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19-105477 ` RECEIVED CITY OF � . NOV 14 2019 PERMIT APPLICATION Federal WaPERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 Way CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +pennitcenter@cityoffederalway.com COMMUNITY DEVELOPMENT CI PERMIT NUMBER % f _ I y 1 - I ? w I r TARGET DATE �V IK SITE ADDRESS SUITE/UNIT# 34 oat P «tc- awy S• PROJECT VALUATION ZONING I ASSESSOR'S TAX/PARCEL# $ b(Doo 2- 0 Z l O _ ct v S- 1 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING lir FIRE PREVENTION NAME OF PROJECT P Kze=ss4 J d I pEE /N S,reA NC PROJECT DESCRIPTION 4DDIA)6 st ,4 -;p2-(meter---1 N CS'7a1 X 4 Detailed description of work to 5COY \ 1 D`) E 70 N g'w C-EI L(d✓eS BE!t-i& ADDE6. 1 be included on this permit only NAME P PRIMARY PHONE i 1✓E" (N SuaAN 4fZS. Z .�Gwo PROPERTY OWNER ` MAILINGDRESS E-MAIL - top 1 P Atil Pic- 4-Fw► S. CIT STA I ZIP cl en" NAME / / ^ 02- i1`G fI-V 1 n- PHONEicy - CD i MAILING ADDRESS CONTRACTOR r 0 BOc --742 & ( 1 .e cps- Ls 'N Cik Or STATE ZIb f34? ( FAX WA STATE CO�CTOR'S LICEN E#4' EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 6G -c4ree34 /I- i f i z© I6 - (oS1S - ooQL , PRIMARY NAME 6 LA-e-1 "i(Lc raaTtZ.?1 o'er 1 c3 PH, v/-7 J r U - MAILING ADDRESS E-MAIL APPLICANT Po go( 7' jets >6G64-e-ie,2 6 CIry-�4k3t7 (lite- l ST.ATE ZIP/ ^- / FAX `/nylM"Ir `ill ci .�— NAME PRIMARY f1,5-PHONE Z�v • '/!`8 PROJECT CONTACT � Da"I Y LL))�� `-`i66 (The individual to receive and MAILING ADDRESS `` —7'1 bo e-� 6 R respond to all correspondence II(''J a 7�- J �ljJ C � concerning this application) CITIC-, -,� '- STATE ZIP FAX PROJECT FINANCING NAME 0 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 pe it application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining • wo k authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner' sponsib t • •mpliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of F_-,;-ral Wa :. • aim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such clai••, • is• ma •e •• any person, including the undersigned, and filed against the city, but only where such claim arises o of - r is• e of city, including its officers and employees, upon the accuracy of the information supplied to the city •- a pa of t s - •plic• • •n. SIGNATURE: DATE /// 0/7 PRINT NAME: G I' p Ay )�` 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(Gas) 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(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 o Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE `,- AS" ' .` -,.. . --- ,..., .v y.*` ""44 4,4 FIRST FLOOR(or Mobile Home) COVERED ENTRY a y "1,...”41'',..„4,..5,,„:"-' . ...,..-..,..»..bt ,.d,... .w...r .",;.,r,. rw'. f4„.r.,..FJ" h'•��nm.Jv,:^^r'�;N»r�.+i,N.`4-mss.s.. ._.. attw.tr1,CJ.vn+e .. GARAGE ❑ CARPORT .❑ ,;fes z.,49= tP"� ^v rr'- •'••••••"c• •.•••o,,,-.4 ,J44W4 .: _...._.. .- ---------... .------...—.._._..---..._._..........__. OTHER(describe) 4 EXISTING PROPOSED TOTAL Area Totals .': ,,,le"'".,. ;.gip-WiltiMES b11iLY"' . ,,=r, r,«�'. ESTIMATED SELLING PRICE$ I #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories EDIN ..4,:',..4 .., # 'tI € , .r , ,.,r."f '� } ;t y#7,..i0:, 2- k ., . ' ,...,,,j.,' r�`,�z -aye ,x ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information S uare FeetType Stories ,�',r . .. c :,� • ,+ - '„,.."//,,,,, / „?1,,,,, : ' � t ,k.i * n fir$ 4. T,6 " �.,.s8 �� ,.r:,;4 c woo 7'.."t-..,. t . �, •;0ter' _ ,- 7h .Y !„n°4 TENANT AREA ONLY ,,,,, ? -,6-44.1.- ZL OY ij :;',.,/o, "•,,, /,,, r :;',, ,,— ag it , /5.::,/,*, * s% rCT4;� ykwNLf�' F .r /kew;< ,,,,-7; r ��,r ,, ,r'„ .t.s.. -v zxisem- �,` Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application