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10-101936 � f b- C �� � � �.r,,, :.::....:..::. �ERMI���'��.'�°� ��������w� ,�E�1 FP ����������� � � �����av�d , ������,�,��F�F���,�,E:tiTSERti.r�Es APPLICATI ���j�� ��ta��e�� �, f< 1.5:;-R:;.S-Ifp7•FAX253-R:5-2609 � �- t�i i 1 ��Sur� 5 ;,.�,:,.,.;<<�:��:.,;,�,:_:,,,;;,_=,,.:,. 1 f�ct to att:^ch�d d�t�i?� tc�r �,�T �e�a����_ w, �.t SITE ADDRESS � �'`ry C . SUITE/UNIT#� � - " l.iV J <'t'= ' -�.. � •-� , t _..._'+_/���_.. .. �j-7=� �?�-�"� ( 7) �;�._� �"-�� !=-�v lE:��_ -��-'i 1-+ ,.,� � -- - PROJECT VALUATION ZONIN6 A33ES30R'S TAX/PARCEL N $ ����-=' � �` � � � - D � � O TYPE OF PERMIT � BmLDING ❑ PLIIMBING ❑ MECHA1vICAL ❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION NAME OF PROJECT • � (Tenant Name/Homeowrzer Last NameJ � �s�L \;� i j �- \�A C- 1 � t,_, � � PROJECT DESCRIPTION �iA e� t�'�t �! 7� r�; � S r4'1•��r i�i�i E'� ;! ��: . Detailed description of work to ,�; ' - -) �, " be inciuded on this permit only NAYE PRIMARY PHONE PROPERTY OWNER � ;-� ��.l�-r� �-��, v'H �R�. f �?i��-S �-..�-e�. �`"�� U �l MAILIlIG ADDRESS E-AlAIL �' ;I+F �`>�' •� ��'T'� �� CITY STATE ZIP ��-��C.1 Li•�'�-- (.�:1'�L �..L. ����-'�7j PHONE „. � . ,�v ;;+r'=.�ti� � 3 '4:, � Z Z k MAILIlf6ADDRESB � -- '� g-AfAIL cox�r oR `C �= G,,;�=5:- • � CITY STATE 2� , FAX �-'"" ��r3 �' ��,,t z��.,y � TATE NTRACTOR'S LICENSE�I E TION DATE �F&DERAL WAY 8[TSIFESS LICEftSE 8 ��=n,r t �' -z— � xa� ,� c,-. � rxox� ' '�}/1,�t�- '; ��-IL,:�_r✓I.l�i=�L-i �<A.i.«��i �y�• 1.� �S 7_ 7�� AP ANT NNLIRG ADDRE33 � E-Mp1i, _ ���G C /�r C l�I!-zL>� 7 /�--� �"°"`i �J�' LC .� �'.l=! `'` T�y`�=:�`" .G•,a�� '+�.. �(. }� ��� STATE ZIP ��. FAX � � c-- •-�_1 )"' . � �Q � C: 1 �- PROJECT CONTACT a� 'se� 5. ,K.c, PHOFE (The individual to receive and �� �V� � � L�t T '�'�µ� t �'�� �y �� �L' respond to aii correspondence ��c annx�ss ��/� E-�y concernin this lication Z`� l;�c^. (Z��.ij �tLt�s /L1� �i••. ;� Z-�^Z ' KiZ�r�� � 9 aPP � � �'"L '.'" t-� 't',i..Kr CI� „� 8TATE 28 r FAX -7 . h .'c..c � �"�.4 �rYCL'"� 1 — /S��c."C4� G� ALTERPQATE CONTAc�-N� AME: PSOPE E-AlAIL ►�.; �� c3L.ti�_ �-T� �S7 C:�4 4��rZ '�` �-�r-i �R��'-�`'C'=.'� "S.�G PROJE INANCING � � OWNER-FINANCED uired va e of e - (R W]927.095J MAILIIQ6 ADDRE33,CITY,STATE,Z1Y pHONE I certify under penaliy of perjury that I am the property owner or authorized agent of the property owner. I cerNfy that to the 6est of my knowledge, the information su6mitted in support of this permft appiication is true and cornct.I certlfy that I will comply with aii applica6ie Ctty of Federal Way regulations pertainfng to the work authorized 6y the