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E I V E D City of Federal Way ,
WRY APPLICATION FOR BUILDING PERMIT •
OCT 2 9 1993
CITYF ILE
B OF FEDERAL BUILDING DEFT. AY Pe7PLEASE PRINT APPLICAT/ON #: �' f���
SITE LOCATION Address Z G 13 24TH AVE SO . FEDERAL WAY, WA 98003
Tenant (if known) Lot 3 Assessor's Tax #
053700-05_52 -04
Building Owner Name Address 4325 SO 2 3 9 t h PL . Kent , WA 98032
OAK TREE HOMES
City State Zip Phone 8 2 4-19 6 8
Nature of Work BUILDING CONSTRUCTION A/51--
APPLICANT
Name (F,M,L) JEAN JOHNSON
Address 32839 - 38TH COURT SW FEDERAL WAY, WA 98023
City State Zip
Contact PerienAN JOHNSON Day Phone Other Phone Fax
839-6650 874 -2731
BUILDING CONTRACTOR
Company Name
OAK TREE HOMES
Address
4325 SO 239TH PL .
City KFNT State WA Zip 98032
Contact Person Phone 8 7 4-2 7 31 Fax
_TFAN .TnTiNSnN
859 6� 0
Contractor'smust be presented) Expiration ate Verified IgYes ❑ No
KTR
03-03-94 1,
t
ARCHITECT
Name
CRAIN DESIGN
Address
25022 - 104TH AVE .
City KENT State
WA Zip 98032
Contact Person Phone Fax
CHARLES 859-2954 352 -2545
LEGAL DESCRIPTION
LOT 3 CITY OF FEDERAL WAY SHORT PLAT NO 488017
(/4L 54.-) __ &z /7-T
Please Complete Reverse Side
CD0492(Rev 4/931
-
STRUCTURE ng Use osed Use
Permit includes: &Building APIumbing Q" Mechanical ❑ Other
Type of Work: Residential New ❑ Remodel 0 Number of Units_ ❑ Deck
CICommercial ❑ Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor ='J/I sq ft 2nd Floor if ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage 7Z• sq ft Proposed Total Area /e/,f.7 sq ft
•
Water Availability Sewer Availability On-Site Septic System Availability 0 Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address 2206 SO . 3 2 0 t h
WA FEDERAL SAVINGS ? LOAN
City FEDERAL WAY State WA Zip 98003
MECHANICAL CONTRACTOR A,//,4
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR / l jP—
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets 3 Sinks 4 Urinals Lawn Sprinklers
Bathtubs 2 Dish Washers 1 Drinking Fountains Other
Showers 2 Electric Water Heaters Sumps
Lavatories 3 Washing Machine 1 Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) - gC�/1s Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping c-6, ' Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs / Gas Log / Unit Heater 50+ Tons
Furn >100 BTUs Fans 4 Miscellaneous Fuel Tanks
Gas Hwt / Hood / Boilers Above Ground
Cony Burner Duct Work J 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 premi o 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' •es inc rred i ' vesti• tion and de - se of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only wh- a such clam rises out of he relian•- •f the City, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: �'� �,/ Date: 0L� / i_g_q___
• SITE PLAN FOR OAK TREE HOMES 1 -
cn
LOT # 3 Ail
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SITE PLAN APPROV _ Z g y
Permit Number: ;Ix q3 -- n - = Z " i
\ Approved By: .17.4. Q •ILI w
, i
Date: -x s z
\ `,�� Comments:.. �. 61_� --
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