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F-• O I-i 0 }s n n CD O O CD O O LI' Cr' if ;1 11 vD hi II i' ..--ii n... -,......... •......,...•••• ..(1 vO Ai 1 .la, Z BUILDINGDIVISION «r.� V` df 1 33530 First Way South �- 9. j' l jederaiWa)cwA98003 uv �^�r ` 253 661-4000 , ter/ 04/b.. VkT , ____,.. Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # 6 i c) q?c oa 8c) SITELOCATIONNiomi;giiiiaggEiMime Address _ Pa C f• t H L t 4f 5 Tenant(if known) //S Lot # Assessor's Tax# � C � — r 1�r((.(V6 Building Owner's Nam Address t !!'' 15vi�nvi IMC (4,`4,1 331 1 0 Pe.c t(.: N wt/ L,{ r 2 City ! Pde.,A( (n/c.'/ State (A/d Zip Phone Nature of Work RP 1",t-e de, ............................................ .. ....................................... ...................................................................................... ... Name (F,M,L) ( / Ar �^ t� QCn�s �. r--71,.1 Qi IVOv��I i C/� '- hG pt, fes' Address Z c 00c.kS1- 44 Z - cr City CAC'Dt,,,,, State Zip gt8,--c02 Contact Person , Phone Other Phone Fax L CicAt'S C 1---;..-1 253 27 1 q c 2S3 s38 O'4413 B: itDINfi CONTR#CTOF3 » » ' €`> m .......................... Company Name Nov 4, cS L f,„Ie.-pv•`tci Address S2( °OGr (',- 41- z r9 City I Cteri c^.6. t/ Iti J State IA/A Zip 4:1V-( 0 2 Contact Person S G cu.y27.1 Fax y 279 4613 Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No NURTNE.044 o f ............................................................................................ ..........................:: ::]]... ....................ini::.......................... .......................................................................................... ................................... .................................................... ........................................................................................ ..... .............. ........... .................................................... AtitAt Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side ExistingUse Proposed Use �f� Permit includes: 11K Building ❑ Plumbing El Mechanical ❑ Other Type of Work: 0 Residential 0 New 4 Remodel ❑ Number of Units_ ❑ Deck K Commercial 0 Addition 0 Garage El Shed 0 Other 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 sq ft Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $ XVC' [) Zoning I Lot Size Existing Bldg Valuation $ LENDER :<_`.>` `"`Miiiii< » >'> <<> M`Sii.>:> Name Address City State Zip ........................................................................................... ......................................................................................... ......................................... .............................................. ......................................................................................... ......................................... .............................................. Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No riii I 1 Contractor Name Address i 4 ity State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes El No ...........................i*i:ii........................................................ ... ......................... ........................ ............................ ........................................................................................ ... ......................... ........................ ............................ ........................................................................................ Water Closets I Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps .............................................................. .............................................................. Lavatories ( Washing Machine Drains -Total:Thttui6iiCtitititi:i:iiiiiii0i:iii:iiiiiiiiiiiiiE ::: . . . . HA. 1�AUNITCO€3 MECHANICAL EVALUATION ONLY $ Fuel Type (electric/other) Gas Dryer 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 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:Uratt Cnu#►i DISCLAIMER:I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,ar d farther,that I am authorized by the owner of the above premises to perform the wo : 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 investig. '.n and.efense 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 th elian of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Silq ( Q Owner/Agent: ""'a/ LG�.r' c. t.,-,._i Date: O BUILOING.APP REVISED 8/28/97 ��i:[ti v t'i: .moi.•{.:t i. u.. -:. ::• n :: ii; o o y a. o t'1 xi 'ii CI Z 'd n (, • l o `0 • • n •• ` co o Cn Z Cl) ct --r. :.•...••.:.:"..-1:,•••.• ?<' • 0 0 Z H c,, • • '' n •:•..E.::::•;..•:::::•••!...-• •••;.........i.••ii..........i.•••-•• trJ O• `'' c • coi\ .• •. • GP CO • `0 o , ni w Cb w En ro C1 • o o -1 A til w �i Cr w • - A m z 8 CHH 10 Hpd { •- N.., --t M S•• ...., > H 0 H 0 at'd LS_), -, n n .ii;iii:!. ... .......: ..... .... ... ..... -3 ,,.3.,,, -z.;... .t.., _... ,,, _.,... ,.‹ '-ii lai )=i a 1-4y a. 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PLANNING FINAL Date By ENGINEERING FINAL Date By FIREFINAL Date 2—�,ST— 9 Y By') r' / BUILDING FINAL ye' vYlfLq deigje..ei I i,/I31S /C/—1 j/ Date ;Z z.>%9 t By '1)2_, / OTHER E e.,^t s aZ* f,> Date By OTHER Date By /► .Y1 /,w 1&46 f)1CMj"t� CD0193 33lto Pay tin( 5,•.ttz