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18-101394 -7 - /0., 600 ____ _A. /PERMIT APPLICATION CITY OF Federal Way PERMIT CENTER+nE� tth +Federal Way,WA 98003-6325 253-835-2607 + +permitcenter@cityoffederalway.com g U � 3 // _ MAR 3 0 2018 PERMIT NUMBER 1 _ 7 7 5 £ TIS>ta?iklrik ii G S 7-F ..- r 7.!_OPME SITE ADDRESS / SUITE/UNIT# ? / 31/ c14 17/ 3W PP^T*''T VALUATION ZONING r ASSESSOR'S TAX/PARCEL# � �occo 2 .6 Ola / 0V - 9693 TYPE OF PERMIT UILDINGPLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT g4,( /2- ((((((���-_A )/:.-© PROJECT DESCRIPTION r��'f'T l ! •/� ,n /' ,, �/ > '-G4- U Ol�� Detailed description of work to I 1/f/L/" b A -e/6-,1 be included on this permit only (a �H /� , b o f,�te�o� / /)_ / ke� / _ _ i - !� T.A,SFS-i L - (/ �['.! fi�� /1�� NAME i i^�(4-2 I Y lZ PHONE DAY 7/6 - 3 0 8Y PROPERTY OWNER MAILING /ADDRESS 5 % cy.it eie EatjuL CITY n �� STATE ZIP,ley O 5..„?. 11 NAME - 'C -_ PHONE MAILING ADDRESS 'CO/ '/,J/ E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / / NAME © (1;f/. PRIMARY PHONE APPLICANT- MAILING ADDRESS (�/ E-MAIL CITY STATE ZIP FAX .- ._-_.- NAME -. -. PRIMARY PHONE PROJECT CONTACT (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME ,�`/ PROJECT FINANCING 4� 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 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 fru.•o by any person,including the undersigned,and filed against the city, but only where such clai arises o • of the relia e of t city, including its officers and employees, upon the accuracy of the information supplied to t city art of this a,•li • • . 4---� .? 0-�cY SIGNATURE: /� �/ /� N // /, - DATE - PRINT NAME: J1 // ✓ !/ " Y /.7 u- iv e/ ko(."---- Bulletin /Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application VALUE OF MECHANICAL WORK Indicate how many of each type of fucpure to be installed or relocated as part of this project.Do not inc��luuude 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 WOODSTOYES PLUMBING PERMIT VALUE OF PLUMBING WORK $ adv Indicate how many of each type of f 4ure to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) r/ LAYS(Hand Sinks) I TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINSSHOWERS VACUUM BREAKERS DRINKING FOUNTAINS it SINKS(Kitchen/Utility) WATER HEATERS(Ekctnc) 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 I FOR OFFICE USE FIRST FLOOR(or Mobile Home) oziv 4. ;- :_`.,,yc„ .-1l^'K5- a 4'1-„x x•,.`'..k r.< '•---,r`"*'`w'''',:4#3^cat ..,,.. , a.. ..____ .. ---- - - ---------- --- --"_— COVERED ENTRY DIQK P' GARAGE ❑ CARPORT ❑ Area Totals EXISTING PROPOSED TOTAL ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction of Additional Information Square FeetType Stories 'ri •++ �n'' i''... ,i,:;,;, 7,;:,,,,,,,34- 44,,.;,,,. :-,..,.7y, , ,F�,' Pro:-:,'T}.rs ' -.� ,"• br.. ' '" %i "! ��•'"•�"ri}�l N' • •4,, "" ,< ,, .�� ., ' .s v .r; . •:,r „ :;; v,.,my ,,t4.4c A _4.4 % �,ds4„ -�. f+.0 :;i? * y' ':` . ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction of Additional Information S uare Feet yi y� pe Stories oTAL :Ill,1T(i, ,,,,,,,,,,:.4...„,#,;....:,..,.:;‘,...J ,•r ':. #1,6).A.71, ,: „ ';'4' .k�' +!�;dta�k•�#^`•; SXr.. �%�,'':'Xc.z..-.•it.W, /,- �:'it�:. TENANT AREA ONLY ., .k :6 4/yr+4Wp ** v:.'F",''y.F i".;. '.t' .,,:.•;/`-',A;-.:.‘..::''..f:: ' .X•• .ry , 41,.`]-. :f.,i'd;' `�vY. -Mr.:ti-;.-_^ w ,+LM'15^,,• ..-^ 1 u N`} ", t .. . .s .'r •, '� r,y :1' ,.:�ii4i "LXrtv�,..,r"R.l ,.. Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application