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Date/2.j0_9i By 5 J 9 R ': Date f-- y—CPO By 5. 10 Date I-• By 55 • Date 1., C-40 By 53 12 R, Date i:7—6,r, By 55 13 Date 1-2174 aa By ,$3 14 6 Date By • 15 Sly'a�E.:...............................................;;:.;>.,:::.:::;:::::::::::::::.:; Date By Date By 17 Date By I18 Date By 19 'BMCQ]MG:::EtAE««::<::»;:>i:;:><::: Date 9/21/l//�..........:::.::By.J ........ 7,57u 0.034,4 .............................................................................. Date By CD0193(Rev 4/97) • BUILDING DIVISION «^ ,1 RGi 33530 First Way South.. t + FedeWaWA 98003 $jpEnccn_ �''I (206)RECEIVED Fax (206) 661-4129 APPLICATIbN OR BUILDING PERMIT CITY B OF BUILDING DE L WAY �� D( �� 'LEASE PRINT BUILDING DEPT. APPLICATION#: SITE `: ;>'> > ' I> _` > Address T S Tenant(if known) Lot # Assessor's Tax# g _ 14,0$1 - oogo Building Owner's Name v c i-iN EJ 06� /—/O%i'F S /C/G . ZAidp d ress/ 6�7 5/12' SO L/77(4 P hG o, -nl% 13L-U 7 D City u, ceI L Sate V n ne 20x- 2q$ -Z 4 � Nature of Work W// 5TA-/C 7 N 4-I-J �.,,> ∎v6 L„.. /AM/L Y i E- /L7 A/G. . Name (F,M,L) `� G N E_I I • Ho I-1 E_ I N c- . Address 6, -5! I C S-�U;I� 6�-1-E g- i3 L. \/D. City I L_I K V-1 1 L,A ! G State (,....1 A Zip S' I F--) Contact Person Day Phone Other Phone Fax MAIZI - G-,AUl71 ►milI��- 24 �- 2-�I'-7 I iI 292— 42d� Company Name il■M 1✓ Address II s lc State II Zip Il Contact Person iI Phone II Fax II Contractor's #(card must be presented) Expir tion Date Verified ❑ Yes ❑ No Name I I • Address I I • City II State II Zip II Contact Person II Phone II Fax II GAL DESCRIPTION 07' E. " AGE oovs I /V _I PleaseCnmplete_Reverse Side ' 'n use P ro osed Use .57/4/ .4. , �:. x P 9 / E L SN Permit includes: "..);(euilding ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: /' ,1 Residential New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor/1105 sq ft 2nd Floor 7&O sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage l sq ft Proposed Total Area 2? r sq ft Water Availability Sewer Availability On-Site Septic System Availability ❑ Project Valuation $'235 ��i2� Zoning / Lot Size C/ / ? 5 .5'• F.- _ Existing Bldg_Valuation $ / Name Address City State IZip Contractor Name Address City State Zp Contact Phone Fax • License # Expiration Date Verified ❑ Yes ❑ No PL1M8ING ' I Contractor Name Address City State Zip Contact Phone Fax License # _Expiration Date _Verified ❑ Yes ❑ No Water Closets j Sinks Z Urinals Lawn Sprinklers Bathtubs 2- Dish Washers / Drinking Fountains Other Showers / _Electric Water Heaters Sumps Lavatories 4/-- Washing Machine / Drains :Total Fixture Count . , C 1 MECHANICAL EVALUATION ONLY $ 2 8 5C00 , Fuel T .e (electric othe a, • GA Gas D er Air Handlin. < = 10,000 CFM 15-30 Tons Len.th of Gas Pi•in. 75 1- •F • Ran.e Air Handlin. > = 10,000 CFM 30-50 Tons Furn <10OK BTUs ,573000 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 BBQ's Wood Stoves _ 3-15 Tons _Total Unit Count )ISCLAIMER: 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 Im 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 -ederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be made by ny 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, Icluding its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. )wner/Agent: �` ��/iLV'—...... Date: Ilk •b(itYql -o l2a- 1 ,/ o_'.- - IS . ACr t" iv .t0 ii,__ . Z E MEND Ems` -� ,, Z NI J k NJ 10 CP n , ROOF N X) L/N E Q -4 \ � , 2:0C. I 4c-C_VVED THE CONTRACTOR SHALL V•tio'�.'a! 1 �,�7 'r J - 1 1999 THE PROPERTY LINES ANT ' r = FFCd - SETBACKS FOR THE PLACE 'P 1 I 0 I c,,, , i- H�V'AY OF THE STRUCTURE AUTHORIZ-, 1 --∎ BUILDING DEPT.V.BY THIS PERMIT. I sal- c, " t I . .. 0-- - - i _ 5 zo ' __ D ■ BS E L -- 42 0 °l 4 '42" - 0 �o R = 525,ao No 5ffN/F/cAk/7- LOT AREA = 89 95 S.F. L = 57 2 2 TREES OA/ L 0 7' HOUSE ?6.AI2 - 20355. fr 2.C.p, 7NAVE 5 Col,/C. P .wC/-/ = 355.F ----- �.. ASPiy,4GT s/ E4✓,=41.,� _ 7 3 S F. SCf-/NE/DE/ Hp�/4E5 /NG �'oRi>rE�✓.4�- L� T 6, 14 ER/TAG E �./oo�.,Z� /MPE�C'V/©U,S ,5 -AcE_s =2 843 5. F. TO7/4L 407 COVE,QA a E = 3/,601% `SCA4,E ' /"- 2a/cam " Al< . wi -0/7.t ELEV. - -/. 75 DATE : 2-/5 - 99 Bu/ . /.b/N6 1-7/E/6HT IT 2/'-/O '/4 " ' • . . 6 4 c,711 / .. ‘V • f. . •. „ 1,,,. L. , - \I-- i•J 3 5 ° ?--"4. - - . a , ■6\ _- - _ " -- 0 ,- - °■41 1 -;.? ,z.,■' .. ,.). .., ‘ r4 ---- -k (4 . .,-- - --- til _....- ■ 1 In mi _ Co rl /2x/2 err— rs, r!..-....---.., - .-^-1 10 , ,■2:PI'0.-..r- .DEcK 0 OE4 —r". \•%.1.. • __....4 NI,. i■I I 1 Nt' .4 i 1 2___ ---Q- I ------' Su cv 'CP 4Pg-‘21I--- -1-- Fre -067 Ok THIE -... 0 ii L ,...) , By Z / - 1 NI- so/... 0 ti _, 1 BY .- DATE I i GA A . „---- 1 , I . • ..:. 0==:•"--if-r-4 •-i r.-.-- -- la t\) 5 1-470 4 - •• iii zs , ... p -• • % ....._. ..,.... . ' .:,.. /--. A = C7C0 °/ 4 '4-2" 0 le = 5 z 5,47 6:7 i INe, sy• AiiricAfAir I 9 9 LOT AREA -= 8 5 s F. 1- .7- 57. 2. 2. ' TRE'ES- c7A/ Lor HoU5A,42, ?0ECK= 2/7 95.F2cp TH,4 vE 5 coivc. fazcii-/ ::::: 35 S.F. 41•1■........"......"."""!............■11 AS P/IA GT 5/ E 4,/.44 Lie. :.-- "7 73 S. F. SCH/V /Dririve-0:$1 . 1-'4"iie/VEA'r H t 1 / /A4fi4../e // sciREAcEs :=2 9 e)-1 5, F. LT6 , , ,c. , I ,v. TOTAL 4 4,7 CO VER0446 * :::-. 33,Z/,c70 / ::lOtt: /111Cit§1 ,4 y , 13 Cl//-D/A.6 .ELEv ,:-... -1. 75 PA YE .. 2-15 - 9 IZE (11-22--91 BOILDiA/G A/E/61-/T Ci- Zo. /424)