tssuance of a perm{t. !underatand that the issuance of this permit does not remove the owner's responsi6tltty for compliance with locai, state, or federal iaws regulating � constrr�ction or environmental taws. I further agree to hoid harmiess the GYty of Federa[Way as to any c[aim(includtng costs, expenses, and attnrneys'fees incurred in the investigation and defense of such clain�, wh{ch may 6e made 6y any person, including the undersigned, and filed agatnst the city, but only where such ctaim artses out of the reltance of the c{ty, {ncluding its ofjicers and employees, upon the accrtracy of the informat{on supplted to the city as ap3�t of this appiicat{on. SIGNATUREr_�_ 1�--`_� DATE � ' \ l ' :�,� � \� PRINT NAME• � 1 ' Bulletin#100-April 14,2010 Page 1 of 3 k:�Handouts�Permit Application � � >:.:::<<:»:;:>;:::s::<;>:>«:<>::»::>::::>::>�:»:';:«::<::<:::::>::::>:<:>::::::>:�:<<<::<`::<:::::::>:::::::::;::::'<:>>:`.:>:;�:«<<;<;<�:<:;::::; \ ;;;;;;;:;�;;:.;:.;::.;;;:�;:;�.;;;;;;;;;;:::.;;;;;:::.:;;;:..;.;:::;.;;;:;;>;;;>;;;:�:.;;::.:;:;:�::.:�.:;;:;;;;;:;;;;;>;;;;;;;�.;;;;;>:;:;.;;»;:::;>;;::.>;;;;;;;;>:;:;.;;;::::::�;�.;;;;:.;:.;;;;;;:. .;;;:«;,>�:;::::»:<::�::>:>::>::>::>:::::«::<:::;>::::;::;�:<�»»;:<::>:>:>:::»:<::::::»::»::>::::;:><;::>;::<:»::><»>�::<<«::s<:::>;: ... .:::.;�.:::.:�:<:.,.::;:::;:,.:,:>:;:.;.:_;,,.�:..:,�:..::.:,:.: ........................................................ :.:::.:.:.:...........................................................................:.:.....:::::::.:......... . ...:� . . . .... . ... ... .. . . . .::...:.:.::.:.::.::::::::::::::::::.::.:...:......................................................... :>::>:«::«:::>:<:>::»:>:»:<:;:>::»::>::>::>:<:><:::><;::<:::;;>;>::>;:::<:::><:<::<::>::<:>;::::::»>::::»>;<:::;::»>�::<:;::>:::;::>:»::>::>;., . . .:.:..: .....�:;�::�`.�<'�:���:::>:::::>::::<;;;::::««::<:::>::»:::«::<;«::<:::>:<::<:::>::>::::;::>:<:><:>::<:::>::>::>::>::>::»:<::«::<:;>:<:<:<;::;;:;::<::::;:::: ..........::.:::::.::::::::::.::.::::::.......................................................................:����:��:........................'�............................................................::._::.:::::::::.::::.:::::::::::::.:::...:.::..:.:..... VaLUE oF MECHalvicaL WoRK .� (a copy of bid or est{mate must be provided) Indicate how many of each type of fixture to be instalied or relocated as part of this project. Do not rreclude existing fixtures to remain. AIR H NDLING UNITS FANS GAS PTPE OUTLETS OTHER(Describe) AIR CO ITIONER FIREPLACE INSERTS HOODS�comm�rd�) BOILERS FURNACES HOT WATER TANKS�c�� COMPRESSO GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES �i:�:t:�;:;';:;�::�'`:i�::i�:::::::�:�:;:�;:�>i:;'�:�:::i�:;`:: :::.::.x.