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90-101956r > 00 cn ** M T r rD m D 2 Ln� 2 D* r m O `L Z M `n m r 2 0 n 1, V m D� 0 C 9 D z m K r D =�< r2 p�-j -4 m C 3 � z W m m C 3�1 m z D m (� M m M 2 r 2 D m 0 _{ > -D-1 D O m C m C D 0 m-n m T> m< c) m m m O i FnFn 33 � cmn r Z vzi O { 3 C m `n m D z< x m m m m D r T O " m z m � p m .. m-4 m� N m =mom mmmm m T cn x p cn m m Z Fm m NNW Z m-n o o ` lz m a {A I z 'n O O 0 c m pp c� T m .n K o c z N D x 0 < om a 2 C 3 H C r> > o z m n� CD M D y U) o cn m -< T F-r Cr1 cnm mZ O �, v tzi �C m F t2j DC D � m H+ Z N 0 a O my 1 Z z > 00 > ran -< m m= m m v_ n x m N D m O� p A z Z 0 O D c O n 2 m m Z D C � T r a D Z a r ►►yy x M z v x mZ 77 m m i Z 1 n Z z O H m cn K a 7 z tr► N v � m :n m 3 m � O 0 !' m D x O> Fn 9 O o 1 z v v m D i n= T Z m o x m 2Cyi 3 m m o cn r m c� z c v H ro z Z 0 n x y D r eo W a m a n mm 3 co OT m mv m' K m c m p cn m N \ O m W O m z r O n m o z v D m � I I!'O � Z � Gi i OD C r v_ Z O z m 0 3 0 z C C m v D m m O T cn C m M n D X m 0 0p m Z Z rn v oC0m> Oc m m 0 z0 rn i m0� p am z r O < , w I� a m N l z Z m W H O A. ro a wroro D tq ro tz 3 0 04 a Z 0 D Z O m v Z W �O z Z m O D cn z Olm X G) v z D ..v o Q_ x z m M y r I � M O > o CO r v v_ z z wro z N r" n N O m N H !• � 0 O 0 I H zo m O m n m D O o � C xxr �y C0 k o 3 HD 0 Z H > c ri) coZ rn D 000 z v o fCl m m o �P N O N 00 D O _ D v In :z W H Z b �G 0 y H zo % z c u o r y�� N N rP coN C!I L y c -L - Z v Ul H ca cn CA G. 0 Os Z cn'0O_ o �N ;� rn�nN+ VI v a w ) < 9@ r_ > = w o c`� z m a ®o o o o m m m o r » » m > = o w rn n c § > z < _ o® » » a r c] z « c # z z m o m r o=. z a «>ƒ 7§ A 2 ®) § m E e g m 5 m k M§ \ > § m j 9 §> o G o c o m> = m n m m-§ < n z z_ § _ I I p = o§ w m o z o ■ 2 m m >\ 2 m � m m o o « __ .. @) p > � ° { ® � k m $ $ § z § m m m ) § § e . k ) m $ m �m k� § Rm m 0 m 2) % \\ §f ¥ ■ k ¥ % o >d -n m > § % > k § g \2 } § \ § 2 § o { a z ) z % k ( k z m 'c a > 3 9 m 0 o S ¥ _ m _ » _ 9 E m § m ( m I ® ° § ® z > m m ) 2 2 k m § § § \ f 0 m G z § § 0 > 3 § > m = m \ G) ¥ ) ®} x m %\� g g > \g\9m k wa cc) > M)k S° / m§ Rm § 2 = § z vo ggz co _ _ » _ % z ) o m » _ = z = o = ¥ 7 a m) m ] a \% m o k S « v z } > , \ \ m 74 > k J ) m § k G 0 m > X d 2`» f = 0 m 0 ) § 2 > \ § 7 m § b @ > _ \ o \ m ( 0 m § 7 > > z # m § = z = / . 0 E § §f k § n } \ g m _ = z ° i m §§ 5.k vi j\ } 0 \§\ 0 ) c ° M B C§ m 2 °% w w P w m / i I z_ m /0 o > ( \ � I § Im c � � � � � 13 m � � � � SET BACKS AND FOOTINGS DATE- -.--BY- - - -- OX TO POUR FOUNDATION WALLS DATE -•-----BY PLUMBING GROUNDWORK DATE .----•---_--- __BY _ -- PLUMBING ROUGH IN DATE BY - WATER LINE O.K.-9�._1__- GAS PIPING O.K. MECHANICAL INSPECTION DATE----- _BY O-K. TO ENCLOSE FRAMING DATE - _ - BY _ - INSULATION DATE -BY WALL BOARD AND FIRE WALL DATE FINAL O.K. TO OCPCUPY DATE Y///�/ BY ZZ) _-- DC❑ PSIS FD 9 - %O z 1r�� ,�% Permit # 9 ©z nDkP AUY p CITY OF FEDERAL WAY CrryOFFIEDi` :9sQ r BUILDING PERMIT APPLICATION Please Print — BOX 1 TENANT NAME: OWNER I �r xG-�r f r � i 'EZz" , SITE LOCATION �{ .S : ci.." '3 3 OWNER'S ADDRESS 2- 0 3--5 - 114A x R�L S CITY i - At PHONE'I.7Z _Sr DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MA RIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. N N i e 51Z'3 S/ bk ! I Card MUST be presented CONTRACTOR'S ADDRESS/Io_ z .5 �:- 151e-1 CITY PHONE Z Z ie -7 C z---- 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 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM 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 1 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( SINGLE FAMILY (--�'NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO._ FURNACE. ELEC.- —GAS, $ !I SHOWERS GAS HOT WATER HEATER $ 5 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 $ r 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 THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THISAPkI'CATION. OWNER/AGENT: %�--'•�- —~� -DATE: -)T,- ANP-008 3/90 ZONE SETBACKS:FRONT PLANNING DEPARTMENT APPROVAL REMARKS: _ OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DA 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 SO. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ TOTAL SO. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: (V ld3 07 40 RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount . Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE 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 ACCEPTED FOR FILING