21-101009-CO-Permit Application41k
CITY OF
Federal Way
PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
2100 SW 336th Street, Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 110, 000
BN-Neighborhood
1 3 2 1 0 3 - 9 0 2 4
Business
TYPE OF PERMIT
0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Bank of America Twin Lakes Branch Drive Up ATM
Installation of new drive up ATM unit under existing
PROJECT DESCRIPTION
canopy. ATM replaces existing drive up pneumatic tube
Detailed description of work to
functions.
be included on this permit only
NAME
PRIMARY PHONE
Minh Ly, JLL
916-365-1724
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
2000 Clayton Road, Bldg D
Minh.Ly@am.jll.com
CITY
STATE
ZIP
Concord
CA
94520
NAME
PHONE
Ryan Bradford, Schuchart
206-682-3030
MAILING ADDRESS
E-MAIL
919 5th Avenue
Ryan.Bradford@schuchart.
CONTRACTOR
CITY
Seattle
STATE
WA
V'/I'
FAX
WA STATE CONTRACTOR'S LICENSE #
ON DATE
UBI #
SCHUCC*121nc
NAME
PRIMARY PHONE
Joel Chapin, NORR
916-453-3803
APPLICANT
MAILING ADDRESS
1631 Alhambra Blvd
E-MAIL
Joel . Chapin@norr.com
CITY
STATE
ZIP
FAX
Sacramento
CA
95816
NAME
Joel Chapin,
PRIMARY PHONE
916 - 4 5 3- 3 8 0 3
PROJECT CONTACT
MAILING ADDRESS
1631 Alhambra Blvd
E-MAIL
Joel.Chapin@norr.com
(The individual to receive and
respond to all correspondence
CITY
Sacramento
STATE
CA
ZIP
95816
FAX
concerning this application)
PROJECT FINANCING
NAMEMinh L ,
❑x OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
2000 Clayton Road, Bldg D Concord CA
916-365-1724
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify 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 authorized 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 filed 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 supplied to the city as apart of this application.
SIGNATURE- DATE 3 -19 - 2 0 21
PRINT NAM ap 77n
com
Bulletin #100 - February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiggfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ 1,025,300
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
B-no change
38, 406-no change
❑ Yes x No
❑ Yes X 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
...............................................................................................................................
GARAGE ❑ CARPORT ❑
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
4,434
B
V-B
1
NO change
TENANT AREA ONLY
PROJECT AREA ONLY
420
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application