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21-100008-Building Permit Application-01-04-2021-V11�k CITY Or +r Federal Way PERMIT NUMBER PERMIT APPLICATION PERMIT CENTER + 33325 81+, Avenue South + Federal Wav, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + perinitcenteiTacitWftcdcralwxy.com TARGET DATE U`/2v2-1 _ SITE ADDRESS SUITE/UNIT M Z l ; 7 3 31-A Ave- -W PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 11 1 Rvoo RS 7. 8 7 3 i 9' o_ o 7 -7 u TYPE OF PERMIT S<BUILDING © PLUM13ING El MrCHANICAL © DomoLITION © ENGINEE[ZING Cp FIRE PREVENTION NAME OF PROJECT R6042 D Ue-r J" We- is , k l a a- (-00 ' Over -fix + c I-,e.I+eVxk--A deck PROJECT DESCRIPTION Detailed description of work- to be included on this permit, only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS 3,?-3sr Ave /` S 'Sim hoer lJctfdS(� *W CITY r-'t Ind STATE 411P L'i /� `rg() Z 3 NAB &L'riders uC �3-HSr-7970? MAILING ADDRESS �—) 2-11+1\ CONTRACTOR CITY lu rf e Vfld le STATE 1 � �} ZIP ViD Ye FAX WA STATE CONTRACTOR'S LICENSE N 6P6FIJ9L:331G1- EXPIRATION DATE 23 UBI A (b26e NAME . a Y\�✓� PRIMARY PHONE 2S'�-2Lb S3,�vb' MAILING ADDRESS z9,�� str 17-4 h st E-MAIL "&499,-4,&.�r sr APPLICANT CITY A-Zfie. il-11 STATE W 4 ZIP 9b?o FAX PROJECT CONTACT NAME ba('reen PRIMARY PHONE 2-S3 -2,66 S73&r MAILING ADDRESS 2q�& SE Z Mh s-6 E.MML / AaA- yam„frd2fl&'crsiVile-v,M (The individual to receive and respond to all correspondence CITY M4rle STATE zip FAX concerning this application) PROJECT FINANCING NAME OWNER -FINANCED When value is $5, 000 or more (I?CW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE I certgy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerWy 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 all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and flied against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplie as of this application. e7'th SIGNATURE: DATE i �3AC zo PRINT JJa,n � 6r(a?-� NAME: Bulletin # 100 — February 19, 2020 Page I of 2 kA landoutsTermit Applicati of i MECHANICAL PERMIT VALUE OF MECHANICAL WORK d Indicate how manN of each type offixtute to be installed or relocated as part of this prolect. Do not include existin Lctures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS jc,—, rr.imj BOILERS FURNACES HOT WATER TANKS III,,,) _ COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT VALUE OF PLUMBING WORK $ Indicate how many of each type offixture to be installed or relocated as pIxrt of this project. Do not include existingfixtures to remain. BATHTUBS or _ LAVS (H.nd smk,) DISHWASHERS RAINWATER SYSTEMS _ DRAINS SHOWERS DRINKING FOUNTAINS _ SINKS (Knrnrn/ulnas) I IOSE BIBBS SUMPS TOILETS WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER HEATERS (e�ernq WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SI2E (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? i i Yes f No PROPOSED FIRE SUPPRESSION SYSTEM? i Yes i. No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK rZD 5PvNlE' 5--10 GARAGE L CARPORT U OTHER (describe) Area Totals EXISTING PROPOSED TOTAL "NEW RON " ONLY* ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in square Feet Occupancy Group(s) Construction a # of Stories Additional InformaHoa NEW BUILDmG ADDITION COMMERCIAL — REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area In Square Feet Occupancy Group(X) Construction # of Stories Additional Information TOTAL BUILDING TENANT Atmx ONLY PROJECT AREA ONLY Bulletin # 100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application