHK #1 DCVA/RPBA CHK#2 RPBA RELIEF PVBA/SVBA PASSED: LEAKED: 0 LEAKED: n OPENED AT: 3.9 PSID AIR INLET CLOSED TIGHT: ❑ CLOSED TIGHT: n FAILED TO OPEN: n OPENED AT: PSID FAILED: n 7 8OK FAILED TO OPEN: ❑ PSID PSID AIR GAP: OK CLEAN/REPLACE PART CLEAN/REPLACE PART CLEAN/REPLACE PART PVBA/SVBA CHECK El El El ❑ El ❑ HELD AT: PSID NEW PARTS ❑ n ❑ ❑ El El LEAKED: ❑ AND REPAIRS ❑ El El ❑ ❑ ❑ ❑ ❑ ❑ Cl ❑ ❑ CLEANED: ❑ EI❑ ❑ ❑ ❑ ❑ REPAIRED: ❑ TEST AFTER REPAIRS CLOSED TIGHT: n CLOSED TIGHT: 0 AIR INLET: PSID PASSED: n PSID PSID OPENED AT: PSID CHECK HELD AT: PSID AIR GAP INSPECT: SUPPLY DIA.: " SEPARATION: " PASS: ❑ FAIL: n 10TH EDIT:C / DETECTOR METER READING: WATER FOUND ON: n 1 FF: El OFF: ❑� LINE PRESSURE: 70 PSI. I certify tha • . re.c �isp s ., a ,J WAC 248-290-490 approved methods and test equipment. TESTER SIGNATURE: e .s/ ' * ' . _. :At ._ LIC.# B-3415 DATE: 26 MAR 19 PRINTED NAME: PAUL E. FREDERICK TEL. NO.: 253-606-4104 REPAIRED BY: PAUL E. FREDERICK DATE: FINAL TEST BY: UC.# B-3415 DATE: TEST KIT CAL DATE: 7-10-18 MAKE&MODEL#: MIDWEST 835 SER.# 03123230 **BUDGET BACKFLOW TESTING IS OWNED BY BACKFLOWS ONLY,LLC CITY OF Building Division 3332ikihk, Fed a ra I WayFederal Eighth, Avenue Sout5 Way,WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: j ca lj, cam. 'C..z•-.- PERMIT#: —10 1 s.2-(0--C: IF YOU HAVE QUESTIONS CALL (253) 835- 2221 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of CITY OF• Building Division 33325 Eighth Avenue South A-Fed era I WayFederal Way,WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 6 �' �_ 5Gc' PERMIT#: /7 --10/ S—Sr- 6 Gc) ) f ,/t, e44-1), s A=1n se,-441-.4.-1. 671-- SoLot c It 749 ofi /t Q// //s' Tr:is 51- l/ fl '/ 4 �y u-q% ' p 4 s/cF/2 IF YOU HAVE QUESTIONS CALL Sia (253) 835- 26 33 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED i,' BE MADE WITHIN 15 DAYS. .2 -2eJM / _ DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of • • Building Division ‘6, CITY OF 33325 Eighth Avenue South Fed a ra I JhIayFederal Way,WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 119 Si.,) cArvpvt5 D62- PERMIT#: 1 — /31 5 Le- v`Pc- 3iLt / ' 1 . c)COu i cQ< ,tet; A 4.1-0\-- f ( c 5 f>e.0 -f-6bl� i SLP L 31 L Z- P c_ 3 12 . 1 — ;e',., )c,55 ,-,7 -t-E, r O�CJ�1.. x,4,1 15 al->c,)( b-� col-eu+ed vtAccl, - KIT_ 40-x- ,gid IF YOU HAVE QUESTIONS CALL A✓I6)1 (253) 835- -(7 3 ?" WHEN CORRECTIONS HAVE BEEN MADE, CALL (253)i35-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. l) i 5/ i ' /kJ DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of RECEIVED APR 12 2018 PERMIT APPLICATION CITY OF Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 COMMUNITY DEVELOPMENT 253-835-2607+ FAX 253-835-2609 +permitcenterrricitvoffederalway.com PERMIT NUMBER 1 g _ I 0 , 5 {p `J S r I 1 g TARGET DATE SITE ADDRESS SUITE/UNIT# 16*SW Campus Drive, Federal Way, WA 98023 / 01 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 0 $ 270,000.00 BC 41 5 9 2 0 - 0 7 1 5 TYPE OF PERMIT ®BUILDING ®PLUMBING El MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT SW CAMPUS DR& 1ST AVE S New tenant improvement build out that will include: new furniture, equipment,4411444461(46, PROJECT DESCRIPTION