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19-104734 ALARM i5 - Joy73 � CITY PERMIT FMFCOME PL DEE PP Federal Way RECEI�/Ep � COMMUNITY DEVELOPMENT SERVICES APPLICATION 253-835-2607•FAX 253-835-2609 OCT 01 com www.c[tuoffederalwau.com 2019 SITE ADDRESSMUNJ�Y� oaAY_ SUITE/UNIT# 2�3 o S 5. 32.01-1,1 5t- R 51-(.4.11c 2 v el7�J� 2243 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 2,000 7 7 Z - D S .3 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING irl,FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) (��i bEt yJ^4N Ft N CI A L 7Rngtal t;v. el Gu] vt #efhlto eku i'ceS b br i n PROJECT DESCRIPTION g g 5P'�-e Detailed description of work to In Code• be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME PHONE aISeII% Gbeck inc, 253- 43-71-1410c MAILING ADDRESS E-MAIL CONTRACTOR 321". WcVwvigkc htut S I I T4(41.1IG R OLSQM a cc 'tricAvk CITY 4 STATE ZIP FAX KevVY wa-- 16032 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# I / NAME PHONE esiod, Su>lcLl f 253- 812.-140S APPLIQANT MAILING ADDRESS E-MAIL 32.6 wed hlno ten A €.. S 4 91 'Caro'it.&OISe t CllcfriC.vit'r CITY STATE ZIP FAX I�.ehi--- tja► q Sv , 2 - PROJECT CONTACT NAME PHONE (The individual to receive and TAte4.5 K-ry5q 2-53- 812--140$' respond to all correspondence MAILING ADDRESS Q E-MAIL concerning this application) 3 2 c we.4tilvlq i}nr- R S I� 1 rAs t-a Ot f ey. El(�.tvic.no. CITY ,J STATE ZIP FAX LeU.vt- (.Vo► q 90 32. ALTERNATE CONTACT NAME: PHONE E-MAIL eyt 1 5L iQ4I t' 263-872-IcleC PROJECT FINANCING NAME J El OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) 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 informa supplied to the city as a part of this application. SIGNATURE: .,J,�� :c�� - DATE lo////Q PRINT NAME: 2 y&sl 5w i Q. f" Bulletin#100—January 1,20111J Page 1 of 3 k:\Handouts\Permit Application iiiii. RECEIVED PERMIT APPLICATION CITY OF 11111/11 Federal Way OCT 17 20 JERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 +pernincenter@cityoffederalway.com CITY OF FEDERAL WAY ct - j r,� `0D I L MF-N �' T PERMIT NUMBER `J N ) 11- TARGET DATE SITE ADDRESS SUITE/UNIT# 505 5 3.Yo 5414 real Watt, 1,t' -- Q 1W3 Svc he 510 P �__ PROJECT VALUATION ZONING ASSOR'S TAR/PARCEL# $ 2/700 - - - - - — TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL D DEMOLITION 0 ENGINEERING itf FIRE PREVENTION NAME OF PROJECT /12`�Ca,2 L h a C'rI l- Ili/To V�e'/- PROJECT DESCRIPTION /�G(ll,'L� 11�a s/ refo ' (p, and OJUG(ail!)) i� Detailed description of work to I /J be included on this permit only NAME PRI "HONE Oben Properties' PROPERTY OWNER MAILING ADDRESSMAIL 13C0 (►2r" A-ve Al dAvria ro 1p)pper 60141 CI er) tTYAZIP/�^ j`UeVuc' _ ._ NAME PHONE Cehc< �/e m ethal 206,-571 -!'l 55 MAILING ADDRESS E-MAIL CONTRACTOR 10 212 21.5 /eve SE F;rrl-d m se•t'veF-rrv41,co n^ CITY STATE STA E ZIPgYzgo FAX N/A- WA �ATE O TRACT 1'S ICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# (P ,J(/1F`7 Ifs'� ' / / NAME PRIMARY PHONE Lrl.rr►ani-e, 45 20(0.-5 71- 34155 APPLICANT- 162-12- ADDRESS MAIL 16212- 215 Ave. Se rS�-Ar�� 'e ��i�e� ml�,�om _. CI31TK L I S ZIP 45 iq �/ FAX W4 SS OYyt NAME Scum ,,,- fp PRIMARY PHONE PROJECT CONTACT e GES above (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX _ 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 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 dofAv.-- this application. /� SIGNATURE: A r DATE Cd- 17'4'. Zo 1 q PRINT NAME: _ , iNiv Vl /(('a 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 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 PLUMBING PERMIT VALUE OF PLUMBING WORK 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(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER,(DLe cribe) DRAINS SHOWERS VACUUM BREAKERS SSI n �eY5 DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) A HOSE BIBBS SUMPS WASHING MACHINES t,V 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 toYes ❑ No t RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT fr , 'i ,Fr .'. q ,a, «to rr ., 4A Aro,...- FIRST FLOOR(or Mobile Home) ,.x f 4� ``, /' 5 .J.,...,,,„, ' � , � &.� . 1I �.fnx� :� � � £: d '>3"aS„e �_ ,✓.�„Y ..ry.c . f,t, .—._._.......................__....._..................__..... .__.._...._...__—_.___--__.___ COVERED ENTRY ..,,._.w. '.,:.... ....«; „,,...,.; f s ' x. , xl '1y, DEC. f V . twter ;5-✓ ��i2,F ;e, assS. :.n:ds. �. » .�z.m.,. `f� »e...3 ____._._._................._._.................................._.._.............._..____........._.__.�_— _ GARAGE ❑ CARPORT ❑ r OTHER(describe) r " i„ - EXISTING PROPOSED TOTAL Area Totals -- f . , ,W HOI S O -.A9-9/..-0,),..1---0,, ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feetpe Stories ': yei1r - ✓ `r� � " i S � 4 1;4s '`;7/71::-:;7/71::-: x � � !;%✓ ; ,,,,',7,‘..2r ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square FeetType Stories 3.rr. i 0,-0,-,%",,,,),,,, sra�a5's ,, s c , 'yrs;` --/ Tetfi IBA TENANT AREA ONLY .iFr/ ,fa!1'1'4 , GT fir'ONLY f rF s,' a. r Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application