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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