19-102285 RECEIVED
CITY OF �.0 MAY 0 9 2019
PERMIT APPLICATION
Federal Way PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325m
CITY OF FEcFRwhy 253-835-2607 + FAX 253-835-2609 +permitcenterocityoffederalway.co
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ I 0 2/' z.2 5 - F TARGET DATEANS '
SITE ADDRESS -- �- SUITE/UNIT#
kS 0� S ,g 3 .11% ST V EZCrOj i..vi C1 3 s-3o
PROJECT VALUATION Z� ASSESSOR'S TCO /PARaL#
$ - U 630-Pc, tC_ ot ( —
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING IRE PREVENTION
NAME OF PROJECT AsPitr Co N
PROJECT DESCRIPTION A) I 1 —t ct 2Z PCAT3
Detailed description of work to
be included on this permit only
NAME 9-_, ^ 91 o ptc t-4 .'k ` L/21PRIMARY t `P� V c
MAI
PROPERTY OWNER LING ADDRESS E- L
7 V?0\ 7 b 4'` QN-- co
CI T
SATE ZIP
NAME PHONE
t-.�s-� +P_ •S-c. Pte... 9t71 ��
CONTRACTOR MAILINCNADEIRESS
ib-4-1„.
L) -. {„ 5" v.. '�t w 1 pj �w`a 43t.. iAlr'ei Q-',C'�'1'
c le'OLOO'N cam.L_ STATE
‘116-14 1" d F X70 / 1 (/CI &r I ` 4.
WAMATE CON ' \ LE p \LEXPI T�N
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/utility) WATER HEATERS(Electne)
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 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES cow- '
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
Nur BUtwaa o
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area m Occupancy Group(s) Construction of Additional Information
Square FeetType Stories
TOTAL iitiithiltQ r ' ^
TENANT AREA ONLY .2„z �-t — '�,. �S, n c
111 JJJ l\W \ 111 1"
PrtchheCT AREA ONLY ✓✓
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application