92-100572 Z
0
C� S
a
en LI
m
O Z *- � � a
ti — I
� r E ui Q
O v 3
"� Zc) o W z z z
043.
0 C Z I 0 co _ o W m a 0,0
N
J a a u0i 0 0 w D w : H • p
_ m ¢ Z ¢ Q 3 U LL• LL
z -r W o 0 H N w ti
m '� 0 z _J W pp H x o
CO x
El 4
I� 0 •. ,0 a c .• c >-
CO •• < 2 el I ON H N p w U
N o a 4 N M [� O O LL J
a.
N Q Q
a LL w ~ a M a U
N < O Y Z 0 • w J
[LrY]
\\
�- N ¢ w ZD z Y >
co . ..
2 N • ZZ o w¢ zz
w U
w aui
60 < paz 8
t/Nw Lila.
ZO =
wZ ,
-�
� '' �
CC ¢ ¢ m ¢ m zH wHUUJv r1ai
a 'i-
x
F0 waa oWo • ow a 0 0 B
aH
Cn Z H a Jo
rts a O
Z 0 1 ' O 0 H
H El am
O Z a CC 2 , , zzW •,U.1 z Y
£ m O N 0
r-I H �� Et
W U '', 2 W H
U 4J 4
) 0 0_ z w E Q
a' It ,--I I 1-1 2 J LL U ¢ w I Q w
H a ¢ Z D a Z ¢ z O CO
W a Q w
T, • ¢ x O Z Q Q D w m N H 2
Z ., w ~O z w a O w a CC Q a z ¢ N W 0
xZ N 2 0 w m LL ¢ V 0 m a �' - Q Cl) co G O-
W - H 0 E LLO w I a a U IN > x E1 R U
7 - a t H w
1
Ill Z z p o ~ 2 0 U u 0 00 = H H O W Occ 0
aC
I O Ha-I 0 0 0+ st o
JC21 H J w O C7 a 0 y
E'i m w• a a C z z N w
- W z Z a a H JJ ¢ CC
0 0 5 z u a, O ~
o¢ ¢ N O co
z w C.) U 0 w
.� w w w (> U a• 2
Z a x z }
CEI 2
z m CCm a w COm " o z z w Z w
w . a -1 > 3 Q 00 > > x
3 U. I-O .. o M Z I- • 11 Q 0 0 co
cn 0 LL O O - CC
Z
r)
I 5 1-4 .. D o Q Y -I O• 0 O: D
•• o 0 _ U w z z w
¢ a • w LL
• ¢ I • O
O N N a
. - 0 w J o o 2 f- M. M Q O
N
G ¢
CO . w zH
Z �� ci ,pa› ON '" zm
Q O .. • o h z Q w'i
N I ` w F a x-
• X F-3 Z
J 01 ` O w 5 Z CC
ILco Ill co w w w W = W <F C
Q ¢ Z z LL Z U. V) U ¢ Y LL LL LL w U Z y W F_`
/� pF > W ] H w Q
0 CC Z U w m J O m Y Z 0 m ¢ ¢ Cl) O U. z Z m U w m LL Ill O cc LL¢
W F ¢ O Q a W m CD w ~ 3 cn 3 a U °° _ a °� w w v °� a cr y !
0 ¢ z z a 3 o z 1- m I- 1- O > Y x ¢ z O ¢ a �- U•
= 0 J w 0
a 0 0 1- z 1- N 0N ai a i m w g U)i o > a a J 0 as co 111 3 3 Uj cc i 0 a a -¢
Permit
RECEIVED CITY OF FEDERAL WAY /71e
APR 141992 BUILDING PERMIT APPLICATION
FEDERAL WAY —Please Print—
ant OF _.
BOX 1 iliaffeME:
OWNER \wvv\ vv.O\L SITE LOCATION Z$22-1 2�� Pve 5.
