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BUILDING DIVISION
Cif", G 33530 First Way South
Elm Federal Way,WA 98003
53 661.4000
Fax(253)661-4129
ApR 161999
Gir o,DG R . LICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION# LI,A `f DAt 9
'$' f cs ' 070 K . Address 33311 2.1 2/"CI dot. 17W
Tenant(if known) Lot it Assessor' Tax#
g3a0g0.- La10 I2-40
Building Owner's Name flu. Address
City 1 7i'sIM- VA, I State l Bp I Phone
Nature of Work K. A r �hC/L�L.C!_ vrtet t t
Name(F.M.L) 41Mir J t : (,s,,.*l LA. USIA:4.►� olt- Neert4g W IL1Att10
Address 3 1 6. A`1`1�+4 �a�„�•
City Q� '�If/fG�i 'toA State ZiP 4 I I [ 8
Contact Parson epee� ��'„�+ Day Phho 15 Other Phone Fa 2•11
37
lu Paece4s %Au.. ikauc
.. �
.. .:...... .,,.. 1Srwc C7
� • :FEDERAL WAY BQSINESS LICENSE # �''"rr
Company Name pikliawliiv 1 4T,
Address 122n 1)1R.7f I r ,'
City StatetAok Zip 1 S I44
Contact Person Phone Fax
ttoW14 Se+ (a0 1 D
3 4412. 204 1 A• 41``
Contractor's#(card must be presented) Expiration Date Verified 0 Yes 0 No
VA 1kt?At.L_o
Name 1). WitLIAIM) laamoJ
Address -n 1 io M y has�s •
City LASTIT.
State ti‘I'' zip 1011
Contact Person1707 y W`wloitiO ge G,/r Fax -
LEGAL DESCRIPTION
Please Complete Reverse Side
li .j•. 'r.r'.:•''. ..:....::f: . �.. ,+.� . ,:..i .. . :::,f:.
: 1;�Existing Use Proposed Use
Permit includes: Building 0 Plumbing 0 Mechanical 0 Other
—
Type of Work: $Residential 0 New %Remodel klE1 Number of Units— ' Deck
0 Commercial 0 Addition 0 Garage p shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area a sq ft
Water Availability 0 Sewer Availabili 0 On-Site Septic System Availability 0 Project Valuation 8 1 p 0, oo 41
Zoning I Lot Size Existing Bldg Valuation $
Name Address
City State I Zip
Contractor Name Address
City State Zip
Contact Phone Fax
License# ,. Expiration Date Verified 0 Yes 0 No
' •- ....... :.. :.:'::'... '` '..: •' ::::. «.ram .r%i `{i;.`rfl .
w
Contractor Name Address r
City State Zi
Contact Phone Fax
License I Expiration Date Verified 0 Yes 0 No
Water Closets Sinks Urinals • Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains •Other
Showers Electric Water Heaters Sumps .
Lavatories WashingMachine Drains Toth):Future otiRiE> »»z>»>'.»'.
Ite .:: :. ,,• s::- ;;••-.,;., ;, . ; <:al MECHANICAL EVALUATION ONLY $
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
> ••iK" --- .....>BBOs Wood Stoves 3-15 Tons Tofi UrtYt�auni ``»<....«...>....'>....<.z.'.
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 investigati Tense 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 • of the the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part offing application.
Owner/Agent: Date: 4"'/(p a 4
BuwwG.An
Reva[o al26197 u
POS 1 ,HIS CARD ON FRONT OF BUILL _ .O
_ anroF _
� FM
54 PMP INSPECTION RECORD
• INSPECTION REQUEST PHONE NO. 253-661-4140
Request must be received by 3:30 PM for next day inspection
SEE REVERSE FOR ADDITIONAL INFORMATION
PERMIT NO.: BLD99-0249 SETBACKS-FRONT: 0.00 SIDE: 0.00 REAR: 0.00
OWNER'S NAME: BUD
SITE ADDRESS: 33327 23RD AVE SW
( ) FOOTINGS/SETBACK ( ) FOUNDATION WALL
.'r6f./r..•r ?;srY.S::^,r•?..L`.'f'::1.`:`�'w'�.«..«... met •
( ) DRAINAGE Line Connection -
( ) PLUMBING GROUNDWORK ( ) SLAB INSULATION
:;:..r:<.�'3rlanFW�YY+:l t �X��t'� ���• 'Yv �1° w e.. , .v.v.v«.v.v«. :Jr3 t
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water pipe
( ) ROUGH MECHANICAL Gas Pipe
( ) SHEATHING _ Roof Fioor
( ) ELECTRICAL ROUGH-IN
( ) FIRE/DRAFT STOPS
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Y
r
( ) FRAMING _
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( ) INSULATION: Floors Walls_ Attic
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( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
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( ) ELECTRICAL FINAL '\
( ) PLANNING DEPARTMENT
( ) PUBLIC WORKS DEPARTMENT
( ) FIRE DEPARTMENT ._ •
-
( ) FINAL INSPECTION (Building:Department)_
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