92-101037 O �
H 1
M a ° � o w
N 0 0
< 0
4 w
n
Z �o o
\ 'Cr w a CO VI
}
ui�. o aO1W N 0 0 G Z z 3
J Aa LL C1 w Q Z F- 4-1 4 a
m P4 z O I ~ cr
C w m D O a a co y W
M a.y D N I 0 w z ¢ < 3 U u.0 LL
a = N O
N Ua Z 2 i-iO 5 a < 0
�] KC
•• O H
M P4 O O Q N W U
COFiMill N U co
1. M fwc� 0 0 Q m w 1
0 V
N o O
a • ¢ Q
COJ LL J J CSWW11!! o
• W J
1- QOL R M- a o co z C } a
W Q
O W
2 .0 :
�cOO ¢DN wo pNe z Z=o
1
0)c)
Cr °oH w 0 3 = ti ! a Z v QV1 w x ¢
a ¢ a m m Q 0 H W b W W
w p ¢ix 8
Q C7 p ¢ m H ',�I >y 11 N (7 W
cc
CO
0
El
4
W z J w O z IL
d
E.H 0a x ~ O H O Z
0
•ri z H ¢ 11 0 U. O
R5 N O wo. fu a }
a Hc, o = 2 w 3 cr3 0 0
U 0W O a O
a y O F
Q LL w ¢ GQ E [ Q w
l & < 1- z E-I ..i CO
►U-I 8 '� ¢ ¢ D ( R w
a a P _
�-' i Mr U J F CO 2
IOC Z x
C7 w ¢
w Z Z w 7 _p C� c7 3 O [-1 p O
V Q LL p ° CO m U O ' Z a p ~ ¢
W z o ¢ a z = 'a w ° j w H E cc U
W e--1 O U ¢ U. m U W
Q( p E. 3 O U 0 7 W co p co O m ¢ 0 H G ¢
Q aj N y Z w Z c7 LL c7 U m p Z £ W ¢
p ¢ f(s'r''7 U
w H
a CO z < p U w o 0 a N Z
JO0 z Z - w
111111=1 �" co ¢ m Z Cl)0 a H H bC Q
i co
H cc
W ,any o
H orN-I z w C'3 w
1-
CCI 43
w W a Z o 000 z z x Z 3 �-` h/
z• E a cc w co ~ m V O
Z
v� - I 6 D I- 'a Z Q a w
w D U ¢ 3 ¢ 0 D 0
H F p IL F N
3 a N z " N m co O Q J O J o0 CO
O w a O N Zi F- O = ¢ Z 2
NM ~ N O y ° cizzzcia u¢i LL
w o LL
3 ¢ N w w g o o 2 1 M < z0
�" E z O ' }
a
� W �] o ¢ta
1-1 a W •
i E-I °m
Q NC4 o Z ¢ i� �
0, (' > O
Zi ¢ Z h W W coW W = w CW7
Q ami ¢_ Z w LL Z_ > N ¢ LL w J LL w 3 > U w F H w Q
Um • O z > z (7 co w = z W W O v p LL w w Q w COW Q i r 2 O
O W Q ¢ p U 0 < z U ¢ ¢ Q 0 LL z z Z m O W m 2 U. WI- W "W ¢
F 2 Q w w > m ¢ w O� v� 3 a U m a J a ¢ ¢ m U ¢ z d p- W
♦� Q 2 a x U H = a Y 2 z U ¢ a v 2 0 ..113.
� wa Z
v la w O O w - COh O O d 3 m CT) > z w a w a a w O a w a a .5 F g U W
a o o � z � N 5 w o > a a a � � a m 3 3 vi O a"'T .�`�¢
fiet;.,� Permit # 2--) 11 I 61\_
L 2 0199 CITY OF FEDERAL WAY
witi
. ov BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER SITE LOCATIO " Q `-`1
OWNER'S ADDRESS • CITY HONE
DESCRIBE JOB \A 1\ t VlACC_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED > PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME— fl J --. [ — CONTRACTOR'S REG. # 1 A1I6,
nte Card MUST be prese
CONTRACTOR'S ADDRESS 7a0 CITY ct-w,C,.._ PHONE C '" 4
EXPIRATION DATE
— 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 " PHONE_`
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST IS.3 S EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Li 2S-Z)
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
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANIC A APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET Ci ' 1 ►�- $
BATHTUBS NO. FURNACE, ELEC. GAS K $
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 THE INFORMATION SUPPLIED TO THE CITY AS PART OF THIS APPLICATION.
