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REcel /ED
• City of Federal Way #CITY OF cSAY 0 3 1996
-�.
`v APPLICATION FOR BUILDING PERMIT °OF FEDERAL WAY
F3UILDING DEPT,
PLEASE PRINT APPLICATION #: .81--D(1(,---- 011415
SITE LOCATIONAddress /6 `€ j ,g�✓_$ . � /,t)
Tenant{if.known) i,-, Lot# Assessor's Taax'
Buil g Owner Name Address
City 40 '�,�r T IState 1j,i/V Zip '//C2 5 ,� vZ Phone6 (�p) 7 // Qa /5
Nature of Work aCtl/// 1� —moi
APPLICANT
Name 1 M,L) ,
..,€ZZ t73- 4/L72,--- l'--k ---/2-.- '
Address ,, /i
City R.,L O State (j A2 Zip 7 cfQ_z� _ 2
Contact Person Daye�Ph,�yonne 947/ p / Other Phone Flax, / 9.4/./ 6.,:p(,,
p/
<J`e6. c �/ �,C/(p Cod In
BUILDING CONTRACTOR
Company Name ow
Address
//1/05 0H I-4 sf j
City �' State /`,/j L Zip �.3
Contact Person ay Phone�` Fax
L6 e. c6 _5
Contr ctor's # (card must be presented) Expiration Date Verified ❑ Yes LI No
1)A/PA"C1 *9 �/L Com-' �/_28� 1-‘
ARCHITECT
Name _., .--,
Address
// 2).
,4f' Z24,
City 24/__, �/ State ,())L/ Zip 9
Contact Person
de___ _:_e�U Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93;
Sl,91;---/c tt 567--V
STRUCTURE Illxisting Use ^ ;' roposed Use . 9 )
1 C----- _ it • :. r Gt i.r-aYiC lij
Permit includes: ;iT Building ❑ Plumbing ❑ Mechanical ❑ Other ,
411
Type of Work: C Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial El Addition ❑ Garage ❑ Shed ❑ Other
y
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_(-270' sq ft
Water Availability Lk Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning 1-6 /..5. U (.�d'-7/.1j� Lot Size'5 3_5 ., Z./wU j fisting Bldg Valuation $
'SOo J 1
�.�rr 4f ei,,-3 ..��1, 13 /��0C)
LENDER 7 7'cr KG p L-> ,lir eb /L> /9 55 - c ' 7)
C2 !"rC z)
Name Address
City State Zip
)I >CHANICAL CONTRACTOR 6s/b/ci,Hir �� - �%�
Con : tor Name �
Address
6472-.-4)I1---% 4/)
City t V✓ .1
State State Zip
Contact �� in). Phone Fax
License # 1 Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets l Sinks Urinals •— Lawn Sprinklers
Bathtubs — Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Fixture Count
MECHANICAL T COUNT MECHANICAL VALUATION -.6 Y $
Fuel Type (elec ric/other) ,6,/-i.I.... Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of abs Piping 3 ' Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <3O0K BTUs ' Gas Log Unit Heater 50+ Tons
Furn/100 BTUs Fans Miscellaneous Fuel Tanks
Ga- Hwt Hood Boilers Above Ground
'"onv Burner 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 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 this
application.
�(.. /il elLe___,c‘L.,,. . ) 4
Owner/Agent: 1.."i 1C7L //LC �"t7"- --7'2"' Date: �64-1 /99
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sE1'I1ACIe & FO07INGS if 2/% . .
' Date /-.2. --14, BY<A»^ Via..X1/0•;• a,- ,( //i.e.f=5,,,,P �/4 A,rb+
FOUNDATION WALLS (-ANC 61-� 1
�' -qC,
Date By rc56;IA)C- (ig✓ AeUT: 1441 1)5 Oh 5A-en 9-7--ft
PLUMBING GROUNDWORK WA)) AV 6-4Ad--40,4, 41,1 �A---- q— 9 i6
Date. By 111/1;) 0;✓ 120TAjH0-&. i ai.=.s 04 SJI-- q-'4 -i 4'
UNPERF�O R FRAMING
Date/l /7,4P By -
1
SHEAR WALLS ig/-K rD/- Io c7k ZIP (. c f ''y.- 7
Date By V
PLUMBING ROUGH-IN l/
Date=9...47 ByJ/3
..................................................................................
..................................................................................
..................................................................................
..................................................................................
..................................................................................
GAS PIPING
Date-7 1,5— S , By
MECHANICAL ROUGH-IN
Date % _/S-- 9-7 By X�
MECHANICAL IOTHER)
Date By
76.- FRAMING
Date By
INSULATION
Date. --26. _ 9/C? Byi),A T /
G W B -/1 STT LAYER
/q7BDate/ / ' y
GWB - 2ND LAYER
Date By
LSUSPENDED:CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL .
Date By
BUILDING FINAL
Date 9-23- 9, q By< I:..A../
OTHER
Date By
OTHER
Date By
CD0193