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PLUMBING GROUNDWORK
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UNDERFLOOR FRAMING
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SHEAR WALLS
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PLUMBING ROUGH-IN
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GAS PIPING
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MECHANICAL ROUGH-IN
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MECHANICAL (OTHER)
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FRAIIAING
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INSULATION
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PLANNING FINAL
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BUILDING DIVISION
33530 First Way South
EOZf�L_ Federal Way,WA 98003
VV f)/ (253)6614000
171 I Fax(253)661-4129
e;L'
colq
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # tom" 1-. 9 8 -0€'
.` `'$.' 4, �.'.; • Address l"l vfv S. `'520"-1•-1/4 ST. �}Z�i_�� ca-Ces.tL. rr
Tenant(if known) P'11.1TL2 . Lot# Assessor's Tax#
OSZt . . -GZ'
Building Owner's Name Address
MEbte•-•• t4 `f(v qo S.�,cl. %'�oHQwM� Ste•
City 1"\-111.-- -1/4-1t--1 p State > N Q Zip ct-7Go'. -Phone(Sn3')(o"1t.`-t c.)o
Nature of Work R. i-sot%Ac, trii X4-9 c•lto �t.nCstA w�sc..i>Pt - vo4:1 2. .047 .
Name (F,M,L)
M RAIL 'N a RTH 1nrt=ST
Address
-74`i 0 3.W".
City 1 LI d L.OT 14{ StateG,v- r-1 Zip G"70G
Contact Person Day Phon4q Other Phone Fax
GR7/►�v I�aMB-'I` f.3o3) toq I -�150� _�-�c>a�L02)4.12.12
b<�, .�Kw. ..�,r..,��s.�.-. •`'$fin>'��.;„
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes 0 No
� � .c :�'.: "5........:.�t?''.'. '.`:•.:§...of��q�•
Name
2sENNCR S-Mt•-i :• s pp(rGHtT�GCS . '. C- •
Address pc",q S.w. (--"1e76.c::(=.•,, tZQ . SL.wrG 3io
City State 't,og.t ...a>H Zip \1 03
Contact Person Phone Fax
L c.7.,JEt-1 G1-lK1 ,C5o3)(p7O-023 d- (-5°3)4:W>-OZ 3
LEGAL DESCRIPTION
Q 4 Ftt -'E
Please Complete Reverse Side
III
'r.` TURC 6' A" A>i:; " `3.%.' ' Existing Use r...1CTlS.11__ Proposed Use R'i=1-l22.11.„,_
.
Permit includes: CI( Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New rg,,Remodel 0 Number of Units_ 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter let Floor 1'i Zrlaq ft 2nd Floor eq ft 3rd Floor sq ft Existing Floor Area 16tr-5Z':'1 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area (q-57y1 eq ft
Water Availability' Sewer Availability On-Site Septic System Availability 0 Project Valuation $ 4-•C't OG>>O
1
Zoning CObn %us-r%T`( pus P
.C .�G� GtLs
Lot Size ►(p 4 O . Existing Bldg Valuation $ 8cao 4G>C7
Name Address
City State I Zip
•
P.. ..~ '.I,: '4.y.�' 0.�k•&r. -7:@$i31,'Lf a ct'-
Contractor Name Address
City State Zip
Contact Phone Fax
License I _Expiration Data _Verified 0 Yes 0 No
Contractor Name Address
City State Zip
!Contact Phone Fax
1
I License# • Expiration Date Verified 0 Yes 0 No
• :'F
Water Closets Sinks Urinals Lawn S•rinklers
Bathtubs Dish Washers Drinkine Fountains Other
Showers Electric Water Heaters Sumas
'£ -a >' s :Lavatories Washinr Machine Drains biFalIVixttt ::tb[nf'
" _ >ir
a y v ,• '% fi.. Y'g.v x, . '• 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 :.r:.t '''+'`
f'Arte'•l:rafe r.sig :..................Ts<=:
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.
Owner/Agent: Date:
R,v o 8/26197