93-101342 N CO rf
O "at
W .400l0n• IA
a .. a Nss ti 2 .
0
M % m ? C
O Q O m AWN N J ` .�
1 i # # #
Mo .. • F.
F . W
Z Q. IA
p W< W
Y d x
i�C LUpC
W gy U CC
o w
a <-U LL }Z
a
.•
d.C2 t 0 M
U.44 P.0 CC ' J
tK
W
0
W W
CD 0 0
W h O IO W Z O co O O O O O W
0 h L L . t V
W •
• . N • ..
• • U) '.
J • • < P. • • A[Vl a W
•• • W W W 2 •• W W ... J
h fffA A • CO
. U U < 0 or Y m Q \ n
U \V`1
W
J
U. W 2 x
Yp� V1N h WO J•2. K Vl fdnL Z Q
IIIMIM Z`K` OC yoIyu <Y_N m 2 K O
OLNLIWC FW3 2 Z #j4�6� W W W
fdn=L 2CA U) 70 V! >0J0 d Q
2 .4.
i+ Y M •F 0
O •F•F•6• fA � Z
N ..
O O O O ......... F• W
I U)
• •. N W W
W N • • • •• a. J
2 CY.1 aeH
az .CC COA < ur q? G Y
O d f0% 2 fU. Un •• CA• W S C CC 0 D.
I- <0 0 t7n J m W CA OC S 0J W WF U7 012 _<I-N_ Q LL
CID d IX Z 0 C]< oC AC I-cc W I-V/ = Z 0
1).1 # A. AC.••W W W S3<YxU2
AC LNAC d HHO>2 COW7 Q F'
(/) 0 O W W Z << <....J< J U)
Z C~.1 CCC����OC OC 3mV)J<np W J m
o F. 1/1
G.Q Q PO0 .0 000 CI
141
O• K0000O 00 O
O0 • • M_r- U co O
m w O<C W gW •.•.• • e- ... a •. . •. •. . 2 2 W
- ri O O 7 •• d d •U) UJ CC
F. CC
• • U •=SS •YC7C
O U# CC 0
.O.y �NW µLU yS OOd<WLIC Q C.)
W P. • • > 2 V1 NIVI DC I-->W F' 0
W MI� • 0 0 0
111 Joe 0:3 N0a W J • UN CD + Jmz Z
W O•+J..O U O M M IA W<7 0
ea 01 LU
0 P.
CC W a CD Y IL J
O CC 0
4.1
3 -
PI N 0 IA N fA fA IA fA N
• .. 0 W
. 00000aoP 000000I.. Z 2
02 • . • 7 z z ILA m
w Z 0
b . 00 o00000 •U) • .02.UU W
D b y Y>Y Jo0 M _ \111:111
�RI a qqC Oo 000 uJ '.
W u W •. •. •. ..1:0 MN OD H Y ••• OD J N 3 f 7 A U X
.4..
0 04 AC I-ppx UAe I- Z U8Ae VJ Ae V A
V JfnZKI-usW<60 <0707•-••-• LL
1.. L e-N M 0 CO 0 LI I- L x p 3 L Z< 1{.
N 0 Q Q O
1
Cr) we > Q
.' LO rIOZ ..WM � •• 0
0 CC
< *' o 01o00 NAt.T
O
M Z
J M N U)0 co a.0 ••0 •• 0 Nw i- Z
01 W P I- W WCCN< > 0 c 0 I Vj N � w •• > d 0000000 - CM= O .. Z PW (/ •' S S G WCILL1 CO L1.1 1•1•1U P.Y U Y 47 AC V) QCD • • • • M
I •• W •N CC 00 II MI 3 Z ICI 0 V 7 • • 0 =
•
< \
1.L L Q O Z W M <a- U W 2 ad 2 AC F O
J -i U H d•-•O CIC W- usI.-
LL 1•L O CI J U L < 00000 U. 2 .•LA. .•z Y 0.CD P.7 h. 0 2 O
O L Cldui .t AC X •
O Vl< 0 <0 I-..e-3 m AG 0
�+
00 TO W WO.lW •• 0d d a. vx pW cc E
L. it (, 2I N0 h W 27 W 7 J Z > f I- W L
M • I)J 33I-OW pd2UMd2U W VI AC V1ZO V1: d Z
1.0 MI OM OOML J>W AC>IAU 7<7<O m Q
el 0 (O II— < cr U)I-UO ••H ••0 •• LC0LC9U m 0 AY.. J V
Uc'� ILCO V) aa 1 4 _ o 11
7 A8 �,5_(--> :_ 31Va
ad aSd aOa
Adf1000 01 'WO 1tNld
TIVM 31:1id aNd aab08 11VM NOI1V1fSN1 ONIWVdd 3S010N3 01 'WO
A8 --..-- 31VCI —•>f0 ONldld SVO A8 31`da
N01103dSNI 1VOINVH031/1 -WO 3NI1 1:131VM NI HOl01I ONISWf11d
A8.....—_.. — — 31Va — ... l8 31`da yar AS £j_S-C_1-331Va
)IdOMG W Nf1080 ONIBflld Sl1VM NOI1VGNflOd IJflOd 01 WO SONI100d ONV S>1OV8 AS
•
Y
W cri t
jil
n WI co m a.a b z o w J^ n oWUlI
T.L.
12 9 N
u —\._ I.La , > tr --) t
ct kl ct 0
I 2 OCr Lii< 2 immi 4,..--___- ...A . -, fr
czaS LIU 1,:- 0
,\'S c" LL Z i') ii >- um.
I- -1 Il. 1-- cc = < Um.
ci. ce
v 0 CL 0 a
.. j Cc
F- al bz t y CO Is) LU US m
i�0., F- n > ES piCI•
w HI
x.
0- 00 Q a
VI 0
3 o v 1 a w 0
t X Z
* rhLU
* * _
.n
3 4
- CC
t -
lN1
0
V
O !
0y'rN^ 11
al
z g Nil
Ite. 0
--� zb I
cz 0
w Q A U
G City of Federal Way
- APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: 13 L ) 52 -U) 8>
SITE T OCATION Address 1( y�y 7 e/ / $
Tenant(if known) Lot# Assessor's Tax #
��/7/) /7/'
Building Owner Name Address
S9r
City State Zp 9 Phone C
Nature of Work
APPLICANT
Name(F,M,L)
%%O /-i7e c/SGi��J�
Address zz / •
JOB S ,? / ll/GS J ,
City C�1`iF iZ OG (.�// j I.11s1;1. State Zip
Contactn Day Phone Other Phone Fax
(.42 l/�,��,� Q'-� 6 - 3
Bumty CginaCTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
ARCHITECT., . ......
Nairte
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
RUCT(JRh xisting Use L. Proposed Use
permit includes: Building 0 Plumbing 0 Mechanical 0 Other
of Work: 0 Residential d New 0 Remodel 0 Number of Units_ Deck
0 Commercial 0 Addition 0 Garage ❑ Shed 0 Other
nter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ftDecks )PZ—sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability On-Site Septic System Availability 0 Project;Valuation $
Zoning #
J 7 , Lot Size Existing Bldg!Valuation S . :
l
,,ENDER _
Name
Address
_
City State Zip
MEN . :CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLU CONTRACTOR
Co tractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUAZB FXTURE=COUNT
WatecClosets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total iFixiure Count
•
AIECHANreADAINIZ COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
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 by the 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 oo} he City, including its.9fficers and employees,upon the accuracy of the inform ion supplied to the City as a part of this
;:/:'nt:
Tom . , Date: ' `-. '