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� EDEIZF3L
PLEASE PRINT
EEIVED
MAY 11 1999
C;►iY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
Aooi le'AYInM f
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
Address S
7 21 d
tJ e-
Tenant (if known)
Lot #
Assessor's Tax #
Building Owner's Name
os tF'P
% �!clF NdR/�4 �t4r'
Address
3y 7
Z f sfi bE Scd.
City .¢L t., `"t
State 6.)A
Zip
O 2 Phona S lit Z- "i
Nature of Work A-0 aj
H 1►) E e,ni G 5 r
g oS G P G
Noma (F,M,L)
oS(ePh" 1 rc (e
Address
'City �4e L 14 y
State
Zip Q
Contact Person
Day Phone
Other Phone
Fax
B #G- CONT RRt;TORFEDERAL WAY BUSINESS LICENSE #
Company Name �
1
Address r--
S 190 (IL
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
Name.
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
1.4
Pleasem! R v rcp Side
Existing Use
Proposed Use
Permit includes:
❑ Buildin
❑ Elumbing
❑ Mechanical
❑
Other
Type of Work: ❑ Residential
❑ New
40r43emoclel
❑ Number of Units
❑
Deck
❑ Commercial
* Addition
❑ Garage
❑ Shed
❑
Other
Enter 1 st Floor s 0 sq ft
2nd Floor Qj sq ft
3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement sq ft
Decks Sol ft
Garage Sq ft
Proposed Total Area
p
sq ft
Water Availability ❑ Sewer Availabili
❑ On -Site Se tic System Availability ❑
Project Valuation
$
"
Zoning
Lot Size
Existing Bldg Valuation
I $
N
Contractor Name r
k� ' �✓ �iQ��
Address
City E. L
State v.!
2i
Contact
Phone
Fax
License # ( k5 ER O
Ex iration D e
Verified Yes ❑ No
Contractor Name Address
City State Zip
Comtact Phone Fax
License n Expiration Date Verified ❑ Yes ❑ No
Water Closets
Sinks
Bathtubs
Dish ashers
Showers
ectric Water Heaters
Lavatories
Washing Machine
Urinals
Drinkin2 Fountains
Sumps
Drains
Lawn Sprinklers
Other
Total Fixture Count
iU) CHR. C ' .N.1-.C.�3.U, >;<: `':i`-----_=<`
MECHANICAL EVALUATION ONLY
Fuel Type (electric/other
Gas Dryer
Air Handlin < = 10,000 CFM
15-30 Tons
Length of Gas Pi in
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BT s
Gas Log
Unit Heater
50+ Tons
Furn > 100 SAS
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv rner
Duct Work
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 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
attomeys' 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 ofthe reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application.
t
r
Owner/Agent: Date: -
BUILDING"APP
REVGED B/26197
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OD
a)
1
SMACKS & FOOTINGS
Date By
2
FOUNDATION WALLS
Date By
3
PLUMBING GROUNDWORK
Date By
4
SLAB INSULATION
Date By
5
FOOTINGIDOWNSPOUT GRAINS
Date By
7UNDERFLOOR
FRAMING
Date By
7
SHEAR WALLS
Date By
8
PLUMBING ROUGH -IN
Date By
8
GAS PIPING
Date By
10
MECHANICAL ROUGH -IN
Date / 3 By
11
FRAMING
Date ;...�� ; + .� By
12
INSULATION ....
Date By
7GWB.ISTLAYER
Date _• — By
14
OWS - 2ND LAYER
Date By
15
SUSPENDED CEILING
Date By
16
PLANNING FINAL
Date By
17
PUBLIC WORKS FINAL
Date By
18
FIRE FINAL
Date By
19
BUILDING FINAL
Date , �'�q qBY
�y,.�, r
20
OTHER
Date By
CDO193 (Rev 4�97)