19-103062 RECEIVED
JUN 22019 PERMIT APPLICATION
cry o'k CITY OF FEDERAL
ERAL WAY
Federal Way COMMUNITY DEVELOPMENT PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(6citvoffederalway.com
PERMIT NUMBER CI — 1 0 6J Ai
0 " — F ? N
l 11! TARGET DATE /
SITE ADDRESS SUITE/UNIT#
1019 S 351st Street Federal Way
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$20,261.16 2 __a_ 2 1 Q 4 - 0 2 2_
TYPE OF PERMIT ❑ BUILDING El PLUMBING ❑ MECHANICAL ❑DEMOLITION 0 ENGINEERING 21 FIRE PREVENTION
NAME OF PROJECT Tilt 348
Install 6" FDC Line and 8"Fire Supply Line
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
- NAME PRIMARY PHONE
Neumeier Holdings, LLC
PROPERTY OWNER MAILING ADDRESS E-MAIL
22610 88th Ave S
CITY STATE ZIP
Kent WA 98031
_ - NAME PHONE
Lloyd Enterprises Inc 253-874-6692
MAILING ADDRESS E-MAIL
CONTRACTOR PO Box 3889
CITY STATE ZIP FAX
Federal Way WA 98063
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
LLOYDI*238QB 4 / 15 /21 171004642
NAME PRIMARY PHONE
Lloyd Enterprises Inc 253-874-6692
APPLICANT MAILING ADDRESS E-MAIL
PO Box 3889 jeffw@Iloydenterprisesinc.com
CITY STATE ZIP FAX
Federal Way WA 98003
_ NAME PRIMARY PHONE
PROJECT CONTACT Tilt 348
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1019 S 351st St
concerning this application) CITY STATE ZIP FAX
Federal Way WA
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 Iaws 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:�_�/ �l �� DATE 6/25/19
PRINT NAME: Jeff Washington
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(Descnbe)
AIR CONDITIONER FIREPLACE INSERTS HOODS IComme«,au
BOILERS FURNACES HOT WATER TANKS rcas
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 orTob/Shower Combo( LAVS Hand Smks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS wcobn/unhry) WATER HEATERS(nccrnc)
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 0 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 ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES any**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Groups) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Pent Application