OWNER'S ADDRESS 2.$22-1 2g13 Ave , S . CITY FecVirt\ W& PHONE S 6I "b11�1
DESCRIBE JOB (vv skz \ F-VY w e. .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME NO'CV E -C Wog` CA' - e c\t ✓ CONTRACTOR'S REG. # N C4�tAx-v fo5a
Card MUST be presented
CONTRACTOR'S ADDRESS cZ201 c L) • S CITY Cma- PHONE 6,g-QI ` 01 I-7
EXPIRATION DATE 1a ,
- 7UY
D
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON e 1-Qil PHONE 1"LpLtvy
BOX 4 SEWER DISTRICT � WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 1 ,()aO EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I`l 'I 00 -- 0130
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. I FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: I
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT •
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
et'
/ 1�'061- PARTIAL PLAN CHECK FEE RECEIVED
QQ� cc.; Amount Date Receipt#
CO BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
I
0
(,) o
W a U
Q. LC) U H
(n N m CI-,
D CI-1
Z r a Cl)
I ci Lli U Q
v o 8 z Z
Z co o W z
w U H H > W z I- 4J j Q
Q Z LL O W CO a Q+ N ¢
Z Cl)
_ Oz m o f 0 w W H v o
a aco , m ¢ z ¢ a 3 II_ W
w x O w
z w w
CO O z w H �" 1- 0
U m 2
O I •. o >
I-
U)
CC
✓ f H ) 'O-
W
CC a w moa JaQLL ca � Ja z aQUa Q O y _ U wJa
11.1111. -J cn
0
CO
w z LL 8 0• d) W F
Cl)CIC �2I O '� = 0 U a U) Z 4-) w E o
I-
¢ m U \s Cl) a
Cl) m 5 a m H o NV r1 W w
cc
cn
o 0cc
oo >4 U U)a >p F) o H
UNI <
m J G.) H c�V I Elo Cr• J 0
Ec
E+ O z p CO Z 1 I a 3
H \ O
H Ø
O z Q W !ellU \._ 0 Y
o 471 6 Q H
W
Op 2 Cl) 3 U °aJ) O LLO
¢ z U W N U 0 0
�l a w ¢ ¢ 0� z Q 0 Z w
aZ 0
J LL a H z El) 0 J CO
U a w Z ¢ a z = ¢ U] rI a w
H U 2 Z co ¢ < D w m 0 N Z I Z w O z w -I o w Q O w Q z ¢ CV W
Z0 D 7 U ¢ U 0 mco
¢ O w El M 0 O
PC
U 0 a in w
O a a ¢w o p ¢ w CO
W 0I
W H
W U LL w S a a W IN = El O CC U
X 1 . 0 O a p L- Ei OCill w
W Z Z p Q H LU z
C7 U' pUCD
H Ili
¢
Z I < 0 H O H 0
a.
IX H 0 0 04 • o
J co 1
J C Z • N Q
1 .111 w Z 1 Z a CU H JJ a s
O 0 0 z �a 04 S O H
o co
n .
¢ z w U) U UU w
al �C W U z
w w w CO C7 z ,(C u_
alii
a zo z a
z ¢ < W m
W z w Z
cn a H z z z o
w 0 >- 3 CC 0 0 D _
co
z Z 0 H o LL H N —
a o > 0 x cn z
O o a = ¢ J z LT.. ¢
O 0 U Z z Z U < W LL
a 0 W J 0 0 2 1 Q 0
cn
a w
F �
0 ¢
w z o 02
z D 03 Z_ m
} a w J
4 o z W
w ~Z co a H z
J O w -• O ¢ H o co w w w w = w Q H (7
Q LL W m LL W Li_ LL U U !n = Z <
¢ z z LL Z (I) ¢ Y LL J W 3 > Z w m W H H W cc
O c7 ~ > O u) m w 2 Z W w Cry U LL w w Q w w ° > 0
O CC Z U W m J O m Y Z_ o m ¢ Q u) 0 LL z Z Z m U w N , LL LL H °C LL W
¢ ¢ U a Q m ¢ i2 w 0 < Q H p m Q J a ¢ ¢ ¢ U ¢ Z a a: W
H H w Q w w m 2 w = Q u) < -- z 2 = < H < w w O w ¢ Z
/= W 0 0 } W X m Zo W D Q Q o= Q Z m < w J J w o ¢ w ¢ ¢ m F g -1 O w0
V U. a O p H Z 1- CO N CO a 3 co co J co o > a a a 2 H a u) u) 0 a a _ ¢ 0
/9.-27 Ae zi:70
ad aSd C100
1da000 01 'YO 1VNId
A8 31V0 18 31Va A8 31V0
TIVM 38Id ONV CI9V08 Tivro Nolivinsm ONINVEid 3S010N3 01 NO
A8 31.VC/ NO ONIdld SVO 19 31VCI
N011addSNI 1VOINVH09IN 'N'O 3NI1 831VM NI Honori ONI8Vga1d
A8 31Va A8 31V0 19 31VC1
NEI0AAGN1101:19 ON181Na1d S11VAA NOI1VCIN110d Elnod 01 NO SON1100d ONV SNOV8 139