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07-101533 ‘4111- • 1\15) e 0---7 _ 1 Federal Way R ?RE — — � L COM FAIT DEVELOPMENT SERVICES MAR 2 3 2 SF MF CO ME EL PL DEE FP a 33325 8TH AVENUE SOUTH•PO BOX 9718 FEDERAL WAY,WA 98063.9718 �, � , PATI N �° FEDE 5-2607•FAX 253-835-2609 WIMP.ciluoffederalwau corn O guts G DE The ollowine is re,wired i orMation-an incom.tete a••tication will not be acce,ted. Please rint ler ibiy lin ink)or ty•e. cog-- c J - PROPERTY INFORMATION "7 SITE ADDRESS o� , 33(0+v-) '-i zee_'i /3L 1�i.#i �j SUITE/UNIT# (� ASSESSOR'S TAX/PARCEL# 1 2. 6 9 (90 - 6 2 / C LOT SIZE(4) f4/ /6'y LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) lAttadt separate page for Irn9th41 legal description) III PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL i 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING)FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) I 7H A".-'-- Seeye ©' if- r 5 P26Tr".E_i i S -72, :n,S i p.Ll-- A /ilk U) 1-7-;121- doN762G1 PPOJE I j G HAL L.. 0-44.7'Ail itOt Si..tTI MG. tb€€irct5 !-� NELJ 9floci- c.arrm/ATi vT t.Tyt A4.So Al , JTj'i rrl nit, 17trti e- -To Lo bbj .s4i7L.4 Fat TMA Pv24)as� o 271A14nYT--- i wi eiLoaremto.)j„ PROJECT NAME(Name of Business or Owner Last Name) (/ f')/)P(2 4, e i.T i L) T Lam,-Ik./ • PEOPLE INFORMATION PROPERTY NAME r� ,--k,-�`i_QAuJA PRIMARY PHONE / OWNER -S t' r -Z_ Loa?. ( ) - MAILING ZIP ADDRESS CITY,STATE, .336th 5744 i- D€aWA.-y i 1 A--- 990.03 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 3MII-Wl-595�;.rn5 ro witovior Robes (Z53) Zyg - Z°oy C: MAILING ADDRESS CITY.STATE.ZIP 1 CELL PHONE //06, 54141/ /904._ALAS r _ /4Cc0i4 i44 9812 / ( ) - Cl2Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 11-a 2 -Q o a m .53--B L /2 /3t /off' (2.53) 92G - CQZ ' CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE Al i T 1± E 5 �l L O /Z/ ZZ /©d APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE �-.vu/T#fidZ 7-/r,ng 0970nit V s-T— (253 ) 2 -z oe4f MAILING ADDRESS CITY.STATE.ZIP I CELL PHONE /1 069 5"1/71n 4111 ACAS _774evn4 14,41 98424" ( ) - RELATIONSHIP TO PROJECT �y,, FAX NUMBER 0 Architect 0 Tenant 0 Agent eXther(Describe)�nai GciJ It it___ (753) 926 -0226 CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS LFLo,3 P/4i2.125 (253) Z4' - 2e2.0 I 1...?sl2ItS05ts,i 2e4Lt.Cova" LENDER P;'`"i.,':0-; 7,-. .:;'-:,,';:_ x.-„,.;7.,x,�.,,.;.,_w NAME }�Vis; , A � •�':. �,,.-cam- ..:.��.»�_ e, �;-r ,s ..u»�A" .-., . _4+!(0-F:;s I�A�Y_ :.T�*ti'.;,1 T,:41tf.::y k ,ifa MAILING ADDRESS CITY.STATE.ZIP R DETAILED BUILDING INFORMATION EXISTING USE AlOA L- /i41 ply PROPOSED USE d h i et_ 'Bvi LD( j EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 191 °00, SPRINKLERED BUILDING? ' YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES NANO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE XTACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) ' ‘11. • , o 1 PROJECT FLOOR AREAS —_A-0 AREA DESCRIPTION EXISTING PROPOSED TOTAL t SQ.FT. SQ.FT. SQ.FT. BASEMENT l Sda FIRST / SECOND " a 0 /6 , �— /a (6 zt ,— THIRD I 2 It,tf — FOURTH ' ( / K — ADDITIONAL FLOORS(DESCRIBE) .1-h 9*-h DECK(COVERED?) �/ 1l0/ GARAGE 0 CARPORT 0 AtOPO66D TOTAL135.1',%;'4,..;:' ., r:•;c; ^•i; s �- NUMBER OF FLOORS •,.: � , , �,��`�„�,� ;.`:.�;, �• "f.-d' �- z�.•r. ���� ri "NEW HOMES ONLY" NUMBER OF BEDROOMS _ ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type off fixture to be installed or relocated as part of this project Do not in lude existing fixtures to remain. MECHANICAL Value of Mechanical Work $___ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBSo,Tub/shower combo) SHOWERS € WATER CLOSETS(Toilet( MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUILErb SUMPS RAINWATER SYST , WASHING MACHINES URINALS HOSE BIBBS LAVS)Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best,of my knowledge,and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. �y NAME/TITLE/1/1 Pil 1 ecA)e_ie___, DATE 3 �Z.Z .0 7 (Signal Mae) RELATIONSHIP TO PROJECT 0 Owner 0 Agent contractor 0 Architect 0 Other i.`.i�.,r.f+�"� w. �drr:?• ,�• _ .�' :s. _ _ 1•. 1775:,-...„7-:,74%, +»,-as? H;=r't Y:�;sz�•;�"5. ', `. :.7 f;;,•,:c, 7,`-�:C.T'.;'---:`'fir :ks-..M:._ -;:a2,,,,,: �a,a, .. ,J' �,,5.;�5 a SL`},: .E.' •`f.w vF�^)' .i�t: ;,r-:hr.,s .:i.,r . t _.j; ar`, r�31,r�C € "�t ^�r '. �r� "'i"+ ��+'c�.:55x» '• xktai ,. -' s . X f"`^..".r, "i.` c ry^;arts».,> .s«:sXc z . t.s. �1r�. .:^c.�:r }��•^ _ .`e'-=.r'�rr.`�s+k`nrr'-E:_ `�z-'x. ;-��u`: f: -1g.:::...:' y,�: ':, -++i �x," �i+s:a�^ - ,3%•�'.: '„r;,t"' "i � ::.ts"�� •u:r •)c.'ss•.t r;Ery :,;_: :,?` :��-_amu= ,F.• `:ii:z'i-__i 71--l�„ :r;.`.:i :':.'.',•' ` - ,y .,�: '�. �.-w...i.�,:w.�:`;x:r - .:.tea"tc•"_.� i`��.`r --3� ::7:z': � ,rZ�.�; u�a: 7} i:_'S`.<'r'r •'�'.c»f,�� ,n,w: _x v .{: tc:.:�..v:«- - .._ :^L.�''^W' :.'x,:'.i.': ;: -�'Y�r'.."�� ,�-: : i. 4?v.: e,'v F', a FMFf�� - �`� C yrre Wit. .k^ `•;"S, :i.,' "'J; - _ - - u`e"-`� i % yy � �'# .'2 J:"`.F�.' �y~�� �3 � ! �t� :r�. (dµ '6•�C ' "" ' �;.,g1�. S a a:ca� c13 x F.�..-r e'u,70..a, ','r• xc.xix .X £ i:a,.'s-3 :,.--,..`.W-,-,,;,-:4:•-,,..S-,-„,,&,,,,N,;,114. -�S ir.4-i, 6 -,.,-,4, -.& ' Bulletin#100-January 7,2005 Page 2 of 4 I k\Handouts\Permit Application