Detailed description of work to plumbing fixtures, menage, and interior finishes. be included on this permit only NAME PRIMARY PHONE Federal Way Covenant Group LLC. PROPERTY OWNER MAILING ADDRESS E-MAIL 1700 Red Hill Ave aguonc@pacden.com CITY STATE ZIP Irvine CA 92614 Attn: Chris Aguon -- - - - NAME - - - - - -- -- -- - - -- - PHONE --TBD MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE* EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE i -- - - -- — —NAME PRIMARY PHONE - -- 1 CPA r° Nicole Pike 206.318.5787 APPJeCCANT MAILING ADDRESS E-MAIL P.O. Box 34442 nicwilli@starbucks.com CITY STATE ZIP FAX i� Seattle WA 98124 NAME PRIMARY PHONE PROJECT CONTACT Charlie Carroll 702.893.3129 MAILING ADDRESS E-MAIL (The individual to receive and 502 2nd Ave, Suite 2800 c.carroll@cr-architects.com respond to all correspondence concerning this application) CITY STATE ZIP FAX Seattle WA 98104 PROJECT FINANCING NAME N/A 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 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. 1 SIGNATURE: ( / / DATE 04/11/2018 PRINT NAME: Charles J Carroll Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application MECHANICAL PERMIT VALUE oFMECHANICAL WORK Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing futures to remain. 3 AIR HANDLING UNITS 1 FANS 4 GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial( BOILERS FURNACES 1 HOT WATER TANKS(Gas( COMPRESSORS GAS LOG SETS 1 REFRIGERATION SYST 3 DUCTING 1 GAS PIPING WOODSTOVES PLUMBING PERMIT VALUE OF PLUMBING WORK 37, s7) o Indicate how many of each type offuture to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower combo( 4 LAVS(HandSinka( 2 TOILETS 1 WATER PIPING 1 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) 8 DRAINS SHOWERS 3 VACUUM BREAKERS DRINKING FOUNTAINS 6 SINKS(Kitchen/Utility) WATER HEATERS(Electnc) 2 HOSE BIBBS SUMPS WASHING MACHINES 23 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? . WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS None mapped Lakehaven Utility District N/A $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? X Yes ❑ No ❑Yes ❑ No Vacant 50,397 RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR(or Mobile Home) FLOOR"' 41 1k. ' ry COVERED ENTRY _ :z / ,e4. was• _ ii: <..,, .> ` . ir t...; ` .`+' w !:et"{ - ;. ;4= r:.;,, ..: :=',` `.''. t=�::' I:JF.+ :i. ;.4-i' --! .,I/-= ps .r-., 1 . ;.:7 ylJ�-- * GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ I#OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information S.uare FeetA•e Stories is i`Y,a 1 ; c a -;,: `,� IIti• '� �� , ^ ^..fir:-":t'``t�;• 1. ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information SqQuare Feet a Stories I 'a- -,-- '.i.+=. ., ;S?�:,= 'E; 's:Y�wn*s-S;.rav<,," ''-'•14to-?'`t :x.:>:.9 ?' ;,'�,'� �.�a;i-. fsy, '`'`'"xt :-;.. - C, rc: .: .: TENANT AREA ONLY 2, 10'7J A--Z \./- M> , I --?' --==.- _� i�S,"::::!-(-3)1)1,} l:f ,.'i' 'e1,e,.{ `4� '`. - -� - T4, < -' �riLf}.{. a'=1 � -1'4 A;':-:': :1`;:1:- i- .`::'*1+y: �"1Ya ,.�, -;; '.0 .y� f*Y 'py� s t .-�w',';44 ;- 4- ;�., ir. :. . < ,F•..s't; .=.2"r Bulletin#100-January 29,2016 Page 2 of 2 k:\I-Iandouts\Permit Application