20-101843-Building Permit Application-06-12-2020-V1May.12.2020 12:47PM
CIYY OI 3gN`."M
Federal Way
No.2395 P. 1
PERMIT APPLICATION
PERMIT CENTER + :I.A.125 A-^ Avenue Smith + Federal Way, WA 98003-0325
253-535-260'7 + VAX 253-A. S-2609 + penuilceulequ;cityuffcderHlway:cutu
PERMIT NUMBER 0 _ A 0 1 A /t `%, _ -0 D— TARGET DATE W b,
40
SITE ADDRESS
BUfrE/UNIT M
32Q U �(Ptd� AVC SA) WOVI w0J( , WA 20 02-3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL # _
C1/1 !'i�
y
V
_
/ � Z 2z
TYPE OF PERMIT
2 15W LIJING ❑ PLUMBING U MECRANIC'AL U DEMOUTIoN lJ ENOINEEkINO U FIRE PREVENTION
NAME OF PROJECT
KZ 1 Qvd deck
VaMP Ord Oedc, M
PROJECT DESCRIPTION
Detailed description of work to
be included out this permit only
NAME
i i�U CC *gCL'cly+
PRIMARY PHONE
v V
PROPERTY OWNER
MAILING nonREuu
�E_: UW &esw
E.Mnu
CITY
STAyT�E
2IP
NAME
n
yId
PRO
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
RTRrIt
ZIP
PAX
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
UBI N
/ /
NAME1�y�/y'� ,/�
/Nr J ✓,
PRIMARY PHONE �y
V
APPLICANT
MAILING ADDRESS
f V) f Ck�
E-MAIL
ArAfowritwfn
CRY
p
STATE
2I11
Q t _L
PAX
...NAME
� n
M_
et u
PROJECT CONTACT
PRIMARY 14 PHONE
0
MAILING ADDRESS
E-MAIL
(The Individual to 1'eceiUe and
respond to all correspondence
_
CITY
STATE
ziP
FAx
CJrta=ntirty this applicatiorlJ
PROJECT FINANCING
NAME
-
OWNER -FINANCED
When value is $5,000 or more
Ir:CW IS.3Z035)
(RC
__._...
MAILING ADDRS66, CITY, STATE, ZIP
M.........._..
PHONE
I certify under penalty of perjury that I am Lire property owner or authorised 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
ail applicable City of Federal Way regulations pertaining to tire work authorised by the issuance of a peradt. I understand that the
issuance of this permit dues nat remove the awncr's responsibility far compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harvnlesa the City of Federal Wag as to any elaim (including costs, expenses, and attonacys' fccs 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 elainh arises out of the reliance of the city, including its officers and eniplagees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: _... DATE 0�t1��
PRINT NAME: _. l/t eA
M,
0Iry%
-09'
Rallelin 8100 hebronry 19, 2020 Page 1 af2 k:1H:mdDUIS\PcU1it Application
May .12.2020 12:48PM
No.2395 P. 2
VALUE OIMECIIANICAf. WOPM
MECHANICAL PLIWIT $
indicato how many nJ each. Lypo of flzturP to bP nistnlfod or plocated as Dart of this profeer, Do riot include exz In,,q fixtures to remain.
AIR HANDLING UNITS I-ANS GAS PIPE OUTLETS OTHER (Dcscnb,,)
AIR OONUI'I'IONER Rn:hyLA(=1•: M-SCRTS NOpn.9l;rmm,.m,y _
BOILERS _.... _.. I41I2NA(ai:: 11QT WATER TANKS I(_,V
COM PILKtiSORS GA`3 LOG SCTS iLd11HIGLItA'NON SY �P
DUCTING GAS H VING W 001)3T0 V RS
VALUIv OPYLUMPINB IWORA
rle how many c f each fype of frxooa m he installed nr re-lOoatt'-d aS Dart o(tFtiS pro/ect- Do rtot include exisinvj fi'Xtttris to r€mwr,n
BATHTUBS p. rlf n�W... c.,ml,nl
LAVS III,nerwcq
TOILETS _.
WAI'ER PIPING
DISHWASHERS
RAINWAI'Ek SYs fICMS
URINALS
O'I'[W.R(Describcl
DRAINS
SHOWERS
VACUUM BREAKERS
_
OltlwuNG FOUNTAIN,
STNkS IlOtdrt,vu ia,.I
WATER HEATERS
HOSE BIBBS
stIM P:;
WASHING MACHINPS
TOTAL FLXTURES
(.ENERAI. INH-)NMA`FION
CRITICAL ARE' ON YROPMIM' I I wAiEx PURVEYOR
Ck15CINOtPREVIOU9 USE I LOT SME IIn $,prnvo PrcU
RESIDENTIAL - NEW OR ADDI`fION
nn"MMR PURVEYOR VALUE OF EXISTINp IMPROVP,MYNrS
EHISTtNG Ptlil: spxtnxLEn tivYrRMT PROPOSED FIRE SUPPRESSION svRTRM4
I I Yes I) No n Yes I I No
AREA DESCRIPTION (in Square feet)
EXISTING
PROPOSED
BASEMENT
MRST FLOOR(or Mobile Home)
SECOND FLOOR
(.OVKRKI) F;NTRY
DECK
GARAGE U CARPORT LI
OTHER (describe)
��
119,
Area Totals
uM4
PROP09EO
a))q.
**NEWHOMES ONLY"•.
--
I SI'IMA1'F.I) SELLING PRTCF. .P,
COMMkRCIAL - NEW/ADDTTTON
AREA DESCRIPTION Area in
snuare Peet
N OF BEDP.00MS
Occupancy Group(s)
ADDITION
COM 11'Ik ItCIAL - REMODT T,/TENANT TwR_O'V @•M1 NTS
AREA DRSCRIPTION c„tL'ea in Occu tnc Group(s)
�.a in P• ➢ Phi
TENANT AiA.A ONLY
TOTAL
FOR OFFICE USE
Construcdon it of
Type Stories Additional Information
Construction !! of Additional Information
T e Storks
Rolleun #100 - February I9, 2020 Pagc 2 of 2 k:AI latidULINAVemlit Application