>:•:.:•::::::.>:.:;.::.;�:::::::.;;:::::.>:;.>:::.::.>::x•::••:•...••::•:::�r;::•:-.:�:.x.:;::::.::•::•r:�.;;:.x.;�.;:.::.::•>••::•::•:::•:::•:::.::.:�.y.x.;•:.::•>:•::;.::•::•>:.x::::.x.�,:.::•:::•;:::.,:::::::.::•r�•:;•:�:.;�.x;x.:•:;:::::::.;r:.;�.;�.;�.:,;:;• :;::<:.:�.:::..�:::::.:::::.:�::.�::::.:•:::::.:::::::::.:..:::.::+: •::.:�:::::.<:<.:::..:.... .:•:::;:.... :.::.:::::.::�::�:•;::•::<..:.:.::::::::..:•::::.:.:.:::::.:.:.:.:.:::. .....:.:..:::::::>:::•:::.:: �"'' r�ryg •:::::....:..::..::.,::.::�.:•t..:�.:•�•:: . . .. .. . :.:r:.x.:::.::r::>: .... . . .................. .....:::.::. �•:::.:.:........................... ......... .. •.� .g.�t . �.�C:.4r: •:>.�.�.. .: ; . .....:::::.:.::...:.....::.::........;.......::...::::.::::......... ..�::r::.y:::::.>:::::.:•:::.y.;..,..............�r...... $ ':;�:f::;::::'::k:::>::::�:�::�:;:$:::::::tt':2::ti;:i:%2+`•:::�:�:����:3:::;:::::::;::;:::::�:�::i:::#:�::%%:::%�::�2:::::�:>�:;''::::::;;: :::::..:.:.:+:::::.:.:.:.:.:.:::::::.::•::.�:....:::::::::::•:�:::::. .... . •::..::�.::�:: ::.:.::., ' � 3:":�; �•::� . .. . �':�3F:�k•Y.�i���.... :.::::.:.:.:::.::c:.:::::.:.::<.;:.;:<.:::•::.::;«:.:;:.:::::::::::.:::::::.. .:::a.::cc:.:,...:;..;.:�.:.•.'••:;t•::;:::•>::::. .,: •: ... Ra�dC•':•:•..�'.�� ........:....::::::::.:.:.:...:.:.:............;:. •:::�:::•::>:.::.:::::::::::::::::.::::..�::::::.;:::::.;�;;:::::::.::.::::. :.:.:.>.::..:.:.,,,.:...:{,.,:<;::::.:;;�:::::::AI;.,,�a��3,K,..:..�........:. .:.�:.:.• ...........................r...:.::.,:::::.::::...:::::::..;. ......,-..... ....................:::.:::...:.:.:... Indicate how marty of each ty of fixture to be instailed or relocated as part of this project. Do not ciude ezisting fixtures to remain. BATHTUBS�or7hb/snowercombo) LAVS�xenesin�) TOILETS WATER PIPING DISNWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BRE RS DRINKING FOUNTAINS SINKS(ic�tchrn/utiity� WATER HEA RS(Ekctric) UMPS WASHING ACHINES ::�::�E`';•�'�`�;i��1�.�5�`',?;:;;::;:;;i;:?;:; .:_.......z.> HOSE BIBBS `:''':':'::'':'::':::: :`:�f?;�... ••.�����.:'::::��.���:''�.i:o'�':•':>�':8::�:�:�i3:f::`::r''�.;�'�;;i;:;;?:;':;:%.:�:<�::�:�i:;�::::�:�i:��:���'.:��`�"��":;'�:���:�'�:;;:`•f::�:::::�:�:::::;.2::`;'?;';:�:;�;:; :::::::::::::::::::::::•::::::::::::::::::::::•.:::::::::.�:::::.:.:...::.....:......:...:.....::.....;�....;•.. ::::::::::::::.::.�:.:_:::::::::.::::.>•:::::::::::::.:�:::.�::::.;:::.::::�::::::::.y:.�::::.�:<.:x.;�.::::.:• :.::.::.>::.::::>:.<:::ii::::;i:::::::::::: ..