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18-104773 RECEIVED R PERMIT APPLICATION CITY OF ti OCT 10 201" Federal WayCITY OF FEDERAL WAY PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com COMMUNITY DEVELOPMENT PERMIT NUMBER I _ ( o 7 _ 1i TARGET DATE SITE ADDRESS SUITE/UNIT# 1.$ 5 5 344 '• Stfreder.°1 v-1-11 vJP `I °° 3 PROJECT VALUATION ZONING ' ASSESSOR'S TAX/PARCEL N $ ( / 000. 0© Pt5,5e•"yki 6 ► 4- 2. 6 0 - 3 o 2 5 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 24-IRE PREVENTION NAME OF PROJECT K ha4 s c Gu{e)-sivt. CCehvt-e r PROJECT DESCRIPTION 11,34-co ✓1c i,-) 'f1f e �\ce^-, S1 I;-C"+^1 t Y % b I i'tt S?f: It r- Detailed description of work to S`(S1t^''t. W i S` u.St- eXIStill 1-orStra i S,—.10.. de+tc+i/5/ qh4 be included on this permit only 1ne,k de c to e T I - -- NAME / _ --PRIMARY PHONE -. K4„ts�, G,ww.,fi ccs-e PROPERTY OWNER MAILING ADDRESS E-MAIL 'all 5 334r" sr CITY feller 1 w, STATE TIn f ft ZIP coo _ a 3 NAME PHONE K 1e.Q?s, I,. c. MAILING ADDRESS E-MAIL CONTRACTOR 13330 S . Sol' ST CITY STATE ZIP FAX BeAe.vvke. wR 1800 5 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# EC <LR 5 93 6 _ 2 / 2c X2019 NAME - -- PRIMARY PHONE C1c41,. \Aar+,; \l 4-2 ''V)&'G642 APPLICANT MAILING ADDRESS E-MAIL 3 330 56 30it, sr ct4Yto,&Lle?p .cow, CITY STATE ZIP FAX bellevuc- 1,1h c1r4od5 42.5--223- 3165 -- NAME PRIMARY PHONE PROJECT CONTACT C\..yNet. I- t t t k25'-2 of 4.O61 The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence 0-636 S 361k S t clay*, @ 141(Ws.cc—. concerning this application) CITY STATE ZIP FAX IX\�Jvt, IA 1tooc NAME PROJECT FINANCING 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 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: �- DATE (O/I o/ IP PRINT NAME: C telt)n kA M I \\ 0 Bulletin#100—January 29,2016 Page 1 of 2 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(Commerc,ai) BOILERS FURNACES HOT WATER TANKS(Ga,) 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 Smits) 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(Iu 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 _ '.+ ;• _ , x' .. Ins,. . W A.,a .;.4...,,,,, -f«`%% ----- S- '... '. "ir.,. 'dot FIRST FLOOR(or Mobile Home) � ' • � .,,�,:.,' ''a`u"'"",��s'�'di';'•}•;",-',74;t`''`iM'��'`x�"'- -'4*:::! : '4 . `i "..iu;Z1,','�r/„'116,Y�:�'�`.'-ifi ------ - -------------._..-. -'---- --- COVERED ENTRY .".,,i i . r ' ' " , - ". :s>• ioyk*T"0�> tN= ':j 't ;",- t,• 4., ,4%0- , _ . .„, n , x GARAGE 0 CARPORT 0 CCs• r -.,', :-.. "?-. ;, j. :-:';+e; y xcC ''e�.,7s.,,..'f-‘,‘",';,a ir,,"s,”'" .. i. ----_-___.—. _- --_..--— _ -- _ -_ ,• ?*.lii,' + or" '..s ` ` f "t -C4i , ,4" i,sr:Py , s i?ice, »:zn :t .d :'.:a`' t: '1 `i ,,- '. ' Paf>it, '• ' '0krIr.Y;{,y ,.1�xl.f t•,t __.....___ —............--- EXISTING PROPOSED TOTAL Area Totals q� ' -x.r sw+.+am-'rw{+:.c y:.r;�5 ':} iiA 1 ,i ,♦ x'I .,moi,, .yu'h ",t'-',i':Ax.^G'!a;,'Y^.',= ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square FeetType Stories .4,•,.. 14,' ,y _ . -F',t' .'.y. ?'+ .� `'t.yh(; " ,;*.i?":u.Y' l',; ' 1.';'..;*:.';',,,,, ,, •� 'r '" :'s.:: •ry :s;4$, ''',...' yc7. A mo ,h;�.' e,.:,,,,41:i$1!i.t :x.:Y,,,,, .Mx r. ;/% u..Al .rti.,."., :•.h? ., ,,.',14::: "">.wi; . �e,��f4ei � . . 7-7-7.„ �::da ?f: , .�7 ., . yK1',. "'3'+',„yf.i , r'4uui.r":r^3tr`: c-fs:,.: ,,a �,,,, � Y+� X� ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information ;� '{� S uare Feeta Stories �hI�U s���.,i i,,�,'`s PI';��� 0,�'�'; 1er.. .*�± �if�',tiil�� t�,if4 !e�� .r ,,,,../ '�:r". /''!.' . ;""�3,2;�+T°, fcL': y 7T�r "`4'a�'y,:k �,;.,%_3',,������. .. ��y'k,y�',�iGl /`i�: ;r'iL �,y� .�5 TENANT AREA ONLY �5 4; F[ '�" , ..l�",'�I' �., !,�,�x��.�n'4`` �,ti�'A:w,•;•,�'...{„rx;:;;':,K.:;.;;„..,..,;°'�a,:';,.;AZ 4,. . ,,., '' �,, :-;�y1� 'w;,s �'`z'I'�t�;'tttrd V�G�� 1�• y .� "�r.�eN � 5t ~s' Y. f t' a Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application