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BUILDINGDIVISION f
qTY G 4 5r •• • 33530 First Way South
EDDY Federal Way,WA 98003
uV FZY (206)661-4000 '
Z 1998 Fax(206)661-4129c g
12 I a�/Pek/
vowZ
G"13t3►o"'" 'PLICATION FOR BUILDING PERMIT
/�
PLEASE PRINT a/ysi`G Z`J APPLICATION#
;.:. ,'i:,sq•:. i'xY. i€S}p 3-�ti>F?"` �2a:v,'r:?.a:;=:}. 1 r:. �/ ,�/ j J J 3 L.I�
: : ? 1Ct: q$` % :.<" Address / ��
f
Tenant(if known) Lot ✓, I Assessor's Tax#
189890-0 0
Building Owner's Name Address
LEBARON HOMES INC. 25710 212th ave. s . e.
city MAPLE VALLEY State WASH. Zp 98038 'Phone( 206)432-9124
Nature of Work BUILD SINGLE FAMILY RESIDENCE.
Name(F,M,U (SAME)
Address •
State Zp
Contact Person RAY MARKLEY Day Phone ( 206)432-9124 ° °549-500O Fr206)432-4653
Company Name
(SAME)
Address
City State Zp
Contact Person
RAY MARKLEY Phr 06)432-9124 T206)432-9124
Contractor's I(card must be presented) Expiration ate Verified cc Yes 0 No
LEBARHI099LZ 6/9/97
�,• rt
0'4'fi1\// 144GW1•••/
Name
(SAME)
Address
City State Zp
Contact Person Phone Fax
LEGAL DESCRIPTION LOT / DASH POINTE (STONEBROOK)
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.:.::....:.....,....:..................:> .:.,-:. 9 LOT Iroposed Use NEW HOME
Permit includes: XXBuilding ti Plumbing 1:4 Mechanical 0 Other
Type of Work: lX Residential N New 0 Remodel 12.1 Number of Units 1 0 Deck
0 Commercial ❑ Addition ) Garage 0 Shed
0 Other
Enter 1st Floor q lsq ft 2nd Floor /6/7sq ft 3rd Floor sq ft Existing Floor Area
Area Basement sq ft Decks sqft Garagesq ft
g � sq ft Proposed Total Area Apfjj sq ft
Water Availability 0 Sewer Availabili 0 On-Site Septic System Availability 0 Project Valuation $
Zoning Lot Size Existing Bldg Valuation S
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Name
CONTINENTAL MTG. CO. Address
11555 S. E. 8th ST.#110
City BELLEVUE
State WASH. Imp 98004
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Contractor Name
Address
City _ State Zip
Contact
Phone Fpx
License 0
Expiratioa Qat, Verified 7 Yes 0 No
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Contractor Name Address
City - - State Z
Contact P
Phone Fax
License 1
Expiration Date Verified Yes 0 No
Water Closets -'. Sinks 1 Urinals Lawn Sprinklers
Bathtubs 2 Dish Washers 1 Drinking Fountains Other
Showers 1 Electric Water Heaters 1 Sumps
Lavatories 4 Washing Machine 1 Drains i;>:{ ;•"''' 4 `i'j
...Oki..:-.r•SORD*. MECHANICAL EVALUATION ONLY $
Fuel Type(electric/other) GAS Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range 1 Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs X Gas Log 1 Unit Heater
50+ Tons
Furn >100 BTUs Fans 4 Miscellaneous
Fuel Tanks
Gas Hwt X Hood 1 Boilers
Above Ground
Cony Burner Duct Work 1 0-3 Tons Underground
BBQ's Wood Stoves ::{;ii;::.;::._::::inu;;e:<»;{._,;;rz;;•v;:;,; <..ie
3-15 Tons :ing ild.t".,i. Y• •{,AKM:g::
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 dill reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the cityas a
�� �f //// PP part of this application.
Owner/Agent: 0�..'L — ie•---e--7 `. ( (�auan...A,. C�Lt^ �V+%1 -Date: --
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