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II I! .f IE ,0 O n n..1o n7 H H 'a HC.n O O C.e) C7 is II 0 ,, Cn ii Cf ii 414 BUILDING DIVISION 4r.�� 0 • 33530 First Way South �= -- Federal Way,WA 98003 FI<Y (253)661-4000 Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # , � I � II IgilVtoTIO! :.;:;.>;;:::.;:.>:.:<:>::;::>:::;; s:>::;>::::>:::::::<:>;.:_ :z Site address32 I!20 /_c4 f�ls?2 _.5-60_.5-60 /.:_—_624/e j 1, a9 �1 Kee, ( ef.) / Tenant name Lot # Assessor's Tax # Ir/ C(.5 iLQar pt,76- Aor-,S ilI A jr ) O I iS02/061- 90(la- ek,R Building Ower's Name Address 9 �'na v� z..., 0,7 //Z) z.L. c o �'w B a,ei tj. !4 ,3od city 442�t 4td7� S _tate GR.._ Zip 92..../Y I Phone 5 J -.25/5---//..e/, Description of Work/4,4/ fp feece/1'Q, Pe rm! o? r- .i e 4'!G_r l ,�_ 1 _�j J '3 T�?�rT Gc,€r- e-017 z2/i<e4/ , GYu�e l�rz 7 Name (F,M,L) /7�� 6�Es,/Us ` k2„.7Z;., �� "7".-7/77Address 9' ��� on ice a e-.4vr /e/-D ,574 ? .0: City QQ,e.._ 7Qi'!/) State (3/e.-____ Zip 9 5 -./ 7' ContApt Pero,rt Day Phone Other Phone F 1111E et*tRAbR� 1 Federal Way Business License # Company Na e �3 5 ty1�vt.* ( era,/ C.esticiv cA if Address }d City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No ARc KtTE ;''<;::'.zz:...::::: ::,«:'.>s:;:<.:>:;,,:;.;::<.;;>;:::::<:,::> Name 4/ / r V Address •City State Zip Contact Person Phone Fax EGAL DESCRIPTION A-04-c% ok Please Complete Reverse Side =-_ 1o1. 4- 'S —(01 itttl:HT1Ole..:.::;:;.::..;.:.::.::»>: ;g:. fisting Use 2 'r' f 4�,' +'roposed Use - , C1'Pl Permit includes: Building ' umbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New remodel Xr#of bedrooms / 0 Deck 0 Commercial 0 Addition 0 Repair 0 Garage 0 Shed Enter 1st Floorl-S ) sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 7-50 sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area '9-S sq ft Water Availabilito6 Sewer Availabilitu , On-Site Septic System Availability 0 Project Valuation $ Zoning Lot Size Existing Bldg Valuation $ NDERFor new residential only - Proposed selling cost: $ Name ��/�/f 4 / Address City State Zip �ECHAN I.CAL.. ONTRA a 'dR:.;;;:.;::,;:;;:.;;:;:<: Contractor Name I7/. Address City / State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No • PLUM::BF i COQ::>:T:iil..>'<::: >:::IIIA ` IIII Contractor Name f�� c, Address se Q ,,/ Qom- f T�✓� i4 City .,,,,-,,iState Zip Contact Phone Fax ins e # Expiration Date Verified 0 Yes 0 No ..LLI tIBll1t0:FI)C:wr .c u::::"..;:.. ............::: Water Closets ! Sinks ` Urinals —' Lawn Sprinklers -- Bathtubs Dish Washers 1 Drinking Fountains ^ Other Showers / Electric Water Heaters ! Sumps Lavatories Washing Machine Drains ` TGIF Tota(PiXtura Ccti:nt MECHANICAL:UNTT:.aiiNT"I(`......:.>:::.:.:<:;.;:<:> MECHANICAL EVALUATION ONLY S Fuel Type (ga electr /other) ,55rtje C"' VaDrye7) ^ 47L.t-e' 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 g Ct y�.,ryl A) ((1 - Miscellaneous Fuel Tanks Gas Hwt Hood (-/p1.5 Boilers Boilers Above Ground Cony Burner Duct Work -- 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Coun 1=,✓e p lack' - (4)(30.1. b ov'vu - 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 ap E ' .tion ism.-e.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in investigation an efense of s cid ),whic a •e made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reli f the c' ,mclud' :its o r. upon the accuracy of the information supplied to the city as a part of this application. / i , Own /Agent: Date: au,la,Na.APP REVsEo 5/18/99 _. -.. .... . ,z,,, --;.> t•..--t-...,) '* -- , , n ;:4-7"'"""a ,,,..., . . a v., ...,i ".' «-,tt i 2 0 .. w , rt, W::: K •- R :*„ ---, -.› .---. 2-,,. ,;a ,,„, t if ,I.If uner 4*.. 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"*". 0 Cy .:*. *-V1-.... r-O 1/43.1 , C ON 4% t 4% 4 0.- ............* ti iimpawar.........rea....uror.rawer. **.m.m...* 1 Date By 2 ................................................................................................ ................................................................................................. Date By ............................................................................................... 3 ................................................................................................. ............................................................................................... ............................................................................................... ................................................................................................. Date By .................................................................................................. 4 ................................................................................................. ........................... ................................................................................................. ................................................................................................. Date By 5 FOOTI+t.t"a/D011YNSPO[ F DRAIN; ::::::;;: ;::;;:: ;::: Date By ................................................................................................. 6 N ................................................. ............................. ............... Date By ................................................................................................ ................................................................................................ ................................................................................................ ................................................................................................ 7 SHEAF WALLS Date By 8 ...........................................................................................:.:... ............................................................................................... ................................................................................................. Date By ................................................................................................. ................................................................................................ ................................................................................................. Date By ................................................................................................ ................................................................................................. ................................................................................................ ................................................................................................. 10 MECHANICAL>ROUGH-IFF :> < ................................................................. ............................ ................................................................................................. ................................................................................................. Date By ................................................................................................. ................................................................................................. 11 ">`:...__.......... . . ....::.:................ . Date 161 .Z et _ifBy C I J ................................................................................................. ................................................................................................ ................................................................................................. ............................................................................................... 12 Date /ate Z, 7,ngy 13 GWB 1ST:LAYER Date//_/_ 9 9 By ............................... . ......... ................................................... ................................................................................................. ................................................................................................ ................................................................................................. Date By ................................................................................................. 15 :.:.:::::::...:.............................................................................. Date By ................................................................................................ ................................................................................................. ................................................................................................ 16 Date By ............................................................................................... ................................................................................................. 17 ................................................................................................. ............................................................................................... ................................................................................................. Date By ................................................................................................. 10 ................................................................................................ Date By .............................................................................................. 19 BUILDING FINAL c Date l/ ! [ By G� 20 OTHER . Date By CD0193(Rev 4/97)