��:t;�� �>:��:;�;::::::•>:•>:.:'�;:�::�>::•:�:o:<?•::•:::.:�:::::::::::::::::::::.�:::::::::::::::::.:�::::.:::::.:�::::::::::::..... .::::::::::.::._:::::::•:::::::::.:::•::::•:::::::::::::.::: ::::::•::::::::::::::::::::::::::::.:�:::::::::::::::::::::::•:::::.�:::::::::.�:.�.:.:.�:...::...:.......... .:..............:............................................................................................... CRITICAL AREAS ON PROPERTY? WATER P9RVEYOR SEWER PURVEYOR VALIJE OF E7QSTIIYG I�ROVEMENTS � EX[STING/PREVIOUS VSE LOT SIZE(Ia Sqnare Feet) EXISTING F SPRINKLER SYSTEM? PROPOSED FiRE SUPPRESSIOR SYSTEbi? ❑ Yes❑ No ❑ Yes ❑ No •;:«•f�<.:�••::•::•:::: •:.::::::::::::::v::::::::::::::::::::�:::v:::::::.:::....n.:�:;.F r{y:;•::.y:iy::•i:•iFx:.4::Y..}y:::::�v:::::....:v:.:�.�:::::::::::.::.• •::::::::.:::.:::::::�:xn:y'ii•:y}ii%: H:.•.�:�:::.. :;�f�::::.s:.::. .e::::•:. :..:..�:. � .n. :•:...r.....,......... :i:,:;i:y?;:;r: ..................................... ...x:. .. ..:::::::::..::�i.:::.:..�::::::::.::::: ••::»::.:.,::..::: .......::,:..:: . . ,/:•::::�,::;r,.•:t:::::.:•.: :::.:::..:...................................,...../.. ........:..............�.,.;.;. .::::r•................................ ................ ... . ..rl.>..:::q�:::?•:.::::.:::::.:...:::•::�. .., . :.;;..,-. ......................................................./... ...........:..::..,.:...:. .. .. ... ....y,.,.. .......�..............................................F.............�J.. . ;;. ........... . ... .. .....................r... .... ..........,.. . . . . :.:::::.::.. . .:; . .:,y ,. . . ..•,..::..:.:•:.::,....::..:.�..:.:::•.r.::u:::-:::::<:::x::<::::•;::.:•:::t•::?;;•::+.:y::r::�:::;::t ..t t...........::. � e .;,/..::t:.:::..:•::::::::. :t f••:.. rr:w::•• :..f•::x,.::;5::::;:;�:;�:::::::::::ti:x�::::>:;:::;�:::::::::• .�,:::.:...;,, �;;y: •....:.::::::::::..+.•::::,.:.,.:.:u.. ..........,.........,.. r . },�, ,; ; . •>::::::.�::::.y:::::.>:�rr>:•:rx•r:>i�:5i::;r:::::::::.�:::.::::.•r•::•..� . . . . . :. : . .::;.: . =:':�: '•� :�:..:.:............ lffn/. .f ::. . . . .... :. . . :;::: •� . ..:.:••.'•'.>:::::•::n:;t::•:':.:::.,:.. •::::...:.:::::.::::.......................:::..:::::.....:...:..,.... .,�.�..;;.. . ....:..�.. :.•.:.:.:..:. ........f�.........:.: ..�:fk�..�?'��.��f..:::r:.:•,'•:• •:: '���::���.� ../...:::•::�...... .::...:::.:.... •:::.....:.:.:.:.:•.:::::................::::::::::::•.:::.:;•,.;..;,. .,.;i., :...:�::.:.:.:.:.:.......:.�::::.�:•:•:...................F :::...... ... ....................................... ::•:. ...:r:�:... AREA DESCRIPTION(in squsre feet) EXISTING P OPOS TOTAL FOR OFFICE IISE �%�:�:E�>.