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10-101783 ow ECE*E IDL - i_ o L 21 CITY Of AFederal Way MA`( � zr��ERMIT South K j IRr SCUD FP ) COMMUNITY DEVELOPMENT SERVICES PINIte AT I Subject Detailed Approved 253-R35-2607•FAX 253-835-2609 uwu crtuoffederakncuco iV ©F FE LL 0.Stabs COS 1 to attached details "kSITE ADDRESS By SUITE/UNIT# '35y l 5 215� Ave. Sly/ ...214.14,70/() �._.._.... Date S 1 O1() PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCELr� # FJ $ 215007 Z. 5 L- ( o 3 - q o O Z TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 1ilf FIRE PREVENTION NAME OF PROJECT C'Mt$ �t z. ,Lo'J (Tenant Name/Homeowner Last Name) Creak R.evlse. €xistiA AsAtovtiai�c Fire. S ,rivkl�l� s stein, PROJECT DESCRIPTION 1 S P y Detailed description of work to 'tiro will 06,t l.L lrr€.j t C4AtS ±,',-victAt .5eA(At ,O Cr N FI',4 15 be included on this permit only at,a t r4erp( Way r re- M afs1-1 Al. NAME PRIMARY PHONE PROPERTY OWNER NOf L Silore l/111ase Maia5eile.j1 (U 679- 566)( MAILING ADDRESS E-MAIL Po Box 7 7 7 3 5 dAvidAt.,e.1CQgrhail.coo, • CITY ,S�{eattl�. ZIP tAJA 98177 NAME PHONE I`/1oor-e Fire. PreiecfIovi ('12..5) v71-551 g MAILING ADDRESSAIL 186� I CJ E �Qy \aU j AA. kte ooreei,re.eViii CONTRACTOR CITYSTAT ZIP FAX CITY , tAJA 1O2 ( NZ 5) 17t- 5506 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# MooREFP t16 NP 1 , 26 /zot1 20-t0-lol-517-OO-6L NAME tit Oo�re Fire Protect(ovt C42 S) 271-55,1 g APPLICANT MAILING ADDRESS E-MAIL (162( SE May VAI ley K61• r+attlie4.;tomoor-ecire.COM CITY STATE ZIP FAX CITY, tAJA 'Ito 2-7 6-(25) 211- 5506 PROJECT CONTACTM l, PHONE (The individual to receive and NAME " ,a tt•' Ste tL t/ ,p (it2"5�271- S 51 g respond to all correspondence MAILING ADDRESS I Sb21 S G M a V A'I IR d. E-MAIL 11, A �l concerning this application) `7 W emu)re r ire•oma" CITY STATZIP FAX SssaQuaG1 WA t Soil N26)27 - S Scat ALTERNATE CONTACT NAME: PHONE E-MAIL ce11 Moo,-e? 07-6) 2.64-1382I el.moo re evii0ATCre.Con, PROJECT FINANCING NAME 0 OWNER-FINANCED Required value of$5,000 or more (RCW 19 27.0951 MAILING ADDRESS,CITY,STATE,ZIP 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. li141— SIGNATURE: r/ Z," " -JDATE y /Z-7/Zo to PRINT NAME: l"1a e1J Steak Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application r - • �M'�IL�k«'.". µ ., w .. - - 5A '*4. „ in •'z LF',"! - ,tMl w}+'I'u. VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type offixture 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 r„�w.rri ,,y,i+ '-' `._-___=- _ - .•,w, H^';f',;�;",!:. u'a ^"y,°�nt;°' - - --`-_--"��__' , .#: . - - 1tfA a ro ,.,R. �, - -- - _- Indicate how many of each type offixture 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(KM hen/uuhty) WATER HEATERS(Eieotrk) 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? XYes ❑ No ❑Yes ❑ No r • ,k' [ - '.�' P;;" .r+! "'.taw ,:T'g*;;, .. .,,>x^+"•'.�," - .'`, `y�„*,_^'” .:.'4 '„sr,...,1%;' ~ AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) ,SECOND FLC DIt_ ,., - COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ gniER idesaimi EXISTING PROPOSE TOTAL - - - Area Totals **NEW HOMES ONLY'S ESTIMATED SELLING PRICE$ #OF BEDROOMS ,v,yVu, Vi,p„.,x ,.fir r.4.144g4. wYs-�t, .,s ,.t .`+w#t. ,�,�I� _{}* �, - �.�”=-3'_` ., ---'•�f,;;'M,y' i,,r�� AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories t ADDITION £fir f 'su^ P rs "r7(w5,,c .'AlS, •741t1” ' I41 � ,t 1 AREA DESCRIPTION Area Occupancy Group(s) Construction of Additional Information in Square Feet Type Stories TOTAL BfllLfl*/ (42.0000 i' V-B„ TENANT AREA ONLY M/B C Rai( -6410,4 0A15 PROJECT AREA ONLY 114 M/B(-Hair SO1k 1 Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application