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03-104437 • CONSTRUCTION PERMIT APP ICATION CITY OF 5 2�©3 L' APPLICATION NUMBER: 03 "1 j ' 2z) Federal 1/1,/ay SE? 2 APPLICATION NUMBER: - G EPT AY ( OF • D APPLICATION NUMBER: - - - - - - - - - - BUILD�NU ° **The foiling is required information–Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 22,�,,,,//�� ,�/ ■�tP�R/OPERTY INFORMATION SITE ADDRESS: ii(.�''!.I ilsiG f�1' TiN 1 �• ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ NJECHANICAL o DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING arFIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): I WPC—DS lel. tom: G •�N tom&- � S�t R - il�l'T'(tom 151.1 I i h1Co PROJECT NAME: T—irk*fD 1 — '� 14Z---toll eI: • PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: t�I� 0 }<A GUNl �.�A"f 0 ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR' NAME: DAYTIME PHONE: 1'IAN C' rI t2� T G11 O t4 (v.0.6) jZ-60,6 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 70!* J'�It 'f 1 4,—JAY �. _ ��"~`1 . U)A• ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ( C ' I �F/''G FAX NUMBER: rel.- ) CONTRACTOR'S REGISTRATION NUMBER: /� n EXPIRATION DATE: (copy of card required) T A P t. ' 0 L L "/ / APPLICANT: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: o ARCHITECT o TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT LBIGONTRACTOR • PROJECT INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ .1"?/?4,P• '�— SPRINKLERED BUILDING? ❑/YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO WATER SERVICE PROVIDER: I LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 1,NEW(tESIDENTIAL CONSTRUCTION ONI * • - NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ,. ■ PRO)ECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES ilIndicate number of each type of fixture MECHANICAL Value of Mechanical Work: $ AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) _ FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACES) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. 444T-Z INTERCEPTORS) SUMP(S) III 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 daim(induding costs,expenses,and attorneys'fees Incurred in the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the Information supplied to the dty as a part of this application. �� NAME/TITLE: Ui1 i.A�1 DATE: 7,-0' .-' ❑ PROPERTY OWNER ❑APPLICANT riONTRACTOR ..,FOROFFICE.USE ONLY I 7.NEW ADDITION.Itt-i ALTERATIONS i REPAIR , 6 TENANT IMPROVEMENTS , CENSUS`.CODE . ' 06 : -• LOT SIZE:W ,A � ZONING:DESIGNATION_aOMMOV4' 7(BUILDING SHEL.ONLY?. 6 YES' .0 NO COMP PLAN DESIGNATION .. 4,§; ik (BASIC PLAN? _❑YES '.❑.NO`, ;* -SECTION=S - , TOWNSHIP.; ,=GRANGE I ,NEW ADDRESS REQUIRED? .,. .'o YES --❑ NO •M ' PLATTED`LOT? 4 ❑YES=. o,NO As xYi. `: CHANGE OF USE?Y `I7 YES~3i1NO , .:' ................ COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www,dtyoffederalway.com ,....._4"N‘ • CONSTRUC•N PERMIT APPLICATION - CITY OF /� APPLICATION NUMBER: - - Federal Way APPLICATION NUMBER: - - kPPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. .■.PROPERTY INFORMATION ,_ SITE ADDRESS: ASSESSOR'S TAX/PARCEL #: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): . _ _ ■ PROTECT INFORMATION _. - TYPE OF PROJECT(This application): ❑ BUILDING o PLUMBING a MECHANICAL a DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM 0 PROJECT DESCRIPTION(Provide detailed description): PROJECT NAME: I PEOPLE INFORMATION - PROPERTY OWNER: NAME: i DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I i . 1 CONTRACTOR: NAME: DAYTIME PHONE: ( ) - MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE' ( ) - CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER: - ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE' ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE' ( \ RELATIONSHIP TO PROJECT: j FAX NUMBER: 0 ARCHITECT o TENANT ❑ OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR i' ■ DETAILED BUILDING INFORMATION . EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ •-t1, 1$41' SPRINKLERED BUILDING? a YES R110 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO WATER SERVICE PROVIDER: ZAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)