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20-102091-Building Permit Application-05-29-2020-V1
I Cry A PERMIT APPLICAI� ION Federal Way PERMIT NIihIBEIt _ 1 TARGET DATE SITE ADDRESS v SUITE/UNIT PROJECT VALUATION ZOWING ASSESSOR'S TAX/ ARCEL # I 7 T"E OF PERMIT © BUILDING © PLU118ING ❑ MECHANICAL © DEMOLITION © ENGINEERING © F7RE Y VENMON NAME OF PROJECT A -, _ a _ , .17 PROTECT DESCRIPTION Detailed description oftoorkto be included on this permit only XA; m PROPERTY OWNER z MAILING ADDRESS , i® ( s. 32-L/liv CONTRACTOR ADDRESS CITY - �D�CA.:fUA WA STATE CONTRACTOR'S LICENSE $ APPLICANT MAiLD4GADDRESS PRDMRYPRONE ��. &MAIL I - �l'A"Lf'�Ljp --. PRONE , �utit STATE ZIP FAX —ILY a P EXPIRATION DATE IMI)ERAL WAY BUSIIIES LICENSE $ % / I _ PREUARYPRONE CITY . . ZIP PAX PROTECT CONTACT NAME / [ PRIMARY PRONz Lem (The individual to receive and respond to all correspondence` 1<f5 concerning tids application) CITY STATE ZIP FAX PROJECT FINANCING NAME ❑ OWNEit-F�ANc Required value of$S,OOo or more M MING ADDRESS, CITY, STATE, ZIP (RC1V 19a7.09s) PRONE I certify under penalty of perjury that I am the ro Of my knowledge, P gertg owner or authorized agent of the property owner I certify that tot best ecl5� the information submitted in support of this permit application is true and correct I certfy that I will campl with aII aPPlicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand th t the issuance of this permit does not remove the owner's responsibility for compIinnce with IocaI, state, or federal laws regu ating construction or environmental laws, r further agree to hold harmless the City ofYederaI Way as to any claim (including costs, expenses, and attorneys' fees ineur�ed in the in*wy i here and defense of such aIaar t which maybe made by an person, Including the undersigned, and jiled against th city but only where such claim arises out of the reIfance of the city, including its officers and employees, upon the accuracy f the information supplied to the city as apartlof this application. SIGNAT - DATE C41r:1 Pn11PJin -il nn— jsnffary 1 )ill q PAtrA I nip.; 1�'�l-Ian`IrnTfelPPrmit As+nTi�otin,. VALUE OF MECHANICAL WORK MECHANICAL PERAaT Indicate how many of each type offixture to be installed or relocated as part Of this project. Do not include existing.fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS i OTHER (Describe) _ AIR CONDITIONER FIREPLACE INSERTS HOODS (commmmrrj BOILERS FURNACES HOT WATER TANKS pas] COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUh1ElNG WORK PLUMBING PERMIT Indicate how many of each type of Wure to be installed or relocated as part of this 12MLect. Do not include e)dsting fixtures to remain. BATHTUBS (or nu/moat comma) LAVS (Hand sexs) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS WATER HEATERS (Eiorn r) HOSE HIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VpdALUE OF EXISTING IMPROVEMENTS W EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No COMMERCIAL - NEWIADDITION ....Area in Construction # of AREA DESCRIPTION Occupancy Groups) Additional Information Scuare Feet Irv,....' at..�lee DMMERCIAL -REMODEL/TENANT IMPRO VEMENTS ARRA FVR_ZP Tl TAK Area n....... :Construction I # of TENANT AREA ONLY I - Bulletin #100 January 29; 2016 Page 2 of 2 BHandoutsTerinit Application