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99-104149
BUILDING DIVISION C"1OF = " 33530 First Way South ,< 4 Federal Way,WA 98003 FIY � � _ (253)661-4000 Fax(253)661-4129 y mid APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION# 13a)11' 06 site address 9OS S �,4[iNL �G ta/ Se z 8 C t t Sr.Tenant name I C • Zo�.e f� Lot# 7 / M�Rt Assessor's T x# • E� /.ltc. s isr s1$�ft96 -a746 -oo Building Owner's Name / e. Iw c� Address foe S; **at t x / ALL 5 �jk'v City F'�GE•t04L L K/K,jI State W Zip ♦ioc•>3 'I Phone Z S 3-Szl -0,er Description of Work RE PLA cif Ek'.S7l,VG� DEG/1G AROLIOANZEMEMMEMOMEME Name (F,M,L) / • C• ygt 2 Address 1063 s /WARLL3 a/� _ r Rats jr.. 47r/ /� City FIE A'L WAG' State WA Zip tado 7- 3/el Contact Person&, Day Phone Z$3- Zq' Q/B Other Phone Fax 1 t s3- ?IC-TSB 4.. ': UIEDIN NT T '':`> >mg Federal Feder I Way Busine ss License # Company NamewTr-M. y GKS) .fi"e r Address Pe O rate7C 43/ City 144 PL Z yd L L State Li//4 Zip 'is0 38 Contact Person 3-A sofj ifitrrCa Phone3ie_LT's Fax Contractor's #(card must be presented) 4 .7 dolt) `k * L 44, A/i1 Expiration Date Verified l� Yes 0 No 7 WC+ 7-Z4 D Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION LOT 74, r(A Q'NZ LL S -3 T fi GGp4,0,106 f[9 /, "LW" r, CA D, ,Zaeo e,ac,e _irk,got.LJA.« 9 7 Ar / S 76, 1 Al e tAtf esitbu, WA 'eN4 r / Please Complete Reverse Side 0 9• st73 ExistingUse a�D t�✓7TA L. Proposed Use R� i Ai,AJ T4 L Permit includes: • Building 0 Plumbing 0 Mechanical 0 Other Type of Work: 111 Residential 0 New i Remodel 0 #of bedrooms it Deck 0 Commercial 0 Addition 0 Repair 0 Garage 0 Shed Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks 3/Q sq ft Garage sq ft _Proposed Total Area sq ft r Water Availability IV- Sewer Availability On-Site Septic System Availability Project Valuation $ G, oaf 6 O A Zoning rGtN444,A S I S r 0 'Lot Size /ZJ 7 TO SQ.FT . Existing Bldg Valuation $ 2441)j Ooa 0 11 P4i Pt :>ktitili:i?iiS:y?.'•.1.�•}i:•'.:vi}isi;:r.:in4ii?:: i::' �:::�iiif:i:ij 1�L�D �:;:::,,�;;;;;::,<:>::;;<:;<:;:;:;<;;:<::>-:::: :::::<;;;:v;:<:;::�<;:>�;::>:�< :: For new residential only- Proposed selling cost: $ � Name Address City State Zip Contractor Name dress City t State Zip e Contact �� Phone Fax i ir- License # (I Expiration Date Verified 0 Yes 0 No f p V` , • Contractor Name • Address Ci i Al( \) i State Zip Contact Phone Fax 4 ti License # Expiration Date Verified 0 Yes 0 No • PLUMBLNG4IXTUREMOUNTEMEP Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps • Lavatories Washing Machine Drains Total Fixtu#e:Gount , : a MECH ANICAL ONLY $Fuel Type (gas/elec c/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons ` Length of Gas Pi. ng Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K : Us Gas Log Unit Heater 50+ Tons Furn >100 :TUs Fans Miscellaneous Fuel Tanks Gas Hw Hood Boilers Above Ground Con :urner Duct Work 0-3 Tons Underground >: .:i =:O's Wood Stoves 3-15 Tons Total U ti hi#Co n..e..r:>> DISCLAIMER:I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized bythe owner of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city of Federal Way,but only where such claim arises out of the reliance of the city,including its fficers and employees,upon the accuracy of the information supplied to the city as a part of this application.n. 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