�'#«#<'>'.�>:�::�::��'rr;::::>::>:::i:::<: �%<:C;3:::::%<`:}::`:�:::`:<:::::%::::::::::::•.`::;:::�:`�:i::`?�:::��`�:�;;:;:;:;';i;�5;::;>:`:;'•>:�:...... ...`'�:??;:;�:�::�::�;�''��`�:;i:�:�::�::;:�::�:;:y`•;:•'.;r:•.:��:t<'�''?:�.:.:.;:.::•::�•:••;:•::.>:�:•i:•;^:;•:�:•::•::•;:•:;•:::•;:::;:•i;:;;• .................. .......::::.::.... ..... ::::.:::..•::::::>: :: : : ......... .::.�: • . . .::::::::::::.::::•:::::::::.•::•::::.>:<.v..r.'•:•4>:::�•::.::;:• ..�....................... FIRST FLOOR(or Mobile Home) 'si•.''S'3:::�:::::?fi;::;;:;::E�:�::�:���;E�:�::�:�:>`•::�::`•::::�:<ii:?:;?ii::�:�:�::�:a:r::::::;;::';'S:�:�:�:'f::�:�::::::''2�`.<:::i:::`:.%:': •:::>.::,,::::>:i::.::::::::. : �,y,yy�,� .4::,.:::::::,. �r:�'r.'•:r:::;:;::��%:'�::r. .'`...��::;::::�r:::::::���i`:::���`:':�:�:�:�:'•��:'•:.'•:�:'•:::;:;'•'•::;`-:::.::•'•:'.�:�:'•::�.'•:�;:::::::=i;'t�::�::�;:�: :� �.:.:........ ............ .............:.......:::.�:: ................. .;.;:•:::•:::..........:...:•:: ..........................:::::•:••:•:: ::i�'�f FR�aV•�:� ::::::::.•r•.....;..::::•::•:::::::::: ..........::.;•:::::::::::::•':.':`:.':::`:• ....................::.;:.•::::.:::::::::::::::.:::n•:.;�:::::.�:.:..:::..•:::,:::.:..•.::::::..�::: ••.:::.�: ...........::::::•:::::r:' :................... .::•:::::.�:• :.:........... ............ .::::..:.,.:::::::: :::::::::::::.�:. :•::::..:::.::::: ,.,:::::::::::::::::::::. ........... :::::•:::::::::::::::::.:::::.::::::::::::::..>•::;.::::.::•::::: .........:::y;::::::::•:::::•:::.::::::..: ...............:::::: ............::::..••::::::::.::: -'---.. 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AREA DESCRIP ION �ea Occupancy Group(s) Construction #of Additional Information ia Square Feet Type Stories .�.�.�f�i�i'�:.::''t•:;;:::<>':::��":;:;:�:;;:;::i;`•2::�:�::=::�:;%:`':�::::'::::;::-::?�::::::::::::::.'�.��;:;`'':'':%:i�;��''#�E�ir::E:;::::�::::::;;':`::::':�%:�:3�i::E��::::i:;:'t;:�::'s;:;:�';'���::�`:`•'�''•:'::;:::i:��;:'�::;:�:S:`<`':�:`•":::�:�:�::�:�:;;:a::t:��;%��:'>'.�?�?%;:�:�:�::���:�:�:;^:E�::::;�:;:::::�:-i:;;�:�:;.;:::;::`:`::;::%:?,'::3:�:��::i�i::�i::i::;: �::::::::::::::::::;i::�:::;:: t;;:::���k�t::::� .:...:.......................................... .. TENANT AREA ONLY :�:?:j�;::::�:::;�:;i::�:=:�::�::::::i::.{::i�::`i'SS:.;;;%.:•,'::'::;::; - ::::::::::::::u:::<.:�:._::::::::::::::::.>':;.::•:::: ................................;..:•:::.;.............,-..:.,-...;....:......:.......:...;..;:'•:••::{:: <::�'��.�°.��.'��:�i.�:�.�i.���.........: Bulletin#100—April 14,2010 Page 2 of 3 k:�-Iandouts�Permit Application