OWNER/AGENT: U DATE: Q`J
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:
V tr
% PARTIAL PLAN CHECK FEE RECEIVED
0 N
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
• O
p r �� 4,
V T
W to •
Q. (g) i ci ,
Q ci
Z Czj
4.0 g m G'
1 pal a w
Z tlIONQ 0 8 O V
O ►,� Ojyy77 N o z z
_ w w • CA W ¢ Z z Q
CC
0.4 o o z 0 1_ 0 a .�' N W
m 74
a'i aN m N m ¢ z awa a 3 U o w
ca Zv11-
i CL
; H Cr: w W
op" Z w H a o
g I • 4 •• p I
fM1 1 O t • � ICI
HCO
W U
CO _� o a Nfi! Z a m
IMM CO
N J Q
p a a Q U
Q _ I, J • W J
~ R W Q O Z U - d
" W <cn
w~ Z CC zw O
2 cn re
0 a ~O4 ti CC? O O W Cl) o z a
CC cc
o
cnw
w0
cc
p cc Oz w
UO coU m7 Q "71 Ha ,-ra
-I-0 Q
W
N 0 w
W Uofx a Hv' °° H o 0
o w c �_ ,) w
EI a mI- '"� U) H T 0 CL Oz
H O O ¢ Z p Q • W .,.{ rye z Y
O �+
C4 2 0w
F a_ I-i d) Q 2
W cc
o = 2 I-- w 3 U ( o
a N � 0 ` ± 0 z4 CO E- 8 z
Z
W ¢ a W
U ( j p a Z 1 z El
J CO
w
a z ¢ U) Q
H Q z a w m z I
f!� ¢ w CI a LL ¢ I-
Z w
C..) Z AI g z o pm oCO z a 3 0 ct E+ fçN
p O
W CC
z O Q a z = a Oi w E{ w U
CII C a C7 U O W ¢ p ¢ O m ¢ C7 El w
H O ¢
INI U z 0 ¢ z C7 w C7 U m o_ Z
0
W Cr
0
w H
U
a 0 Cl)41
Z
Z Y a
— g LT ON 0 U ra H O< ¢
0 I-
I- �� 0 a
ari W d W Z W
w pO w z - >-
w a z p� z z I z }
CCI a w a^") Q o ¢ a w CO
z Co w co
w Z ~ U 0
CO j I vi S a s o Q < I
oa'� O Y x cc 0 > coW 2in U F- O w H y •
3 Z N m z O Q rn z LL N ¢ \ )
o fi'i — N o x o a Y J 0 cc 0
\��1 No • n U z z z o Q
W � • w W :a .P ° LL Z
W � o a "2 � a Q '_..\
p ¢�
ri 0 O
W • 03 W w
p zm
Q i iM O w z ¢ w _1
- I3 I-
ON O w J o x W
¢ g z Cl) W w w w i w aF C7
x z w ~ w rn w w w W W U U w H =w Q
LL Q O 0 C7 z 1 >- >- p w w Z w U W a �7 a w a5a z W W ~ ¢
z O J rn w x W W O U D W a w U. W o } W 0
0
W Z O 0 O D O � d m ¢ CO w 0 a O CC U-
LL U m a m a s as ¢ . ¢ z w ~ c w
Q Z Z Li,
3 x Z U x a Y = z f x ¢ Q W W O W 0. w Q z
d O O H Z H j o J Q Q O Q Z Q W J U ~ Q W Q Q m F J U W
— W a m rn J !n CL a a aL U) (n 0 Q Q —¢ 0
/1/z2/ .1/48 ,b_i.,r_b 31Va
CIA 0Sd a0a
Adf1000 01 'WO IVNId
A8 31Va A8 31V0 18 —_ 31V0
IIVM 38ld ONV a1dV08 11VM NOI1V1f1SNI ONIINVdd 3S010N3 01 'N'0
A8 31Va 'WO ONldld SVO A8 31Va
NO1103dSNI IVOINVH03IN '>4 0 3NI1 831VM NI HOf10H ON18Wflld
A8 31V0 A8 -- 3lVa A8 —.__-31V0
)IHOMQNf10HD DN1801f11d 811VM NOILVaNflOd aflOd Ol WO SONIlOOd GNV S)IOVB 138