Loading...
21-103743-Building Permit Application-CITV OF e. e d PERBUT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 ay 253-835-2607 + FAX 253-835-2609 + pernaitcenter@cityoffederalway.com PEitEHi7C �DIi�ER _ --- — -� _ — --- — — — TARGET DATE SITE ADDRESS .�"!^ SUITE/UlII1' # C PROJECT VALUATION 24HIHCi ASSESSOR't3 TAX/PARCEY, P TYPE OF PERMIT ❑ Bul ING ❑ PI,UMBINO ❑ MECHANICAL ❑ DEMOLI m ❑ ENGINEER m ❑ FIREPREVE3MON NAME OF PROJECT PROJECT DESCRIPTION Detailed description of work to..::::" be included on this permit only GAMS PRDMAY PHONE. PROPERTY OWNER MAu. GAD RESS E,mAIL CUT STATE ZIP mU NAME � � ONE v-�?,(ap MAILING A30 DRESS g' CONTRACTOR rrsr O_ sTAr.E ztP FAX WA STATE C OkTRACTORWLICENSF, # EXPIRATION DATE RMEMM WAY BUSINESS LICENSE 0 V XMM PRIBIAIM PRONE -41 a�3owlrr APPLICAi�T @ L� � RESS � 8 •mod � S AIL �ia .� OFl Y STATE ZIP FAX .� M PROJECT CONTACT AAA' iJ PRnMY PRONE Z.6 (The individual to receive and m4z010 REss E-MAIL respond to all correspondence 4ea& i e 'd 15-7-1 p concerning this application) ony STATE ZIP FAX PROJECT FINANCING © OWNER -FINANCED When value is .$5,000 or more (=W 29,97.095) MAILING At DRESS, CITY, STATE, ZIP PHONE I certify under peruatJ c.PperjWV that I f. m the property owner or authorized agent of the property owner. I ce that to the best of my knowledge, the information subndttev all applicable City of Federal way regu in support of this permit cppitcatton is true and correct I certify that I wul comply with ns Pertaining to the work authorised by the issuance a I issuance of this permit does not remove the construction or enx4r9nmental lams. of permit. understand that the owner's responsibility for compliance with local, slate, or federal laws regulating I further agrea to hold harmlcca the City the investigation and defense of such ci o f iederui was) as to any claim ({rulud{ny costs, pCpenses� and at{orneys' fps incurred in which may be made by any person, including the undersigned, and the but only where such claim arises out of information supplied to the city as apart qj filed against city, reliance of the city, including its officers and employees, upon the accuracy of the this application. SIGPQA DATE PatTI�T �,' i G4 Bulletin #100 -January 29, 2016 1 Page 1 of 2 kAHandout0eznlit Atlnlication MECHANICAL PERMT YA=0FA&C9AN=LW0RK Indicate how man o each NEE Offixtu, e to be installed or relocated as art o this ct Do not include ex(si(rt to ® AIR HANDLING UNITS s remain OAS PIPE OUTLETS OTHER e lD mibe) AIR CONDITIONER FIREPLACE INSERTS e ® HOODS tcomm� BOILERS FURNACES �_ HOT WATER TANKS IDS COMPRESSORS GAS LOG SETS REPRIGERA77ON SYST DUCTING GAS PIPING WOODSTOVES SLUMBMG 1CIt'.RMU VALOEOFFLOMBINO WORK Indicate how man o each o to be Installed or relocated as o this 'ed, Do not include eats ' es to remain BATHTUBS toy n s/mac®w) LAVS tx BwA __ TOILETS WA7'*WeSER NG HERS RAINWATER SYSTEMS URINALS = DRAWS � SHOWERS __ �_ OTHER (Deacribe) VACUUM BREAKERS DRINKING FOUNTAINS F SINKS tst,ctm/va;pi . WATER HEATERS (atc HOSEgB�ffi�BS SUMPS 4 WASHING MACHINES TOTAL F9 rrUREB INP� GENERALGENERAL® ArnoN CRITICAL AREAS On PROPERTYP WATERP OR SEWER PORVEYOR YALti$ OF BAiSTIRG Il�ROVEffiENT9 1'.ffiBTRP6/PREVIODS DSE LOT SIM (fa Peet) EBISMG FIRE SPRRRLER SYSTEIBP PROPOSED Puns SDPPRESSIOA SYmm? ❑ Yes ❑ No ❑ Yes ❑ No RESEDENTIAL - NEW OR Am TTODt AREA DESCRIPTION (in square feet) ERISTING PROPOSED TOTAL FOR OFFICE USE BASEMEN!' FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER (describe) Alrea Totals 6L1 Q PROPOSES TOT� � U **N=H .... ONLY": ESTI TED SELLING PRICE $ # OF BEDROOMS CONMRCUL- jEWADDIUCK AREA DESCRIPTION Area in square Fee Occupancy Group(s) Coasteuat3oa # of Stories Additional Information p� Ni�BDIIrDMG ADDITION (C®2 RC1<A%-B ODEL/ E ANT 1WROVEMENT'S AREA DESCRIPTION Area in Here Feet Occupancy GroDp(s) ConstructionCoaatra of TOTAL DUMPING,.. . a Stories Additional Intbrmation TENANT AREA ONLY PRCJEOT ARErkomy Bulletin #100 —January 29, 2016 Page 2 of 2 kA$avdoutc\PPrmit e..a:..e.:....