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19-105151 RECEIVED OCT PERMIT APPLICATION CITY OF �..- Z 5 2019 PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325 Federal Way c�OF FEDERAL yygy 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com Y COMMUNRY D�LOPMEN . PERMIT NUMBER I ✓r J . 105- 1. 51 � - p TARGET DATE Iiii,/--- SITE ADDRESS SUITE/UNIT# 30 3 S W 3 ©811" . f F e,,l vii /4 9 $ ©23 PROJECT VALUATION ZONI 1G ASSESSOR I TAR/PARCEL# $ 3J600. Q0 - - - — TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 41 FIRE PREVENTION NAME OF PROJECT 4 K C. Gra v C t;I e_clCi-L-u(�)/ PROJECT DESCRIPTION f loot a fl-e- fi o $ o u� -)-1�'161c. 1,e. 11) I ;rt, Detailed description of work to u pY�""'•"'l, be included on this permit only / ' NAME �J PRIMARYPHONE 'Fe J((kl tnrk)' pii r. S�-i i p isi-i, -f" 204 ` 71/- 0372. PROPERTY OWNER MAILING ADDRESS E-MAIL IZII S 332nd S f CITY STATE ZIP fedc,4 f w4r 9g0°3 .. NAME PHONE For/'`q Dor,S-i-tULf,pe 36O- 75¢ -' 5?$ 8 MAILING ADDRESS E-MAIL CONTRACTOR PO 130K 14 4 S 9 dant a foe',-,wtt.Go"'1 CITY STATE ZIP FAX 0 Iyrnp,q WA 705o 8 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# FOltinAGC 0780R f2/ 31 / 11 NAME PRIMARY PHONE 0f,_ Gon1 t/QC `C'? 360 - 7S4- 57Se APPLICANT- MAILING ADDRESS E-MAIL Po Qo,r I1 9'8 9 Aim Call / -alr'NfCC,ce(fl CITY STATE ZIP FAX 0 I y/h P) 4( V/9- 9 6 S 0 l - NA_ME PRIMARY PHONE PROJECT CONTACT Jt'hIBii 1(e� 3to- P I o- 6 I l 3 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence P® 004- 1/1 4-8 7 v 0311,f'® a/r 1IGri.-f6,7," concerning this application) CITY STATE ZIP FAX oIV, T� �/4 98� ©B PROJECT FINANCING NAME EJ 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 of this application. SIGNATURE: jQ40 q r Kate DATE I 0-2.S - /9 PRINT NAME: 3 O S h Li T e r h t Y 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(Describe), AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gee) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many of each type of fvcture to be installed or relocated as part of this project.Do not include existing factures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) 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 FOR OFFICE USE FIRST FLOOR(or Mobile Home) 0.04P.EkQQR �`,�/,,^ +fir P m �'' i .exf „ .,.+:maw, :-;..t. cf .� a*,ir.G,�f COVERED ENTRY • refv, - ....._..._..___.......__..................___.................................__....._..........._..._..__.-�---._..._....._._.__.._ r, f *'� .ark �a � a'" .,�.r.-�,..,4»..:...«...t.w I ..>..,..,,-s,.;�faf""`., 'ia..�r�,a•..:L ,:� _"' ;.x...3 '� --...--'—'----'----'---..._..._....---'----_...__..........__........__.._..__...............__.._.. GARAGE ❑ CARPORT ❑ { x�~ v'�,C�fes'�'Fi b •: ! loy'pr//`4rF _......___......�__'_-___ _ .._._....—_..._ .-____—___...-......_.......... i" OT I R f describe • 1,71,4410,/;',„7 „".'f-- ".r.,,ff� _ - ;r ...{ EXISTING PROPOSED TOTAL Area Totals f •..gyp,.,.. ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories d�l,�/fyr4�l' '�w�jyYflfy'f �,`;;-a+a^ 1' ,ay.' ,a-:1';;411.14- ' .."",, t ' .._ ... ..: u. „ :/sf�,t,;�,a,"�-<*n „,.,», ..r4,�Vis. ,. ...�• :�.�f��..? ..'r. w��,�fr r* .: ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet �kk Type Stories TING s„ ,.. rr �`'� ?' '' „�; u•S r,.'i .d`" ` ,;#„-f TENANT AREA ONLY f f ,mt'fi 'fah..& P PRd�E 14� J �rff f s f Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application