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20-102429-Building Permit Application-06-25-2020-v1city of fir' Federal Way PERLdIT NUMBER — _ T' — -- — --- TARGET DATE SITBADDRESS %Jr e-mOle- ato IJ ' f "f SUITE/UNIT $ PROSECT VALUATION ZONING: ASSESSOR'S TAB/ ARCEL if TYPE OF PEMUT NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER CONTRACTOR APPLICANT - - 'CL ` 0 BUILDmr, © PLUMBING ❑ MECHANICAL © DEtioLrnoN © ENGINEERING ❑ FIRE PRLVF. M( NAlSE PRIMARY PHONE BIAEUNGADDRESS L o f 5. Crry STATE MP CITY . - r �w STATE ZIp FA8 WA STATE CONTRACTOR'S LICENSE I P.XPUZATI N DATE PEDERAL WAY BUSINES LICENSE B H PRUdARY PHONE 6TAR.TIM AMMRu c WSJ c STATE 2I7 FAx •� 1-.. < <,r. �� ti NAME TPROJECT CONTACT " A ' PRIMARY PHONE ndividual to receive andE ElAiLnd to all correspondences concerning this appllcation) CITY STATE ZIP �. PROJECT FINANCING NAME ❑ OWNEI2.FIHANC A Required vahre of $5.000 or more L[ MING ADDRESS, CITY, STATE, ZIP (RCW 1.0 2Z 0951 PHONE certify under penatty ofperlun,I that I am the property owner or authorized agent of eh¢ ro e Of my knowledge, the information submitted in supportp P rtg owner I cerRfy that tot hest of this permit application is true and correct, i certify that Y wiii compl with all applicable City of XederaI Way regulations pertaining to the work authorized by the iasuanee of a perm{# I understand th the issuance of this permit does not remove the owner's responsibility for compliance with local, state, ar federal Iaws regu ating co+xstruction or environmental taws, I further agree to bald harmless the GYty of Federal Way as to any claim {including costs, expenses, and attorneys' fees in i ed in the investigation and defense of such ela:r t e r ch may be made by any person, including the undersigned, and filed against th city, but only where such etc[im arises out of the reliance of the city, including its of and employees, upon the accuracy the information supplied to the city as a parttof this application. DATE Ix C414i I2nIIa3in#ii}iI-7an�TarvI WWII Faoa I nf'4 icl�artrinnfelparmif Ara,lir�tinr. VALUE OF NIECHAMCAL WORK MECHANTICAL PERMIT Indicate how many ef each type of flxture to be installed or relocated as part of this project. Do not include existijg jbdures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER _i FIREPLACE INSERTS HOODS poaunerciq _ BOILERS FURNACES HOT WATER TANKS Icon) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK i LIJMMING PERMIT RMIT Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing Eftires to remain. BATHTUBS (or�n/Shower Cemuo) LAVS (Had S; S) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS i VACUUM BREAKERS DRINKING FOUNTAINS i SINKS ptrnen/ueuy) WATER HEATERS (Elerni<) HOSE HIGHS 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 SPRINRLER SYSTEM? ❑ Yes ❑ No PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No RESIDENTIAL -NEW OR AREA DESCRIPTION DESCRIPTION.(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Home)__. COVERED ENTRY ESTIMATED SELLING PRICE $ =# OF BEDROOMS COMMERCIAL - NEW/ADMION AREA DESCRIPTION ..:..Area in Occupancy Group(s) Construction # of Additional Information Square Feet Typa .Stories NSW BUILDING, ` AD ITION COMMERCIAL -'REMODEL/TENANT IMPRO VEMENTS AREA DESCRIPTION Aeea is . Occu anc Group(s) p y Ple)Tvne Construction # of Additional Information .Square Feet TENANT AREA ONLY Bulletin #100 Ianuary 29; 2016 Page 2 of 2 ` kAliandoutsTermit Application